RESULTS: 12.5% of women reported infertility, and higher rates of infer- tility were noted with increasing age and BMI (p<0.01). There were no dif- ferences in rates of infertility by race/ethnicity, income, education, insurance, or primary location of healthcare. However, women with incomes <$24,999 received infertility care less frequently than women with incomes >$100,000 (5.4% vs. 11.6%, p<0.01). Women with a high school diploma or less re- ported decreased access to infertility care compared to those with at least a college degree (5.0% vs. 11.6%, p<0.01), and uninsured women pursued infertility care less often than insured women (5.9% vs. 9.9%, p<0.01). Non-Hispanic blacks and Mexicans reported reduced access to care than Non-Hispanic whites and Asians (6.8% and 6.3% vs. 10.6% and 10.3%, respectively), although these differences did not reach statistical significance (p¼0.06). Finally, women whose primary healthcare location was the emer- gency department reported lower access to infertility care compared to those whose primary healthcare location was a doctor’s office (1.4% vs. 11.8%, p<0.01). CONCLUSIONS: Despite equivalent infertility rates among socioeco- nomic groups, decreased access to infertility care is reported by women with lower incomes, less education, without health insurance, and with an un- stable primary healthcare location. These nationally-representative findings highlight the need for policy makers to address disparities in access to infer- tility care by targeting these particular populations of underserved women. O-8 Monday, October 8, 2018 11:00 AM NATIONAL SURVEY OF SART MEMBERSHIP REGARDING INSURANCE COVERAGE FOR ART. D. B. Seifer, a E. Wantman, b A. E. Sparks, c B. Luke, d K. J. Doody, e J. P. Toner, f B. J. Van Voorhis, g P. C. Lin. h a REI, Yale Fertility Center, New Haven, CT; b Redshift Technol- ogies, Inc., New York, NY; c Obstetrics and Gynecology, University of Iowa, Iowa City, IA; d Obstetrics, Gynecology, and Reproductive Biology, Epidemiology, East Lansing, MI; e Ob-Gyn, Center for Assisted Reproduc- tion, Bedford, TX; f Atlanta Center for Reproductive Medicine, Atlanta, GA; g Ob-Gyn, University of Iowa, Iowa City, IA; h Seattle Reproductive Medicine, Seattle, WA. OBJECTIVE: Assess the attitudes of SART members regarding insurance coverage and identify factors which may influence such attitudes. DESIGN: Anonymous self-administered 14 question online survey of SART membership. MATERIALS AND METHODS: 1556 surveys were sent through the SART Research Portal between June and December, 2017. Questions were incremental in scope beginning with insurance coverage for ART for vulner- able populations (ie. fertility preservation for cancer, couples with same recessive gene, fertility preservation for transgender individuals) and ex- panding to include patients who were uninsured for ART. Additional ques- tions assessed attitudes about assuming some responsibility if mandated insurance were contingent upon eSET and lower charges in anticipation of increased number of cases. RESULTS: Overall response rate was 43.4% (675/1556). 95+% were sup- portive of providing insurance for vulnerable populations (ie. cancer and cou- ples with same recessive gene). 62% were supportive of insurance coverage for another vulnerable population (transgender). 78% supported mandated insurance for the broadest segment of the general uninsured population. 76.7% supported mandated insurance contingent upon eSET. 51% would consider mandated insurance contingent on lowering charge per cycle in gen- eral but only 23% responded as to what lower charge would be acceptable. Three of 4 factors were shown by multivariable logistic regression to be pre- dictive of attitudes willing to expand insurance: practice setting (academic / hybrid / private), practicing in a mandated state, and higher annual volume of cases (>500 cycles); these had significant increased Adjusted Odds Ratios (AOR) ranging from 1.7-2.9. A fourth factor, the role in practice was not found to be of significant predictive value. CONCLUSIONS: The majority of respondents are supportive of manda- tory insurance for specific segments of vulnerable populations and for the uninsured. SART members are open to expanded insurance coverage contin- gent upon age appropriate eSET, but have concern about reduced reimburse- ment. O-9 Monday, October 8, 2018 11:15 AM INFERTILITY AND HEALTH-RELATED QUALITY OF LIFE IN VETERANS. A. C. Mancuso, a K. M. Summers, a M. Mengeling, a G. L. Ryan, a A. G. Sadler. b a University of Iowa Hospitals and Clinics, Iowa City, IA; b Mental Health Ser- vice Line, Marital & Family Therapy, Iowa City, IA. OBJECTIVE: To assess the association between infertility and health related quality of life, chronic pain, cancer, and cardiovascular disease risk factors in female U.S. Veterans. DESIGN: This is a cross-sectional study. MATERIALS AND METHODS: Demographics, medical conditions, health related quality of life, and infertility history were obtained via com- puter-assisted telephone interviews in a sample of VA-enrolled females be- tween ages 21-52. Infertility was defined as ever having tried to have a baby but could not. Health related quality of life was determined by SF-12 physical and mental component summary (PCS and MCS) scores (mean score of 50 w/standard deviation of 10 in US population). Demographic com- parisons were determined using chi-square or two-sample T-test as appro- priate. Logistic and linear regression analyses were used to compare health variables between infertile and non-infertile groups while adjusting for con- founding variables. RESULTS: Of 996 female veterans, 179 (18.0%) reported a history of infertility. Participants reporting infertility were statistically older, more likely to have a history of smoking, and less likely to be white than non-infer- tile participants (Table 1). They were more likely to report a history of sexual assault (p<0.001) with 107 (60%) of infertile and 368 (45%) of non-infertile participants reporting a history of sexual assault by vaginal penetration. There was no difference in BMI (p¼0.411) or current smoking (p¼0.928) be- tween groups. After including confounding covariates (p<0.25), women re- porting infertility scored poorer on the SF-12 PCS indicating worse physical health (OR -2.18 (-4.77 - -0.85)). There was no difference in the SF-12 MSC looking at mental health. On average, infertile participants reported a SF-12 PCS 2.82 (0.87 - 2.77) points lower than non-infertile participants. There was a significant increase in fibromyalgia and other chronic pain, as well as Demographic and Outcome Data Participants with infertility (n¼179) Participants without infertility (n¼817) p value OR or B Age mean, SD 39.9 +/- 7.8 37.9 +/- 9.0 0.003 White Race 132 (74%) 665 (82%) 0.022 BMI, SD 27.84 +/- 5.33 28.25 +/- 6.23 0.411 Ever Smoked 119 (67%) 458 (56%) 0.013 SF 12 Physical Component Score 39.22 (28.71, 52.05) 46.17 (34.89, 54.66) <0.001 -2.81 (-4.77 - -0.85) SF 12 Mental Component Score 49.59 (34.86, 57.38) 50.20 (35.47, 57.42) 0.561 0.53 (-1.44-2.78) Fibromyalgia 32 (18%) 66 (8%) <0.001 2.18 (1.35-3.50) Other Chronic Pain 116 (65%) 442 (54%) 0.009 1.43 (1.01-2.03) Hypertension 14 (8%) 48 (6%) 0.421 1.16 (0.61-2.21) Hyperlipidemia 4 (2%) 10 (1%) 0.294 1.62 (0.49-5.36) Cancer 25 (14%) 66 (8%) 0.020 1.72 (1.03-2.88) FERTILITY & STERILITY Ò e5