Frozen eggs in vitro. Credit: viktoriya/Adobe Stock
President Donald Trump has started the process of trying to reduce the cost of in vitro fertilization for families and for health coverage providers.
Trump released an executive order Tuesday that calls for Vince Haley, the assistant to the president for domestic policy, to provide a list of policy recommendations for reducing barriers to IVF procedures and "aggressively reducing out-of-pocket and health plan costs for IVF treatment" within 90 days.
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Haley will be making a priority of "addressing any current policies, including those that require legislation, that exacerbate the cost of IVF treatments," according to a fact sheet released along with the executive order.
IVF treatments in the United States now cost $12,000 to $25,000 per cycle, and would-be parents may need two or more cycles to conceive.
About 85,000, or 2.3%, of the 3.7 million babies born in the United States in 2021 were conceived using IVF, officials said.
Trump's administration also wants to create a new tax deduction for "major newborn expenses,"
"Because we want more babies, to put it very nicely," Trump said in a statement.
In the fact sheet, the administration officials implied that they might be open to considering proposals that could encourage or require employer plans to offer IVF benefits.
Today, "IVF is often not fully covered by health insurance, according to the fact sheet. "Only a quarter of employers report coverage of IVF for their employees. Just a handful of states require some sort of coverage for IVF in state-regulated insurance plans. The federal government covers IVF in a limited capacity for military personnel, veterans, and federal employees."
Any moves could also involve health savings accounts, which give people a way to pay for eligible types of care with cash that's exempt from federal income taxes, or other federal income tax breaks.
In the fact sheet, officials note that, during Trump's first term as president, he doubled the child tax credit and signed into law a provision that lets parents withdraw up to $5,000 from retirement accounts without penalty when they give birth to or adopt a child.
The backdrop: Trump expressed support for IVF benefits while he was campaigning for president.
Related: Trump's surprise fertility coverage proposal: Would insurers pay for it?
Trump was responding to critics who said that his policies and the policies of his supporters in Congress could cut off families' access to IVF procedures.
A Pew Research Center poll found in May 2024 that 70% of Americans agree that access to IVF treatments is a good thing, and many elected officials have made a point of supporting access to IVF treatments.
California Gov. Newsom Gavin recently signed a bill expanding the state's fertility benefits mandate. The law now requires state-regulated large-group plans to cover at least three IVF treatment cycles.
Lori Chavez-DeRemer, who previously represented Oregon in the U.S. House and is now Trump's nominee for Labor secretary, introduced a federal fertility benefits mandate bill.
Vince Haley: One effect of the IVF project could be to put Haley in the spotlight.
Haley is a lawyer who worked for years as an aide to former House Speaker Newt Gingrich.
From 2003 to 204, Haley was a policy analyst at the Center for Health Transformation, a Gingrich-affiliated group that helped promote proposals that led to the creation of the health savings account program.
Haley also worked at another Gingrich-affiliated group, American Solutions for Winning the Future. That group focused on energy policy but also backed efforts to repeal the Affordable Care Act.
He managed Trump's speech-writing team during Trump's first term in the White House.
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