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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Parul Patel

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Parul is a business strategy and innovation executive with extensive hands-on experience helping companies leverage technology to change, start, and scale their businesses.  She has worked across many industries and wide variety of business sizes, such as luxury retail, consumer goods, pharmaceuticals, and media and high tech.  In addition to her profit/private experience, Parul has spent over a decade working with non-profits – from volunteering to being a Board Member to being a Board Chairwoman.  Her strength is working with multiple stakeholders to align around a common set of goals and develop executable plans to bring those goals to life by leveraging the best of the people around them, the technologies available and in the marketplace such as AWS and Salesforce, and their own strengths.  Parul has helped over 40 clients with this type of work and is excited about continuing this type of work with non-profits and startups.  Parul led a team to launch a new digital business for a pharmaceutical company that brings fertility education and treatment into the privacy of a home.  In addition, Parul led the team that launched Fertility Scout on behalf of the Alliance for Fertility Preservation.