{
  "schemaVersion": 1,
  "updatedAt": "2026-07-02",
  "license": "CC BY 4.0",
  "licenseUrl": "https://creativecommons.org/licenses/by/4.0/",
  "spatialCoverage": "United States",
  "pageUrl": "https://patriotconceptions.com/military-family-building/tracker/",
  "reviewer": {
    "name": "Haotian Bai",
    "title": "Founder & CEO, veteran",
    "url": "https://patriotconceptions.com/about/"
  },
  "boundary": {
    "disclaimer": "Policy summaries; verify current eligibility with TRICARE, VA, official program administrators, or qualified professionals. This is not legal, medical, financial, tax, or benefits advice.",
    "allowed": [
      "Faithful restatements of official public policy sources, each with sourceUrl and sourceAccessedAt.",
      "Patriot Conceptions program facts sourced from Patriot Conceptions published terms.",
      "Aggregate counts derived only from cited rows in this tracker."
    ],
    "disallowed": [
      "Eligibility promises.",
      "Benefit-amount predictions outside published Patriot Conceptions program terms.",
      "Interpretation beyond the cited source text.",
      "Unverifiable superlatives."
    ]
  },
  "aggregateCounts": {
    "officialSourceEvidenceCards": 6,
    "policyChangeRows": 6,
    "patriotConceptionsProgramFacts": 2,
    "uniqueSourceUrls": 13
  },
  "officialSourceEvidence": [
    {
      "id": "tricare-art-coverage-baseline",
      "topic": "TRICARE ART coverage baseline",
      "answer": "TRICARE states that assisted reproductive technology services are not covered in general, including IUI, IVF, and cryopreservation. It also lists eight military hospitals where ART services are available on a first-come, first-served basis at greatly reduced cost.",
      "sourceUrl": "https://tricare.mil/CoveredServices/IsItCovered/AssistedReproductiveServices",
      "sourceLabel": "TRICARE — Assisted Reproductive Technology Services",
      "sourcePublisher": "TRICARE",
      "sourceAccessedAt": "2026-05-01"
    },
    {
      "id": "tricare-qualifying-injury-extension",
      "topic": "Qualifying injury exception",
      "answer": "TRICARE describes an extended ART benefit for active duty service members whose serious or severe active-duty illness or injury causes an inability to procreate without ART, with eligibility and authorization limits that families must verify through their care team or contractor.",
      "sourceUrl": "https://tricare.mil/CoveredServices/IsItCovered/AssistedReproductiveServices",
      "sourceLabel": "TRICARE — Extended ART benefit criteria",
      "sourcePublisher": "TRICARE",
      "sourceAccessedAt": "2026-05-01"
    },
    {
      "id": "va-ivf-eligibility-baseline",
      "topic": "VA IVF eligibility baseline",
      "answer": "VA states that ART/IVF eligibility depends on a VBA-adjudicated service-connected disability, or treatment of one, being causally related to infertility. The VA brochure also says eligible Veterans may be married, unmarried, or single.",
      "sourceUrl": "https://www.womenshealth.va.gov/WOMENSHEALTH/docs/Fertility-Services-English-Rev-2024-FINAL-2-508.pdf",
      "sourceLabel": "VA Women’s Health — Fertility & Family-Building Services",
      "sourcePublisher": "U.S. Department of Veterans Affairs",
      "sourceAccessedAt": "2026-05-01"
    },
    {
      "id": "va-donor-adoption-surrogacy-limits",
      "topic": "VA donor, adoption, and surrogacy limits",
      "answer": "VA announced expanded IVF access for qualifying Veterans regardless of marital status and donor gamete use, while stating that donor-material acquisition is not covered and VA is not authorized to cover surrogacy. VA materials also describe adoption reimbursement for eligible Veterans.",
      "sourceUrl": "https://news.va.gov/press-room/va-expands-in-vitro-fertilization-for-veterans/",
      "sourceLabel": "VA News — VA expands in vitro fertilization for Veterans",
      "sourcePublisher": "U.S. Department of Veterans Affairs",
      "sourceAccessedAt": "2026-05-01"
    },
    {
      "id": "active-component-infertility-surveillance",
      "topic": "Active component infertility surveillance",
      "answer": "Health.mil’s 2019-2023 MSMR update reports diagnosed female infertility prevalence estimates of 1.5-1.7% from administrative diagnostic codes and explicitly warns that this differs from self-reported survey measures, including the 15.2% DoD Women’s Reproductive Health Survey estimate.",
      "sourceUrl": "https://www.health.mil/News/Articles/2025/05/01/MSMR-Female-Infertility",
      "sourceLabel": "Health.mil MSMR — Infertility Among Active Component Service Women, 2019-2023",
      "sourcePublisher": "Defense Health Agency / Health.mil",
      "sourceAccessedAt": "2026-05-01"
    },
    {
      "id": "right-to-ivf-status-baseline",
      "topic": "Federal statutory floor status",
      "answer": "Congress.gov lists S.4445, the 118th Congress Right to IVF Act, as introduced, with September 17, 2024 cloture not invoked. The source supports the narrow statement that this bill did not become an enacted nationwide IVF access floor in the 118th Congress.",
      "sourceUrl": "https://www.congress.gov/bill/118th-congress/senate-bill/4445",
      "sourceLabel": "Congress.gov — S.4445 Right to IVF Act",
      "sourcePublisher": "Library of Congress / Congress.gov",
      "sourceAccessedAt": "2026-05-01"
    }
  ],
  "policyChangeRows": [
    {
      "id": "michigan-arspa-2024",
      "date": "2025-04-02",
      "signedAt": "2024-04-01",
      "effectiveAt": "2025-04-02",
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "legislation",
      "jurisdiction": "Michigan",
      "level": "state-law",
      "title": "Michigan Assisted Reproduction and Surrogacy Parentage Act (ARSPA)",
      "summary": "Michigan legalized compensated gestational surrogacy and created a statutory pre-birth-order framework, replacing the 1988 ban. Part of the Michigan Family Protection Act (PA 129–137 of 2024).",
      "impact": "Opens Michigan as a viable pre-birth-order jurisdiction for military families (including those stationed at Selfridge ANGB and other MI commands). The rule changed on 2025-04-02, not at signing.",
      "status": "Signed 2024-04-01 (PA 131 of 2024); effective 2025-04-02",
      "sourceUrl": "https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-Act-131-of-2024",
      "sourceLabel": "Michigan Legislature — Act 131 of 2024 (ARSPA)",
      "companionUrl": "https://natlawreview.com/article/new-michigan-law-strengthens-legal-protections-assisted-reproduction",
      "companionLabel": "National Law Review — ARSPA effective 2025-04-02",
      "verified": "April 2026",
      "tags": [
        "state",
        "surrogacy",
        "pre-birth-order"
      ]
    },
    {
      "id": "oregon-sb-163-2025",
      "date": "2025-06-27",
      "signedAt": "2025-06-27",
      "effectiveAt": null,
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "legislation",
      "jurisdiction": "Oregon",
      "level": "state-law",
      "title": "Oregon SB 163 — Assisted Reproduction and Surrogacy Act",
      "summary": "Oregon enacted SB 163 to codify its long-standing surrogacy-friendly practice into statute, clarifying compensated gestational surrogacy and parentage.",
      "impact": "Reduces legal ambiguity for military families stationed or relocating to OR and for intended parents planning cross-state journeys through OR agencies.",
      "status": "Signed 2025-06-27 (effective date not independently verified — confirm with OLIS)",
      "sourceUrl": "https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB163",
      "sourceLabel": "Oregon Legislature — SB 163",
      "verified": "April 2026",
      "tags": [
        "state",
        "surrogacy"
      ]
    },
    {
      "id": "hawaii-sb1231-act-298-2025",
      "date": "2026-01-01",
      "signedAt": "2025-07-07",
      "effectiveAt": "2026-01-01",
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "legislation",
      "jurisdiction": "Hawaii",
      "level": "state-law",
      "title": "Hawaii Act 298 (SB 1231) — Modernized Parentage Act",
      "summary": "Hawaii enacted Act 298 modernizing its parentage law with gender-neutral definitions, streamlined voluntary acknowledgment of parentage, and recognition of families formed through assisted reproduction and gestational surrogacy.",
      "impact": "Matters for Pacific Command families (Tripler Army Medical Center catchment) — but only starting 2026-01-01. Before that effective date, the prior statutory framework still governs.",
      "status": "Signed 2025-07-07; effective 2026-01-01",
      "sourceUrl": "https://humanservices.hawaii.gov/hawai%CA%BBi-modernizes-parentage-law-strengthening-protections-for-lgbtqia-families/",
      "sourceLabel": "Hawaii DHS — Modernized Parentage Law (Act 298 / SB 1231)",
      "companionUrl": "https://legiscan.com/HI/bill/SB1231/2025",
      "companionLabel": "LegiScan — Hawaii SB 1231 (2025 Regular Session)",
      "verified": "April 2026",
      "tags": [
        "state",
        "surrogacy",
        "pacom",
        "parentage"
      ]
    },
    {
      "id": "ndaa-fy2025-ivf-stripped",
      "date": "2024-12-23",
      "signedAt": "2024-12-23",
      "effectiveAt": "2024-12-23",
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "legislation",
      "jurisdiction": "Federal",
      "level": "federal-legislation",
      "title": "NDAA FY2025 — IVF-for-TRICARE provisions stripped in conference",
      "summary": "The FY2025 National Defense Authorization Act was enacted without the Senate-passed provisions expanding TRICARE IVF coverage; the expansion was dropped in conference.",
      "impact": "TRICARE continues to exclude IVF for general beneficiaries. Families relying on the severe-injury exception or the 8-MTF reduced-cost pathway see no FY2025 broadening.",
      "status": "Enacted without IVF expansion",
      "sourceUrl": "https://www.congress.gov/bill/118th-congress/senate-bill/4638",
      "sourceLabel": "Congress.gov — Servicemember Quality of Life Improvement and NDAA FY25",
      "companionUrl": "https://www.armed-services.senate.gov/imo/media/doc/fy_2025_ndaa_executive_summary.pdf",
      "companionLabel": "SASC FY25 NDAA summary",
      "verified": "April 2026",
      "tags": [
        "federal",
        "tricare",
        "ndaa",
        "ivf"
      ]
    },
    {
      "id": "va-ivf-expansion-2024",
      "date": "2024-03-08",
      "signedAt": null,
      "effectiveAt": "2024-03-08",
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "regulation",
      "jurisdiction": "Federal",
      "level": "federal-agency",
      "title": "VA expands IVF eligibility (service-connected infertility)",
      "summary": "VA amended 38 CFR 17.380 guidance to broaden IVF access for Veterans with service-connected infertility, including unmarried and single eligible Veterans and allowing donor gamete use.",
      "impact": "Materially changes what eligible Veterans can access through VA health care; surrogacy remains excluded and donor-material acquisition is still out-of-pocket.",
      "status": "Rule effective (policy expansion)",
      "sourceUrl": "https://www.womenshealth.va.gov/WOMENSHEALTH/topics/fertility-services.asp",
      "sourceLabel": "VA Women’s Health — Fertility Services",
      "companionUrl": "https://news.va.gov/press-room/va-expands-ivf-fertility-assistance-for-veterans/",
      "companionLabel": "VA press room — IVF expansion",
      "verified": "April 2026",
      "tags": [
        "federal",
        "va",
        "ivf"
      ]
    },
    {
      "id": "hr-220-right-to-ivf",
      "date": "2024-06-13",
      "signedAt": null,
      "effectiveAt": null,
      "sourceAccessedAt": "2026-04-17",
      "sourceType": "legislation",
      "jurisdiction": "Federal",
      "level": "federal-legislation",
      "title": "H.R. 220 / S.4445 — Right to IVF Act cloture blocked",
      "summary": "The federal Right to IVF Act failed to invoke cloture in the Senate (48–47), stalling a nationwide floor on IVF access, including for military families.",
      "impact": "No federal statutory floor on IVF access enacted. Military family access remains dependent on TRICARE scope, VA service-connection rules, and state law.",
      "status": "Cloture failed 2024-06-13; bill stalled (never signed)",
      "sourceUrl": "https://www.congress.gov/bill/118th-congress/senate-bill/4445",
      "sourceLabel": "Congress.gov — S.4445 Right to IVF Act",
      "companionUrl": "https://www.congress.gov/bill/118th-congress/house-resolution/220",
      "companionLabel": "H.Res.220 companion",
      "verified": "April 2026",
      "tags": [
        "federal",
        "ivf",
        "legislation"
      ]
    }
  ],
  "patriotConceptionsProgramFacts": [
    {
      "id": "pc-military-veteran-agency-fee-benefit",
      "program": "Patriot Conceptions Military Family-Building Program",
      "title": "$5,000 Off Agency Fees",
      "summary": "Available year-round for verified military and veteran families using the Patriot Conceptions agency-fee benefit.",
      "sourceUrl": "https://patriotconceptions.com/military-veteran-surrogacy-discount/",
      "sourceLabel": "Military & Veteran Surrogacy Discount | $5,000 Off",
      "sourceAccessedAt": "2026-07-02"
    },
    {
      "id": "pc-military-family-building-fellowship",
      "program": "Patriot Conceptions Military Family-Building Program",
      "title": "2 Full Fellowships Each Year",
      "summary": "Two qualifying families receive a 100% waiver of Patriot Conceptions agency fees through the annual fellowship cycle.",
      "sourceUrl": "https://patriotconceptions.com/military-family-building-fellowship/",
      "sourceLabel": "Military Family-Building Fellowship | Patriot Conceptions",
      "sourceAccessedAt": "2026-07-02"
    }
  ],
  "sourceUrls": [
    "https://tricare.mil/CoveredServices/IsItCovered/AssistedReproductiveServices",
    "https://www.womenshealth.va.gov/WOMENSHEALTH/docs/Fertility-Services-English-Rev-2024-FINAL-2-508.pdf",
    "https://news.va.gov/press-room/va-expands-in-vitro-fertilization-for-veterans/",
    "https://www.health.mil/News/Articles/2025/05/01/MSMR-Female-Infertility",
    "https://www.congress.gov/bill/118th-congress/senate-bill/4445",
    "https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-Act-131-of-2024",
    "https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB163",
    "https://humanservices.hawaii.gov/hawai%CA%BBi-modernizes-parentage-law-strengthening-protections-for-lgbtqia-families/",
    "https://www.congress.gov/bill/118th-congress/senate-bill/4638",
    "https://www.womenshealth.va.gov/WOMENSHEALTH/topics/fertility-services.asp",
    "https://patriotconceptions.com/military-veteran-surrogacy-discount/",
    "https://patriotconceptions.com/military-family-building-fellowship/",
    "https://patriotconceptions.com/apply/military-family-building-fellowship/"
  ],
  "@context": "https://schema.org",
  "@graph": [
    {
      "@context": "https://schema.org",
      "@type": "Dataset",
      "name": "Patriot Conceptions Military Family-Building Benefits Tracker",
      "description": "Official-source tracker for military and veteran family-building benefits, policy context, and Patriot Conceptions program terms. Rows are limited to cited public sources and published Patriot Conceptions terms.",
      "url": "https://patriotconceptions.com/data/military-benefits-tracker.json",
      "keywords": [
        "military benefits tracker",
        "tricare fertility benefits",
        "va fertility benefits",
        "military family building",
        "veteran surrogacy benefits"
      ],
      "dateModified": "2026-07-02",
      "license": "https://creativecommons.org/licenses/by/4.0/",
      "creator": {
        "@type": "Organization",
        "name": "Patriot Conceptions",
        "url": "https://patriotconceptions.com"
      },
      "spatialCoverage": {
        "@type": "Place",
        "name": "United States"
      },
      "includedInDataCatalog": {
        "@type": "DataCatalog",
        "name": "Patriot Conceptions Governed Data Layer",
        "url": "https://patriotconceptions.com/data/"
      },
      "distribution": [
        {
          "@type": "DataDownload",
          "contentUrl": "https://patriotconceptions.com/data/military-benefits-tracker.json",
          "encodingFormat": "application/json"
        }
      ]
    }
  ]
}