House Insurance Committee hears testimony on infertility care, costs and insurance mandates

Representative Perry Warren, Democratic chair of the Pennsylvania House Insurance Committee, opened an informational hearing on infertility care in Pennsylvania, saying the session was convened “to learn from constituents and experts regarding infertility care in Pennsylvania.” The committee did not take formal votes.

The hearing combined personal testimony, clinical overviews and advocacy perspectives focused on three recurring themes: the financial burden of assisted reproductive treatment, clinical pathways and when fertility preservation is appropriate, and the role of state insurance mandates in expanding access.

Tyrell Hoff and Mary Anne Hoff of Lititz told the committee about their six-year infertility journey and high out-of-pocket costs. Mary Anne Hoff, who identified herself as an executive and vice president at a financial services company, said, “Overall, we spent almost $50,000 in costs during the years between 2018 and 2024 when we finally conceived.” She told the committee that some medications cost about $7,500 for a multi‑drug regimen and that one clinic’s medication pricing was under $1,000, illustrating wide price variation.

Tyrell Hoff described the emotional and practical strain of treatment: “I had the mindset of … you have relations and then you get pregnant,” he…