On February 18, President Donald Trump signed an Executive Order titled “Expanding Access to In Vitro Fertilization.” The order directs the Assistant to the President for Domestic Policy to develop recommendations within 90 days on improving access to in vitro fertilization (IVF) and the financial burden it imposes. IVF treatments, which can cost between $12,000 to $25,000 per cycle, remain out of reach for many Americans. The executive order signals a federal commitment to removing regulatory barriers and lowering both patient out-of-pocket costs, and health plan expenses. It also frames IVF access as a way to support family formation and recognizes the medical and emotional challenges associated with infertility.
Employer Takeaways
The executive order does not impose immediate obligations on employer sponsored health plans. There is no requirement at this stage for employers to modify their health benefit plans. That said, the forthcoming policy recommendations (by May 20, 2025) could lead to federal guidance or mandates that impact group health plans, particularly around fertility benefits. Employers should monitor federal developments closely and prepare to adopt any plan changes if new guidance or mandates are issued. Sequoia will continue to monitor this information closely and will communicate updates on further legislative and regulatory developments.
Additional Resources
Connect with a Sequoia consultant to learn how Sequoia’s compliance services are integrated in our benefits services and tailored solutions. And if you’re already a Sequoia client, stay on top of your employer obligations with your Compliance Checklist that highlights important compliance dates, action items, and resources.
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