The RESTORE Act would expand and promote research and data collection on reproductive health conditions, and create training opportunities for medical professionals to diagnose and treat those conditions. It also establishes definitions for restorative reproductive medicine and related approaches, and it prohibits discrimination against health care providers who do not participate in assisted reproductive technology.
The bill seeks to broaden federal support for restorative care through research, education, and training, while modernizing how such care is coded and reimbursed. The overall aim is to improve diagnosis, treatment, and access to restorative options for individuals facing infertility or reproductive health conditions.
Why it matters: for clinicians, researchers, and health systems, the Act signals a shift toward data-informed care and expanded education in restorative options. By funding training, expanding data collection, and aligning reimbursement mechanisms, the bill could influence which treatments are pursued, how patients learn about options, and how providers are supported to offer restorative care.
At a Glance
What It Does
The Act requires data collection and regular reporting on infertility and restorative reproductive medicine, expands training for medical professionals, and broadens funding for restorative care while protecting provider conscience in certain cases. It also updates coding and reimbursement considerations to reflect these services.
Who It Affects
Federal health programs, Title X grantees and applicants, health care providers offering restorative reproductive medicine, medical training institutions, and insurers.
Why It Matters
Sets a data-driven foundation for diagnosing and treating reproductive health conditions, expands access to restorative options, and updates reimbursement to reflect new care pathways.
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What This Bill Actually Does
The RESTORE Act lays the groundwork for a more systematic approach to reproductive health care. It defines restorative reproductive medicine and related methods, and it broadens the federal approach to funding, training, and data collection in this area.
The bill requires the Secretary of Health and Human Services to collect and publish data on infertility and reproductive health conditions, and to assess access to restorative therapies and fertility awareness methods. It also directs the creation and dissemination of training materials for health care professionals, including education on NaProTechnology and fertility awareness-based methods.
A key feature is the prohibition on penalizing health care providers who choose not to participate in assisted reproductive technology. This conscience-protection provision ensures providers can decline certain services without fear of losing federal funds, so long as it complies with other laws.
The Act also expands the National Survey of Family Growth to include questions about restorative health, infertility, and fertility awareness, enabling better population-level understanding of these areas. In addition, the bill would modify Title X grant eligibility to favor entities primarily engaged in restorative reproductive medicine or related education and training, and it would modernize medical coding to ensure reimbursement reflects restorative care.Finally, the legislation calls for expanded research on reproductive health conditions and the effectiveness of restorative medicine and fertility awareness methods, with a long-term goal of improving outcomes and reducing the burden of infertility for individuals and families.
The Five Things You Need to Know
Section 4 prohibits discrimination against providers who do not participate in assisted reproductive technology, when federal funding is involved.
Section 5 requires the Assistant Secretary to issue data reports on infertility and restorative medicine at least every 3 years after an initial 2-year window.
Section 6 mirrors Section 5 for reproductive health condition diagnoses, ensuring data and training cover both diagnosis and treatment.
Section 7 expands the National Survey of Family Growth to include restorative reproductive medicine and fertility awareness-based methods.
Section 12 requires modernized coding (ICD-10-CM/PCS, CPT) and bundled payments to better reimburse restorative reproductive care.
Section-by-Section Breakdown
Every bill we cover gets an analysis of its key sections.
Findings
This section lays out the bill’s justificatory basis, highlighting the prevalence of reproductive health conditions and infertility, the potential role of restorative reproductive medicine, and the need for better information and access. It establishes the policy rationale for expanding research, data collection, and training to address gaps in care and information for both patients and providers.
Definitions
Defines terms central to the Act, including restorative reproductive medicine, fertility awareness-based methods, fertility education and medical management, infertility, and reproductive health conditions. These definitions create the framework for what the bill aims to study, train for, and reimburse.
Discrimination protection for providers not participating in ART
Prohibits federal and federal-funded entities from penalizing providers who decline to participate in assisted reproductive technology. This conscience-protection provision ensures providers can refuse to engage in ART-based services without facing repercussions, while preserving other legal rights and obligations.
Literature reviews on infertility standard of care
Requires the Assistant Secretary to collect data and produce a report within 2 years of enactment and every 3 years thereafter. Topics include referrals to restorative reproductive medicine before ART referrals, access to information on fertility awareness-based methods, and coverage of these approaches by public and private plans, with privacy protections for patients.
Literature reviews on standard of care for diagnosing reproductive health conditions
Mirrors Section 5 for diagnosing reproductive health conditions. It directs data collection on access to restorative medicine, NaProTechnology-trained professionals, fertility awareness information, and plan coverage, ensuring up-to-date guidance on diagnostic pathways.
Expanding the National Survey of Family Growth
Directs a review of the National Survey of Family Growth to consider adding questions about restorative reproductive health, infertility, restorative medicine availability, and fertility awareness training. The goal is to illuminate population-level trends and access, informing policy and practice.
Title X funds for restorative medicine grantees
Amends Title X to allow grants or contracts to entities primarily engaged in restorative reproductive medicine or related training, provided they meet eligibility criteria. This expands federal support for services and education in restorative care.
Modernizing medical coding
Requires updating ICD-10-CM, ICD-10-PCS, and CPT codes to reflect restorative reproductive procedures, including minimally invasive surgeries and fertility-related services, and to support bundled payment models that cover diagnostics, medical management, and care coordination.
Expanding research
Calls for coordinated federal research across multiple agencies to study reproductive health conditions, restorative medicine, fertility awareness methods, and related outcomes. The aim is to build a stronger evidence base and inform practice and policy.
Severability
Ensures that if any provision is unconstitutional, the remainder of the Act remains in effect. This standard severability clause protects the overall framework from single-section challenges.
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Explore Healthcare in Codify Search →Who Benefits and Who Bears the Cost
Every bill creates winners and losers. Here's who stands to gain and who bears the cost.
Who Benefits
- Patients with infertility and reproductive health conditions gain broader access to restorative care and better information about options.
- Clinicians trained in restorative reproductive medicine and fertility awareness-based methods receive standardized training and clearer guidance on care paths.
- Title X grantees and applicants focusing on restorative medicine or related education can access expanded funding and programmatic support.
- Researchers and health systems benefit from enhanced data collection, reporting, and a clearer research agenda.
Who Bears the Cost
- Federal and state health agencies incur administrative costs for data collection, reporting, and coding updates.
- Hospitals, clinics, and private practices may incur costs to train staff and implement new restorative services and documentation.
- Private insurers could face decisions around expanding coverage for restorative reproductive medicine and related services.
- CMS and other payers will need to implement new coding, bundles, and reimbursement models, which involves administrative and auditing costs.
Key Issues
The Core Tension
The central dilemma is balancing expanded access to restorative reproductive medicine and rigorous data collection with provider conscience protections, administrative costs, and the need for a solid evidence base to justify broader adoption and reimbursement.
The Act blends a proactive expansion of restorative reproductive medicine with a reliance on rigorous data gathering and updated reimbursement mechanics. Its success depends on the quality of the underlying research and the consistency of program implementation across agencies.
Privacy protections are acknowledged in the data collection provisions, but the expanded data landscape raises questions about patient privacy and data use. The conscience-protection clause in Section 4 interacts with broader anti-discrimination laws and patient access, potentially shaping provider behavior in ways that could affect service availability in some settings.
Finally, the coding and bundled-payment reforms in Section 12 create a complex administrative shift for providers and payers that will require careful rollout to avoid gaps in reimbursement or care continuity.
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