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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Leslie Schover, PhD.

Leslie Schover, PhD.

Leslie R. Schover, PhD is Professor of Behavioral Science at the University of Texas, MD Anderson Cancer Center. She is a clinical psychologist who received her BA in psychology from Brown University in 1974 and her PhD in psychology from UCLA in 1979. She has been a pioneer in developing and evaluating reproductive health services for cancer patients and survivors. Her research has focused on helping cancer patients cope with the impact of treatment on fertility and on understanding, preventing, and treating cancer-related sexual dysfunction in men and women Recent projects have focused on interventions using multimedia, interactive platforms or peer counseling. Her interest in AFP comes from a desire to ensure that all patients at risk for infertility are offered an informed choice about fertility preservation, and to see that people who want to be parents after cancer receive emotional and practical support.