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Not American, or really knowledgeable about it but from the outside, I think this looks like ordinary politicking.
IVF is a proxy war for abortion. Dems want the talking point that abortion bans hurt/block IVF. Republicans/Trump want to remove that talking point by saying they love IVF "we want more babies right?" and will support laws to protect it as a separate and unrelated issue to abortion.
Dems put forward a bill that not only protects it but makes insurance companies pay for it. Trump is fine with that because it benefits him but Republicans in Congress get big money from insurance lobbyists and so they can't vote for it. They also have fears that they'll piss off their homophobic supporters by making them pay for something the gays might use (insurance costs will go up to help someone who isn't me!").
Republicans put forward another bill that protects IVF without hurting their insurance company buddies but the Dems block it. Republicans then have to vote against the IVF bill and the Dems can now say "see! They really don't care about reproductive rights at all!"
Feels a bit like nobody involved actually cares about IVF at all and just wants votes and lobbyist money.
In case this take comes across too centrist: Republicans and Trump are really quite shit.