EBSA-2026-0232-0001, Burke, James

I would love to see more insurance plans cover fertility treatments. The field of Restorative Reproductive Medicine (RRM) including NaProTechnology and other methods. These methods address the underlying causes of infertility and health issues that In-Vitro Fertilization (IVF) neglects, and failing to treat such matters leaves at least partially unfulfilled, the goal to Make America Healthy Again (MAHA). I know there's an executive order to find ways to make IVF more accessible, but as someone who writes lots of requirements, the goal should be stated, rather than a singular approach. This is where RRM is among the ways to achieve the goal of improving fertility. Many years ago, I saw the impressive results of NaProTechnology, with post-partum depression treatment success around 95%, with rapid results. Recurrent miscarriages had roughly an 80% success rate. It was a few times more effective compared to IVF, because it's treating underlying issues. If one uses the brute force method of IVF to get pregnant, but the issue was low progesterone, the costly IVF approach will likely end in yet another miscarriage. But RRM would address the issue, allowing a much higher chance at a much lower cost than IVF. I consider RRM and NaPro to be the best medical, scientific, and moral approaches to reproductive health, while also having the lowest cost in most cases. I would hope insurance would cover these great approaches to health. I would love to see things tweaked a bit to remove IVF from what is being proposed. Perhaps consultation with the President could lead to making him aware of superior options to achieve the same end goal at a lower cost and higher success rates. If IVF is insisted upon, a future update to benefits could be proposed with IVF. But the moral issues, the high cost, and other issues make it an inferior approach. Yet, it's the most well-known approach. But that's precisely because there is so much profit being made in that industry, even with very low success rates. I support adding RRM, including NaProTechnology benefits. I oppose adding IVF benefits. I hope that combination can come out of this change.