HOPE with Fertility Services Act

On March 26, 2026, HR8119, titled the "Helping to Optimize Patients' Experience with Fertility Services Act" or the "HOPE with Fertility Services Act," was introduced in the House of Representatives by Rep. Nunn of Iowa and referred to the House Committee on Education and Workforce. The bill's primary objective is to amend the Employee Retirement Income Security Act of 1974 to ensure that group health plans and health insurance issuers offering group health insurance coverage provide benefits for the treatment of infertility and iatrogenic infertility, including standard fertility preservation services when medically necessary treatments cause or are expected to cause iatrogenic infertility. This legislation does not authorize or appropriate specific federal funding. Instead, it mandates coverage requirements for private group health plans and health insurance issuers. The financial burden, if the bill were to pass, would fall on these entities through increased claims for infertility treatments and associated services. This could lead to adjustments in premium structures or benefit offerings within the private insurance market. Companies providing fertility services and related medical technologies would see an expansion in their addressable market, as more individuals would have insurance coverage for these treatments. Structural beneficiaries, should this bill advance, would include companies involved in fertility clinics, reproductive endocrinology services, and manufacturers of fertility-related pharmaceuticals and medical devices. Conversely, health insurance providers offering group plans would face increased costs associated with covering these mandated services. Given the bill's early stage, there are no immediate market-wide shifts or specific company impacts to report. The bill has 12 cosponsors, indicating some bipartisan support, but its referral to committee means it has a long legislative path ahead. To progress, HR8119 would need to be considered and voted on by the House Committee on Education and Workforce, then potentially passed by the full House, followed by similar processes in the Senate, and finally signed into law by the President. As of today, April 13, 2026, the bill remains in the initial committee review phase.