,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fgig  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ag1       
#bjbe,ms4 ,jacobs 7for herself1 ,mr4    
,la,lota1 ,mrs4 ,kiggans of ,virginia1  
and ,ms4 ,houlahan7 introduced the      
following bill2 which was referred to   
the ,committee on ,armed ,services  ,a  
,,bill  ,to amend title #aj1 ,united    
,states ,code1 to provide fertility     
treatment under the ,,tricare ,program4 
#a4 ,short title ,this ,act may be cited
 as the ,bipartisan ,,ivf for ,military 
,families ,act4  #b4 ,fertility         
treatment for certain members of the    
,armed ,forces and dependents  7a7      
,fertility treatment ,chapter #ee of    
title #aj1 ,united ,states ,code1 is    
amended by inserting after section      
#ajgdo the following new section3       
#ajgdp4  ,fertility treatment for       
certain active duty members of the      
,armed ,forces and dependents  7a7      
,coverage  ,the ,secretary shall ensure 
that fertility-related care for a       

covered member 7or a dependent of such a
 member7 shall be covered under         
,,tricare ,prime and ,,tricare ,select4 
7b7  ,in vitro fertilization  ,in the   
case of in vitro fertilization treatment
 furnished to an individual pursuant to 
subsection 7a7--  7#a7 three completed  
oocyte retrievals may be furnished per  
calendar year2 and  7#b7 single embryo  
transfers shall be provided unless      
otherwise medically indicated in        
accordance with the guidelines of the   
,american ,society for ,reproductive    
,medicine4  7c7  ,cost sharing and other
 limitations  ,the ,secretary shall     
ensure that cost-sharing amounts for an 
individual who receives                 
fertility-related care under this       
section are determined under section    
#ajge1 #ajge;a1 or other applicable     
provision of this chapter in accordance 
with the kind of care provided 7such as 
an in-network inpatient visit7 and      
without regard to whether the care is   
fertility-related care4 ,the ,secretary 

may not impose any waiting periods or   
other limitations once the individual   
has received a medical diagnosis of     
infertility4  7d7  ,prohibitions  ,funds
 available to the ,department of        
,defense may not be used for            
preimplantation genetic screening1 human
 cloning1 international surrogacy1 or   
artificial womb technology4  7e7        
,definitions  ,in this section3 7#a7    
,the term covered member means--  7,a7 a
 member of the ,armed ,forces serving on
 active duty2 and  7,b7 does not include
 a former member of the ,armed ,forces4 
7#b7 ,the term infertility means a      
disease1 condition1 or status           
characterized by--  7,a7 the failure to 
establish a pregnancy or to carry a     
pregnancy to live birth after regular1  
unprotected sexual intercourse in       
accordance with the guidelines of the   
,american ,society for ,reproductive    
,medicine2  7,b7 the inability of an    
individual to reproduce without medical 
intervention either as a single         

individual or with the partner of the   
individual2 or  7,c7 the findings of a  
licensed physician based on the medical1
 sexual1 and reproductive history1 age1 
physical findings1 or diagnostic        
testing1 of the individual4  7#c7 ,the  
term fertility-related care means-- 7,a7
 the diagnosis of infertility2 and  7,b7
 fertility treatment4  7#d7 ,the term   
fertility treatment includes the        
following3  7,a7 ,in vitro fertilization
 or other treatments or procedures in   
which human oocytes1 embryos1 or sperm  
are handled when clinically appropriate4
  7,b7 ,sperm retrieval4  7,c7 ,egg     
retrieval4  7,d7 ,preservation of human 
oocytes1 embryos1 or sperm4  7,e7       
,artificial insemination1 including     
intravaginal insemination1 intracervical
 insemination1 and intrauterine         
insemination4  7,f7 ,transfer of        
reproductive genetic material4  7,g7    
,medications as prescribed or necessary 
for fertility4  7,h7 ,fertility         
treatment coordination4  7,i7 ,such     

other information1 referrals1           
treatments1 procedures1 testing1        
medications1 laboratory services1       
technologies1 and services facilitating 
reproduction as determined appropriate  
by the ,secretary of ,defense4  4  7b7  
,program on fertility treatment         
coordination ,chapter #ee of title #aj1 
,united ,states ,code1 is amended by    
adding at the end the following new     
section3  #aaaj;c4 ,program on          
fertility-related care coordination  7a7
 ,in general ,the ,secretary of ,defense
 shall establish a program on the       
coordination of fertility-related care  
by the ,secretary for purposes of       
ensuring patients receive timely        
fertility-related care4  7b7  ,training 
and support  ,in carrying out the       
program established under subsection    
7a71 the ,secretary shall provide to    
community health care providers training
 and support with respect to the unique 
needs of members of the ,armed ,forces  
and the dependents of such members4  4  

7c7 ,conforming amendment ,section      
#ajgi7;a7 of title #aj1 ,united ,states 
,code1 is amended by adding at the end  
the following new paragraph3  7#ba7     
,fertility-related care shall be        
provided in accordance with section     
#ajgdp of this title4  4  7d7 ,exclusion
 from contracts for former members and  
their dependents ,section #ajhf7;a7 of  
such title is amended by striking eye   
examinations and and inserting eye      
examinations1 fertility-related care    
pursuant to paragraph 7#ba7 of such     
section1 and4  7e7 ,application ,the    
amendments made by this section shall   
apply with respect to services provided 
on or after ,october #a1 #bjbg4