IRC Health Plan Restorative Care Coverage Requirements
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 pages track the same coordinated PHSA/ERISA/IRC amendment imposing a conditional restorative-care coverage mandate on plans that cover sex-rejecting procedures; likely candidates for merger. (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.: Introduced bill would amend the Internal Revenue Code (alongside PHSA and ERISA) 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 function to the greatest extent possible. (novelty: 3)