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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Lynn Marie Westphal, M.D., FACOG

Lynn Marie Westphal, M.D., FACOG

Professor of Obstetrics and Gynecology, Stanford University School of Medicine
Founder and Director of the Stanford University Fertility Preservation Program

She graduated summa cum laude from Lawrence University, earned her M.D. degree at Stanford University, and did her residency training in obstetrics and gynecology at UCLA and Stanford University. She did a fellowship in molecular biology at Stanford University, and completed her fellowship in Reproductive Endocrinology and Infertility (REI) at UCSF.

Her interest in fertility preservation for cancer survivors led her to set up one of the first oocyte cryopreservation programs in the country in 1999. She has held numerous national leadership positions, including being a past President of the Fertility Preservation Special Interest Group of the ASRM. As an AFP board member, she hopes to educate patients and clinicians and raise awareness for this important issue.

Office Contact Information:

900 Welch Road, Suite 20,
Palo Alto, CA 94304
Phone: 650-498-7317
Cell: 650-740-3121
Email: lynnw@stanford.edu