Israel leads the world in fertility treatment — no other country funds more IVF cycles per capita, and no other country has built such an extensive framework for assisted reproduction. The state subsidises IVF for women up to age 45, covers egg donation, regulates surrogacy, and grants single women and same-sex female couples the same access to funded treatment as married heterosexual couples. For families formed through donor conception or alternative family structures, Israel offers a uniquely supportive legal environment — though one complicated by the parallel jurisdiction of religious courts.
Sperm donation is governed by the Sperm Bank Regulations (2010) and subsequent Ministry of Health directives. Donation is anonymous by default, and sperm banks are centrally licensed and supervised. Donor-conceived children do not have a statutory right to know their donor's identity, though registry access for medical information is available and legal discussions about identity rights are ongoing. The state health funds (Kupat Holim) cover donor insemination as part of the fertility treatment package up to the birth of two children per woman.
Egg donation is legal under the Egg Donation Law (2010), which created a comprehensive regulatory framework including mandatory anonymity, health screening, informed consent requirements, and capped compensation for donors. Egg donation is available to women who cannot use their own eggs, and state funding covers the procedure within the same child-count limits as IVF. The law prohibits commercial egg brokerage, and all donation must go through licensed medical facilities.
Israel's fertility law is explicitly pro-natalist. The state's interest in population growth has historically driven generous public funding and permissive access rules. Single women have had access to publicly funded fertility treatment since the mid-1990s, and the 2021 regulatory amendments that brought same-sex female couples into the fully subsidised framework reflected both evolving social norms and the government's consistent prioritisation of expanding family formation.
| Treatment / Access | Available | State Funded | Notes |
|---|---|---|---|
| IVF (own eggs) | ✓ Yes | ✓ Yes | Women up to ~45; up to 2 children |
| Donor sperm (IUI/IVF) | ✓ Yes | ✓ Yes | All family types; anonymous donation |
| Egg donation | ✓ Yes | ✓ Yes | Anonymous; licensed facilities only |
| Surrogacy | ✓ Yes | Partial | Committee approval required; costs vary |
| Same-sex female — IVF | ✓ Yes | ✓ Yes | Since 2021; parental order required |
| Single woman — IVF | ✓ Yes | ✓ Yes | Available since mid-1990s |
| Same-sex male — surrogacy | ✓ Yes | Partial | Since 2021; capacity limited |
| Known donor (private) | ⚠ Risky | ✗ No | Known donor may gain legal paternity |