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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Join the Alliance for Fertility Preservation on February 11th in Albany - blog post image

Join the Alliance for Fertility Preservation on February 11th in Albany

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The Alliance for Fertility Preservation Supports reversing the gestational surrogacy ban in New York.

We want to alert you to an important advocacy event around family building. We hope you’ll either join us, help spread the word or send letters of support to your lawmakers.

The New York Child-Parent Security Act

In addition, AFP will be in Albany, New York with RESOLVE and other advocates on February 11th in support of the Child-Parent Security Act was announced recently by Governor Cuomo in his 2020 State Address. At present, New York State is one of only three that has a current ban on any form of compensated gestational surrogacy. The other two states are Louisiana and Michigan. We aim to change that!

The CPSA’s goal is create “best practice” laws legalizing and regulating compensated gestational surrogacy for intended parents, whether they are a married straight couple, a married gay couple, unmarried, or single and whether they are biologically related to the child or not.

Amy Demma, a New York licensed attorney practicing in the area of reproductive law, “I am delighted to see how much the Protecting Modern Families Coalition has grown since last year. I am not sure how many new organizations have joined but the number of individuals and groups signing on in support is both impressive and encouraging.”

“We have continued to work on the specifics of the legislation to ensure that it contains the most advanced and progressive protections for surrogates, intended parents, and any children born through surrogacy.” states HERE.

As always, thank you for your support and feel free to contact us with any questions!