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Senate Republicans Halt Democratic-Proposed IVF Legislation

 September 18, 2024

In a significant procedural vote, the Senate failed to advance a Democrat-backed bill aimed at mandating insurance coverage for in vitro fertilization (IVF), despite having the backing of former President Donald Trump.

Senate Majority Leader Chuck Schumer championed the bill, which stalled with a vote of 51 in favor and 44 against, failing to meet the required 60 votes for further action, FOX News reported.

Legislative Battle Over IVF Insurance Coverage

Senator Tammy Duckworth, D-Ill., introduced the IVF bill to integrate fertility treatments within group health plans and health insurance policies that cover obstetrical services. The legislative effort aligned with the broader national discourse on reproductive rights, spurred by varied Republican stances.

Despite previous failures in June, when Senate Republicans blocked the measure, Schumer reintroduced the bill. This move occurred amid mixed signals within the Republican Party, as Trump publicly advocated for expanded IVF access through insurance mandates.

Trump's Unexpected Support for IVF Coverage

Breaking with many in his party, Donald Trump expressed strong support for the IVF bill, emphasizing his administration's commitment to facilitating access to fertility treatments.

"I'm announcing today in a major statement that under the Trump administration, your government will pay for — or your insurance company will be mandated to pay for — all costs associated with IVF treatment," he declared.

This stance was particularly notable as Trump had already received the Republican Party’s nomination for the presidency again, underscoring his commitment to "want more babies, to put it nicely."

Republican Counterproposals Emerge

Amidst the debate, Republican Senators Ted Cruz of Texas and Katie Britt of Alabama introduced their own version of an IVF bill. Their proposal aimed to prevent outright bans on IVF while allowing certain regulatory measures, creating a distinct legislative path that diverged from Schumer's approach.

Simultaneously, Senator Rick Scott, R-Fla., proposed legislation to improve the affordability of IVF by changing Health Savings Accounts, separating them from traditional health plans and increasing contribution limits specifically for IVF expenses.

Republicans Debate the Scope of IVF Coverage

The Republican Party, as articulated by Senate Minority Whip John Thune, R-S.D., supports IVF universally. However, the sticking point remains whether insurance coverage for such treatments should be mandated. "Every Republican is for IVF. I don't know of any Republican that isn't," Thune stated, adding that the conversation needs to focus on the insurance aspect.

Thune's comments highlight internal party discussions, reflecting a broader hesitation to commit to Schumer's legislative strategy without further debate and consideration.

Revote Scheduled Amidst Ongoing Debates

With the national spotlight on reproductive rights, Schumer has taken an assertive stance and scheduled a revote on the IVF measure. "As our national debate on reproductive rights has continued to unfold, we have seen the Republican Party’s nominee for president claim to be 'a leader in fertilization’ and come out in support of expanding access to IVF by requiring insurance companies to cover IVF treatment — a key provision included in the Right to IVF Act," Schumer stated, urging Republicans to clarify their position.

He added, "So, we are going to give our Republican colleagues another chance to show the American people where they stand," setting the stage for another critical vote in the ongoing legislative and ideological battle over reproductive rights.