ASRM provides testimony to Senate Judiciary Committee on threats facing IVF
For Immediate Release
Washington, DC – In testimony delivered today to the Senate Judiciary Committee, the American Society for Reproductive Medicine (ASRM) shared with the Committee the dangers to reproductive medicine nearly two years after the Dobbs decision.
In its statement, ASRM said:
“The Alabama Supreme Court’s opinion in LePage undermines critical reproductive health care. Treating frozen embryos as legal persons restricts access to IVF and undermines the rights of people in this country to make decisions about family building, including what to do with frozen embryos created via IVF. Treating embryos as legal children has many serious practical implications for patients and providers. It means that patients could face significantly increased costs and additional unnecessary or risky procedures. For providers, this legal standard could be leveraged to force them to perform embryo transfers where the embryos have a low probability of implanting or leading to a live birth. Patients would then have to suffer the physical and emotional anguish of facing a pregnancy that would never lead to a living child. ASRM’s concern is that the Alabama Supreme Court’s ruling could lead to other states following suit, meaning that fewer people will be able to access the full range of care they want and need, including if, when, and how to have children.”
“We thank Chairman Durbin (D-IL) for shining a light on the ways in which judicial decisions are undermining reproductive health care, particularly in the wake of the recent Alabama Supreme Court decision that threatens access to fertility treatments,” said Sarah Bogdan, ASRM’s Director of Government Affairs. “This hearing couldn’t come at a more critical moment. All around us, access to reproductive medical services is coming under attack. But Congress can help. Hopeful parents across the nation need the Senate and House to pass legislation ensuring fertility treatment remains available and accessible to those who need it, regardless of their zip code. Today’s hearing is an important step, and we thank the Chairman and the Committee for their attention to this topic.”
ASRM testimony also included first-hand accounts from several ASRM members in Alabama.
Read the full testimony
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
For media inquiries regarding this press release contact:
Sean Tipton
ASRM Chief Advocacy and Policy Officer
E: stipton@asrm.org
Anna Hovey
Advocacy Engagement Specialist
E: ahovey@asrm.org
J. Benjamin Younger Office of Public Affairs
726 7th St. SE
Washington, DC 20003
Tel: (202) 863-2494
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View the Press Release![Podcast Icon](/globalassets/_icons/podcast.png)
ASRM Today: ASRM Policy Matters: Post-Alabama IVF decision advocacy roundup with Jessie Losch
Jessie Losch, ASRM Government Affairs Manager, updates ASRM Today on the advocacy efforts underway post the Alabama Supreme Court decision. Listen to the Episode![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Live from PCRS 2024
Fertility & Sterility on Air brings you the highlights from the 2024 Annual Meeting of the Pacific Coast Reproductive Society. Listen to the Episode![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Seminal Article: Dr. Jeremy Applebaum
Listen to this interview featuring Dr. Jeremy Applebaum, who recently published "Impact of coronavirus disease 2019 vaccination on live birth rates after IVF" Listen to the Episode![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - TOC: March 2024
Topics this month include the impact of COVID-19 vaccination on live birth rates after IVF, the "freeze-all" strategy in women with adenomyosis, and more. Listen to the Episode![Announcement Icon](/globalassets/_icons/announcement.png)
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](/globalassets/_icons/announcement.png)
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![Announcement Icon](/globalassets/_icons/announcement.png)
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](/globalassets/_icons/announcement.png)
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](/globalassets/_icons/announcement.png)
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![Legal Icon](/globalassets/_icons/legal.png)
Alabama Supreme Court Rules Frozen Embryos are “Unborn Children” and admonishes IVF’s “Wild West” treatment
Legally Speaking™ on presenting facts and reflecting on the impact and potential implications of legal developments in ART. View the Column![Announcement Icon](/globalassets/_icons/announcement.png)
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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - TOC: February 2024
Topics this month include the optimial AMH level in oocyte donors, the role of mean number of DNA breakpoints (MDB) in sperm DNA integrity, and more. Listen to the Episode![Document Icon](/globalassets/_icons/document.png)
Prevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)
Ovarian hyperstimulation syndrome is a serious complication associatedwith assisted reproductive technology. View the guideline![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Unplugged: January 2024
Topics this month include: HCG as a predictor of pregnancy outcome after IVF, progestin ovulation suppression and embryo development, and more. Listen to the Episode![Announcement Icon](/globalassets/_icons/announcement.png)
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![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing IVF lab work
We typically bill our IVF Lab work under the rendering provider who performs the VOR. Who should be the supervising provider for embryology billing? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: IVM in Clinical Practice: An Idea Whose Time Has Come?
In vitro maturation (IVM) has the potential to make IVF cheaper, safer, and more widely accessible to patients with infertility. View the Video![Document Icon](/globalassets/_icons/document.png)
Comparison of pregnancy rates for poor responders using IVF with mild ovarian stimulation versus conventional IVF: a guideline (2018)
Mild-stimulation protocols with in vitro fertilization (IVF) generally aim to use less medication than conventional IVF. View the Guideline![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF cycle management and facility fees, an overview
How should IVF Cycle Management be coded? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Limited ultrasound performed by RN
Would it be appropriate to bill a 99211 when an RN is doing a limited ultrasound and documenting findings during an IUI or IVF treatment cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
CPT 89253 and 89254 for Assisted hatching
Can I bill CPT codes 89253 and 89254 together? If yes, do I need a modifier on any of the codes? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - What is the optimal number of oocytes to reach a live-birth following IVF?
The optimal number of oocytes necessary to expect a live birth following in vitro fertilization remains unclear. View the Video![Coding Icon](/globalassets/_icons/codingcorner.png)
Patient Education
What is the correct way to bill for the patient education sessions performed by registered nurses to individual patients prior to their IVF cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Pregnancy Ultrasound
Our practice does routine ultrasounds (sac check- 76817) at the end of an IVF cycle and bill with a diagnosis code O09.081, pregnancy resulting from ART. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IV Fluids During Egg Retrieval
Is it appropriate to bill the insurance company for CPT 96360, Under Hydration Infusion when being used in conjunction with IVF retrieval? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IUI or IVF
Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Consent Counseling
When a patient is scheduled to undergo IVF and the provider schedules the patient for a 30-minute consultation is this visit billable? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Ovulation Induction Monitoring for IUI
We would like to clarify the correct ICD 10 diagnosis code for monitoring of an IUI cycle. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
In Vitro Maturation
Have CPT codes been established for maturation in vitro? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing Forms
I am seeking information on IVF insurance billing guidelines. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing Globally
Am I correct in assuming that it is duplicate billing for both the ambulatory center and embryology laboratory to bill globally? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing of Professional Charges
Are we allowed to bill professional charges under the physician for the embryologist who performs the IVF laboratory services? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Lab Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Oocyte Denudation
Is there is a separate code for denudation of oocytes? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometrial Biopsy/Scratch
What CPT code should be used for a “scratch test”? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometriosis and Infertility
For treatment like IVF would we bill with N97.x first or an endometriosis diagnosis? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Follicle Monitoring For Diminished Ovarian Reserve
If a patient has decreased ovarian reserve (ICD-10 E28.8) and patient is undergoing follicle tracking to undergo either an IUI cycle or IVF cycle... View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Global Billing Vs Billing Under Provider
For an IVF cycle (that is not being billed global to an insurance plan) is it appropriate to bill the charges under one “global” provider? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis of Infertility for IVF Procedure
How important is it to have accurate documentation of the type of infertility diagnosis for IVF procedures? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Egg Culture and Fertilization
We are billing for the technical component of 89250 and would like to also bill a professional component of the 89250. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Egg Culture and Fertilization: Same Gender
A same-sex male couple requested half their donor eggs be fertilized with sperm from male #1 and the other half fertilized from male #2. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Donor Embryos
Could you give guidance for the correct ICD-10 code(s) to use when a patient is doing an Anonymous Donor Embryo Transfer cycle? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Natural versus Programmed FET Cycles
![Document Icon](/globalassets/_icons/document.png)
Role of assisted hatching in in vitro fertilization: a guideline (2022)
There is moderate evidence that assisted hatching does not significantly improve live birth rates in fresh assisted reproductive technology cycles View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Best Practices of High Performing ART Clinics
This Fertility and Sterility Journal Club Global discusses February’s seminal article, “Common practices among consistently high-performing in vitro fertilization programs in the United States: a 10 year update.” View the Video![Document Icon](/globalassets/_icons/document.png)
Guidance on the limits to the number of embryos to transfer: a committee opinion (2021)
ASRM's guidelines for the limits on the number of embryos to be transferred during IVF cycles have been further refined ... View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global Live from India - Adjuvants in IVF and IVF Add-Ons for the Endometrium
Many adjuvants have been utilized by IVF centers to improve their success rates. View the Video![Document Icon](/globalassets/_icons/document.png)
Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline (2021)
A review of success rates, factors that may impact success rates, and outcomes. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Development of an emergency plan for in vitro fertilization programs: a committee opinion (2021)
All IVF programs and clinics should have a plan to protect fresh and cryopreserved human specimens (embryos, oocytes, sperm). View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
In vitro maturation: a committee opinion (2021)
The results of in vitro maturation (IVM) investigations suggest the potential for wider clinical application. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Fertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion (2019)
The Ethics Committee recommends that in vitro fertilization (IVF) centers develop patient-centered policies regarding requests for futile treatment. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Blastocyst culture and transfer in clinically assisted reproduction: a committee opinion (2018)
The purposes of this document is to review the literature regarding the clinical application of blastocyst transfer. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
The role of immunotherapy in in vitro fertilization: a guideline (2018)
Adjuvant immunotherapy treatments in in vitro fertilization (IVF) aim to improve the outcome of assisted reproductive technology (ART) in both the general ART population as well as subgroups such as patients with recurrent miscarriage or implantation failure. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Performing the embryo transfer: a guideline (2017)
A systematic review of the literature was conducted which examined each of the major steps of embryo transfer. Recommendations made for improving pregnancy rates are based on interventions demonstrated to be either beneficial or not beneficial. (Fertil Steril® 2017;107:882–96. ©2017 by American Society for Reproductive Medicine.) View the Committee Guideline![Document Icon](/globalassets/_icons/document.png)
Financial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2016)
Financial ‘‘risk-sharing’’ fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. View the Committee Document![Document Icon](/globalassets/_icons/document.png)
Best practices of ASRM and ESHRE: a journey through reproductive medicine (2012)
ASRM and ESHRE are the two largest societies in the world whose members comprise the major experts and professionals working in reproductive medicine. View the Committee Joint Guideline![Membership Icon](/globalassets/_icons/membership.png)
In Vitro Maturation Special Interest Group (IVMSIG)
IVMSIG strives to define the best strategies to optimize IVM outcomes. Learn more about IVMSIG![Advocacy Icon](/globalassets/_icons/advocacy.png)
What support for IVF looks like
Bipartisan support for IVF, that is responsible for the birth of over 2% of all babies born in the USA each year, will ensure that families continue to grow. View the advocacy resource![Advocacy Icon](/globalassets/_icons/advocacy.png)
It takes more than one
Why IVF patients often need multiple embryos to have a baby View the advocacy resource![Advocacy Icon](/globalassets/_icons/advocacy.png)
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![Advocacy Icon](/globalassets/_icons/advocacy.png)
Advocacy Resources
ASRM has prepared resources to help explain and advocate for reproductive rights and the continuation of in vitro fertilization and other fertility treatments. View the advocacy resourcesTopic Resources
![Reproductive Rights Icon](/globalassets/_icons/reproductiverights.png)
Changes Ahead: Abortion Policy Proposals Affecting Reproductive Medicine
In January 2023, lawmakers reconvened for the first legislative sessions since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Org. View the Report![Reproductive Rights Icon](/globalassets/_icons/reproductiverights.png)
States' Abortion Laws Potential Implications for Reproductive Medicine
This report is the second in a series from the ASRM Center for Policy and Leadership (CPL), a non-partisan think tank. View the Report![Reproductive Rights Icon](/globalassets/_icons/reproductiverights.png)
The Potential Impact of States’ Abortion Trigger Laws on Reproductive Medicine
In thirteen states, so-called “trigger” laws have and are set to take effect which ban or severely restrict abortion care. View the Report![Reproductive Rights Icon](/globalassets/_icons/reproductiverights.png)
ASRM Advocacy
The U.S. Supreme Court’s opinion in Dobbs v. Jackson Women’s Health Organization overturned the nearly 50-year precedent set by Roe v. Wade. See what ASRM is advocating![Reproductive Rights Icon](/globalassets/_icons/reproductiverights.png)