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.
Key claim: Group health plans and health insurance issuers that provide benefits for sex-rejecting procedures would be required to also cover items and services that address harms caused by those procedures and restore healthy human form and functioning to the greatest extent practicable.
Abstract
(HR9743 · 119th Congress) Latest action (2026-07-16): Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Why this matters
For patients who have undergone gender-transition procedures, this bill would create a new federal entitlement to plan coverage for follow-up or reversal care whenever their plan already covers the initial procedures, potentially expanding access to detransition-related services. At the same time, by using the framing ‘sex-rejecting procedures’ and ‘restore healthy human form and functioning,’ it embeds a contested characterization of transition care into federal insurance statutes, which supporters view as protecting people harmed by such procedures and opponents view as stigmatizing gender-affirming care and pressuring plans to drop coverage entirely. The coordinated PHSA/ERISA/IRC amendments would reach nearly all group and individual market plans, making it a significant potential shift in the civil-rights and health-coverage landscape for transgender and detransitioning individuals.