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.

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New Survey about Needs for Services to Help with Fertility and Sexuality Issues in Younger Breast Cancer Survivors - blog post image

New Survey about Needs for Services to Help with Fertility and Sexuality Issues in Younger Breast Cancer Survivors

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Dr. Leslie Schover, a pioneering researcher in the field of sexuality and fertility after cancer, has launched a new survey about the specific reproductive health needs of women who were diagnosed with breast cancer before menopause.

Dr. Schover is conducting the survey to better understand the ongoing needs of young cancer patients for information and help related to sexuality, fertility, and pregnancy.

Leslie Schover, AFP Board Member Emeritus, has retired from her faculty position at MD Anderson to devote fulltime to Will2Love, a health startup. Will2Love offers online help for cancer-related sexual and fertility issues. It primary goals are to provide evidence-based information, self-help strategies, and guidance on getting expert professional care. Will2Love’s services are internet based, so they will be available at home, 24/7, at an affordable price.

Since young women with breast cancer are very important to Will2Love, they are looking for input from these patients and survivors to shape the services they plan to offer, including their internet program and different types of telehealth counseling.

References:

  1. Will2Love.com