\n\tMichelle Andrews<\/span><\/p>\n

Companies have increasingly offered generous fertility benefits to attract and keep top-notch workers. Now, the federal government is getting in on the act. Starting this year, federal employees can choose plans that cover several fertility services, including up to $25,000 annually for in vitro fertilization procedures and up to three artificial insemination cycles each year.<\/p>\n

With about 2.1 million civilian employees, the federal government is the nation\u2019s largest employer. Now, just as businesses of every stripe prioritize fertility benefits, in vitro fertilization \u2014 a procedure in use for more than 40 years<\/a> \u2014 has become a tricky topic<\/a> for some anti-abortion Republican members of Congress and even presidential candidates.<\/p>\n

It was inevitable that disagreements over IVF among abortion opponents would eventually break into the open, said Mary Ziegler, a legal historian and expert on reproductive health.<\/p>\n

\u201cThe anti-abortion movement from the 1960s onward has been a fetal personhood movement,\u201d said Ziegler, a law professor at the University of California-Davis. Since the U.S. Supreme Court\u2019s Dobbs <\/em>decision eliminated the constitutional right to abortion, anti-abortion groups and the Republican Party are grappling with what \u201cfetal personhood\u201d means and how that fits into their position on IVF and other technologies that help people have babies.<\/p>\n

The Alabama Supreme Court set the stage for the recent brouhaha with a ruling last month<\/a> that frozen embryos created through IVF are children under state law. A pair of Democratic senators advanced legislation that would override state laws by establishing a statutory right to access IVF<\/a> and other such technologies. The bill was blocked on the Senate floor<\/a> by a Republican opponent.<\/p>\n

These events highlight the tough spot in which Republicans find themselves. Many support IVF, and they are keenly aware that it\u2019s extremely popular: 86% of adults in a recent CBS News-YouGov poll<\/a> said IVF should be legal. The outcry over the Alabama ruling and Republicans\u2019 inability to coalesce around a federal response, however, has exposed fault lines in the party.<\/p>\n

Some anti-abortion groups have strenuously objected to measures like that Senate bill, arguing that lawmakers must balance IVF with the responsibility to respect life.<\/p>\n

Republicans \u201care trying to finesse it, which is very hard,\u201d Ziegler said.<\/p>\n

About 10% of women and men<\/a> face fertility problems, according to the National Institute of Child Health and Human Development. IVF, a process in which an egg is fertilized in a laboratory and later implanted in the uterus, is among the most expensive fertility treatments<\/a>, costing about $20,000 for one round. Even with insurance coverage, the procedure is pricey, but for some people it\u2019s the only way to conceive.<\/p>\n

In recent years, the number of companies offering fertility benefits to employees has grown steadily. In the early 2000s, fewer than a quarter of employers with at least 500 workers covered IVF, according to benefits consultant Mercer\u2019s annual employer survey<\/a>. In 2023, that figure had roughly doubled, to 45%. Employers typically cap IVF benefits. In 2023, employers had a median lifetime maximum benefit of $20,000 for IVF, according to the Mercer survey.<\/p>\n

The federal government\u2019s IVF benefit \u2014 paying up to $25,000 a year \u2014 is more generous than that of a typical employer. Coverage is available through the popular Blue Cross and Blue Shield Federal Employee Program\u2019s standard option. Altogether, two dozen 2024 health plans for federal workers offer enhanced IVF coverage, with varying benefits and cost sharing, according to the federal Office of Personnel Management, which manages the federal health plans.<\/p>\n

\u201cOPM\u2019s mission is to attract and retain the workforce of the future,\u201d said Viet Tran, OPM\u2019s press secretary, in written answers to questions. He noted that surveys have found that federal health benefits have influenced employees\u2019 decisions to stay with the federal government.<\/p>\n

Starting this year, plans offered to federal employees are required to offer fertility benefits, according to OPM.<\/p>\n