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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New! Patient Voices: Experiences with Cancer and Fertility - blog post image

New! Patient Voices: Experiences with Cancer and Fertility

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We are excited to announce our new website feature, Patient Voices, which shares patient and survivor experiences with cancer and fertility.

If you are a patient or survivor, please share your story about how concerns about your future fertility or ability to become a parent affected you, your loved ones, your treatment decisions, your finances, or any other aspect of your cancer journey. We are gathering your stories and experiences now, and these will appear on our website within the next few weeks.

“Survivors stories are powerful vignettes that speak not only to those touched by cancer but also family, friends, and healthcare providers. Patient Voices provides a platform for patients and survivors to help others understand the impact cancer can have on fertility and encourage conversations regarding fertility and cancer. “ ~Katie Hauck-Perez, PhD, AFP Advisor

Patient stories like yours are an invaluable resource to other patients and survivors, advocates, and healthcare professionals! Share your story by clicking the link below and completing the Patient Voices form. Do you have a video or been featured in a news story? Please provide a link and we will share on the Patient Voices page!

Share Your Story!