Selective justice: state mandates for assisted reproductive technology and reproductive justice

Fifteen states have adopted legislative mandates with an eye towards covering the costs associated with assisted reproductive technology (ART). This review summarizes the current state of ART coverage in the states in question and explores how the limits of mandated coverage constrain the access of certain infertile subjects to ART. Specifically, note is made of barriers compromising the access of same-sex couples and unmarried women. We propose herein that the theoretical framework of reproductive justice can be used to advocate for more inclusive coverage of ART thereby resulting in better fertility outcomes. It remains to be seen how the implementation of the Affordable Care Act will change the landscape of insurance coverage for ART and the limitations thereof.