,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #bbj  ,,in ,,the ,,house ,,of   
,,representatives  ,january #g1         
#bjbe,ms4 ,brownley 7for herself1 ,mrs4 
,watson ,coleman1 ,ms4 ,moore of        
,wisconsin1 ,ms4 ,tlaib1 ,mrs4          
,cherfilus-,mc,cormick1 ,mr4 ,landsman1 
,mr4 ,thompson of ,mississippi1 ,ms4    
,garcia of ,texas1 ,mrs4 ,dingell1 ,ms4 
,norton1 ,mr4 ,magaziner1 ,mrs4 ,trahan1
 ,mrs4 ,foushee1 ,ms4 ,pingree1 ,mrs4   
,ramirez1 ,ms4 ,leger ,fernandez1 ,ms4  
,tokuda1 ,ms4 ,strickland1 ,mr4 ,tonko1 
,ms4 ,scanlon1 ,mr4 ,larson of          
,connecticut1 ,mr4 ,levin1 ,ms4 ,ross1  
and ,mr4 ,casar7 introduced the         
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs   
,a ,,bill  ,to amend title #ch1 ,united 
,states ,code1 to direct the ,secretary 
of ,veterans ,affairs to provide        
coverage for infertility treatment and  
standard fertility preservation         
services1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 

the ,veterans ,infertility ,treatment   
,act of #bjbe4  #b4 ,infertility        
treatments for veterans  7a7 ,authority 
,chapter #ag of title #ch1 ,united      
,states ,code1 is amended by inserting  
after section #agbj;,j the following new
 section 7and conforming the table of   
sections at the beginning of such       
chapter accordingly73  #agbj,k4         
,infertility treatment and standard     
fertility preservation services  7a7    
,treatment and services  7#a7 ,in       
furnishing medical services under this  
chapter1 at the election of a covered   
individual and subject to paragraph     
7#d71 the ,secretary shall furnish to   
the covered individual infertility      
treatments 7including through the use of
 assisted reproductive technology71     
standard fertility preservation         
services1 or both4  7#b7 ,in the case of
 in vitro fertilization treatment       
furnished under paragraph 7#a71 the     
,secretary may furnish to a covered     
individual under such paragraph not more

 than three completed in vitro          
fertilization cycles that result in live
 birth or #aj attempted in vitro        
fertilization cycles1 whichever occurs  
first4  7#c7 ,the ,secretary may furnish
 in vitro fertilization treatment under 
paragraph 7#a7 using donated gametes or 
embryos4  7#d7 ,the ,secretary may not  
furnish to a covered individual an in   
vitro fertilization cycle or other      
treatment or service under paragraph    
7#a7 unless the ,secretary receives     
consent for such cycle1 treatment1 or   
service from each of the following3 7,a7
 ,the covered individual4  7,b7 ,if the 
covered individual is a partner of a    
covered veteran1 the covered veteran4   
7,c7 ,if applicable1 the third-party    
donor4  7b7 ,rule of construction       
,nothing in this section shall be       
construed to require the ,secretary to  
furnish maternity care to a covered     
individual1 in addition to what is      
otherwise required by section #aghf of  
this title or other provisions of law4  

7c7 ,relationship to ,state law ,the    
legal status1 custody1 future use1      
donation1 disposition1 or destruction1  
of gametes or embryos relating to       
treatment or services furnished under   
this section shall be determined in     
accordance with the law of the ,state in
 which the gametes or embryos are       
located4  7d7 ,payments for beneficiary 
travel for partners ,for purposes of    
paying travel expenses under section    
#aaa of this title for treatment or     
services furnished under this section to
 a partner of a covered veteran1 the    
,secretary shall deem the partner to be 
a veteran receiving treatment or care   
under this chapter4  7e7 ,definitions   
,in this section3 7#a7 ,the term        
assisted reproductive technology        
includes in vitro fertilization and     
other infertility treatments4  7#b7 ,the
 term covered individual means a covered
 veteran or a partner of a covered      
veteran4  7#c7 ,the term covered veteran
 means a veteran who is enrolled in the 

system of annual patient enrollment     
established under section #agje7;a7 of  
this title and-- 7,a7 has infertility2  
or  7,b7 is at risk of having           
infertility1 as determined by a licensed
 physician based on-- 7i7 the medical1  
sexual1 and reproductive history1 age1  
physical findings1 or diagnostic        
testing1 or a combination thereof1 of   
the veteran2 or  7ii7 any planned       
medication therapy1 surgery1 radiation1 
chemotherapy1 or other medical          
treatment4  7#d7 ,the term infertility  
means a disease1 condition1 or status   
characterized by-- 7,a7 the inability of
 a person to reproduce either as an     
individual or with the partner of the   
individual2 or  7,b7 the failure to     
conceive a pregnancy or to carry a      
pregnancy to live birth after one year  
of regular1 unprotected sexual          
intercourse4  7#e7 ,the term partner1   
with respect to a veteran1 means an     
individual selected by the veteran who  
agrees to share with the veteran the    

parental responsibilities with respect  
to any child born as a result of the use
 of any infertility treatment under this
 section4  7#f7 ,the term standard      
fertility preservation service includes 
the procurement1 cryopreservation1 and  
storage of gametes and embryos4  4  7b7 
,applicability2 regulations  7#a7       
,applicability ,except as provided by   
paragraph 7#c77;,a71 section #agbj,k of 
title #ch1 ,united ,states ,code1 as    
added by subsection 7a71 shall apply    
with respect to infertility treatment   
and standard fertility preservation     
services furnished by the ,secretary of 
,veterans ,affairs beginning on the date
 on which the ,secretary prescribes     
regulations under paragraph 7#b74  7#b7 
,regulations ,not later than one year   
after the date of the enactment of this 
,act1 the ,secretary shall prescribe    
regulations to carry out section #agbj,k
 of title #ch1 ,united ,states ,code1 as
 added by subsection 7a74  7#c7 ,interim
 policies  7,a7 ,continuity of services 

,except as provided by subparagraph     
7,b71 an individual who on the day      
before the date on which the ,secretary 
prescribes regulations under paragraph  
7#b7 is receiving counseling and        
treatment furnished by the ,secretary   
pursuant to existing infertility        
authority may elect to-- 7i7 continue   
receiving such counseling and services  
pursuant to the existing infertility    
authority1 subject to the limitations of
 that authority2 or  7ii7 begin         
receiving such counseling and services  
pursuant to section #agbj,k of title    
#ch1 ,united ,states ,code1 as added by 
subsection 7a71 subject to the          
limitations of that section that shall  
be applied in a manner that recognizes  
such counseling and services previously 
furnished under the existing infertility
 authority4  7,b7 ,expansion of services
 ,during the period beginning #ahj days 
after the date of the enactment of this 
,act and ending on the date on which the
 ,secretary prescribes regulations under

 paragraph 7#b71 the ,secretary shall   
ensure that counseling and treatment    
furnished pursuant to existing          
infertility authority include the       
following elements3 7i7 ,the ,secretary 
may furnish such counseling and         
treatment to the partner of a veteran   
covered by such provision without regard
 to whether the partner and veteran are 
married4  7ii7 ,the ,secretary may      
furnish such counseling and treatment   
using donated gametes or embryos4  7#d7 
,definitions ,in this subsection3 7,a7  
,the term existing infertility authority
 means section #bcd7;a77#a7 of the      
,military ,construction1 ,veterans      
,affairs1 and ,related ,agencies        
,appropriations ,act1 #bjbb 7division ,j
 of ,public ,law #aag-ajc2 #acf ,stat4  
#eef71 or other provisions of law       
administered by the ,secretary of       
,veterans ,affairs enacted before the   
date of the enactment of this ,act that 
provide authority to the ,secretary to  
furnish fertility counseling and        

treatment4  7,b7 ,the term partner has  
the meaning given that term in section  
#agbj,k of title #ch1 ,united ,states   
,code1 as added by subsection 7a74