Trump Announces Historic IVF Initiative to Slash Fertility Drug Costs and Expand Coverage

President Donald Trump unveiled a sweeping initiative to dramatically reduce IVF costs and expand fertility treatment access during a White House press conference, declaring it "the boldest and most significant action ever taken by any president to bring the miracle of life into more American homes."

The announcement follows a phone call with Russian President Vladimir Putin regarding ongoing peace negotiations and comes amid broader healthcare reform efforts aimed at addressing America's declining fertility rates.

Dramatic Price Reductions Through "Favored Nations" Pricing

The centerpiece of the initiative is a "Most Favored Nation" pricing agreement that will reduce per-cycle IVF drug costs by an estimated 73%, translating to approximately $2,200 in savings per treatment cycle. Trump emphasized that the most commonly prescribed fertility drug currently costs $1,300 in the United States compared to just $130 in London, calling the price disparity evidence that "we've been ripped off by the whole world for a long period of time."

EMD Serono, the world's largest fertility drug manufacturer, committed to providing an 84% discount off list prices for leading IVF therapies through the new TrumpRx.gov platform. Senior Vice President Libby Horn announced the company would also file Pergoveris, a new IVF therapy combining two reproductive hormones, for expedited FDA review under the National Priority Voucher program.​

CMS Administrator Dr. Mehmet Oz highlighted that key medications would drop from $242 to just $10 for the 70% of Americans earning under $15,000 annually, with the remaining consumers still receiving most favored nation pricing. The agreements extend to pharmacy benefit managers, with Express Scripts and CVS Specialty Pharmacy agreeing to slash their margins to enable the reduced pricing.​

New Employer-Sponsored Fertility Benefit Options

In a coordinated effort involving seven federal agencies, the administration released guidance creating a legal pathway for employers to offer standalone fertility benefit packages similar to dental or vision insurance. Deputy Domestic Policy Council Director Heidi Overton explained the new option allows companies, including small and midsize businesses, to provide comprehensive fertility coverage addressing root causes such as metabolic health and endocrine disorders, not just IVF procedures.​

The fertility benefit option gives employers "maximum flexibility to design benefits consistent with their values" while targeting improved clinical outcomes, including a reported 25% higher live birth rates and 21% fewer miscarriages among those with such benefits compared to traditional insurance. The Departments of Labor, Health and Human Services, and Treasury will follow the guidance with formal regulations.​

Political and Personal Testimonials

Senator Katie Britt credited Trump's rapid response after an Alabama court ruling threatened IVF access, stating his leadership made Republicans "the party of parents" and "the party of families". She noted Trump secured unanimous Republican Senate support for nationwide IVF access.​

Congressman Richard Hudson and his wife, Renee, who endured multiple miscarriages during their fertility journey, attended the event. Samantha Bush, co-founder of the Bundle of Joy Fund with NASCAR driver Kyle Busch, shared their decade-long struggle with infertility before having two children. Her nonprofit has distributed over $2 million in grants, helping bring 108 babies into the world.​

National Security and Healthcare Context

HHS Secretary Robert F. Kennedy Jr. framed declining fertility as a national security threat, noting rates dropped from 3.5 births per woman during his uncle's presidency to 1.6 today, well below the 2.1 replacement level. He emphasized the administration's broader Make America Healthy Again agenda addressing endocrine disruptors and chemical exposures contributing to fertility challenges, citing that today's average teenager has 50% of the sperm count and testosterone levels of a 65-year-old man from previous generations.​

Trump linked the IVF initiative to other family-focused achievements, including child tax credit expansion, child care affordability measures, and recent agreements on GLP weight-loss drugs and insulin price caps. He positioned fertility access as "very pro-life," stating, "there's nothing more pro-life than helping families grow."

The president emphasized that unlike previous administrations that "started wars," his focus on ending conflicts, claiming eight peace deals to date, and addressing domestic healthcare challenges reflects his deal-making approach to governance. With over $17 trillion in domestic investment secured during his first eight months and energy prices declining toward $2 per gallon, Trump framed the fertility initiative as part of a broader economic and social revival.