CDC's 2021 state data brief (published December 2023) lists just 1 reporting clinic in Rhode Island, but women living in the state had 1,161 ART procedures. That is 4,687 per million women aged 15 to 49, well above the U.S. rate of 3,250, and 2.4% of babies born to residents in 2021 were conceived with ART (U.S.: 2.3%).
| CDC measure, 2021 | Rhode Island |
|---|---|
| Clinics in Rhode Island reporting to CDC | 1 |
| ART procedures for women living in Rhode Island | 1,161 |
| Procedures per 1 million women aged 15 to 49 (U.S.: 3,250) | 4,687 |
| Embryo-transfer procedures among them | 915 |
| Live-birth deliveries from these procedures | 324 |
| Live-born infants from these procedures | 337 |
| Babies born in 2021 to Rhode Island residents conceived with ART | 256 of 10,464 (2.4%; U.S.: 2.3%) |
Counted by the patient's state of residence; excludes cycles in which eggs or embryos were only banked. Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (December 2023).
Rhode Island is also a state whose law, since 1991, requires insured plans that cover pregnancy to cover the diagnosis and treatment of infertility for women aged 25 to 42. The data brief does not link the two, but it is useful context when you read the rate.
CDC counts each procedure by the patient's state of residence, not where the clinic is. So the 1,161 procedures include Rhode Island women treated outside the state, and the single clinic is the one that reported for 2021 (nationally, 453 of 501 clinics did).
Two counts of babies appear in the table. The 337 live-born infants follow the procedures performed in 2021; the 256 babies are those born during 2021 to Rhode Island mothers. They measure different things.
Before you start, ask your insurer how it applies the state law to your plan (self-insured employer plans are exempt), and ask the clinic for its own results for women your age. Rules and prices change, so confirm both.
When choices are few, it is tempting to stay no matter what. Map to the Positive says it's time to look for another professional if:
In the book's words, changing doctors isn't your failure: it's taking care of yourself.
When to change doctors, and how to get a second opinion, are in Chapter 31 of Map to the Positive, in Station IV. The same station tells you when to see a specialist, how the treatment ladder works and what each phase of IVF involves.
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-Specific ART Surveillance (CDC) (2024-10-09) · State and Territory Infertility Insurance Laws: Rhode Island (ReproductiveFacts.org, ASRM) (accessed 2026-10-30)