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Bill

Bill

HB 1389

Health insurance; coverage for standard fertility preservation procedures.

2026 Regular Session

Requires Virginia insurers to cover fertility preservation procedures like egg/sperm freezing, expanding reproductive options for patients facing infertility-causing medical treatments.

Left in Labor and Commerce
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WeVote Research Nonpartisan
Bill Summary · HB 1389

Legislative bill overview

HB 1389 would require Virginia health insurance plans to cover standard fertility preservation procedures, such as egg, sperm, or embryo freezing. The bill aims to ensure that individuals facing medical treatments that may affect fertility have access to preservation options before undergoing those treatments.

Why is this important

Fertility preservation can be critical for cancer patients, those undergoing gender-affirming care, or others facing medical interventions that could result in infertility. Without insurance coverage, these procedures can cost $10,000-$20,000+ out-of-pocket, making them inaccessible to many individuals who might otherwise preserve their reproductive options.

Potential points of contention

  • Insurance cost impact: Insurers and business groups may argue that mandated coverage increases premiums for all policyholders, particularly affecting small businesses and individual market plans
  • Scope and definition disputes: Questions about which procedures qualify as "standard," whether coverage should include all age groups, and whether limitations should apply (e.g., medical necessity vs. elective preservation)
  • Medical vs. personal choice framing: Disagreement over whether fertility preservation is a medical necessity (supporting mandate) or an elective procedure that individuals should fund privately

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

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