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H 1191

An Act improving access to infertility treatment

194th Legislature (2025-2026) Introduced by Rodney Elliott and 6 co-sponsors

Massachusetts bill expanding infertility treatment access through improved insurance coverage, reducing financial barriers for residents seeking fertility services and family planning options.

Accompanied a new draft, see H4551
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Bill Summary · H 1191

Legislative bill overview

H 1191 seeks to improve access to infertility treatment in Massachusetts, likely through insurance coverage mandates, cost reduction measures, or expanded eligibility for fertility services. The bill has progressed through committee referral and a scheduled hearing, with a companion draft (H4551) introduced in September 2025.

Why is this important

Infertility affects approximately 1 in 8 couples, and fertility treatments like IVF are expensive (typically $12,000-$15,000 per cycle). Expanding access could reduce financial barriers for families seeking treatment while potentially increasing birth rates among those currently unable to afford care. This also intersects with healthcare equity, as lower-income residents disproportionately lack coverage for these services.

Potential points of contention

  • Insurance mandate costs: Requiring coverage expansion will increase premiums for all policyholders, including those who never use fertility services, raising questions about cost-shifting
  • Definition and scope: Disagreement likely exists over what treatments qualify (IVF, medications, egg freezing), how many cycles are covered, and age limitations for recipients
  • Religious and moral objections: Some stakeholders may oppose subsidizing fertility treatments on philosophical grounds, particularly regarding embryo handling or assisted reproduction generally

Compiled from official sources — confirm details with the bill’s official record.

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