When Donald Trump was on the campaign trail ahead of the 2024 election, he made a lot of promises to the American people, as a candidate tends to do. But one of those promises, involving ensuring affordable in vitro fertilization care, is one thing that some people have noticed little to no movement on. According to USA Today, Trump made a promise that he does not intend to keep.
In February 2025, Trump signed an executive order about diving into the cost reduction options for IVF for individuals who were hoping to go down that path for reproductive services.
Per the White House, the order was signed by Trump in order to make IVF more affordable and accessible. However, as of August 2025, there has been no solid widespread movement on this order.
Trump promised IVF care for Americans but has not delivered on that.
The White House website explains that the executive order about making IVF affordable for Americans recognizes the high cost that treatments and procedures that call under the IVF umbrella call for. The executive order also noted that “support, awareness, and access to affordable fertility treatments” are all important.
“Therefore, to support American families, it is the policy of my Administration to ensure reliable access to IVF treatment, including by easing unnecessary statutory or regulatory burdens to make IVF treatment drastically more affordable,” the order reads. It was signed in early 2025.
USA Today said that a solid plan involving affordable IVF could cost the government more money. It’s possible that this is one reason why Trump has not made good on promises made during his campaign. Trump’s supporters could be another reason.
NBC News reported that conservatives do not approve of any IVF initiatives, which could be a reason why the White House and Trump have remained stagnant on any progress.
Some have pushed for the Trump Administration to look into restorative reproductive medicine, which is less common and looks to identify the infertility issue at its source.
It is also a more affordable method. The issue with that, according to the American College of Obstetricians and Gynecologists, or ACOG, is possible medical side effects that can be painful and invasive.
ACOG reports that working with physicians who treat patients through restorative reproductive medicine could be “potentially increasing overall costs” while preventing patients from being given a wider scope of information about fertility.
Replacing IVF treatments with restorative reproductive medicine is not an option for many. Trump has claimed to have “kept promises” made during his campaign. IVF care that is affordable for the average American is not yet among them.
