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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Partner Perspectives on Fertility Preservation - blog post image

Partner Perspectives on Fertility Preservation

Dr. Teresa K. Woodruff, PhD, Allison Goetsch, MS, CGC, and graduate student Kendra Frome, BS, have designed this survey to capture information about the fertility preservation process from an often-overlooked perspective – that of the cancer patient’s partner. Obviously, a patient’s partner has an important stake in the outcome of any fertility preservation interventions, and a vital say in these decisions. The goal of this survey is to better understand the partner’s role and needs in the process of shared decision-making that includes healthcare providers, patients, and patients’ partners. Ultimately, the information gathered will be used to shape and improve the overall process for patients and their partners in the clinical setting.

“When someone is diagnosed with cancer, it not only effects their lives, but the lives of their family. Specifically, their partners are a crucial part of the cancer process, including the decision to pursue fertility preservation. Due to the lack of research on partners and their opinions, and also my personal high value of family, I wanted to reach out to the partners to help them become more involved in the entire healthcare process.” -Kendra Frome