Having spent over two decades working alongside families facing these challenges, I’ve seen firsthand the difference that financial and emotional support can make. I believe there are impactful ways the federal government could help support those on their family-building journeys, making fertility treatments more accessible, affordable, and less daunting. Here’s how:

1. Standardizing Insurance Coverage for Fertility Treatments

In the U.S., insurance coverage for fertility treatments like IVF and surrogacy is inconsistent and largely dependent on state laws. Federal legislation could create a standardized requirement for insurers to cover fertility treatments across all states. When families know they have coverage, the financial burden is lessened, and they’re able to focus on what truly matters—bringing a child into their lives.

2. Providing Tax Credits for Fertility-Related Expenses

Fertility treatments are often considered out-of-pocket expenses, and the costs can add up quickly. By offering federal tax credits or deductions specifically for fertility-related costs, families could receive much-needed financial relief. This would make treatments like IVF, egg or sperm freezing, and genetic testing more feasible for a broader range of families.

3. Supporting Research and Development in Fertility Science

Federal funding for fertility research could drive advancements that make treatments more effective and less expensive. With investments in studies related to infertility, we could better understand common conditions like PCOS, endometriosis, and male infertility—helping millions receive improved treatment options in the future.

4. Subsidizing Fertility Preservation for Medical Patients

Medical treatments, such as chemotherapy, can significantly impact an individual’s fertility. Federal programs could step in to cover the cost of fertility preservation for those undergoing treatment, ensuring they have options for family-building in the future. Such support would also be invaluable for military personnel, offering the chance to freeze eggs or sperm before high-risk deployments.

5. Expanding Surrogacy and Adoption Support

Surrogacy and adoption provide important paths to parenthood, but both can be financially and legally complex. Federal grants, loans, or tax credits for adoption and surrogacy would provide greater support for intended parents. Additionally, national regulations for surrogacy could protect both intended parents and surrogates, making the process safer and more transparent.

6. Strengthening Workplace Leave Policies for Fertility Treatments

Undergoing fertility treatments often requires taking time off work, which can add job-related stress to an already challenging time. By expanding Family and Medical Leave Act (FMLA) protections to include fertility treatments, people could undergo necessary appointments and recovery periods without fearing the loss of employment. Comprehensive workplace protections and family leave policies would help individuals focus on their treatments, knowing their jobs are secure.

7. Investing in Education and Awareness Programs

Raising awareness about fertility challenges can empower people with knowledge and options. Federal funding could support programs that educate the public on infertility, family-building methods, and the emotional aspects of the journey. Such programs could promote early detection, fertility preservation, and lifestyle changes that impact fertility, helping families make informed choices from the start.

8. Funding Mental Health Support for Family-Building Journeys

The emotional toll of infertility is often overlooked. Supporting mental health resources specifically for those navigating fertility treatments or surrogacy journeys would provide crucial help to families. With access to counseling and support networks, families can better cope with the ups and downs of their unique journeys.

While not all family-building journeys are the same, the challenges are real and often overwhelming. Federal involvement could make an enormous difference by ensuring that treatments, support, and options are within reach for all families.

In my work with the Egg Donor & Surrogacy Institute, I’ve seen the incredible resilience of individuals and couples navigating these complex paths. It’s time we come together to advocate for change, paving the way for a future where everyone has the support they need to pursue their dream of family, no matter the obstacles.

With a collective effort and government support, we can turn this vision into reality for families nationwide.