{"id":2051781,"date":"2025-06-25T05:00:00","date_gmt":"2025-06-25T09:00:00","guid":{"rendered":"https:\/\/kffhealthnews.org\/?post_type=article&#038;p=2051781"},"modified":"2025-07-02T14:46:09","modified_gmt":"2025-07-02T18:46:09","slug":"california-ivf-law-delay-2026-newsom","status":"publish","type":"article","link":"https:\/\/kffhealthnews.org\/news\/article\/california-ivf-law-delay-2026-newsom\/","title":{"rendered":"California&#8217;s Much-Touted IVF Law May Be Delayed Until 2026, Leaving Many in the Lurch"},"content":{"rendered":"\n<p>California lawmakers are poised to delay the state\u2019s much-ballyhooed new law mandating in vitro fertilization insurance coverage for millions, set to take effect July 1. Gov. Gavin Newsom has <a href=\"https:\/\/trailerbill.dof.ca.gov\/public\/trailerBill\/pdf\/1305\">asked lawmakers<\/a> to push the implementation date to January 2026, leaving patients, insurers, and employers in limbo.<\/p>\n\n\n\n<aside class=\"block--sidebar alignright \">\n\t\n\n<div class=\"wp-block-kaiser-health-news-partner block--partner\">\n\t\t\t\t\t\t<a class=\"partner__image--link\" href=\"https:\/\/www.sfchronicle.com\/health\/article\/california-ivf-insurance-delay-20380168.php\">\n\t\t\t\t<img decoding=\"async\" class=\"partner__image\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/2\/2024\/02\/san-fran-chronicle.jpg?w=120\" alt=\"Partner logo\" \/>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t<p class=\"partner__content\">\n\t\tThis story also ran on <a href=\"https:\/\/www.sfchronicle.com\/health\/article\/california-ivf-insurance-delay-20380168.php\">San Francisco Chronicle<\/a>. It can be <a href=\"https:\/\/kffhealthnews.org\/news\/article\/california-ivf-law-delay-2026-newsom\/view\/republish\/\">republished for free<\/a>.\t<\/p>\n<\/div>\n\n<\/aside>\n\n\n\n<p>The law, <a href=\"https:\/\/leginfo.legislature.ca.gov\/faces\/billTextClient.xhtml?bill_id=202320240SB729\">SB 729<\/a>, requires state-regulated health plans offered by large employers to cover infertility diagnosis and treatment, including IVF. <a href=\"https:\/\/www.chbrp.org\/sites\/default\/files\/bill-documents\/SB729\/SB%20729%20Infertility%20Abbreviated%20Analysis%20Final.pdf\">Nine million people<\/a> will qualify for coverage under the law. Advocates have praised the law as \u201c<a href=\"https:\/\/resolve.org\/learn\/financial-resources\/insurance-coverage\/statement-resolve-encouraged-by-californias-ivf-insurance-requirement\/\">a major win for Californians<\/a>,\u201d especially in making <a href=\"https:\/\/www.eqca.org\/sb-729-signed\/\">same-sex couples<\/a> and aspiring single parents eligible, though cost concerns <a href=\"https:\/\/www.cbsnews.com\/amp\/news\/trump-ivf-access-fertility-coverage-states\/\">limited the mandate\u2019s breadth<\/a>.<\/p>\n\n\n\n<p>People who had been planning fertility care based on the original timeline are now \u201cleft in a holding pattern facing more uncertainty, financial strain, and emotional distress,\u201d Alise Powell, a director at Resolve: The National Infertility Association, said in a statement.<\/p>\n\n\n\n<p>During IVF, a patient\u2019s eggs are retrieved, combined with sperm in a lab, and then transferred to a person\u2019s uterus. A single cycle can <a href=\"https:\/\/www.fertilityiq.com\/fertilityiq\/articles\/the-cost-of-ivf-by-city\">total around $25,000<\/a>, out of reach for many. The California law requires insurers to cover up to three egg retrievals and an unlimited number of embryo transfers.<\/p>\n\n\n\n<p>Not everyone\u2019s coverage would be affected by the delay. Even if the law took effect July 1, it wouldn\u2019t require IVF coverage to start until the month an employer\u2019s contract renews with its insurer. Rachel Arrezola, a spokesperson for the California Department of Managed Health Care, said most of the employers subject to the law renew their contracts in January, so their employees would not be affected by a delay.<\/p>\n\n\n\n<p>She declined to provide data on the percentage of eligible contracts that renew in July or later, which would mean those enrollees wouldn\u2019t get IVF coverage until at least a full year from now, in July 2026 or later.<\/p>\n\n\n<div\n\tclass=\"wp-block block--newsletter  \"\n\tdata-type=\"kaiser-health-news\/newsletter\"\n\tdata-align=\"center\"\n\tstyle=\"\"\n>\n\t<h4 class=\"newsletter__title\">\n\t\t<a href=\"\/email\/\">\n\t\t\tEmail Sign-Up\t\t<\/a>\n\t<\/h4>\n\t<p class=\"newsletter__description\">\n\t\tSubscribe to KFF Health News&#039; free weekly newsletter, &quot;The Week in Brief.&quot;\t<\/p>\n\t\n<form\n\taction=\"\/email-signup\/\"\n\tclass=\"kaiser-hubspot-mini-signup-form\"\n\tmethod=\"post\"\n>\n\t<input type=\"hidden\" id=\"kaiser_hubspot_nonce\" name=\"kaiser_hubspot_nonce\" value=\"00b79a3908\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/article\/2051781\" \/>\t\t\t\t<label\n\t\tclass=\"kaiser-hubspot-mini-signup-form__label--email\"\n\t\tfor=\"kaiser-hubspot-mini-signup-form-email\"\n\t>\n\t\t<span class=\"screen-reader-text\">\n\t\t\tYour Email Address\t\t<\/span>\n\t\t<input\n\t\t\tautocomplete=\"email\"\n\t\t\tclass=\"kaiser-hubspot-mini-signup-form__input--email\"\n\t\t\tid=\"kaiser-hubspot-mini-signup-form-email\"\n\t\t\tname=\"kaiser_hubspot_email\"\n\t\t\ttype=\"email\"\n\t\t\t\t\t\t\tplaceholder=\"Your email address\"\n\t\t\t\t\t\/>\n\t<\/label>\n\t<button class=\"kaiser-hubspot-mini-signup-form__submit\">\n\t\tSign Up\t<\/button>\n<\/form>\n<\/div>\n\n\n\n<p>The proposed new implementation date comes amid heightened national attention on fertility coverage. California is now <a href=\"https:\/\/resolve.org\/learn\/financial-resources\/insurance-coverage\/insurance-coverage-by-state\/\">one of 15 states<\/a> with an IVF mandate, and in February, President Donald Trump <a href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/02\/expanding-access-to-in-vitro-fertilization\/\">signed an executive order<\/a> seeking policy recommendations to expand IVF access.<\/p>\n\n\n\n<p>It\u2019s the second time Newsom has asked lawmakers to delay the law. When the Democratic governor signed the bill in September, he asked the legislature to consider delaying implementation by six months. The reason, Newsom said then, was to allow time to reconcile differences between the bill and a <a href=\"https:\/\/www.gov.ca.gov\/2025\/05\/05\/california-applies-to-expand-essential-health-benefits-to-include-ivf-hearing-exams\/\">broader effort<\/a> by state regulators to include IVF and other fertility services as an essential health benefit, which would require the marketplace and other individual and small-group plans to provide the coverage.<\/p>\n\n\n\n<p>Newsom spokesperson Elana Ross said the state needs more time to provide guidance to insurers on specific services not addressed in the law to ensure adequate and uniform coverage. Arrezola said embryo storage and donor eggs and sperm were examples of services requiring more guidance.<\/p>\n\n\n\n<p>State Sen. Caroline Menjivar, a Democrat who authored the original IVF mandate, acknowledged a delay could frustrate people yearning to expand their families, but requested patience \u201ca little longer so we can roll this out right.\u201d<\/p>\n\n\n\n<p>Sean Tipton, a lobbyist for the American Society for Reproductive Medicine, contended that the few remaining questions on the mandate did not warrant a long delay.<\/p>\n\n\n\n<p>Lawmakers <a href=\"https:\/\/sbud.senate.ca.gov\/system\/files\/2025-06\/senate-budget-subcommittee-3-all-departments-vote-only-06.10.2025_final.pdf\">appear poised<\/a> to advance the delay to a vote by both houses of the legislature, likely before the end of June. If a delay is approved and signed by the governor, the law would immediately be paused. If this does not happen before July 1, Arrezola said, the Department of Managed Health Care would enforce the mandate as it exists. All plans were required to submit compliance filings to the agency by March. Arrezola was unable to explain what would happen to IVF patients whose coverage had already begun if the delay passes after July 1.<\/p>\n\n\n\n<p>The California Association of Health Plans, which opposed the mandate, declined to comment on where implementation efforts stand, although the group agrees that insurers need more guidance, spokesperson Mary Ellen Grant said.<\/p>\n\n\n\n<p>Kaiser Permanente, the state\u2019s largest insurer, has already sent employers information they can provide to their employees about the new benefit, company spokesperson Kathleen Chambers said. She added that eligible members whose plans renew on or after July 1 would have IVF coverage if implementation of the law is not delayed.<\/p>\n\n\n\n<p>Employers and some fertility care providers appear to be grappling over the uncertainty of the law\u2019s start date. Amy Donovan, a lawyer at insurance brokerage and consulting firm Keenan &amp; Associates, said the firm has fielded many questions from employers about the possibility of delay. Reproductive Science Center and Shady Grove Fertility, major clinics serving different areas of California, posted on their websites that the IVF mandate had been delayed until January 2026, which is not yet the case. They did not respond to requests for comment.<\/p>\n\n\n\n<p>Some infertility patients confused over whether and when they will be covered have run out of patience. Ana Rios and her wife, who live in the Central Valley, had been trying to have a baby for six years, dipping into savings for each failed treatment. Although she was &#8220;freaking thrilled\u201d to learn about the new law last fall, Rios could not get clarity from her employer or health plan on whether she was eligible for the coverage and when it would go into effect, she said. The couple decided to go to Mexico to pursue cheaper treatment options.<\/p>\n\n\n\n<p>\u201cYou think you finally have a helping hand,\u201d Rios said of learning about the law and then, later, the requested delay. \u201cYou reach out, and they take it back.\u201d<\/p>\n\n\n\n<p><em>This article was produced by <\/em><a rel=\"noreferrer noopener\" href=\"https:\/\/kffhealthnews.org\/about-us\" target=\"_blank\"><em>KFF Health News<\/em><\/a><em>, which publishes <\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.californiahealthline.org\/\" target=\"_blank\"><em>California Healthline<\/em><\/a><em>, an editorially independent service of the <\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.chcf.org\/\" target=\"_blank\"><em>California Health Care Foundation<\/em><\/a><em>.<\/em>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>California lawmakers are poised to approve a six-month delay in implementing the state\u2019s in vitro fertilization law, pushing its start to January 2026. The plan to postpone, which has drawn little attention, is part of the state budget package and has left patients, insurers, and employers in limbo.<\/p>\n","protected":false},"featured_media":2051783,"template":"","meta":{"_cr_original_post":"","_cr_replace_post_id":"","_cr_replacing_post_id":"","jetpack_post_was_ever_published":false,"kff_featured_video":0,"kff_show_featured_video":false,"kff_show_mute_audio_button":false,"custom_shortlink":"\/MjA1MTc4MQ","kaiser_health_news_byline_override":"","kaiser_health_news_can_republish":true,"kaiser_health_news_featured_image_caption":"","kaiser_health_news_header_overlay_color":"","kaiser_health_news_header_theme_slug":"","kaiser_health_news_hero_image":0,"kaiser_health_news_backdrop_padding":115,"kaiser_health_news_hide_partner":false,"kaiser_health_news_kicker":"","kaiser_health_news_kicker_background_color":"","kaiser_health_news_kicker_text_color":"","kaiser_health_news_kicker_url":"","kaiser_health_news_nav_theme_slug":"compact","kaiser_health_news_nav_transparency":false,"kaiser_health_news_sharing_title":"","kaiser_health_news_show_featured_image":true,"kaiser_health_news_subheadline":"","kaiser_health_news_suppress_kicker":false,"kaiser_health_news_suppress_subheadline":false,"kaiser_health_news_update_time":"","kaiser_health_news_vertical_image":0,"kaiser_health_news_title_align_left":false,"kaiser_health_news_custom_header_image":0,"photo_byline":[],"story_update":"","update_position":"bottom","kaiser_syndication_sites":[],"apple_news_api_created_at":"2025-06-25T09:05:18Z","apple_news_api_id":"0b5421eb-d12f-46ee-9cee-0eb1057cbd50","apple_news_api_modified_at":"2025-07-02T18:46:08Z","apple_news_api_revision":"AAAAAAAAAAAAAAAAAAAAAg==","apple_news_api_share_url":"https:\/\/apple.news\/AC1Qh69EvRu6c7g6xBXy9UA","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":["https:\/\/news-api.apple.com\/sections\/20265c01-23d7-4d15-96e0-0691b89c3772","https:\/\/news-api.apple.com\/sections\/6bb33616-50b4-48d9-9a34-3163cc5779e3"],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"footnotes":""},"categories":[1337,12498,36835],"tags":[439524194,439529141,439529136,439530184],"primary-topic":[],"partners":[439524714],"funder":[],"coauthors":[439527791],"class_list":["post-2051781","article","type-article","status-publish","has-post-thumbnail","hentry","category-california","category-insurance","category-syndicate","tag-california-legislature","tag-lgbtq-health","tag-pregnancy","tag-state-watch","partners-san-francisco-chronicle"],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>California&#039;s Much-Touted IVF Law May Be Delayed Until 2026, Leaving Many in the Lurch - KFF Health News<\/title>\n<meta name=\"description\" content=\"California lawmakers are poised to approve a six-month delay in implementing the state\u2019s in vitro fertilization law, pushing its start to January 2026. 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