CDC's state data brief for 2021 (published December 2023) lists 6 ART clinics in Hawaii and 1,147 ART procedures for Hawaii residents, leading to 390 live-birth deliveries and 424 live-born infants. Babies conceived with ART were 2.4% of Hawaii births, close to the national 2.3%. CDC counts procedures and births by the patient's state of residence, not by clinic location.
| Measure, 2021 | Hawaii | United States |
|---|---|---|
| ART clinics | 6 | 501 performed ART (453 reported to CDC) |
| ART procedures for residents | 1,147 | 246,087 |
| Live-birth deliveries | 390 | 91,906 |
| Live-born infants | 424 | 97,128 |
| Procedures per 1 million women aged 15 to 49 | 3,761 | 3,250 |
| ART infants among all births | 2.4% (375 of 15,620) | 2.3% |
Procedures exclude egg or embryo banking cycles. Counted by the patient's state of residence. Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (December 2023).
Hawaii residents had 3,761 procedures per 1 million women aged 15 to 49 in 2021, above the national 3,250. The 424 infants follow the procedures done in 2021; the 375 are ART babies among the 15,620 infants born in Hawaii during 2021. Residents treated on the mainland are counted here too.
Hawaii's law covers one IVF cycle in plans with pregnancy benefits, under strict conditions (see the Hawaii coverage page). With a single covered attempt, choosing the clinic carefully matters.
Map to the Positive says not waiting too long matters as much as not giving up too soon. Its cutoffs, based on ESHRE, ASRM and NICE guidance:
The book adds that a specific red flag, such as absent or very irregular cycles, known endometriosis or PCOS, or previous pelvic surgery, is a reason to go before the cutoff.
The cutoffs and red flags open Station IV of Map to the Positive, in Chapter 29, with a guide to the type of specialist you need. The station continues with choosing a doctor, the treatment ladder and IVF step by step.
Take 30 days. If it does not give you more clarity than everything you have read for free so far, ask for a refund and you get every cent back. We cannot promise you a pregnancy. We can promise you will not be guessing.
References: State-Specific Assisted Reproductive Technology Surveillance, United States: 2021 Data Brief (CDC, with ASRM, SART and RESOLVE) (2023-12) · State and Territory Infertility Insurance Laws: Hawaii (ASRM ReproductiveFacts.org) (accessed 2026-10-30)