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Johnson Moves to Pull TRICARE IVF Mandate From Defense Bill as Duckworth Urges Trump to Act

The fight centers on whether the defense bill will require TRICARE to cover IVF for all military families.

Overview

  • House Speaker Mike Johnson is reported to be working privately to remove a provision that would mandate TRICARE coverage of assisted reproductive technology, including IVF, for all enrollees.
  • A spokeswoman for Johnson said he supports access to IVF only with "sufficient pro-life protections" and emphasized that the NDAA text is not final.
  • Sen. Tammy Duckworth publicly condemned the effort and sent President Trump an annotated letter urging him to ensure the IVF coverage remains in the bill.
  • The proposal would expand TRICARE fertility benefits beyond cases linked to service-related injury or illness, potentially affecting roughly nine million beneficiaries.
  • The Congressional Budget Office estimated the expansion would cost about $3.3 billion from 2025 to 2029, a figure advocates dispute, as negotiators prepare compromise language for possible votes soon.