If you’re struggling to get pregnant, the best states to live in are Connecticut, Illinois, Maryland, Massachusetts, and New Jersey.
That’s according to a “fertility report card” from RESOLVE: The National Infertility Association, which assessed each state based on whether they offer insurance coverage for in vitro fertilization (IVF), the number of fertility specialists in each state, and the prevalence of infertility support groups.
So what are the worst states for couples struggling to get pregnant? RESOLVE says it’s Alaska, New Hampshire, and Wyoming, which all were graded an “F.”
“For the second year in a row, we are working to highlight state-by-state disparities between access to support resources and fertility treatment, in an effort to motivate people to take action to improve their state’s fertility friendliness,” said Barbara Collura, President/CEO of RESOLVE. Insurance coverage is one of the biggest hurdles for IVF, with some states not providing insurance due to IVF not being a life or death issue, and for ethical reasons.
See a snapshot below, or view the full interactive here:
![](https://api.time.com/wp-content/uploads/2014/04/map-of-2014-fertility-scorecard-copy.jpg?quality=75&w=2400)
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