•HRES 1043 IH 
Whereas studies suggest that 48,000,000 couples and 
186,000,000 individuals live with infertility globally; 
Whereas 19 percent of married women of reproductive age in 
the United States with no prior births are unable to get 
pregnant after 12 months or more of regular unprotected 
sexual intercourse; 
Whereas 26 percent of married women of reproductive age in 
the United States with no prior births have difficulty get-
ting pregnant or carrying a pregnancy to term; 
Whereas infertility is a psychologically devastating condition 
that can lead to extended periods of anger, stress, anx-
iety, and depression for couples struggling to conceive; 
Whereas in vitro fertilization is a form of assisted reproduc-
tive technology that consists of a series of medical proce-
dures, including the collection of mature eggs from ova-
ries, fertilization of these eggs outside the human body, 
and implantation of embryos in the uterus; 
Whereas advances in assisted reproductive technology, such 
as in vitro fertilization, over the last 50 years has offered 
hope to the millions of couples struggling to conceive; 
Whereas 12 percent of women of reproductive age in the 
United States have used assisted reproductive technology, 
such as in vitro fertilization, in their lifetime; 
Whereas in vitro fertilization, and other forms of assisted re-
productive technology, have been proven to be safe, reli-
able, and effective forms of infertility treatment; 
Whereas more than 55 percent of women younger than 35 
years old in the United States are able to become preg-
nant by in vitro fertilization after just one egg retrieval; 
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•HRES 1043 IH 
Whereas assisted reproductive technology, such as in vitro 
fertilization, are medical procedures that allow for more 
couples to achieve pregnancy and more children to be 
born; 
Whereas it is estimated that more than 10,000,000 babies 
have been born globally though assisted reproductive 
technology and that approximately 500,000 babies are 
born each year though assisted reproductive technology; 
Whereas approximately 2.3 percent of all infants born annu-
ally in the United States are conceived with assistive re-
productive technologies, such as in vitro fertilization; 
Whereas in vitro fertilization allows for cryogenic freezing 
and storage of embryos, allowing medical professionals to 
transfer one embryo at a time into the patient’s uterus, 
reducing the health risks associated with carrying twins 
and triplets; 
Whereas cryogenically freezing embryos prior to implantation 
in the in vitro fertilization process, has dramatically de-
creased the risk of ovarian hyperstimulation syndrome, a 
potentially life-threating condition that affects fertility 
patients; 
Whereas utilizing cryogenic freezing and storage of embryos 
during the in vitro fertilization process is significantly 
more cost effective for couples experiencing infertility 
than traditional in vitro fertilization; 
Whereas the Supreme Court of Alabama’s ruling on February 
16, 2024, has jeopardized access to in vitro fertilization 
and other assisted reproductive technology for couples in 
Alabama experiencing infertility; 
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•HRES 1043 IH 
Whereas the ruling by the Supreme Court of Alabama could 
expose providers of in vitro fertilization in the State of 
Alabama to significant civil and criminal liability; 
Whereas at least 3 medical providers in the State of Alabama 
suspended in vitro fertilization services in the week fol-
lowing the ruling by the Supreme Court of Alabama; 
Whereas the ruling by the Supreme Court of Alabama will in-
crease the cost of assisted reproductive technology, such 
as in vitro fertilization, for couples experiencing infer-
tility; and 
Whereas the ruling by the Supreme Court of Alabama, and 
any substantially similar ruling or statute, will result in 
fewer pregnancies and fewer children being born: Now, 
therefore, be it 
Resolved, That the House of Representatives— 
(1) expresses strong support for continued ac-
cess to fertility care and assisted reproductive tech-
nology, including in vitro fertilization at home and 
abroad; 
(2) 
commends 
the 
work 
of 
reproductive 
endocrinologists and other fertility specialists in as-
sisting couples experiencing infertility in bringing 
life into the world; 
(3) condemns any judicial ruling that would re-
sult in restricted access to fertility care and assisted 
reproductive technology, including in vitro fertiliza-
tion; 
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•HRES 1043 IH 
(4) calls on elected officials at all levels of gov-
ernment to reject proposals that would put access to 
fertility care and assisted reproductive technology, 
including in vitro fertilization, in jeopardy; and 
(5) calls on elected officials at all levels of gov-
ernment to proactively pass legislation to protect ac-
cess to fertility care and assisted reproductive tech-
nology, including in vitro fertilization. 
Æ 
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