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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Lindsay Nohr Beck

Lindsay Nohr Beck

Lindsay Nohr Beck, an award-winning pioneer in the field of young adult oncology, is currently on a path to revolutionize the world of nonprofit fundraising by creating a marketplace for impact investing.

Lindsay started her nonprofit career as the founder of Fertile Hope (now a program of LIVESTRONG), a company she launched to address the profound reproductive needs of cancer patients and survivors – a need she discovered after her own experience with recurrent tongue cancer in her early 20s. Under Lindsay’s leadership, Fertile Hope strategically integrated two disparate medical specialties by changing the standard of care and catalyzing the establishment of a new medical discipline now called “oncofertility.” She has co-authored several papers on the subject, most notably ASCO’s Fertility Preservation Guidelines, presented extensively around the world, and appeared in numerous media outlets, including the TODAY show, Wall Street Journal, New York Times, and SELF magazine. She is also the co-author of 100 Questions & Answers About Cancer and Fertility. Following the Fertile Hope acquisition, Lindsay led a groundbreaking initiative for LIVESTRONG to convince major insurance providers to reform healthcare benefits for cancer patients facing sterility from their treatment.

Lindsay earned her MBA at the Wharton School of the University of Pennsylvania in San Francisco. She lives in the San Francisco Bay Area with her husband and their four children.