Insurance Coverage for Infertility

Currently, only 19 states have infertility insurance coverage laws, and 10 states have fertility preservation laws for iatrogenic (medically-induced) infertility. In the state of North Dakota, there is no insurance mandate for infertility diagnosis or treatment. Under North Dakota’s current law, patients bear the responsibility of covering the costs of diagnosis and treatment. Depending on the cause of the fertility problem and the therapy used to treat the problem, that cost can be considerable. A major impediment to access to treatment to resolve infertility is insurance coverage.

2021 Legislative Actions

Thank you to all who helped with our call to action and legislative initiatives during the 2021 session. We aren’t finished and will continue to work at increasing access to care for infertility and fertility preservation. 

Find my legislator.

Watch House Appropriations Committee – February 18th
Watch House Industry, Business and Labor Committee on January 26th at 2:00 PM



We are back for the 2021 North Dakota Legislative Session bringing awareness to
HB 1147. We invite you to join us virtually for our first-ever Advocacy Day!

This event is for the infertility community to come together and talk to members of legislation about your connection to infertility and important issues, like increased access to family building options and financial relief.
This is a bipartisan issue and pro-family bill we need legislation to recognize the affordability and value of including fertility benefits in insurance plans and support their inclusion. YOUR story matters and deserves to be heard!
Replay of 2021 Virtual Advocacy Day 
Watch this video to learn everything there is to know about speaking with your legislators!
Learn more about Resolve and how they are helping with legislation right here in North Dakota.
Fertility Within Reach– Overview of the first hearing of HB 1147 and what to expect during a committee hearing.
Video Hearing on HB 1147 – Employee Benefits Program Committee – 1/15/2021
Fireside Chat with Families from South Dakota Surrogacy 


During the 2019 North Dakota legislative session, an infertility care and cancer preservation bill moved through committee. SB 2233 did not pass, we will be back during the 2021 session. Until then we will continue to raise awareness on infertility. We would like to thank our bill sponsors and those patients who testified on behalf of this bill.