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.
Key claim: Group health plans and health insurers that cover sex-rejecting procedures would be required to cover items and services that address harms from those procedures and restore healthy human form and functioning to the greatest extent possible.
Abstract
(S5030 · 119th Congress) Latest action (2026-07-16): Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Why this matters
The bill would create a first-of-its-kind federal parity obligation: any plan choosing to cover gender-transition procedures must also cover care aimed at reversing or mitigating their effects. For affected groups this could expand access to detransition and complication-related care regardless of plan design, but the framing (‘harms caused by’ and ‘restore healthy human form and functioning’) is contested — supporters view it as ensuring symmetric coverage, while critics view the terminology as prejudging the medical legitimacy of transition care and potentially deterring plans from offering transition coverage at all.