Written answers
Thursday, 6 November 2025
Department of Health
Assisted Human Reproduction
Martin Daly (Roscommon-Galway, Fianna Fail)
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483. To ask the Minister for Health the number that have availed of free IVF since its introduction; and if she will make a statement on the matter. [60879/25]
Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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The Model of Care for Fertility was developed by the Department of Health in conjunction with the HSE’s National Women & Infants Health Programme to ensure that fertility-related issues are addressed through the public health system at the lowest level of clinical intervention necessary.
Referrals for publicly-funded, privately-provided AHR treatment commenced in September 2023, subject to patients meeting the criteria agreed by the Department and the HSE in order to avail of the fully-funded AHR services. These criteria are very much in keeping with those applied in other jurisdictions, even though in most European countries, for instance, such treatments are only partially funded and require often significant out-of-pocket payments by patients.
More information is available on the HSE website in respect of the publicly-funded AHR treatment initiative at:
www2.hse.ie/pregnancy-birth/trying-for-a-baby/your-fertility/getting-ivf-icsi-iui-hse/
or on public fertility services more generally at:
www2.hse.ie/conditions/fertility-problems-treatments/fertility-treatment/
Up to the end of October 2025, over 3,250 couples had been referred by a Reproductive Specialist Consultant for AHR treatment, following extensive investigations and/or secondary level treatment within the Regional Fertility Hubs. The number of couples being referred has been steadily increasing and currently averages over 160 per month. Furthermore, the Hubs have successfully and directly managed thousands more patients presenting with fertility-related issues who have been referred by their GP. Not all couples experiencing fertility challenges actually require such advanced and invasive interventions as IVF.
I was pleased to announce recently that, from 30 June 2025, an important criterion for accessing state-funded AHR treatment has been broadened. Couples with one existing child in their relationship, and who meet all the other current access criteria, can now access publicly-funded AHR treatment including one full cycle of IVF or ICSI, if they are referred for same by a Reproductive Specialist Consultant within one of the six HSE-run Regional Fertility Hubs. Previously, couples with one child in their current relationship were not eligible to access publicly-funded AHR treatment.
The access criteria and the terms of the AHR treatment initiative are being kept under ongoing review. Further potential changes to the access criteria or expansion of the initiative requires continued extensive consultation between Department officials, colleagues in the HSE, and also with relevant specialists in the field of reproductive medicine. This will include consideration of additional funding requirements which may ensue from any proposed expansion of the initiative.
I want to reassure you that my Department and the Government are focused, through the full implementation of the Model of Care for Fertility, on ensuring that patients receive care at the appropriate level of clinical intervention and then those requiring, and eligible for, advanced AHR treatment such as IVF will be able to access same through the most effective deployment of finite public resources.
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