Trump’s IVF Executive Order: What You Need to Know [Updated Sep. 2025]

    By Prelude Fertility|September 9th, 2025

    February 2025 – Executive Order & Policy Review

    In February 2025, President Trump signed an executive order aimed at reducing the cost of in vitro fertilization (IVF). The order directs the Assistant to the President for Domestic Policy to provide Trump with a list of policy recommendations aimed at protecting IVF access and lowering out-of-pocket expenses and health plan costs.

    It is encouraging to see national support for IVF, as 1 in 6 couples in the U.S. face fertility challenges. However, it’s important to note that this executive order does not guarantee that a policy will be implemented immediately. The recommendations for IVF-related policies are still in development.

    Because these recommendations are still under review, it’s uncertain how — or if — they will ultimately be implemented, and any changes could take months or even years to take effect. For those hoping to build a family, timing is critical. Beginning treatment now ensures you don’t put your plans on hold while waiting for outcomes that remain unclear.

    We run through the timeline of what’s happened since the Executive Order below - and will keep this updated as the situation evolves.

    March 2025 – Public Statements by President Trump

    On March 26, during a Women’s History Month event at the White House, President Trump announced the formation of the Republican Women’s Caucus in Congress. While this announcement was separate from his IVF-related executive order, it reflects ongoing attention to reproductive issues in the political sphere.

    March 2025 – Inception Meets with White House Staff

    On March 27, 2025, the Fertility Providers Alliance (FPA) met with White House staff. The meeting focused on essential IVF policies and how they’d significantly impact families across the nation. Some policies presented include:

    • Requiring IVF treatment and services to be part of each state’s Medicaid coverage
    • Including fertility treatment and preservation services as Essential Health Benefits (EHB) for ACA plans
    • Creating a health workforce grant to increase the number of reproductive endocrinologists and embryologists
    • Expanding VA Health and TRICARE to include fertility preservation and infertility services for non-service-related injuries

    April 2025 – Policy Recommendations Pending

    The executive order directed the Assistant to the President for Domestic Policy to submit policy recommendations within 90 days to protect IVF access and reduce associated costs. As of today, these recommendations are anticipated but have not yet been publicly released.

    August 2025 – Alternative Approaches Discussed: Restorative Reproductive Medicine

    The administration also explored restorative reproductive medicine (RRM), an approach promoted by some conservative policy groups. 

    This method emphasizes addressing underlying health factors that affect fertility through monitoring ovulation and other biological markers, diagnosing and treating conditions such as PCOS and endometriosis, recommending lifestyle or dietary changes (including vitamins and supplements), and using certain medications or surgery. 

    Critics, including the American College of Obstetricians and Gynecologists (ACOG), point out that while fertility awareness and lifestyle changes can and should play a supportive role alongside standard fertility treatments, many fertility patients already try these methods before ultimately needing medical treatment. RRM also does not fully address the diverse paths to parenthood, particularly in cases involving male infertility, LGBTQ+ family building, or single parenthood by choice.

    What This Means for IVF Patients

    Time is of the essence when it comes to IVF, so if you’re considering starting your family now, it’s important to begin the process as soon as possible, as policies can take time to develop.

    As this news story develops, The Prelude Network is committed to keeping fertility patients across the nation up to date with the latest details. For more information about IVF and all things fertility, connect with us today.