Sex-Rejecting Procedure Harm Restoration Coverage
Current understanding
To be populated as evidence accumulates.
Evidence log
- 2026-08-13 — Medicaid Program; Prohibition on Federal Medicaid and Children’s Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children: cross-connection with youth-gender-medical-care-funding: The same rulemaking framework distinguishes prohibited sex-rejecting procedures for minors from restoration/detransition-related coverage. (novelty: 4)
- 2026-07-16 — To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group health plans and health insurance issuers offering group or individual health insurance coverage that provide benefits for sex-rejecting procedures to provide benefits for items and services to address the harms caused by sex-rejecting procedures and to restore healthy human form and functioning, to the greatest extent practicable.: Bill introduced amending PHSA Title XXVII, ERISA, and the Internal Revenue Code to require group health plans and issuers that cover ‘sex-rejecting procedures’ to also cover items and services addressing harms from those procedures and restoring healthy human form and functioning to the greatest extent practicable — a conditional coverage mandate tied to plans already offering such benefits. (novelty: 3)