When the Supreme Court overruled Roe v. Wade through their Dobbs decision, fears began to rise about whether access to fertility treatments would be at risk.
What can we do? We can educate lawmakers, so they understand how assisted reproduction helps create families. We need to help them recognize the value of providing fertility healthcare, so they don’t intentionally or unintentionally place it at risk.
Below you will find state-specific fact sheets you can download to help you communicate effectively with your Representative and Senator. You can find the contact information for your legislators below or at Open States.
Listing of government resources and Protecting Access to Fertility Healthcare Fact Sheets individualized for each state.
Fact Sheet: Alabama Protecting Fertility Healthcare
Alabama Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Alaska Protecting Fertility Healthcare
The Alaska Division of Insurance
Mandate: As of the 31st Legislature (2019-2020), it specifically states that the department will not cover infertility services (7 AAC 105.110. noncovered services)
Fact Sheet: Arizona Protecting Fertility Healthcare
Arizona Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Arkansas Protecting Fertility Healthcare
Mandate
Year: 1987
Source: Arkansas Code Annotated Section 23-85-137, 23-86-118, and Section 23-79-510
Coverage:
All accident and health insurance companies shall include in vitro fertilization as a covered expense
The Arkansas comprehensive Health Insurance Pool shall not cover any expense or charge for IVF, artificial insemination, or any other artificial means used to cause pregnancy.
Patient Requirements: None listed
Exemptions: None listed
Fact Sheet: California Protecting Fertility Healthcare
California Legislative Information
California Department of Insurance
Mandate
Year: 1990, 2019
Source: California Insurance Code Section 10119.6, California Health and Safety Code Section 1374.551
Coverage:
Every insurer that covers hospital, medical, or surgical expenses on a group basis must offer infertility treatment coverage except IVF
Does not cover infertility treatment in the case of Iatrogenic Infertility
Patient Requirements: Inability to conceive or carry a pregnancy to live birth after one year of regular sexual relations
Exemptions: Religious organizations
Fact Sheet: Colorado Protecting Fertility Healthcare
Colorado Department of Regulatory Agencies
Mandate
Year: 2020
Source: Colorado Building Families Act
Coverage:
All individual and group health plans must provide coverage for the diagnosis and treatment for infertility and standard fertility preservation services
Includes three completed oocyte retrievals with unlimited embryo transfers, using single embryo transfer when recommended and medically appropriate
Patient Requirements:
For women under age 35: Patient is unable to establish a clinical pregnancy after twelve months of regular, unprotected sexual intercourse or therapeutic donor insemination
For women age 35 or older: Patient is unable to establish a clinical pregnancy after six months of regular, unprotected sexual intercourse or therapeutic donor insemination
Conception resulting in miscarriage does not restart the twelve- or six-month period
Exemptions: Religious organizations
Fact Sheet: Connecticut Protecting Fertility Healthcare
Connecticut Insurance Department
Mandate
Year: 2017
Source: Connecticut General Statutes §38a-536 and §38a-509
Coverage:
Infertility diagnosis and treatment including but not limited to: ovulation induction, intrauterine insemination, in-vitro fertilization, uterine embryo lavage, embryo transfer, gamete intra-fallopian transfer, zygote intra-fallopian transfer, and low tubal ovum transfer.
Limit coverage to an individual until the individual reaches age 40.
Lifetime maximums: 4 cycles of ovulation induction, 3 cycles of intrauterine insemination, 2 cycles (with not more than 2 embryo implantations per cycle) of IVF, GIFT, ZIFT, or low tubal ovum transfer (provided each such fertilization or transfer shall be credited toward such maximum as one cycle).
Patient Requirements: Patient is unable to conceive or produce conception or sustain a successful pregnancy during a one-year period or such treatment is medically necessary.
Exemptions: Religious organizations
Fact Sheet: Delaware Protecting Fertility Healthcare
Delaware Department of Insurance
Mandate
Year: 2018
Source: Delaware Insurance Code § 3342 and § 3556
Coverage:
All individual health insurance policies, contracts, or certificates that are delivered, issued for delivery, renewed, extended, or modified in Delaware that provide for medical or hospital expenses must include coverage for fertility care services
In vitro fertilization services for individuals who suffer from a disease or condition that results in the inability to procreate or carry a pregnancy to live birth
Standard fertility preservation services for individuals who must undergo medically necessary treatment that may cause iatrogenic infertility
Intrauterine insemination; assisted hatching; cryopreservation and thawing of eggs, sperm, and embryos; cryopreservation of ovarian tissue; cryopreservation of testicular tissue; embryo biopsy; consultation and diagnostic testing; fresh and frozen embryo transfers; six completed egg retrievals per lifetime, with unlimited embryo transfers in accordance with ASRM guidelines; IVF, including IVF using donor eggs, sperm, or embryos, and IVF where the embryo is transferred to a gestational carrier or surrogate; ICSI; medications; ovulation induction; storage of oocytes, sperm, embryos, and tissue; surgery, including microsurgical sperm aspiration; medical and laboratory services that reduce excess embryo creation through egg cryopreservation and thawing in accordance with an individual’s religious or ethical beliefs.
These benefits must be provided to covered individuals, including covered spouses and covered non-spouse dependents to the same extent as other pregnancy-related benefits
Patient Requirements:
Patient must be diagnosed with infertility or be at risk for iatrogenic infertility as verified by a board-certified or board-eligible obstetrician-gynecologist, subspecialist in reproductive endocrinology, oncologist, urologist, or andrologist
After diagnosis of infertility, the patient has not been able to obtain a successful pregnancy with less costly infertility treatments covered by the policy, contract, or certificate except as follows:
- No more than 3 treatment cycles of ovulation induction or intrauterine inseminations may be required before IVF services are covered
- If IVF is medically necessary, no cycles of ovulation induction or intrauterine inseminations may be required before IVF services are covered
- IVF procedure must be performed at a practice that conforms to ASRM and ACOG guidelines
- For IVF services, retrievals are completed before the individual is 45 years old and transfers are completed before the individual is 50 years old
Exemptions: None listed
Council of the District of Columbia
District of Columbia Department of Insurance, Securities and Banking
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Florida Protecting Fertility Healthcare
Florida Department of Financial Services
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Georgia Protecting Fertility Healthcare
Georgia Office of Insurance and Safety Fire Commissioner
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Hawaii Protecting Fertility Healthcare
Hawaii Department of Commerce and Consumer Affairs
Mandate
Year: 2013
Source: Hawaii Revised Statute §432:1-604 and §431:10A-116.5
Coverage: Individual and group health insurance plans that provide pregnancy-related benefits must also include a one-time-only benefit for all expenses arising from IVF procedures
Patient Requirements: Patient’s oocytes must be fertilized with the patient’s spouse’s sperm; patient and patient’s spouse have a history of infertility of at least five years duration, or patient’s infertility is associated with one or more of the following medical conditions: Endometriosis; exposure in utero to DES; blockage of, or surgical removal of one or both fallopian tubes; abnormal male factors contributing to the infertility
The patient has been unable to attain a successful pregnancy through other covered infertility treatments
Exemptions: None listed
Fact Sheet: Idaho Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Illinois Protecting Fertility Healthcare
Illinois Department of Insurance
Mandate
Year: 1997, 2019
Source: Illinois Compiled Statutes ch. 215 section 5/356m and section 5/356z.32
Coverage: Coverage for the diagnosis and treatment of infertility will be provided without discrimination. A health insurance policy may not limit or exclude the coverage of fertility medications or services in a way different from the limitations or exclusions imposed on non-fertility related medications or services.
Fact Sheet: Indiana Protecting Fertility Healthcare
Indiana Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Iowa Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Kansas Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Kentucky Protecting Fertility Healthcare
Kentucky Department of Insurance
Per the 2023 Kentucky Revised Statutes, health insurance plans must provide coverage fro oocyte and sperm preservation when medically necessary treatment may cause iatrogenic infertility. Coverage is required to include evaluation, laboratory work, medication and treatment related to oocyte and sperm cryopreservation procedures for up to one year.
Fact Sheet: Louisiana Protecting Fertility Healthcare
Louisiana Department of Insurance
Mandate
Year: 2001/2008
Source: Louisiana Revised Statute Section 22:1036
Coverage:
Health insurance policies cannot exclude coverage for diagnosis and treatment of a correctable medical condition otherwise covered by the policy solely because the condition results in infertility
This law does not require coverage of fertility drugs; IVF or other assisted reproductive techniques; reversal of tubal ligation, vasectomy, or any other method of sterilization
Patient Requirements: None listed.
Exemptions: None listed
Fact Sheet: Maine Protecting Fertility Healthcare
Effective January of 2024, health insurance plans offered in Maine must provide coverage for fertility diagnostic care, fertility preservation services, and fertility treatment to fertility patients. Experimental fertility procedures and non-medical costs related to donors and surrogates are not covered.
Fact Sheet: Maryland Protecting Fertility Healthcare
Maryland Insurance Administration
Mandate
Year: 2000, 2018, 2020
Source: Maryland Insurance Code Section 15-810
Coverage:
Entities subject to Section 15-810 that provide pregnancy-related benefits may not exclude benefits for all outpatient expenses arising from in vitro fertilization procedures
Cover 3 IVF attempts per live birth, with a maximum lifetime benefit of $100,000
Patient Requirements:
For a married patient whose spouse is of the opposite sex, the patient’s oocytes must be fertilized with the spouse’s sperm unless:
- The spouse is unable to produce and deliver functional sperm and that this inability does not result from a vasectomy or other method of voluntary sterilization
Patient has been unable to become pregnant after 1 year through either intercourse or 3 attempts of artificial insemination, or if the patient or patient’s spouse has the following medical conditions:
- Endometriosis; exposure in utero to DES; blockage of, or surgical removal of one or both fallopian tubes; or abnormal male factors, including oligospermia, that contribute to the infertility
Patient has been unable to attain a successful pregnancy through less costly covered treatments
Exemptions: Religious organizations
Fact Sheet: Massachusetts Protecting Fertility Healthcare
Massachusetts Department of Insurance
Mandate
Year: 1987, 2010
Source: Massachusetts General Laws ch. 175 Section 47H; ch. 176A Section 8K; ch. 176B Section 4J; ch. 176G Section 4; Code of Massachusetts Regulations ch. 211 Section 37
Coverage: Any blanket or general policy of insurance that provides hospital or surgical expense insurance which includes pregnancy-related benefits shall provide coverage for medically necessary expenses of diagnosis and treatment of infertility. Insurers shall provide coverage for all non-experimental infertility procedures including but not limited to:
AI; IUI; IVF; ET; GIFT; sperm, egg, and/or inseminated egg procurement and processing, and baking of sperm or inseminated eggs, to the extent such costs are not covered by the donor’s insurer, if any; ICSI for the treatment of male factor infertility; ZIFT; assisted hatching; cryopreservation of eggs
Insurers shall not impose exclusions, limitations, or other restrictions on coverage for infertility-related drugs that are different from those imposed on any other prescription drugs
Patient Requirements:
Patient must be unable to conceive or produce conception for 1 year if the woman is age 35 or younger, or for 6 months if the woman is over age 35
If a person conceives but is unable to carry that pregnancy to live birth, then that period of time she attempted to conceive prior to achieving that pregnancy shall be included in the 1 year or 6-month time frame
Exemptions:
Medicaid
Experimental procedures
Surrogacy
Reversal of voluntary sterilization
Fact Sheet: Michigan Protecting Fertility Healthcare
Michigan Department of Insurance and Financial Services
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Minnesota Protecting Fertility Healthcare
Minnesota Department of Commerce
Minnesota Statute Section 256B.0625 specifically states that medical assistance covers drugs, except for fertility drugs when specifically used to enhance fertility.
Fact Sheet: Mississippi Protecting Healthcare
Mississippi Insurance Department
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Missouri Protecting Fertility Healthcare
Missouri Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Montana Protecting Fertility Healthcare
Montana Commissioner of Securities and Insurance
Mandates
Year: 1987
Source: Montana Code Annotated 33-31-102
Coverage: Health maintenance organizations must provide basic health care services, including infertility services
Patient Requirements: None listed
Exemptions: None listed
Fact Sheet: Nebraska Protecting Fertility Healthcare
Nebraska Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Nevada Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: New Hampshire Protecting Fertility Healthcare
New Hampshire Insurance Department
Mandate
Year: 2020
Source: New Hampshire Revised Statutes Section 417-G
Coverage:
Health care providers that issue /renew group policies or plans that provide benefits for medical/hospital expenses must provide coverage for the diagnosis of infertility
Coverage for medically necessary fertility treatment, including coverage for evaluations, laboratory assessments, medications, and treatments associated with the procurement of donor eggs, sperm, and embryos
Coverage for fertility preservation when a person is expected to undergo surgery, radiation, chemotherapy, or other medical treatment that is recognized by medical professionals to cause a risk of impairment of fertility
Coverage for fertility preservation services, including procurement and cryopreservation of embryos, eggs, sperm, and reproductive material determined not to be an experimental infertility procedure
Patient Requirements: None listed
Exemptions:
Experimental infertility procedures
Non-medical costs related to third party reproduction
Voluntary sterilization reversal
Fact Sheet: New Jersey Protecting Fertility Healthcare
New Jersey Department of Banking and Insurance
Mandate
Year: 2001, 2017
Source: New Jersey Statutes Section 52:14-17.29v, Section 52:14-17.46.6g, Section 17:48-6x, Section 17:48A-7W, Section 17B:27-46.1x
PDF’s and links unavailable, but Statutes can be found on the New Jersey Legislature website
Coverage:
Every contract under the State Health Benefits Program and the School Employees Health Benefits Program must provide coverage for infertility treatment and diagnosis
Health insurance contracts that provide hospital/medical expense benefits for groups over 50 people that provide pregnancy-related benefits must also include coverage for the diagnosis and treatment of infertility
Including but not limited to: diagnosis and diagnostic tests; medications; surgery; IVF; embryo transfer; artificial insemination; GIFT; ZIFT; intracytoplasmic sperm injection; and four completed egg retrievals per lifetime
Patient Requirements:
Patient has used all reasonable, less expensive and medically appropriate treatments and is still unable to become pregnant or carry a pregnancy
Patient has not reached the limit of four completed egg retrievals
Patient is age 45 or younger
“Infertility” is defined as being a disease or condition that results in the abnormal function of the reproductive system, in which the patient has met one of the following conditions:
- A male is unable to impregnate a female
- A female with a male partner and under age 35 is unable to conceive after 12 months of unprotected sexual intercourse
- A female with a male partner and age 35 or older is unable to conceive after 6 months of unprotected sexual intercourse
- A female without a male partner and under age 35 who is unable to conceive after 12 failed attempts of intrauterine insemination
- A female without a male partner and over age 35 who is unable to conceive after 6 failed attempts of intrauterine insemination
- Partners are unable to conceive as a result of involuntary medical sterility
- A person is unable to carry a pregnancy to live birth
Exemptions:
Religious organizations
Insurance carriers that provide benefits to those who are eligible for medical assistance under P.L. 1968, c.413, the NJ FamilyCare Program established pursuant to P.L.2005, c.156, or any other program administered by the Division of Medical Assistance and Health Services in the Department of Human Services
Fact Sheet: New Mexico Protecting Fertility Healthcare
New Mexico Office of the Superintendent of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: New York Protecting Fertility Healthcare
New York Department of Financial Services
Mandate
Year: 1990, 2002, 2011
Source: New York Insurance Law Section 3221, Section 3216, and Section 4303; New York Public Health Law Section 2807-v
Coverage:
Insurers shall not exclude coverage for diagnosis and treatment of correctable medical conditions solely because the medical condition results in infertility
Insurance policies shall provide coverage for standard fertility preservation services when a medical treatment may directly or indirectly cause iatrogenic infertility
- “Iatrogenic infertility” is defined as an impairment of fertility by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes
- Insurers must charge the same rate for prescription infertility drugs, regardless of the pharmacy used
- Every large group policy in New York that provides medical coverage shall provide coverage for three cycles of IVF used in the treatment of infertility
- Funds from the tobacco control and insurance initiatives pool shall be reserved and accumulated from year to year for the purposes of a grant program to improve access to infertility services, treatments, and procedures
Patient Requirements: None listed.
Exemptions: Coverage is not required to include diagnosis and treatment of infertility in connection to IVF, GIFT, intrafallopian tube transfers, ZIFT, voluntary sterilization reversals, sex change procedures, cloning, or experimental procedures
Fact Sheet: North Carolina Protecting Fertility Healthcare
North Carolina General Assembly
North Carolina Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: North Dakota Protecting Fertility Healthcare
North Dakota Legislative Branch
North Dakota Insurance Department
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Ohio Protecting Fertility Healthcare
Mandate
Year: 2000
Source: Ohio Revised Code Section 1751.01
Coverage: Infertility services are defined as preventative health care services, which fall under the category of “basic health care services”
Patient Requirements: None listed.
Exemptions: Experimental procedures
Fact Sheet: Oklahoma Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Oregon Protecting Fertility Healthcare
Oregon Division of Financial Regulation
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Pennsylvania Protecting Fertility Healthcare
Pennsylvania Insurance Department
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Rhode Island Protecting Fertility Healthcare
Rhode Island Insurance Division
Mandate
Year: 1989, 2006, 2017
Source: Rhode Island General Laws Section 27-18-30, Section 27-19-23, Section 27-20-20, and Section 27-41-33
Coverage:
Health and nonprofit hospital service insurance policies, contracts, or plans that include pregnancy-related benefits must also provide coverage for the diagnosis and treatment of infertility
Must cover standard fertility preservation services when a medically necessary treatment may directly or indirectly cause iatrogenic infertility
- Iatrogenic infertility is defined as an impairment of fertility by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes
Patient Requirements:
Women must be between age 25 and 42
“Infertility” is defined as a condition in which an otherwise healthy patient is unable to conceive or sustain a pregnancy during a period of one year
Exemptions:
Medicare
Health insurance contract may limit coverage to a lifetime cap of $100,000
Fact Sheet: South Carolina Protecting Fertility Healthcare
South Carolina Department of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: South Dakota Protecting Fertility Healthcare
South Dakota Division of Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Tennessee Protecting Fertility Healthcare
Tennessee Department of Commerce and Insurance
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Texas Protecting Fertility Healthcare
Mandate
Year: 1987, 2003
Source: Texas Insurance Code Sections 1366.001-1366.007
Coverage:
Group insurance providers that provide pregnancy-related benefits must offer and make available coverage for services and benefits for outpatient expenses that arise from IVF procedures
Benefits for IVF procedures must be provided to the same extent as benefits provided for other pregnancy-related procedures.
Healthcare plans must cover preservation services when a cancer-related medically necessary treatment may cause iatrogenic infertility. Programs managed by medicaid are exempt from covering fertility preservation treatments.
Patient Requirements:
Fertilization or attempted fertilization of the patient’s oocytes must be done only with the sperm of the patient’s spouse
Patient and patient’s spouse have a history of infertility of at least five continuous years duration or the infertility is associated with:
- Endometriosis; exposure in utero to DES; blockage of or surgical removal of one or both fallopian tubes; or oligospermia
- Patient has been unable to attain a successful pregnancy through less costly treatments
Exemptions:
Religious organizations
Credit accident and health insurance policies subject to Texas Insurance Code Chapter 1153
Groups covered under a policy filed with the State Board of Insurance prior to April 1, 1975
Accident and health coverages that are incidental to any form of a group of automobile, casualty, property, workers’ compensation, or employers’ liability policy approved by the commissioner
Any policy or contract of insurance with a state agency, department, or board providing health services:
- To eligible individuals under the Texas Human Resources Code Chapter 32
- Under a state pal n adopted in accordance with 42 U.S.C. Sections 1396-1396g, or 42 U.S.C. section 1397aa
Fact Sheet: Utah Protecting Fertility Healthcare
Mandate
Year: 2017, 2018
Source: Utah Code Section 49-20-418, Section 31A-22-610.1
Coverage:
The Expanded infertility treatment coverage pilot program offered a 3-year pilot program within the state risk pool that provides coverage to a qualified individual for the use of an assisted reproductive technology
This program ran from 2018-2021 and was extended another three years until 2024.
Offers a one-time, lifetime maximum benefit of $4,000 toward the costs of using an assisted reproductive technology.
If an insured has coverage for maternity benefits on the date of an adoptive placement, the insured’s policy shall provide an adoption indemnity benefit payable to the insured, if a child is placed for adoption with the insured within 90 days of the child’s birth
- An insurer may provide the $4,000 adoption indemnity benefit to be used for infertility treatments rather than seeking reimbursement for an adoption
Per the extended 3-year pilot program (2018-2021, 2021-2024) for Public Employees' Health Plan, policies that offer maternity benefits must also offer an indemnity benefit of $4000 for infertility treatments.
Patient Requirements:
Patient’s physician verifies that the patient or the patient’s spouse has a demonstrated condition recognized by a physician as a cause of infertility, or the patient attests that they are unable to conceive a pregnancy or carry a pregnancy to a live birth after a year or more of regular sexual relations without contraception
Patient has been unable to attain a successful pregnancy through less-costly infertility treatments
Patient has not received the adoption indemnity benefit required under Utah Code Section 31A-22-610.1
Exemptions:
The pilot program is scheduled to end January 1st, 2022
The pilot program is not a mandate for coverage of assisted reproductive technology within all health plans offered by the program
Fact Sheet: Vermont Protecting Fertility Healthcare
Vermont Department of Financial Regulation
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Virginia Protecting Fertility Healthcare
Virginia State Corporation Commission
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Washington Protecting Fertility Healthcare
Washington Office of the Insurance Commissioner
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: West Virginia Protecting Fertility Healthcare
West Virginia Offices of the Insurance Commissioner
Mandate
Year: 1977, 1995
Source: West Virginia Code Section 33-25A-2
Coverage: Health maintenance organizations are required to provide basic health care services, including infertility services
Patient Requirements: None listed.
Exemptions: Self-insured employees
Fact Sheet: Wisconsin Protecting Fertility Healthcare
Wisconsin Office of the Insurance Commissioner
Mandate
Year: 2018
Source: Wisconsin Statutes Section 253.075
Coverage: The Wisconsin Department of Health Services shall distribute family planning and related preventative health services funds (including infertility services) to public entities, including state, country, and local health departments and health clinics. If any money remains, the department may then distribute grant funds to nonpublic entities that are hospitals or federally qualified health centers that provide comprehensive primary and preventative care
Patient Requirements: A public entity that receives family planning and related preventative health services funds may provide some or all of the funds to other public or private entities provided that the recipient does not provide abortion services or have an affiliate that provides abortion services
Exemptions: An employee may refuse to accept the duty of offering family planning services due to personal beliefs, and this refusal is not grounds for dismissal, suspension, demotion, or any other employment discrimination
Fact Sheet: Wyoming Protecting Fertility Healthcare
Currently, there are no laws requiring infertility treatment coverage.
Fact Sheet: Puerto Rico Protecting Fertility Healthcare
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