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Bill would mandate IVF, infertility coverage in Minnesota

A bipartisan group of Minnesota senators has introduced the Minnesota Building Families Act (SF 1961), which would require most health plans in the state to cover infertility diagnosis and treatment — including in vitro fertilization (IVF) — and standard fertility preservation services, putting a new floor under what Twin Cities residents can expect from their insurance. Sponsored by Sen. Erin Maye Quade (DFL–Apple Valley) with co‑sponsors Sen. Julia Coleman (R–Waconia), Sen. Zach Duckworth (R–Lakeville) and Sen. Alice Mann (DFL–Bloomington), the bill is set for a hearing in the Senate Commerce and Consumer Protection Committee on Thursday. It would mandate comprehensive infertility benefits with coverage for unlimited embryo transfers and up to four completed oocyte retrievals, while prohibiting higher co‑pays, deductibles or coinsurance than what a plan charges for maternity care; surgical reversals of elective sterilization would remain optional for insurers. The proposal also locks the definition of "standard fertility preservation" to clinical guidelines from the American Society for Reproductive Medicine and the American Society of Clinical Oncology, targeting patients whose cancer or other treatments threaten their ability to have children later. With IVF cycles routinely costing up to $30,000 out of pocket — far beyond the modest TrumpRx discount program touted by the White House — this bill would shift a large share of that cost from individual metro families onto the insurance pool if it clears both chambers and Gov. Tim Walz signs it.

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📌 Key Facts

  • SF 1961, the Minnesota Building Families Act, would require comprehensive infertility coverage, including IVF and standard fertility preservation, in Minnesota‑regulated health plans.
  • The bill is sponsored by Sen. Erin Maye Quade (DFL–Apple Valley) with bipartisan co‑sponsors Sen. Julia Coleman (R–Waconia), Sen. Zach Duckworth (R–Lakeville) and Sen. Alice Mann (DFL–Bloomington).
  • Coverage would include unlimited embryo transfers, allow plans to cap IVF at four completed oocyte retrievals, and bar higher cost‑sharing than for maternity care.
  • “Standard fertility preservation services” are defined by reference to professional guidelines from ASRM and ASCO, aimed at people whose medical conditions or treatments, such as chemotherapy or radiation, threaten fertility.
  • The measure will be heard in the Minnesota Senate Commerce and Consumer Protection Committee on Thursday and would take effect only if passed by both chambers and signed by Gov. Tim Walz.

📊 Relevant Data

In the United States, Black women are nearly twice as likely to experience infertility compared to White women, but are less likely to seek or receive infertility treatment.

Navigating Unequal Paths: Racial Disparities in the Infertility Journey — PMC - National Library of Medicine

In the United States, the fertility rate per 1,000 women ages 15-44 during 2021-2023 was highest for Hispanic women at 64.4, followed by Black women at 55.0, American Indian/Alaska Native at 54.4, White at 53.8, and Asian/Pacific Islander at 49.0.

Fertility rates by race/ethnicity: United States, 2021-2023 Average — March of Dimes Peristats

Black and Hispanic women in the United States are more likely to report income level and other barriers to accessing fertility treatment compared to White women.

Disparities in Access to Fertility Care: Who's In and Who's Out — ResearchGate

In Minnesota, the population in 2023 was approximately 78.35% White, 6.8% Black or African American, 5.06% Asian, 5.7% Hispanic or Latino, and smaller percentages for other groups.

Minnesota Population 2026 — World Population Review

Racial and ethnic disparities in access to infertility treatment in the United States are influenced by socioeconomic status, geography, race, ethnicity, and other factors, leading to differences in treatment outcomes.

Disparities in access to effective treatment for infertility in the United States: an Ethics Committee opinion — American Society for Reproductive Medicine (ASRM)

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March 05, 2026
5:33 PM
IVF treatments, fertility coverage mandated by health plans under new proposal
FOX 9 Minneapolis-St. Paul by Nick.Longworth@fox.com (Nick Longworth)