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The 2024 Alabama Supreme Court ruling in LePage v. Center for Reproductive Medicine equating embryo destruction with wrongful death introduced new legal uncertainties, sparking concerns about access to in vitro fertilization (IVF) and reproductive health services across the United States. Although Alabama's subsequent legislative action granted temporary protections for fertility providers, the broader implications of embryo personhood laws remain unresolved. For patients with rheumatic diseases, timely access to assisted reproductive technology (ART) is essential. However, barriers such as limited ART awareness, concerns about safety and success, social and religious stigma, and financial and legal restrictions disproportionately impact this population. The consequences of restrictive policies extend beyond females, affecting men and same\u2010sex couples who rely on IVF to expand their families. Infertility is a recognized medical condition, and restricting ART access is medically and ethically indefensible. As physicians, researchers, and advocates, we must actively oppose legal decisions and policies that limit ART availability, including insurance restrictions, discriminatory practices, and embryo personhood legislation. Protecting and expanding ART access is critical\u2014not only for rheumatology patients but for the one in eight couples and one in four physicians affected by infertility. Ensuring equitable, evidence\u2010based reproductive care is imperative to safeguarding the right to family building for all.<\/jats:p>","DOI":"10.1002\/acr2.90090","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T11:46:32Z","timestamp":1782474392000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["In Vitro Fertilization is Essential Healthcare for Patients With Rheumatic Disease"],"prefix":"10.1002","volume":"8","author":[{"given":"Amanda","family":"Moyer","sequence":"first","affiliation":[{"name":"Division of Pediatric Rheumatology, Department of Pediatrics University of Oklahoma College of Medicine  Oklahoma City"},{"name":"Arthritis &amp; Clinical Immunology Research Program Oklahoma Medical Research Foundation  Oklahoma City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine A.","family":"Sims","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Duke University  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8712-787X","authenticated-orcid":false,"given":"Rosalind","family":"Ramsey\u2010Goldman","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Northwestern University Feinberg School of Medicine  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0967-5058","authenticated-orcid":false,"given":"Solmaz","family":"Chamanara","sequence":"additional","affiliation":[{"name":"Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology Stanford University  Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuoghi","family":"Edens","sequence":"additional","affiliation":[{"name":"Internal Medicine &amp; Pediatrics, Sections of Rheumatology &amp; Pediatric Rheumatology University of Chicago Medicine  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_2_3_2_1","unstructured":"Case view \u2010 James LePage and Emily LePage individually and as parents and next friends of two deceased LePage embryos Embryo A and Embryo B; and William Tripp Fonde and Caroline Fonde individually and as parents and next friends of two deceased Fonde embryos.2022. 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