In addition to reducing the risks and costs associated with multiple births, insurance coverage for infertility would provide oversight and quality controls. Payers, both public and private, generally set eligibility criteria for who may receive or perform certain procedures. Such criteria could recommend a limit on the number of embryos transferred in ART. The most efficient method to accomplish this would be to require adherence to ASRM guidelines, which are updated periodically. Another requirement could be to require that ART procedures be performed only at clinics that are subject to SART standards. SART has voluntarily assumed an advocacy role in terms of reducing high risk pregnancies achieved through.