Am J Clin Exp Obstet Gynecol 2013;1(1):53-61
Perspective
Selective justice: state mandates for assisted reproductive technology
and reproductive justice
Joy J Liu, Eli Y Adashi
The Division of Biology and Medicine, The Warren Alpert Medical School, Brown University, Providence, RI, USA
Received October 9, 2013; Accepted November 10, 2013; Epub December 7, 2013; Published December 15, 2013
Abstract: 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.
(AJCEOG1310003).
Keywords: Infertility, assisted reproductive technology, reproductive justice, mandate, insurance
Address correspondence to: Dr. Eli Y Adashi, Department of Obstetrics and Gynecology, The Warren Alpert Medical
School, Brown University, 101 Dudley Street, Providence, RI 02905, USA. Tel: 401-863-9037; E-mail:
Eli_Adashi@brown.edu
Perspective
Selective justice: state mandates for assisted reproductive technology
and reproductive justice
Joy J Liu, Eli Y Adashi
The Division of Biology and Medicine, The Warren Alpert Medical School, Brown University, Providence, RI, USA
Received October 9, 2013; Accepted November 10, 2013; Epub December 7, 2013; Published December 15, 2013
Abstract: 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.
(AJCEOG1310003).
Keywords: Infertility, assisted reproductive technology, reproductive justice, mandate, insurance
Address correspondence to: Dr. Eli Y Adashi, Department of Obstetrics and Gynecology, The Warren Alpert Medical
School, Brown University, 101 Dudley Street, Providence, RI 02905, USA. Tel: 401-863-9037; E-mail:
Eli_Adashi@brown.edu
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