US President Donald Trump’s campaign pledge to make in vitro fertilization (IVF) coverage mandatory for health insurance companies has stalled, with the White House backing away from proposals to mandate the service. The idea was one of Trump’s key promises during his re-election bid in 2024.
Trump had promised to “pay for it or get your insurance company to pay for it,” which he claimed would be “great” and produce more babies in the country. However, over six months into his second term, no new federal subsidies have been proposed to make IVF free or more affordable.
White House officials acknowledge that expanding IVF access remains a priority for Trump but face significant hurdles. To mandate IVF coverage, Congress would need to pass legislation, which is unlikely given the internal divisions within the GOP on the issue.
Conservative experts argue that forcing insurance companies to cover IVF could increase premiums by several percentage points, making it less affordable for Americans. They also question whether IVF can be considered an essential health benefit under the Affordable Care Act.
The White House has instead focused on promoting a fertility approach that prioritizes holistic health over tools like IVF. This approach may not meet Trump’s initial promises but is seen as a more feasible option by administration officials.
Social conservatives have called for more government intervention to support families, including new federal funding and other protections. However, their efforts are met with opposition from traditional free-market voices in the party, who fear federal mandates or new spending initiatives.
The situation reflects the ongoing divisions within the GOP on policy issues related to families and reproductive health. As the 2026 midterm elections approach, the White House is navigating a complex landscape of competing interests and priorities.
Source: https://www.washingtonpost.com/business/2025/08/03/trump-administration-ivf-care