No state Medicaid program provides broad IVF coverage, though New York, Utah, and Washington, D.C. offer limited fertility benefits. Utah implemented IVF coverage in 2024 for carriers of specific genetic diseases, while New York and D.C. cover three cycles of ovulation-enhancing drugs. Seven states require Medicaid fertility preservation coverage for iatrogenic infertility. Private insurance mandates have expanded significantly, with 15 states now requiring IVF coverage and 21 states mandating fertility preservation coverage.

As legislative sessions wind down across the country, attention turns to the executive branch as governors make decisions on bills passed by the legislature. In the past month, various governors have taken action on significant healthcare legislation by signing, vetoing, or allowing bills to become law.