Impact of state insurance mandates on in vitro fertilization utilization among patients with recurrent pregnancy loss

States with IVF mandates inclusive of RPL performed 53% more cycles for this indication than those with exclusive mandates or no mandate. Though RPL is not currently an accepted indication for IVF, future research may demonstrate utility of IVF for specific subgroups of patients with RPL, such as those with balanced translocations. Mandates should maintain inclusivity in defining who is eligible for fertility coverage so as not to exclude patients from accessing care as reproductive medicine advances.