| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 1231 |
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| 5 | 5 | | To amend title 10, United States Code, to provide fertility treatment under |
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| 6 | 6 | | the TRICARE Program. |
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| 7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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| 8 | 8 | | APRIL1 (legislative day, MARCH31), 2025 |
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| 9 | 9 | | Ms. D |
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| 10 | 10 | | UCKWORTH(for herself and Mrs. MURRAY) introduced the following bill; |
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| 11 | 11 | | which was read twice and referred to the Committee on Armed Services |
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| 12 | 12 | | A BILL |
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| 13 | 13 | | To amend title 10, United States Code, to provide fertility |
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| 14 | 14 | | treatment under the TRICARE Program. |
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| 15 | 15 | | Be it enacted by the Senate and House of Representa-1 |
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| 16 | 16 | | tives of the United States of America in Congress assembled, 2 |
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| 17 | 17 | | SECTION 1. SHORT TITLE. 3 |
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| 18 | 18 | | This Act may be cited as the ‘‘IVF for Military Fami-4 |
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| 19 | 19 | | lies Act’’. 5 |
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| 21 | 21 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 22 | 22 | | •S 1231 IS |
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| 23 | 23 | | SEC. 2. FERTILITY TREATMENT FOR CERTAIN MEMBERS OF 1 |
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| 24 | 24 | | THE UNIFORMED SERVICES AND DEPEND-2 |
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| 25 | 25 | | ENTS. 3 |
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| 26 | 26 | | (a) F |
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| 27 | 27 | | ERTILITYTREATMENT.—Chapter 55 of title 10, 4 |
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| 28 | 28 | | United States Code, is amended by inserting after section 5 |
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| 29 | 29 | | 1074o the following new section: 6 |
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| 30 | 30 | | ‘‘§ 1074p. Fertility treatment for certain active duty 7 |
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| 31 | 31 | | members of the uniformed services and 8 |
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| 32 | 32 | | their dependents 9 |
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| 33 | 33 | | ‘‘(a) C |
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| 34 | 34 | | OVERAGE.—The Secretary of Defense shall en-10 |
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| 35 | 35 | | sure that fertility-related care for a member of the uni-11 |
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| 36 | 36 | | formed services on active duty (or a dependent of such 12 |
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| 37 | 37 | | a member) shall be covered under TRICARE Prime and 13 |
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| 38 | 38 | | TRICARE Select. 14 |
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| 39 | 39 | | ‘‘(b) I |
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| 40 | 40 | | NVITROFERTILIZATION.—In the case of in 15 |
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| 41 | 41 | | vitro fertilization treatment furnished to an individual 16 |
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| 42 | 42 | | pursuant to subsection (a)— 17 |
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| 43 | 43 | | ‘‘(1) not more than three completed oocyte re-18 |
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| 44 | 44 | | trievals may be furnished; and 19 |
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| 45 | 45 | | ‘‘(2) unlimited embryo transfers may be pro-20 |
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| 46 | 46 | | vided in accordance with the guidelines of the Amer-21 |
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| 47 | 47 | | ican Society for Reproductive Medicine. 22 |
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| 48 | 48 | | ‘‘(c) D |
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| 49 | 49 | | EFINITIONS.—In this section: 23 |
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| 50 | 50 | | ‘‘(1) The term ‘infertility’ means a disease, con-24 |
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| 51 | 51 | | dition, or status characterized by— 25 |
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| 53 | 53 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 54 | 54 | | •S 1231 IS |
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| 55 | 55 | | ‘‘(A) the failure to establish a pregnancy 1 |
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| 56 | 56 | | or to carry a pregnancy to live birth after reg-2 |
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| 57 | 57 | | ular, unprotected sexual intercourse in accord-3 |
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| 58 | 58 | | ance with the guidelines of the American Soci-4 |
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| 59 | 59 | | ety for Reproductive Medicine; 5 |
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| 60 | 60 | | ‘‘(B) the inability of an individual to repro-6 |
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| 61 | 61 | | duce without medical intervention either as a 7 |
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| 62 | 62 | | single individual or with the partner of the indi-8 |
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| 63 | 63 | | vidual; or 9 |
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| 64 | 64 | | ‘‘(C) the findings of a licensed physician 10 |
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| 65 | 65 | | based on the medical, sexual, and reproductive 11 |
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| 66 | 66 | | history, age, physical findings, or diagnostic 12 |
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| 67 | 67 | | testing of the individual. 13 |
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| 68 | 68 | | ‘‘(2) The term ‘fertility-related care’ means— 14 |
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| 69 | 69 | | ‘‘(A) the diagnosis of infertility; and 15 |
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| 70 | 70 | | ‘‘(B) fertility treatment. 16 |
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| 71 | 71 | | ‘‘(3) The term ‘fertility treatment’ includes the 17 |
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| 72 | 72 | | following: 18 |
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| 73 | 73 | | ‘‘(A) In vitro fertilization or other treat-19 |
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| 74 | 74 | | ments or procedures in which human oocytes, 20 |
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| 75 | 75 | | embryos, or sperm are handled when clinically 21 |
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| 76 | 76 | | appropriate. 22 |
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| 77 | 77 | | ‘‘(B) Sperm retrieval. 23 |
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| 78 | 78 | | ‘‘(C) Egg retrieval. 24 |
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| 80 | 80 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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| 81 | 81 | | •S 1231 IS |
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| 82 | 82 | | ‘‘(D) Preservation of human oocytes, em-1 |
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| 83 | 83 | | bryos, or sperm. 2 |
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| 84 | 84 | | ‘‘(E) Artificial insemination, including 3 |
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| 85 | 85 | | intravaginal insemination, intracervical insemi-4 |
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| 86 | 86 | | nation, and intrauterine insemination. 5 |
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| 87 | 87 | | ‘‘(F) Transfer of reproductive genetic ma-6 |
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| 88 | 88 | | terial. 7 |
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| 89 | 89 | | ‘‘(G) Medications as prescribed or nec-8 |
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| 90 | 90 | | essary for fertility. 9 |
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| 91 | 91 | | ‘‘(H) Fertility treatment coordination. 10 |
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| 92 | 92 | | ‘‘(I) Such other information, referrals, 11 |
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| 93 | 93 | | treatments, procedures, testing, medications, 12 |
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| 94 | 94 | | laboratory services, technologies, and services 13 |
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| 95 | 95 | | facilitating reproduction as determined appro-14 |
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| 96 | 96 | | priate by the Secretary of Defense.’’. 15 |
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| 97 | 97 | | (b) P |
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| 98 | 98 | | ROGRAM ONFERTILITYTREATMENTCOORDI-16 |
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| 99 | 99 | | NATION.—Chapter 55 of title 10, United States Code, is 17 |
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| 100 | 100 | | amended by adding at the end the following new section: 18 |
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| 101 | 101 | | ‘‘§ 1110c. Program on fertility-related care coordina-19 |
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| 102 | 102 | | tion 20 |
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| 103 | 103 | | ‘‘(a) I |
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| 104 | 104 | | NGENERAL.—The Secretary of Defense shall 21 |
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| 105 | 105 | | establish a program on the coordination of fertility-related 22 |
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| 106 | 106 | | care by the Secretary for purposes of ensuring patients 23 |
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| 107 | 107 | | receive timely fertility-related care. 24 |
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| 109 | 109 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 |
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| 110 | 110 | | •S 1231 IS |
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| 111 | 111 | | ‘‘(b) TRAINING ANDSUPPORT.—In carrying out the 1 |
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| 112 | 112 | | program established under subsection (a), the Secretary 2 |
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| 113 | 113 | | shall provide to community health care providers training 3 |
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| 114 | 114 | | and support with respect to the unique needs of members 4 |
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| 115 | 115 | | of the uniformed services and the dependents of such 5 |
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| 116 | 116 | | members. 6 |
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| 117 | 117 | | ‘‘(c) F |
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| 118 | 118 | | ERTILITY-RELATEDCAREDEFINED.—In this 7 |
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| 119 | 119 | | section, the term ‘fertility-related care’ has the meaning 8 |
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| 120 | 120 | | given that term in section 1074p(c) of this title.’’. 9 |
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| 121 | 121 | | (c) C |
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| 122 | 122 | | ONFORMINGAMENDMENT.—Section 1079(a) of 10 |
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| 123 | 123 | | title 10, United States Code, is amended by adding at the 11 |
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| 124 | 124 | | end the following new paragraph: 12 |
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| 125 | 125 | | ‘‘(21) Fertility-related care shall be provided in 13 |
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| 126 | 126 | | accordance with section 1074p of this title.’’. 14 |
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| 127 | 127 | | (d) A |
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| 128 | 128 | | PPLICATION.—The amendments made by this 15 |
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| 129 | 129 | | section shall apply with respect to services provided on or 16 |
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| 130 | 130 | | after October 1, 2027. 17 |
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| 131 | 131 | | Æ |
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| 133 | 133 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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