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Which States Require IVF Insurance Coverage?

Not legal or insurance advice

Each state record links to the source actually reviewed, including KFF, ASRM, or a state-government source. Coverage summaries describe state-regulated fully-insured plans only. Self-funded employer plans governed by ERISA are generally exempt from state mandates and may not provide these benefits even in mandate states. Always verify coverage directly with your insurer and HR benefits team before making treatment decisions.

States with IVF coverage requirements

The reviewed records below identify IVF coverage requirements for qualifying state-regulated plans. Eligibility, employer size, and limits vary. States that only require an offer of coverage are listed separately.

State or jurisdictionCoverageReviewed
ArkansasIVF coverage required2026-08-25
CaliforniaIVF coverage required2026-08-25
ColoradoIVF coverage required2026-08-25
ConnecticutIVF coverage required2026-08-25
DelawareIVF coverage required2026-08-25
District of ColumbiaIVF coverage required2026-08-25
HawaiiIVF coverage required2026-08-25
IllinoisIVF coverage required2026-08-25
MaineIVF coverage required2026-08-25
MarylandIVF coverage required2026-08-25
MassachusettsIVF coverage required2026-08-25
New HampshireIVF coverage required2026-08-25
New JerseyIVF coverage required2026-08-25
New YorkIVF coverage required2026-08-25
Rhode IslandIVF coverage required2026-08-25

An offer of IVF coverage is required in Texas. This does not mean that every plan includes IVF.

AlabamaAL
No general fertility coverage mandate

7 clinics

AlaskaAK
No general fertility coverage mandate

1 clinic

ArizonaAZ
No general fertility coverage mandate

15 clinics

ArkansasAR
IVF coverage required

2 clinics

CaliforniaCA
IVF coverage required

114 clinics

ColoradoCO
IVF coverage required

15 clinics

ConnecticutCT
IVF coverage required

9 clinics

DelawareDE
IVF coverage required

3 clinics

District of ColumbiaDC
IVF coverage required

3 clinics

FloridaFL
No general fertility coverage mandate

39 clinics

GeorgiaGA
Fertility preservation required

17 clinics

HawaiiHI
IVF coverage required

6 clinics

IdahoID
No general fertility coverage mandate

2 clinics

IllinoisIL
IVF coverage required

33 clinics

IndianaIN
No general fertility coverage mandate

11 clinics

IowaIA
No general fertility coverage mandate

2 clinics

KansasKS
No general fertility coverage mandate

5 clinics

KentuckyKY
Fertility preservation required

4 clinics

LouisianaLA
Fertility preservation required

6 clinics

MaineME
IVF coverage required

1 clinic

MarylandMD
IVF coverage required

15 clinics

MassachusettsMA
IVF coverage required

10 clinics

MichiganMI
No general fertility coverage mandate

12 clinics

MinnesotaMN
No general fertility coverage mandate

6 clinics

MississippiMS
No general fertility coverage mandate

3 clinics

MissouriMO
No general fertility coverage mandate

10 clinics

MontanaMT
Some fertility treatment covered

1 clinic

NebraskaNE
No general fertility coverage mandate

2 clinics

NevadaNV
No general fertility coverage mandate

6 clinics

New HampshireNH
IVF coverage required

2 clinics

New JerseyNJ
IVF coverage required

23 clinics

New MexicoNM
No general fertility coverage mandate

2 clinics

New YorkNY
IVF coverage required

53 clinics

North CarolinaNC
No general fertility coverage mandate

12 clinics

North DakotaND
No general fertility coverage mandate

1 clinic

OhioOH
Some fertility treatment covered

12 clinics

OklahomaOK
Fertility preservation required

5 clinics

OregonOR
No general fertility coverage mandate

5 clinics

PennsylvaniaPA
No general fertility coverage mandate

30 clinics

Puerto RicoPR
No general fertility coverage mandate

4 clinics

Rhode IslandRI
IVF coverage required

1 clinic

South CarolinaSC
No general fertility coverage mandate

4 clinics

South DakotaSD
No general fertility coverage mandate

1 clinic

TennesseeTN
No general fertility coverage mandate

9 clinics

TexasTX
IVF offer required; preservation covered

63 clinics

UtahUT
No general fertility coverage mandate

6 clinics

VermontVT
No general fertility coverage mandate

2 clinics

VirginiaVA
No general fertility coverage mandate

21 clinics

WashingtonWA
No general fertility coverage mandate

14 clinics

West VirginiaWV
Some fertility treatment covered

3 clinics

WisconsinWI
No general fertility coverage mandate

8 clinics

WyomingWY
No general fertility coverage mandate

Every state page identifies its reviewed source and data date. Laws and plan rules can change between reviews; verify current requirements with the cited authority and your insurer.

See our methodology and disclaimer for more information.