Senate Republicans again block legislation to guarantee women's rights to IVF

WASHINGTON (AP) — Republicans have blocked for a second time this year legislation to establish a nationwide right to in vitro fertilization, arguing that the vote is an election-year stunt after Democrats forced a vote on the issue.

The Senate vote was Democrats’ latest attempt to force Republicans into a defensive stance on women’s health issues and highlight policy differences between Vice President Kamala Harris and former President Donald Trump in the presidential race, especially as Trump has called himself a “ leader on IVF.”

The 51-44 vote was short of the 60 votes needed to move forward on the bill, with only two Republicans voting in favor. Democrats say Republicans who insist they support IVF are being hypocritical because they won't support legislation guaranteeing a right to it.

“They say they support IVF — here you go, vote on this,” said Illinois Sen. Tammy Duckworth, the bill's lead sponsor and a military veteran who has used the fertility treatment to have her two children.

The Democratic push started earlier this year after the Alabama Supreme Court ruled that frozen embryos can be considered children under state law. Several clinics in the state suspended IVF treatments until the GOP-led legislature rushed to enact a law to provide legal protections for the clinics.

Democrats quickly capitalized, holding a vote in June on Duckworth's bill and warning that the U.S. Supreme Court could go after the procedure next after it overturned the right to an abortion in 2022.

The bill would establish a nationwide right for patients to access IVF and other assisted reproductive technologies and a right for doctors and insurance companies to provide it, an effort to pre-empt state efforts to limit the services. It would also require more health insurers to cover it and expand coverage for military service members and veterans.

In a statement after the vote, Harris said Republicans in Congress “have once again made clear that they will not protect access to the fertility treatments many couples need to fulfill their dream of having a child.”

Republican vice presidential candidate and Ohio Sen. JD Vance, who missed the vote because he was campaigning, said during a stop in Wisconsin that the measure was not a serious IVF bill, but a measure designed to make Republicans look bad.

“The Senate blocked a ridiculous showboat bill that had no chance of passing,” Vance said.

Republicans argued that the federal government shouldn’t tell states what to do and that the bill was an unserious effort. Only Republican Sens. Susan Collins of Maine and Lisa Murkowski of Alaska voted with Democrats to move forward on the bill both times.

Meanwhile, Republicans have scrambled to counter Democrats on the issue, with many making clear that they support IVF treatments. Trump last month announced plans, without additional details, to require health insurance companies or the federal government to pay for the fertility treatment.

In his debate with Harris earlier this month, Trump said he was a “leader” on the issue and talked about the “very negative” decision by the Alabama court that was later reversed by the legislature.

South Dakota Sen. John Thune, the No. 2 Senate Republican, said that Democrats are trying to create a political issue “where there isn't one.”

“Let me remind everybody that Republicans support IVF, full stop,” Thune said just before the vote.

The issue has threatened to become a vulnerability for Republicans as some state laws passed by their party grant legal personhood not only to fetuses but to any embryos that are destroyed in the IVF process. Ahead of its convention this summer, the Republican Party adopted a policy platform that supports states establishing fetal personhood through the Constitution’s 14th Amendment, which grants equal protection under the law to all American citizens. The platform also encourages supporting IVF but does not explain how the party plans to do so.

Republicans have tried to push alternatives on the issue, including legislation that would discourage states from enacting explicit bans on the treatment, but those bills have been blocked by Democrats who say they are not enough.

Sen. Rick Scott, a Florida Republican, said in a floor speech then that his daughter was currently receiving IVF treatment and proposed to expand the flexibility of health savings accounts. Republican Sens. Katie Britt of Alabama and Ted Cruz of Texas have tried to pass a bill that would threaten to withhold Medicaid funding for states where IVF is banned.

Cruz, who is running for reelection in Texas, said Democrats were holding the vote to “stoke baseless fears about IVF and push their broader political agenda.”

Senate Majority Leader Chuck Schumer, D-NY, center, accompanied by Sen. Cory Booker, D-NJ., left, Sen. Patty Murray, D-Wash., center-right, and Sen. Tammy Duckworth, D-Ill., right, speaks about the need to protect rights to in vitro fertilization (IVF), on the Senate steps at Capitol in Washington, Tuesday, Sept. 17, 2024. (AP Photo/Ben Curtis)

Senate Majority Leader Chuck Schumer, D-NY, left, accompanied by Sen. Tammy Duckworth, D-Ill., right, speaks about the need to protect rights to in vitro fertilization (IVF), on the Senate steps at the Capitol in Washington, Tuesday, Sept. 17, 2024. (AP Photo/Ben Curtis)

Front row, left to right, Sen. Cory Booker, D-NJ., Senate Majority Leader Chuck Schumer, D-NY, Sen. Patty Murray, D-Wash., and Sen. Tammy Duckworth, D-Ill., pose for a photograph after speaking about the need to protect rights to in vitro fertilization (IVF), on the Senate steps at the Capitol in Washington, Tuesday, Sept. 17, 2024. (AP Photo/Ben Curtis)

Sen. Tammy Duckworth, D-Ill., center, accompanied by Senate Majority Leader Chuck Schumer, D-NY, left, and Sen. Patty Murray, D-Wash., right, speaks about the need to protect rights to in vitro fertilization (IVF), on the Senate steps at the Capitol in Washington, Tuesday, Sept. 17, 2024. (AP Photo/Ben Curtis)

FILE - The Capitol is seen from the Russell Senate Office Building as Congress returns from a district work week, in Washington, March 24, 2014. (AP Photo/J. Scott Applewhite, File)

SEOUL, South Korea (AP) — North Korea unveiled for the first time a nuclear-powered submarine under construction, a weapons system that can pose a major security threat to South Korea and the U.S.

State media on Saturday released photos showing what it called “a nuclear-powered strategic guided missile submarine,” as it reported leader Kim Jong Un’s visits to major shipyards where warships are built.

The Korean Central News Agency, or KCNA, didn't provide details on the submarine, but said Kim was briefed on its construction.

The naval vessel appears to be a 6,000-ton-class or 7,000-ton-class one which can carry about 10 missiles, said Moon Keun-sik, a South Korean submarine expert who teaches at Seoul’s Hanyang University. He said the use of the term “the strategic guided missiles” meant it would carry nuclear-capable weapons.

“It would be absolutely threatening to us and the U.S.,” Moon said.

A nuclear-powered submarine was among a long wishlist of sophisticated weaponry that Kim vowed to introduce during a major political conference in 2021 to cope with what he called escalating U.S.-led military threats. Other weapons were solid-fueled intercontinental ballistic missiles, hypersonic weapons, spy satellites and multi-warhead missiles. North Korea has since performed a run of testing activities to acquire them.

North Korea obtaining a greater ability to fire missiles from underwater is a worrying development because it’s difficult for its rivals to detect such launches in advance.

Questions about how North Korea, a heavily sanctioned and impoverished country, could get resources and technology to build nuclear-powered submarines have surfaced.

Moon, the submarine expert, said North Korea may have received Russian technological assistance to build a nuclear reactor to be used in the submarine in return for supplying conventional weapons and troops to support Russia’s war efforts against Ukraine.

He also said North Korea could launch the submarine in one or two years to test its capability before its actual deployment.

North Korea has an estimated 70-90 diesel-powered submarines in one of the world’s largest fleets. However, they are mostly aging ones capable of launching only torpedoes and mines, not missiles.

In 2023, North Korea said it had launched what it called its first “tactical nuclear attack submarine,” but foreign experts doubted the North’s announcement and speculated it was likely a diesel-powered submarine disclosed in 2019. Moon said there has been no confirmation that it has been deployed.

North Korea has conducted a slew of underwater-launched ballistic missile tests since 2016, but all launches were made from the same 2,000-ton-class submarine which has a single launch tube. Many experts call it a test platform, rather than an operational submarine in active service.

In recent days, North Korea has been dialing up its fiery rhetoric against the U.S. and South Korea ahead of their upcoming annual military drills set to start Monday.

During his visits to the shipyards, Kim said North Korea aims to modernize water-surface and underwater warships simultaneously. He stressed the need to make “the incomparably overwhelming warships fulfill their mission” to contain "the inveterate gunboat diplomacy of the hostile forces,” KCNA reported Saturday.

In this undated photo provided on March 8, 2025, by the North Korean government, North Korean leader Kim Jong Un, center, visits a shipyard to construct warships at an undisclosed place in North Korea. Independent journalists were not given access to cover the event depicted in this image distributed by the North Korean government. The content of this image is as provided and cannot be independently verified. Korean language watermark on image as provided by source reads: "KCNA" which is the abbreviation for Korean Central News Agency. (Korean Central News Agency/Korea News Service via AP)

In this undated photo provided on March 8, 2025, by the North Korean government, North Korean leader Kim Jong Un, bottom right, visits a shipyard to construct warships at an undisclosed place in North Korea. Independent journalists were not given access to cover the event depicted in this image distributed by the North Korean government. The content of this image is as provided and cannot be independently verified. (Korean Central News Agency/Korea News Service via AP)