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The Department of Veterans Affairs (VA) amends its regulation regarding fertility counseling and treatment available to certain veterans and spouses.  VA currently provides certain infertility services other than in vitro fertilization (IVF) to veterans as part of the medical benefits package.  IVF is the process of fertilization by manually fertilizing an egg, and then transferring the embryo to the uterus.  This final rulemaking adds a new section authorizing IVF for a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.  In addition, we add a new section stating that VA may provide fertility counseling and treatment using assisted reproductive technologies (ART), including IVF, to a spouse of a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. VA will provide ART treatment, including IVF, to these veterans and spouses as specified in the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act 2017, and Zika Response and Preparedness Act and, with the exception of IVF, to the extent such services are consistent with the services available to enrolled veterans under the medical benefits package.