--- title: Fertility Report Card Shows Which States Have Best Treatment description: Fertility report card scores states on insurance coverage for IVF, fertility specialists, and support groups. canonical: https://time.com/70143/report-card-fertility/ author: Alexandra Sifferlin article:opinion: false article:content_tier: free article:published_time: 2014-04-21T15:04:52.000Z article:modified_time: 2026-05-11T04:42:59.059Z article:section: Health og:title: Fertility Report Card Shows Which States Have Best Treatment og:description: Fertility report card scores states on insurance coverage for IVF, fertility specialists, and support groups. og:url: https://time.com/70143/report-card-fertility/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltde093bcdab65f2d0/6988d9b9bc6cfc69913e2a3c/time-logo.jpg?branch=production og:image:width: 1200 og:image:height: 675 og:image:alt: TIME og:type: article twitter:card: summary_large_image twitter:title: Fertility Report Card Shows Which States Have Best Treatment twitter:description: Fertility report card scores states on insurance coverage for IVF, fertility specialists, and support groups. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltde093bcdab65f2d0/6988d9b9bc6cfc69913e2a3c/time-logo.jpg?branch=production --- # The Best and Worst States for Infertility by [Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/) ## Alexandra Sifferlin Apr 21, 2014 3:04 PM UTC by [Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/) ## Alexandra Sifferlin Apr 21, 2014 3:04 PM UTC 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](http://familybuilding.resolve.org/fertility-scorecard/)” 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](http://familybuilding.resolve.org/fertility-scorecard/):  ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/70143/report-card-fertility/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/70143/report-card-fertility/"},"headline":"The Best and Worst States for Infertility","datePublished":"2014-04-21T15:04:52.000Z","dateModified":"2026-05-11T04:42:59.059Z","description":"Fertility report card scores states on insurance coverage for IVF, fertility specialists, and support groups.","url":"https://time.com/70143/report-card-fertility/","keywords":["Living","fertility","IVF"],"thumbnailUrl":"","author":[{"@type":"Person","name":"Alexandra Sifferlin","jobTitle":null,"url":"https://time.com/author/alexandra-sifferlin/"}],"articleSection":"Health","image":[],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/health/","name":"Health"}},{"@type":"ListItem","position":2,"item":{"@id":"https://time.com/70143/report-card-fertility/","name":"The Best and Worst States for Infertility"}}]}] ```