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IVF Insurance Coverage in California

California has an IVF insurance mandate.

US IVF next steps

Use California coverage rules with cost and clinic data

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).

Insurance rules in other states

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