RESOLVE: The National Infertility Association's Fertility Scorecard showsConnecticut, Illinois, Maryland, Massachusetts, New Jersey and Rhode Island are the best states for those seeking fertility treatments.Alaska, Mississippi and Wyomingranked the worst, receiving an F grade.
States were evaluated based on state mandated insurance for infertility treatments, amount of fertility specialists and RESOLVE support groups relative to state's infertile population.
By clicking on each state at www.RESOLVE.org/fertility-scorecard, users can also see the number of women who have experienced physical difficulty becoming pregnant. Blue dots on states indicate state lawmakers have tried to pass laws that restrict or expand access to care for the infertility community.
Barbara Collura, president/CEO of RESOLVE, told USA TODAY while state grades haven't changed much in the last two years (when RESOLVE last released a scorecard), more state lawmakers are increasingly talking about infertility options.
"We were seeing a trend toward a lot more restrictive legislation,"Collura said. "That was a trend I was surprised to see and alarmed."
Collura said she believes pushback comes from those who are uncomfortable with untraditional ideas of family.
Disparities in access to effective treatment in reproductive medicine are tied to many factors, including socioeconomic status, geography, race, ethnicity, religion, sexual orientation, gender identity, marital status, and conscious or unconscious discrimination (4).
The states with the strongest mandates (best coverage) are generally thought to be Massachusetts, Illinois, Connecticut, Rhode Island, and New Jersey. The other states have significantly weaker mandates which will result in the patient still facing large out of pocket costs.
States with the largest numbers of fertility clinics that provided data were California (78), New York (45), and Texas (43) (Table 1 and Figure 1). In 2021, there were 246,087 ART procedures (range: 192 in Wyoming to 30,835 in California) performed at the 453 reporting US fertility clinics (Table 1 and Figure 2).
CNY Fertility in Colorado and in New York has the lowest pricing in the whole country, with one cycle of IVF being around $5,000, and that includes ICSI and anesthesia. The clinic is very busy, and the wait can be longer because of that.
Caucasians made up the majority of the patients, constituting 91.5% of the patient population.African Americans, Asians, and Hispanics accounted for 4%, 3%, and 1.5% of the population, respectively. African American women had a significantly higher BMI and weight in comparison to both Caucasian and Asian women.
In 2021, the average IVF birth rate using fresh embryo transfers among patients aged 18-37 was 23% for Black patients and 24% for Asian patients. White patients had the highest rate of 32%. These findings are consistent with previous studies in the UK and United States.
Because infertility has long been considered a women's health issue, insurance companies perceived it as a niche issue and denied coverage to those experiencing it. This is despite the fact that nearly half of all cases are due to “male factor infertility.”
When it comes to the cheapest option, the Czech Republic often emerges as the leader in terms of the base cost for IVF treatment. However, it's important to consider the additional costs that can accrue, such as travel, accommodation, and any supplementary treatments or medications required.
The decision sparked outrage across the country. That outrage encouraged the Alabama Legislature to pass a bill that is narrow in scope to protect IVF providers from civil and criminal liability for embryo loss or damage during IVF treatments. On March 7, Alabama Gov. Kay Ivey (R) signed the legislation into law.
1: South Dakota. South Dakota had a total of 11,201 births in 2022. It had the highest birth rate in the U.S. among women ages 25 to 29, at 136.2 per 1,000.
The chances of failed IVF are much higher in someone with diminished ovarian reserves. At the same time, you may have an adequate amount of eggs but have low egg quality. Egg quality is an indicator of success when creating a viable embryo.
States where IVF is insured are Arkansas, Colorado, Connecticut, Delaware, Washington, D.C., Illinois, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Utah. States with some infertility coverage are California, Louisiana, Montana, Ohio, Texas and West Virginia.
If you have health insurance, check to see if your plan covers some or all of the costs of IVF. Some states' laws mandate that IVF medications are covered. To find ways to afford IVF, shop around, ask about discounts and payment plans, and use tax-advantaged savings accounts and medication coupons.
International Society for Fertility Preservation (ISFP) recommends that women under 35 years old can try up to four cycles, while women over 40 years should consider other options after one or two cycles.
Some have found that married Black and Latina women are more likely to be infertile than White women4,5. Black and Latina women are less likely to seek fertility treatment than their White counterparts 6. Also, Black women take more years to seek fertility treatment than White women 6.
Maternal and infant health disparities are symptoms of broader underlying social and economic inequities that are rooted in racism and discrimination. Differences in health insurance coverage and access to care play a role in driving worse maternal and infant health outcomes for people of color.
Introduction: My name is Nicola Considine CPA, I am a determined, witty, powerful, brainy, open, smiling, proud person who loves writing and wants to share my knowledge and understanding with you.
We notice you're using an ad blocker
Without advertising income, we can't keep making this site awesome for you.
