Trans a Threat to my Daughter

https://www.whitehouse.gov/presidential-actions/2025/02/expanding-access-to-in-vitro-fertilization/

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered:

Today, many hopeful couples dream of starting a family, but as many as one in seven are unable to conceive a child.  Despite their hopes and efforts, infertility struggles can make conception difficult, turning what should be a joyful experience into an emotional and financial struggle.  My Administration recognizes the importance of family formation, and as a Nation, our public policy must make it easier for loving and longing mothers and fathers to have children.

     In vitro fertilization (IVF) offers hope to men and women experiencing fertility challenges.  Americans need reliable access to IVF and more affordable treatment options, as the cost per cycle can range from $12,000 to $25,000.  Providing support, awareness, and access to affordable fertility treatments can help these families navigate their path to parenthood with hope and confidence.

     Therefore, to support American families, it is the policy of my Administration to ensure reliable access to IVF treatment, including by easing unnecessary statutory or regulatory burdens to make IVF treatment drastically more affordable.

Within 90 days of the date of this order, the Assistant to the President for Domestic Policy shall submit to the President a list of policy recommendations on protecting IVF access and aggressively reducing out-of-pocket and health plan costs for IVF treatment.

    (a)  Nothing in this order shall be construed to impair or otherwise affect:

             (i)  the authority granted by law to an executive department or agency, or the head thereof; or

             (ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

     (b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

     (c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

February 18, 2025

LOWERING COSTS AND REDUCING BARRIERS TO IVF: Today, President Donald J. Trump signed an Executive Order expanding access to in vitro fertilization (IVF) for Americans.

• The Order directs policy recommendations to protect IVF access and aggressively reduce out-of-pocket and health plan costs for such treatments.   
  • The recommendations will focus on how to ensure reliable access to IVF.
  • Priority will also be placed on addressing any current policies, including those that require legislation, that exacerbate the cost of IVF treatments.
• The Order recognizes the importance of family formation and that our Nation’s public policy must make it easier for loving and longing mothers and fathers to have children. 

SUPPORTING AMERICAN FAMILIES: As many as one in seven couples trying to have a baby are unable to conceive, and many face significant financial hurdles to accessing IVF. 

• Avenues to more affordable IVF treatments are needed.
  • The cost can range from $12,000 to $25,000 per cycle and multiple cycles may be needed to get pregnant.  
  • IVF is often not fully covered by health insurance.
    • Only a quarter of employers report coverage of IVF for their employees.
    • Just a handful of states require some sort of coverage for IVF in state-regulated insurance plans.
    • The federal government covers IVF in a limited capacity for military personnel, veterans, and federal employees. 
• Department of Health and Human Services data reports that more than 85,000 infants were born as a result of IVF in 2021.
• The general U.S. fertility rate is at another historic low.
  • The rate dropped 3% in 2023 from 2022. From 2014-2020, the rate consistently decreased by 2% annually.

DELIVERING ON PROMISES FOR AMERICAN FAMILIES: President Trump promised to advance IVF and help American families with the associated costs so American families can have more babies, building on his record of supporting family formation and stability.  

• In his first Administration, President Trump doubled the child tax credit and expanded the eligibility of receiving the credit.
• He also signed into law a provision that enables new parents to withdraw up to $5,000 from their retirement accounts without penalty when they give birth to or adopt a child.
• President Trump has long advocated for more babies and expanding American families: “Because we want more babies, to put it very nicely. And for this same reason, we will also allow new parents to deduct major newborn expenses from their taxes, so that parents that have a beautiful baby will be able, so we’re pro family. But the IVF treatments are expensive. It’s very hard for many people to do it and to get it, but I’ve been in favor of IVF, right from the beginning.”

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