Victory in the Aloha State

After more than a decade of advocacy by Hawaiian patient and provider advocacy organizations, Hawaii Governor Josh Green signed HB 1864 into law on July 9, 2026. This legislation requires state-regulated health insurers to cover standard fertility preservation services for individuals facing iatrogenic infertility, including cancer patients. The new law will cover procedures such as sperm banking and egg and embryo freezing and go into effect for health plans issued or renewed in Hawaii after December 31, 2026.

Due to Hawaii’s Prepaid Health Care Act of 1974 (PHCA) – the nation’s only state employer health coverage mandate that predates federal ERISA law – coverage will reach a broader percentage of Hawaii’s population compared to other state fertility preservation laws. We estimate that more than 700,000 Hawaiians, approximately half of the state’s population, will now have fertility preservation coverage should they ever need it.

The Alliance for Fertility Preservation would like to thank every patient advocate and organization that has been fighting tirelessly for this coverage since the first Hawaii bill was introduced in 2012. We are especially grateful for the Hawaii Society of Clinical Oncology, ASCO, Fertility Institute of Hawaii, Breast Cancer Hawaii, ACS CAN, Blood Cancer United, Susan G. Komen and all of the patient advocates who bravely shared their stories throughout this long journey.

Fertility Preservation Toolkit

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Jennifer Levine, M.D.

Jennifer Levine, M.D.

Affiliation and title:

  • Columbia University Medical Center (CUMC)
  • Assistant Professor of Pediatrics, Division of Oncology

Medical specialty:

  • Treatment of Leukemia and Lymphoma
  • Medical Director, Center for Survivor Wellness

Education and training:

  • MS, Patient Oriented Research, Mailman School of Public Health, (CUMC) NY, NY 2008
  • MD, University of Virginia, Charlottesville, VA, 1999
  • MSW, Hunter School of Social Work, NY, NY 1991
  • BA, Amherst College, Amherst, MA 1988

Fertility Related Activities:

Dr. Levine oversees the provision of fertility preservation discussions and referrals within the Division of Pediatric Oncology and Stem Cell Transplant at CUMC. She is the Principal Investigator, of the study “Ovarian Reserve in Adolescents with Lymphoma”, a national study through the Children’s Oncology Group. Dr. Levine has also been active in helping to standardize guidelines for fertility preservation for children, adolescents and young adults through the European Group PanCare and a member of the International Harmonization Guidelines section on female Fertility Preservation.