Trump promised during his campaign to make insurance cover IVF or have the government pay for it, but so far his administration has not taken any steps to expand access, and insiders say there are no current plans to require coverage under the Affordable Care Act, according to reporting by The Washington Post.

During his 2024 campaign, Trump said, "The government is going to pay for it, or we’re going to get — we’ll mandate your insurance company to pay for it, which is going to be great. We’re going to do that."

A senior administration official told The Washington Post that IVF expansion is a priority for Trump, but making it an essential health benefit would require a bill from Congress, and it is unclear if the White House will ask lawmakers to do that.

Even if the ACA were required to cover IVF, it would only reach about 50 million people, which is less than 20% of Americans.

Forcing ACA plans to cover IVF could also raise premiums by several percentage points for everyone and hurt Republicans before the 2026 midterms, and one person familiar with the talks said, “It appears for now that they’re not going to go there.”

Instead, the White House has been asking advisers about restorative reproductive medicine (RRM), a fertility approach tied to Catholic teachings and promoted by the Heritage Foundation, but critics say it falls far short of Trump’s pledge and could delay effective treatment.

✅ Check out all the details on The Washington Post: [https://www.washingtonpost.com/business/2025/08/03/trump-administration-ivf-care/](https://www.washingtonpost.com/business/2025/08/03/trump-administration-ivf-care/)

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Insiders say White House has no plan to mandate IVF coverage