White House Backs Away From IVF Insurance Mandate

Despite President Donald Trump's 2024 campaign pledge to mandate insurance coverage or government payment for in vitro fertilization (IVF), the White House now states it has no plans to require insurers to cover IVF costs. Trump signed an executive order earlier this year directing agencies to expand IVF access and lower costs, but officials confirm this did not impose a coverage mandate. Administration sources note that any mandate would require congressional action, and no related legislation is underway. The administration has moved away from considering a mandate, instead focusing on affordability and innovation. Advocates and some advisers say this approach falls short of Trump's initial promises, leaving IVF access unchanged for many. The shift comes amid heightened national focus on fertility treatment following a controversial Alabama court ruling on embryos.