Illinois Governor Signs Landmark Legislation Expanding Fertility Treatment/Menopause Coverage
Governor J.B. Pritzker signed groundbreaking legislation on Friday mandating insurance companies in Illinois to cover all fertility treatments recommended by doctors. The new law, set to take effect in 2026, removes the bureaucratic hurdles that often force patients to undergo less effective treatments before gaining access to procedures like in vitro fertilization (IVF).
The law, championed by State Senator Michael E. Hastings (D-Frankfort), aims to alleviate the stress and heartbreak associated with infertility by ensuring timely and comprehensive coverage for fertility treatments. “Without in vitro fertilization, I wouldn’t be the proud father I am today,” Hastings shared. “I have felt the all-too-common stress and heartbreak of infertility. It’s past time to take bureaucracy out of health care.”
Inspired by a constituent’s struggle to access IVF, Hastings emphasized the importance of the new legislation. “While many states across the nation are working to restrict people’s ability to make their own family planning choices, Illinois is remaining a leader in protecting this type of care,” Hastings stated. “No person should be denied having a family due to archaic laws.”
Additionally, the law mandates coverage for an annual menopause appointment starting in 2026, further expanding the scope of required health services for women.
Currently, private insurance companies in Illinois limit patients to four rounds of IVF treatment. However, this new law removes such caps, allowing patients more flexibility and autonomy in their treatment choices. Representative Margaret Croke (D-Chicago) highlighted the significance of this change, noting that the live birth success rate jumps to 65% for women who complete six cycles of IVF treatment.
“The decision to undergo additional rounds of IVF should be left to a medical provider and his or her patient and not dictated by financial limitations,” Croke asserted.
The financial burden of fertility treatments, particularly those involving donor eggs, which can cost between $35,000 to $60,000, has been a significant barrier for many families.
“This crucial coverage could not come at a more prudent time,” said Senator Cristina Castro (D-Elgin). “As other states take steps to restrict access to assisted reproductive technology, we are standing up to protect these services for those wanting to start or grow their family.”
