Advocacy Resources teaser

Oversight of IVF in the US

In the United States, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. In vitro fertilization (IVF), a medical treatment commonly used by those who require medical intervention to build their families, is no exception.

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Federal

Food and Drug Administration (FDA)

The FDA approves and regulates drugs and devices in all areas of medicine, including those used during the IVF process.

If a patient uses donor gametes, those tissues are subject to additional FDA screening. The FDA also enforces regulations pertaining to physical facilities and record keeping for practices that utilize donated tissue. FDA staff conducts inspections and has the authority to issue fines and shut down any non-compliant facilities.

Clinical Laboratory Improvement Acts (CLIA)

The Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations include federal standards applicable to all U.S. facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease.

Diagnostic clinical laboratory tests—which, in the IVF process, mostly involve the measurement of hormone levels—are subject to rigorous oversight under CLIA.

Centers for Disease Control (CDC)

In 1992, Congress passed the Fertility Clinic Success Rate and Certification Act¹, requiring any physician who performs an IVF procedure to report the procedure and its outcome to the CDC. This law establishes a framework to track the outcomes of individual fertility clinics throughout the country. This transparency is a singular requirement to the United States medical field, producing a unique set of outcomes data unavailable for most other clinical procedures.

States

The licensing of medical providers is under the purview of the states, whereby each state licenses the professionals who provide care for patients. In the case of IVF procedures, this includes physicians, nurses, embryologists, mental health professionals, and, in some states, genetic counselors.

States are also the locus of family law in the United States. Thus, questions regarding establishing or transferring parentage rights and responsibilities, which may come up with the use of tissue donations or gestational surrogacy, are under the auspices of state law.

Professional oversight

Throughout American medicine, professional oversight plays an important role. All medical specialties have independent boards to credential physicians. The American Board of Obstetrics and Gynecology certifies physicians in both general OBGYN and the subspecialty of Reproductive Endocrinology and Infertility.

The Society for Assisted Reproductive Technology (SART) is an affiliate group of the American Society for Reproductive Medicine that accredits and oversees IVF clinics. To be a SART member, clinics must meet a rigorous set of standards, including credentialing of clinic staff, accreditation of their laboratory, and adherence to the routinely updated Practice and Ethics guidelines set by ASRM. SART reports birth outcomes from its member clinics so that patients can make informed decisions. The group sets guidelines for best practices in IVF and plays a major role in quality assurance.


The bottom line is that IVF is already one of the most heavily regulated procedures in all American medicine.



For almost a century, the American Society for Reproductive Medicine (ASRM) has been the global leader in multidisciplinary reproductive medicine research, ethical practice, and education. ASRM impacts reproductive care and science worldwide by creating funding opportunities for advancing reproduction research and discovery, by providing evidence-based education and public health information, and by advocating for reproductive health care professionals and the patients they serve. With members in more than 100 countries, the Society is headquartered in Washington, DC, with additional operations in Birmingham, AL. www.asrm.org | publicaffairs@asrm.org

¹ H.R.4773 - 102nd Congress (1991-1992): Fertility Clinic Success Rate and Certification Act of 1992 | Congress.gov | Library of Congress

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What support for IVF looks like

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Join the ASRM Advocacy in Action 2024 campaign by making a tax-deductible charitable gift before July 31!  Be part of Advocacy in Action
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ASRM Responds to Senate Vote on IVF Bill

ASRM is disappointed that a filibuster prevented the passage of the Right to IVF Act.

View the Press Release
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ASRM Calls for Passage of Family Building Bill

It would increase access to IVF treatments for all Americans, including active-duty service members, veterans, and federal employees.

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ASRM publishes IVF one-pagers for media use

The documents lay out the clinical IVF process, summarize oversight of IVF in the U.S., and explain how lawmakers can support access to IVF. 

View the Press Release
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Leave Your Mark! NIAW April 21-27

National Infertility Awareness Week Action Round-Up Click here to leave your mark during NIAW2024
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SART Fertility Experts - Advocacy and Reproductive Access

Dr. Cristin Slater and Betsy Campbell from RESOLVE  discuss: barriers to infertility care; opportunities to get infertility care; and recent trends. Listen to the Episode
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A Message from the Office of Public Affairs

ASRM is already pushing for legislation in Congress and the states to protect IVF. It requires resources to analyze and advocate for or against these bills. Help ASRM Protect IVF
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SART Fertility Experts - Infertility Advocacy and Government Affairs

In today's episode, Dr. Mark Trolice interviews Sean Tipton about the fact that many infertility patients do not have insurance coverage for treatment. Listen to the Episode
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The importance of your involvement in the lobbying process, especially at the local level, has never been greater.
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It takes more than one

Why IVF patients often need multiple embryos to have a baby View the advocacy resource
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Oversight of IVF in the US

In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource
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State and Territory Infertility Insurance Laws

View insurance information by US State and Territory View Insurance Laws by U.S. State
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Reproductive Rights and You

The U.S. Supreme Court’s opinion in Dobbs v. Jackson Women’s Health Organization (597 U.S. __, 2022), overturned the nearly 50-year precedent set by Roe v. Wade (410 U.S. 113, 1973), which had recognized a constitutional right to abortion. The Dobbs decision has sparked a litany of changes in state laws across the nation, and more are expected. Protect Your Rights

Reproductive Rights

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ASRM Responds to Supreme Court Ruling on Mifepristone

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ASRM provides testimony to Senate Judiciary Committee on threats facing IVF

ASRM shared with the Senate Judiciary Committee the dangers to reproductive medicine nearly two years after the Dobbs decision.

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ASRM reacts to Alabama legislation

We are pleased that the legislation passed into law by the Alabama General Assembly will at least allow our members in the state to care for their patients.

View the Press Release
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ASRM Responds to Proposed Alabama Legislation

We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.

View the Press Release
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Senate Budget Hearing is Well Timed Following Alabama IVF Ruling

ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.

View the Press Release
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ASRM Responds to Senate’s Failure to Pass Access to Family Building Act

We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).

View the Press Release
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Society of Reproductive Biologists and Technologists (SRBT) Condemns Recent Court Decision in Alabama

The recent ruling by the Alabama Supreme Court that frozen embryos are legally considered people has sparked controversy and concern.

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ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama

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ASRM applauds introduction of Access to Family Building Act of 2024

ASRM is thrilled by the introduction of the Access to Family Building Act 

View the Press Release
Reproductive Rights Icon

Take Action Now!

Like you, ASRM is extremely concerned over the decision from the Supreme Court to overturn Roe v. Wade and its impact. Learn How Your Can Help
Reproductive Rights Icon

Advocacy Toolkit

The importance of your involvement in the lobbying process, especially at the local level, has never been greater.
View the Toolkit
Advocacy Icon

It takes more than one

Why IVF patients often need multiple embryos to have a baby View the advocacy resource
Advocacy Icon

Oversight of IVF in the US

In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource
Reproductive Rights Icon

Reproductive Rights and You

The U.S. Supreme Court’s opinion in Dobbs v. Jackson Women’s Health Organization (597 U.S. __, 2022), overturned the nearly 50-year precedent set by Roe v. Wade (410 U.S. 113, 1973), which had recognized a constitutional right to abortion. The Dobbs decision has sparked a litany of changes in state laws across the nation, and more are expected. Protect Your Rights

In Vitro Fertilization (IVF)

Advocacy Icon

Advocacy in Action

Join the ASRM Advocacy in Action 2024 campaign by making a tax-deductible charitable gift before July 31!  Be part of Advocacy in Action
PR Bulletin Icon

ASRM Responds to Senate Vote on IVF Bill

ASRM is disappointed that a filibuster prevented the passage of the Right to IVF Act.

View the Press Release
News Icon

ASRM Calls for Passage of Family Building Bill

It would increase access to IVF treatments for all Americans, including active-duty service members, veterans, and federal employees.

View the Press Release
PR Bulletin Icon

ASRM publishes IVF one-pagers for media use

The documents lay out the clinical IVF process, summarize oversight of IVF in the U.S., and explain how lawmakers can support access to IVF. 

View the Press Release
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ASRM Reacts to Cruz/Britt OPED

We are pleased to see Senators Cruz and Britt express their interest in protecting access to IVF.

View the Press Release
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ASRM Files Amicus Brief in Texas Embryo Case

ASRM has filed an amicus curiae (friend of the court) brief in the case of Antoun v Antoun, which is pending before the Texas Supreme Court. 

View the Press Release
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Survey shows strong support for increased access to fertility treatments

A new public opinion poll reveals strong support for improved access to In Vitro Fertilization (IVF). 

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National Infertility Awareness Week 2024: Leave Your Mark

Next week is National Infertility Awareness Week, a federally recognized health observance founded to increase awareness of infertility.

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IVF-assisted pregnancies constitute 2.5% of all births in 2022

In 2022, the number of babies born from IVF increased from 89,208 in 2021 to 91,771 in 2022. This means that 2.5% of births in the US are a result of ART.

View the Press Release
PR Bulletin Icon

ASRM provides testimony to Senate Judiciary Committee on threats facing IVF

ASRM shared with the Senate Judiciary Committee the dangers to reproductive medicine nearly two years after the Dobbs decision.

View the Press Release
Announcement Icon

ASRM reacts to Alabama legislation

We are pleased that the legislation passed into law by the Alabama General Assembly will at least allow our members in the state to care for their patients.

View the Press Release
Announcement Icon

IVF at the SOTU: Fertility care expected to be major focus at State of the Union

Protecting access to IVF care is expected to be a major theme of the State of the Union on Thursday.

View the Press Release
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ASRM Responds to Proposed Alabama Legislation

We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.

View the Press Release
Announcement Icon

Senate Budget Hearing is Well Timed Following Alabama IVF Ruling

ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.

View the Press Release
Announcement Icon

ASRM Responds to Senate’s Failure to Pass Access to Family Building Act

We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).

View the Press Release
PR Bulletin Icon

Society of Reproductive Biologists and Technologists (SRBT) Condemns Recent Court Decision in Alabama

The recent ruling by the Alabama Supreme Court that frozen embryos are legally considered people has sparked controversy and concern.

View the Press Release
Announcement Icon

ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama

In LePage v Mobile Infirmary Clinic, the Alabama Supreme Court made a decision that flies in the face of medical reality and the needs of the citizens.

View the Press Release
PR Bulletin Icon

ASRM applauds introduction of Access to Family Building Act of 2024

ASRM is thrilled by the introduction of the Access to Family Building Act 

View the Press Release
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SART Fertility Experts - Your Infertility Nurse: Partner in Your Care

Infertility nurse practitioner and health coach Monica Moore explains the essential role of the infertility nurse in the IVF process.  Listen to the Episode
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Genetics is a significant part of advanced reproductive technology screening.  Listen to the Episode
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SART Fertility Experts - Fertility and LGBTQ

In this episode, Dr. Daniel Grow interviews Dr. Mark Leondires, the founder of Gay Parents To Be.  Listen to the Episode
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SART Fertility Experts - What is an REI?

These experts in infertility lead IVF programs, perform reproductive surgery, and perform research to enhance the field of reproductive medicine. Listen to the Episode
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SART Fertility Experts - What is IVF?

In this episode, we discuss the ins-and-outs of in vitro fertilization (IVF).   Listen to the Episode
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Start with SART

The very first thing you should do when evaluating a clinic is verify that it is a member of SART. Watch Video
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Preparing for In Vitro Fertilization (IVF): Lifestyle Factors

This SART micro-video discusses lifestyle factors that may affect in vitro fertilization, or IVF, outcomes.   Watch Video
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The Difference Between IUI and IVF

It is important to know Intrauterine insemination (IUI) or In vitro fertilization (IVF) can both be successful at helping grow your family.  Watch Video
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Understanding the SART Clinic Report

During this video we will discuss the SART Clinic Report concepts and demonstrate some of the report features. Watch Video
Patient Ed Icon

Infertility: an Overview (booklet)

Infertility is typically defined as the inability to achieve pregnancy after one year of unprotected intercourse. View the booklet
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Progesterone supplementation during IVF

Progesterone is a hormone produced by the ovary. View the fact sheet
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What is intracytoplasmic sperm injection (ICSI)?

A procedure called intracytoplasmic sperm injection (ICSI) can be done along with in vitro fertilization (IVF) if a sperm cannot penetrate the outer layer of an egg. Read the Fact Sheet
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In vitro fertilization (IVF): what are the risks?

IVF is a method of assisted reproduction in which a man’s sperm and a woman’s eggs are combined outside of the body in a laboratory dish. View the fact sheet
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What is In Vitro Maturation (IVM)?

In vitro maturation (IVM) is when a woman’s eggs are collected and matured outside the body. This is done as part of an in vitro fertilization (IVF) procedure. View the fact sheet
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Fertility Rights and Responsibilities

Can a fertility program or clinic deny treatment to patient(s) if there is concern about the ability to care for the child(ren)? Yes. Fertility programs can withhold services if there are signs that patients will not be able to care for child(ren). View this Fact Sheet
Patient Ed Icon

Preimplantation genetic testing (including preimplantation genetic diagnosis and preimplantation genetic screening)

Your embryos can be tested for abnormal chromosomes before they are transferred to the uterus. View the fact sheet
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What do I need to know about conceiving after tubal surgery?

Fallopian tubes connect the ovary (where the eggs are stored and grow) to the uterus (womb), where the fertilized egg develops into a baby (fetus). View the fact sheet
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Hydrosalpinx

The fallopian tubes are attached to the uterus (womb) on the left and right sides. View the Fact Sheet
Patient Ed Icon

Side effects of injectable fertility drugs (gonadotropins)

Gonadotropins are fertility medications given by injection that contain follicle-stimulating hormone (FSH) alone or combined with luteinizing hormone (LH). View the fact sheet
Patient Ed Icon

Kristen Ritchie's Story

I spent seven years navigating infertility, which was tumultuous but also a period of tremendous personal growth in hindsight. Read the story
Infographic Icon

In Vitro Fertilization Infographics

ASRM has prepared infographics to illustrate the subject of in vitro fertilization (IVF) better. View the infographics
Advocacy Icon

It takes more than one

Why IVF patients often need multiple embryos to have a baby View the advocacy resource
Info Icon

SART FAQ About IVF

Created by the Society for Assisted Reproductive Technology (SART) the following are answers to frequently asked questions concerning in vitro fertilization (IVF). Learn the facts
Advocacy Icon

Oversight of IVF in the US

In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource

Resources For You

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