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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Joyce Reinecke, J.D.

Joyce Reinecke, J.D.

Before joining the AFP as its Executive Director, Joyce was a Cancer & Fertility Adviser for the LIVESTRONG Foundation. Prior to that, she served as the Vice President of Programs for Fertile Hope.

Throughout her tenure at Fertile Hope, she worked to expand patient and provider awareness of fertility preservation and of advances in the burgeoning field of oncofertility. She was instrumental in developing groundbreaking programs and services including innovative patient materials, a provider education program and Fertile Hope’s Centers of Excellence program.

Joyce is the co-author of 100 Questions & Answers About Cancer and Fertility as well as several articles on cancer & fertility. Joyce has also given countless presentations to varied audiences across the country, and collaborated with leading professional and patient organizations to promote dialogue and policy change.

Joyce is a long-term survivor of leiomyosarcoma who opted for embryo freezing and surrogacy to create her family. Her personal oncofertility journey informs her professional focus and her commitment as a patient advocate.

Prior to her work at Fertile Hope, Joyce was a trademark attorney in Seattle, WA. Joyce obtained a law degree from Fordham University School of Law, and a B.A. from Occidental College. Joyce currently lives in Lafayette, CA with her husband, John, and their twin daughters, Alexandra and Olivia.

Reach Joyce by email at joyce@a4fp.org