State insurance mandates and racial and ethnic inequities in assisted reproductive technology utilization.

ABSTRACT:

Objective

To examine whether the (1) scope of state-mandated insurance coverage for assisted reproductive technology (ART) and (2) proportion of the population eligible for this coverage are associated with reductions in racial/ethnic inequities in ART utilization.

Design

National cross-sectional, ecologic study.

Subjects

We employed estimates from the US Census Bureau of all women 20-44 years of age living in the US in 2018. Data on the number of women who initiated an ART cycle during that year that were reported to the US Centers for Disease Control and Prevention were obtained from the National ART Surveillance System.

Exposure

State mandates were classified according to the scope of required coverage for fertility services: Comprehensive, Limited, and No M

SUBMITTER: Korkidakis A 

PROVIDER: S-EPMC10951934 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature