{
  "schemaVersion": 1,
  "updatedAt": "2026-04-19",
  "generatedAt": "2026-04-19T06:11:21.324Z",
  "license": "CC BY 4.0",
  "licenseUrl": "https://creativecommons.org/licenses/by/4.0/",
  "spatialCoverage": "United States",
  "pageUrl": "https://patriotconceptions.com/military-family-building/tracker/",
  "disclaimerPolicy": "Entries summarize publicly cited policy changes and active legislation. Patriot Conceptions does not provide legal advice; confirm current rules with TRICARE, VA, your military legal assistance office, or a fertility attorney before acting.",
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    {
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      "@type": "Dataset",
      "name": "Patriot Conceptions military family-building policy tracker",
      "description": "Chronological timeline of federal (TRICARE, VA, DoD, NDAA) and state-level policy changes affecting military and veteran family building. Every entry cites a primary source URL; no uncited policy changes are included.",
      "url": "https://patriotconceptions.com/data/military-policy-changes.json",
      "keywords": [
        "military policy tracker",
        "tricare policy",
        "va fertility policy",
        "ndaa ivf",
        "military surrogacy legislation"
      ],
      "dateModified": "2026-04-19",
      "license": "https://creativecommons.org/licenses/by/4.0/",
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        "name": "Patriot Conceptions",
        "url": "https://patriotconceptions.com"
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        "name": "United States"
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        "name": "Patriot Conceptions Governed Data Layer",
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  "rows": [
    {
      "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"
      ]
    },
    {
      "id": "active-legislation-s-1231---h-r-2557-0",
      "date": null,
      "jurisdiction": "Federal",
      "level": "federal-legislation",
      "title": "IVF for Military Families Act (S.1231 / H.R.2557)",
      "summary": "Would mandate TRICARE coverage for fertility services including IVF for eligible beneficiaries.",
      "impact": "Would close the central policy gap by making IVF a covered TRICARE benefit.",
      "status": "Introduced — pending committee action",
      "sponsors": "Sen. Tammy Duckworth (D-IL) & Rep. Sara Jacobs (D-CA)",
      "sourceUrl": "https://www.congress.gov/bill/119th-congress/senate-bill/1231",
      "sourceLabel": "Congress.gov",
      "companionUrl": "https://www.congress.gov/bill/119th-congress/house-bill/2557",
      "companionLabel": "H.R.2557",
      "verified": "March 2026",
      "tags": [
        "federal",
        "legislation",
        "in-flight"
      ]
    },
    {
      "id": "active-legislation-h-r-7841-1",
      "date": null,
      "jurisdiction": "Federal",
      "level": "federal-legislation",
      "title": "Warrior Infertility Act (H.R.7841)",
      "summary": "Seeks to make infertility a presumptive condition tied to toxic exposure under the PACT Act.",
      "impact": "Would create a clearer path from toxic exposure to fertility benefits without individualized proof of causation in every case.",
      "status": "Introduced March 5, 2026 — bipartisan",
      "sponsors": "Rep. Kelly Morrison (D-MN) & Rep. Jay Obernolte (R-CA)",
      "sourceUrl": "https://www.moaa.org/content/publications-and-media/news-articles/2026-news-articles/advocacy/moaa-endorsed-bill-would-support-veterans-facing-fertility-challenges/",
      "sourceLabel": "MOAA policy summary",
      "verified": "March 2026",
      "tags": [
        "federal",
        "legislation",
        "in-flight"
      ]
    },
    {
      "id": "active-legislation-s-2534-2",
      "date": null,
      "jurisdiction": "Federal",
      "level": "federal-legislation",
      "title": "Veteran Families Health Services Act of 2025 (S.2534)",
      "summary": "Proposes a broad expansion of IVF, adoption support, and gestational surrogacy assistance across VA and DoD.",
      "impact": "Would be the broadest legislative vehicle in the current conversation because it addresses surrogacy, adoption, and ART together.",
      "status": "Introduced — pending committee action",
      "sponsors": "Sen. Ruben Gallego (D-AZ) & Sen. Kirsten Gillibrand (D-NY)",
      "sourceUrl": "https://www.congress.gov/bill/119th-congress/senate-bill/2534",
      "sourceLabel": "Congress.gov",
      "verified": "March 2026",
      "tags": [
        "federal",
        "legislation",
        "in-flight"
      ]
    },
    {
      "id": "mtf-reduced-cost-art-access-map",
      "date": null,
      "jurisdiction": "Federal",
      "level": "federal-agency",
      "title": "Reduced-cost ART access at 8 military treatment facilities",
      "summary": "Only 8 military facilities currently offer ART at reduced cost.",
      "impact": "Scarcity of access is part of the policy problem, especially when families must travel across commands, regions, or oceans to reach care.",
      "status": "Ongoing",
      "sourceUrl": "https://tricare.mil/CoveredServices/IsItCovered/AssistedReproductiveServices",
      "sourceLabel": "Official .mil source",
      "verified": "March 2026",
      "tags": [
        "federal",
        "tricare",
        "mtf",
        "reference"
      ]
    }
  ]
}