Mp42-08 More Live Births Following in-Vitro Fertilization When State-Level Mandates Include Coverage for Male Infertility Care

You have accessJournal of UrologyInfertility: Therapy (MP42)1 May 2024MP42-08 MORE LIVE BIRTHS FOLLOWING IN-VITRO FERTILIZATION WHEN STATE-LEVEL MANDATES INCLUDE COVERAGE FOR MALE INFERTILITY CARE Amelia A. Khoei, Phyllis Yan, Rodney L. Dunn, David Suh, Marissa S. Weiss, Kristian Black, Erica E. Marsh, Edward C. Norton, Vanessa K. Dalton, and James M. Dupree Amelia A. KhoeiAmelia A. Khoei , Phyllis YanPhyllis Yan , Rodney L. DunnRodney L. Dunn , David SuhDavid Suh , Marissa S. WeissMarissa S. Weiss , Kristian BlackKristian Black , Erica E. MarshErica E. Marsh , Edward C. NortonEdward C. Norton , Vanessa K. DaltonVanessa K. Dalton , and James M. DupreeJames M. Dupree View All Author Informationhttps://doi.org/10.1097/01.JU.0001008688.39367.31.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In 2020, 43 states recorded their lowest fertility rate in at least three decades. At that time, 11 states had passed laws mandating insurance coverage for in-vitro fertilization (IVF). Of those, only six states also mandated insurance coverage for male infertility care procedures. It remains unknown how male infertility coverage mandates impact the number of births from IVF. Given the declining fertility rates in many states, our objective was to compare the number of live births from IVF in three groups of states. METHODS: We obtained nationwide claims from over 80 million insured US individuals from 2003 to 2021 from Optum's de-identified Clinformatics® Data Mart Database. We identified IVF cycles using Current Procedural Terminology (CPT) codes for oocyte retrievals and first embryo transfers within 6 months and excluded oocyte retrievals performed for fertility preservation. Live births were identified using relevant CPT, International Classification of Diseases (ICD), and Diagnosis Related Group (DRG) codes.States were categorized into three groups: 1) states mandating IVF coverage and male infertility care (CT, MA, NJ, NY, DE 2018-20, UT 2018-20); 2) states mandating IVF coverage but not male infertility care (AR, HI, IL, MD, RI); and 3) all remaining states, including both DE and UT from 2003-2017. Within each group of states, we calculated the number of live births per 10,000 women aged 21-44, overall and by birth type (singleton, twin, and triplet+). RESULTS: The total number of live births from IVF per 10,000 women was highest in Group 1 and lowest in Group 3 (Table 1). In Group 1, there were also more twin and triplet +live births compared to Groups 2 and 3. CONCLUSIONS: The number of live births from IVF is highest in states with IVF mandates that include male infertility coverage. In the setting of nationally declining fertility rates, policymakers considering new legislation for infertility care should include insurance coverage for male infertility care to promote family planning and increased number of births. Source of Funding: Eunice Kennedy Shriver National Institute of Child Health & Human Development - 1R01HD103603 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e686 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Amelia A. Khoei More articles by this author Phyllis Yan More articles by this author Rodney L. Dunn More articles by this author David Suh More articles by this author Marissa S. Weiss More articles by this author Kristian Black More articles by this author Erica E. Marsh More articles by this author Edward C. Norton More articles by this author Vanessa K. Dalton More articles by this author James M. Dupree More articles by this author Expand All Advertisement PDF downloadLoading ...