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

Thank you for your interest in our toolkits. Please read our Terms of Use carefully as we include information that applies to all our toolkits.

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Joint Statement from the Alliance for Fertility Preservation and the Oncofertility Consortium on Fertility Preservation for Patients Receiving Gonadotoxic Therapies During the COVID-19 Pandemic - blog post image

Joint Statement from the Alliance for Fertility Preservation and the Oncofertility Consortium on Fertility Preservation for Patients Receiving Gonadotoxic Therapies During the COVID-19 Pandemic

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During this uncertain and unprecedented time, the oncofertility community is working together to provide up-to-date fertility preservation information for patients and providers. We are aware of the recommendations from ASRM’s COVID-19 Task Force which suggests new IVF cycles not be initiated at this time. While this pause in services does not apply to urgent fertility preservation for patients receiving gonadotoxic therapies, we recognize it may impact practices’ standard operations which could, inadvertently affect these patients’ access to some services. Based on dialogue with clinicians and leaders in the fertility preservation community, providers remain committed to handling these urgent cases, but we are aware that evolving geographic, legal, and practical constraints may cause interruptions or delays.

Therefore, should you encounter any difficulty in obtaining fertility preservation consultations or services during this unprecedented international emergency, please reach out to us at oncofertility@northwestern.edu or info@allianceforfertilitypreservation.org for assistance. For patients and providers in Australia, email info@futurefertility.com.au or fertility@rch.org.au (Victoria, only) for further assistance.

We know this situation is rapidly evolving and information may change daily, but we welcome any communication and/or updates from clinicians about any clinic closures, changes in ability to triage oncofertility patients, and/or any other concerns or obstacles you are encountering. Please let us know what’s happening with your practice, so we may better navigate patients in need.