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Conservative support builds for IVF guardrails
Conservative support builds for IVF guardrails

Axios

time28-05-2025

  • Health
  • Axios

Conservative support builds for IVF guardrails

President Trump's imminent plans to issue a White House report promoting in vitro fertilization has spurred anti-abortion conservatives to call for new guardrails that could greatly limit the use of the treatment. Why it matters: Medical groups and fertility clinics warn that such steps could not only mislead couples hoping to conceive but also undercut administration efforts to boost the birth rate. The big picture: Trump has allied himself with "pro-natalist" policies to encourage a new baby boom and endorse assisted reproductive services in March when he called himself the "fertilization president." Several top GOP leaders have also spoken in support of IVF access. But IVF generally involves the creation of more human embryos than are needed, in order to improve the odds of a pregnancy. The surplus embryos can be frozen for future use or to be adopted by other couples, but many are discarded — a practice some anti-abortion forces liken to assisted suicide and abortion. The procedure is politically fraught, since polling has found 85% of Americans support access to IVF, Barbara Collura, the president of Resolve: The National Infertility Association, told Axios. "How in the world are you going to move forward if 85% of Americans like something?" Collura said. The answer, she said, appears to be a concept called "ethical IVF" that regulates how many embryos are created. Between the lines: A report from the Heritage Foundation in April called for lawmakers to tread carefully but set some standards for a fertility industry they view as largely unchecked. It raised concerns about "nonregulation of the IVF industry" as well as the "widespread use of ethically questionable nonmedical interventions such as sex selection" as well as the "commodification" of eggs, sperm and embryos. It also specifically called for support of "restorative reproductive medicine" built around ideas about healing infertile women through "hormone-balancing, dietary and nutritional adjustments, environmental changes and, in some cases, surgery." Zoom in: Advocates for reproductive medicine technologies say they're increasingly seeing references to "ethical IVF" pop up in state legislatures — a term they say implies some forms of IVF are somehow unethical — and wonder whether the term may appear in recommendations from the White House. The American Society for Reproductive Medicine calls both ethical IVF and restorative medicine "misleading terminology" which "can be used to promote ideologically driven restrictions that could limit patient care." Advocates also say they worry IVF coverage could be limited to married heterosexual couples, preventing single people or gay and lesbian partners from pursuing parenthood. They also worry mandates for unused embryos to be given to other families, genetic testing bans or restrictions on freezing embryos could be embedded in the recommendations. Friction point: IVF without surplus embryos is technically possible. However, experts say it is exhausting and expensive, and greatly reduces the chances of a successful pregnancy. Reproductive health experts say they already make adjustments to help patients navigate particular ethical concerns where possible, but say mandates on a nationwide level would be harmful. What we're watching: Ideas that have been floated as potential recommendations in the White House report include requiring insurance coverage of IVF for military members and declaring it an "essential health benefit" under the Affordable Care Act, The Hill reported.

Trump signs executive order asking for recommendations on lowering IVF costs
Trump signs executive order asking for recommendations on lowering IVF costs

Yahoo

time19-02-2025

  • Health
  • Yahoo

Trump signs executive order asking for recommendations on lowering IVF costs

President Trump on Tuesday signed an executive order directing federal agencies to find ways to reduce the high cost of in vitro fertilization (IVF) treatment. The order directs the Domestic Policy Council to make recommendations 'on how to ensure reliable access to IVF,' according to a White House fact sheet. It sets a 90-day deadline for the recommendations to be submitted. 'Fertilization, I've been saying that we're going to do what we have to do. And I think the women — and families, husbands — are very appreciative of it,' Trump said at an event at Mar-a-Lago. According to the American Society of Reproductive Medicine, the average cost for one cycle of IVF is about $15,000, and many patients require multiple cycles before a successful pregnancy is achieved. 'The recommendations will focus on how to ensure reliable access to IVF,' a White House fact sheet said. 'Priority will also be placed on addressing any current policies, including those that require legislation, that exacerbate the cost of IVF treatments.' Trump vowed during the 2024 presidential campaign that he would ensure IVF treatments would be covered by the government or that the government would require insurance companies to cover it. The executive order doesn't directly address that promise, but Resolve: The National Infertility Association said it was a promising first step — so long as there was follow-through. 'From my perspective, this is a really good first step,' the group's CEO Barbara Collura said. 'The government, they love to do reports. So let's see what the report says, and then what the action is once it's released.' Last year, Senate Republicans twice blocked consideration of legislation that would have protected access to IVF and made the treatments more affordable, calling it a political stunt from Democrats. Collura said she is hopeful for action this year on bipartisan House legislation to require private health insurers to cover IVF, intrauterine insemination and fertility preservation services. The HOPE with Fertility Services Act was introduced last year by then-Rep. Lori Chavez-DeRemer (R-Ore.), who is now the nominee to lead the Department of Labor. The bill hasn't yet been reintroduced. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Trump signs executive order asking for recommendations on lowering IVF costs
Trump signs executive order asking for recommendations on lowering IVF costs

The Hill

time18-02-2025

  • Health
  • The Hill

Trump signs executive order asking for recommendations on lowering IVF costs

President Trump on Tuesday signed an executive order directing federal agencies to find ways to reduce the high cost of in-vitro fertilization (IVF) treatment. The order directs the Domestic Policy Council to make recommendations 'on how to ensure reliable access to IVF,' according to a White House fact sheet. It sets a 90-day deadline for the recommendations to be submitted. 'Fertilization, I've been saying that we're gonna do what we have to do. And I think the women — and families, husbands — are very appreciative of it,' Trump said at an event at Mar-a-Lago. According to the American Society of Reproductive Medicine, the average cost for one cycle of IVF is about $15,000, and many patients require multiple cycles before a successful pregnancy is achieved. 'The recommendations will focus on how to ensure reliable access to IVF,' a White House fact sheet said. 'Priority will also be placed on addressing any current policies, including those that require legislation, that exacerbate the cost of IVF treatments.' Trump vowed during the 2024 presidential campaign that he would ensure IVF treatments would be covered by the government or that the government would require insurance companies to cover it. The executive order doesn't directly address that promise, but the National Infertility Association (RESOLVE) said it was a promising first step — so long as there was follow through. 'From my perspective, this is a really good first step,' the group's CEO Barbara Collura said. 'The government, they love to do reports. So let's see what the report says, and then what the action is once it's released.' Last year, Senate Republicans twice blocked consideration of legislation that would have protected access to IVF and made the treatments more affordable, calling it a political stunt from Democrats. Collura said she is hopeful for action this year on bipartisan House legislation to require private health insurance to cover IVF and IUI as well as fertility preservation services. The HOPE with Fertility Services Act bill was introduced last year by then-Rep. Lori Chavez-DeRemer (R-Ore.), who is now the nominee to lead the Department of Labor. It hasn't yet been reintroduced.

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