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Trump wants to lower the cost of IVF. A new executive order seeks ideas to do that

IVF is a process that involves retrieving eggs from ovaries, fertilizing them with sperm in a lab, and then transferring embryos into the uterus.
Sebastian Kaulitzki / Getty Images
IVF is a process that involves retrieving eggs from ovaries, fertilizing them with sperm in a lab, and then transferring embryos into the uterus.

Updated February 19, 2025 at 09:17 AM ET

President Trump issued an executive order on Tuesday evening with the goal of expanding access to and lowering the cost of the infertility treatment known as IVF, or in vitro fertilization.

The order directs Trump’s assistant for domestic policy to come up with a list of policy ideas for “protecting IVF access and aggressively reducing out-of-pocket and health plan costs for IVF treatment” within 90 days.

IVF became a hot campaign issue a year ago after the Alabama Supreme Court ruled that frozen embryos created by the procedure are “extrauterine children.” That led to a pause in IVF in the state until the legislature created a law making it clear IVF clinics couldn’t be legally liable if an embryo did not result in a live birth.

IVF is a process that involves retrieving eggs from ovaries, fertilizing them with sperm in a lab, and then transferring embryos into the uterus. IVF is expensive, with each round costing between $12,000 and $25,000, the order notes. Many couples need several rounds before they have a healthy pregnancy. Insurance coverage for IVF is spotty with a lot of state-to-state variation on rules.

In the wake of the Alabama ruling, Trump talked about IVF on the campaign trail, promising that IVF would be free for families, either paid for by insurance companies or the government.

On Tuesday, White House press secretary Karoline Leavitt posted news of the order on X, saying “PROMISES MADE, PROMISES KEPT.”

Sen. Patty Murray, D-Wash., called the order “a PR stunt” on social media and said Republicans have blocked legislation multiple times that would make IVF more accessible and affordable for families.

Sen. Tammy Duckworth, D-Ill., who had two children via IVF and is the only Senator to give birth while in office, said Trump should call on Senate Republicans to support Right to IVF legislation she introduced in June 2024.

The Catholic Church opposes IVF, and some Republicans support “personhood” laws that would give embryos rights and could have the effect of outlawing the treatment. Some abortion rights opponents argue that IVF is immoral because the extra embryos created in the process may be discarded or frozen indefinitely.

Copyright 2025 NPR

Selena Simmons-Duffin reports on health policy for NPR.

She has worked at NPR for ten years as a show editor and producer, with one stopover at WAMU in 2017 as part of a staff exchange. For four months, she reported local Washington, DC, health stories, including a secretive maternity ward closure and a gesundheit machine.

Before coming to All Things Considered in 2016, Simmons-Duffin spent six years on Morning Edition working shifts at all hours and directing the show. She also drove the full length of the U.S.-Mexico border in 2014 for the "Borderland" series.

She won a Gracie Award in 2015 for creating a video called "Talking While Female," and a 2014 AAAS Kavli Science Journalism Award for producing a series on why you should love your microbes.

Simmons-Duffin attended Stanford University, where she majored in English. She took time off from college to do HIV/AIDS-related work in East Africa. She started out in radio at Stanford's radio station, KZSU, and went on to study documentary radio at the Salt Institute, before coming to NPR as an intern in 2009.

She lives in Washington, DC, with her spouse and kids.

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