Expanding Access to In Vitro Fertilization
The order declares it the administration's policy to ensure reliable access to IVF and directs the White House Domestic Policy office to produce recommendations for cutting costs and removing barriers within 90 days.
It does not itself change any law, regulation, or insurance requirement — any concrete policy shift depends entirely on future action taken in response to those recommendations.
What this order does
What it orders
The order establishes a formal administration policy of ensuring reliable IVF access and making treatments more affordable — noting that costs per cycle currently range from $12,000 to $25,000. Its sole operative directive instructs the Assistant to the President for Domestic Policy to submit a list of policy recommendations to the President within 90 days, covering both protections for IVF access and aggressive reductions in out-of-pocket and health plan costs.
The order does not itself modify any statute, regulation, tax rule, or insurance mandate. It explicitly states it creates no enforceable right or benefit for any party, and that implementation is subject to applicable law and availability of appropriations. All real-world changes are contingent on future decisions made in response to the recommendations report.
Who it affects
Americans experiencing infertility who use or seek IVF are the intended downstream beneficiaries. The only party immediately directed to act is the White House Domestic Policy office. No insurer, employer, agency, or provider faces new obligations under this order.
Why it matters
Roughly one in seven couples faces infertility challenges, and IVF can cost up to $25,000 per cycle. This order signals a federal priority to reduce those costs, but families seeking IVF relief will not see any change until future recommendations are acted on through rulemaking, legislation, or other policy steps.
What must happen and when
How the order is supposed to work
The order's entire implementation arc is a single step: the Assistant to the President for Domestic Policy delivers a recommendations list to the President within 90 days of signing. No agency is independently directed to act, no rulemaking is triggered, and no funding is allocated. Whatever policy changes ultimately result depend entirely on how the President responds to those recommendations — through subsequent executive orders, legislative proposals, or agency rulemaking.
Actions and deadlines
- Submit to the President a list of policy recommendations on protecting IVF access and reducing out-of-pocket and health plan costs