Frequently Asked Questions

About Americans for IVF

Americans for IVF is a 501(c)(4) nonprofit advocacy organization working to make IVF covered by insurance in the United States. We educate the public and Congress on IVF as a medically necessary pathway to parenthood and advocate for passage of the HOPE with Fertility Services Act.

Yes. Americans for IVF is organized as a 501(c)(4) social welfare organization. Donations support advocacy work but are not tax-deductible as charitable contributions.

Americans for IVF is led by President and Chairman Rabbi Moshe Margaretten, with an advisory board of physicians and advocates chaired by Dr. Kaylen Silverberg.

Yes. We work with supporters across party lines. Approximately 70% of Americans support access to IVF regardless of political affiliation (Pew Research, 2024).

No. Americans for IVF is a 501(c)(4) social welfare organization. Donations are not tax-deductible as charitable contributions.

IVF costs & coverage

A single IVF cycle costs an average of $15,000–$20,000 out of pocket, not including medications ($3,000–$7,000 additional). Many patients require 2–3 cycles, bringing total costs to $30,000–$60,000 or more.

Most insurance plans do not cover IVF. Only 21 states require some form of infertility coverage, and only about 27% of employers offer IVF benefits nationally (KFF, 2024).

Approximately 1 in 8 couples — or about 13% of U.S. women of reproductive age — experience infertility. That represents roughly 6.5 million women who may benefit from fertility treatment access (CDC, NSFG 2022–2023).

As of 2024, 21 states have some form of infertility mandate. States with the strongest IVF-specific coverage include Illinois, New Jersey, Massachusetts, and New York. Most Americans live in states with no mandate.

IVF involves multiple complex steps — ovarian stimulation, egg retrieval, laboratory fertilization, embryo culture, and transfer — plus medications, genetic testing, and monitoring. Without insurance, every cost falls on the patient.

Success rates vary by age and diagnosis, but many patients require 2–3 cycles to achieve a live birth. Because each cycle costs $15,000–$20,000 without insurance, the total financial burden can reach $30,000–$60,000 or more.

The HOPE Act

The HOPE (Helping to Optimize Patients’ Experience) with Fertility Services Act is bipartisan federal legislation that would require employer-sponsored group health plans that cover obstetrical care to also cover infertility diagnosis and treatment, including IVF, as well as standard fertility preservation. Passing it is Americans for IVF’s primary legislative goal.

If passed, the HOPE Act would make fertility treatment, including IVF, a covered benefit in employer-sponsored health plans that reach roughly 133 million Americans. Instead of paying $15,000–$20,000 per cycle out of pocket, patients in those plans would have their care covered like other medical treatment.

State mandates vary widely and only apply to state-regulated insurance. They can’t reach self-funded employer plans, which are governed by the federal ERISA law. The HOPE Act would amend ERISA to set one federal standard for employer-sponsored plans, including the self-funded plans that state mandates miss.

Yes. The bill was introduced by Republican and Democratic members of Congress together and has cosponsors from both parties. Polling consistently shows approximately 70% of Americans support access to IVF regardless of political affiliation (Pew Research, 2024).

Get involved

Contact your members of Congress in support of the HOPE Act, share your IVF story, donate to Americans for IVF, and spread awareness on social media. Visit americansforivf.org/take-action to take action in minutes.

Use our Find Your Rep tool at americansforivf.org/find-your-rep to find your representative and send a personalized message in support of the HOPE Act in minutes.

Yes. We collect patient stories to share with lawmakers as part of our advocacy work. Personal constituent stories are among the most powerful tools in moving legislation forward.

Donations fund public education campaigns, digital advocacy, Congressional outreach, and awareness efforts that keep IVF access on the legislative agenda.

For fertility clinics & providers

Fertility clinics and OB/GYN practices can distribute patient education materials, display QR codes connecting patients to advocacy resources, and encourage patients to contact their representatives in support of the HOPE Act.

Physicians can join the Americans for IVF advisory network, lend their voice to Congressional outreach, and help educate patients about the HOPE Act during consultations.