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IVF Insurance Coverage in California

California has an IVF insurance mandate.

Mandate type
Full mandate
Egg retrievals covered
3
In effect since
2025

Who the mandate applies to

  • Large-employer plans: Required
  • Small-employer plans: Exempt
  • Individual market: Not required
  • Self-insured employer plans (ERISA): Excluded — federal ERISA preemption applies

Statute and notes

SB 729 requires large group health plans (100+ employees) to cover IVF: up to 3 completed oocyte retrievals with unlimited embryo transfers. Religious employers exempt. Self-insured (ERISA) plans excluded. Medi-Cal not included.

Citation: SB 729 (2024); Cal. Health & Safety Code § 1374.55

Read the statute

Last verified 2026-04-14.

Fertility clinics in California

85 reporting clinics (CDC ART 2022).