Sex-Rejecting Procedure & Restorative Care Coverage Mandate
Current understanding
To be populated as evidence accumulates.
Evidence log
- 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.: cross-connection with sex-rejecting-procedure-restoration-coverage: Both slugs appear to track the same conditional coverage mandate tying restorative-care benefits to plans that cover sex-rejecting procedures; likely candidates for consolidation. (novelty: 3)
- 2026-07-16 — A bill 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 possible.: S.5030 (119th Congress) introduced in the Senate HELP Committee to amend PHSA Title XXVII, ERISA, and the IRC to require group health plans and individual/group health insurance issuers that cover sex-rejecting procedures to also cover items and services addressing harms from those procedures and restoring healthy human form and function to the greatest extent possible. (novelty: 3)