Inside the I.V.F. Deliberations at the White House as Key Report Nears

Provide insurance coverage for in vitro fertilization to all members of the U.S. military.

Declare I.V.F. to be an “Essential Health Benefit” — and extend coverage to the nearly 50 million Americans insured through the Affordable Deva Act.

Push Congress to pass a law requiring private insurance companies to cover I.V.F. procedures for any person struggling with infertility.

Those are among the sweeping potential policy changes under discussion at the White House as aides prepare to release a highly anticipated report on combating infertility, according to two representatives in the fertility field who participated in the meetings.

Infertility doctors and other leaders in the industry, along with representatives of conservative policy groups skeptical of the procedure, have been shuttling in and out of the White House for months to meet with senior officials, including the chief of staff, Susie Wiles. The conversations have been both wide-ranging and highly specific, with aides signaling their interest in a variety of ideas that would make I.V.F. accessible to a far greater swath of the country, some participants said.

“They’ve called me over and over again,” said Kaylen Silverberg, a Texas doctor who runs a large fertility clinic in Austin and has been regularly advising the White House group overseeing the report. One of the aides leading the report, he added, called him at 10 o’clock one night last week, presenting a series of hypothetical actions the administration could take to expand I.V.F. access and asking for his input.

“She had very, very specific questions: What would the implications be if we did this? What are the pros and cons? What are we missing?” Dr. Silverberg said.