Health plans would cover care for harms from procedures that aim to change a person's physical appearance to differ from their genetic sex.
If this bill becomes law, health insurance plans that cover procedures aiming to change a person's physical appearance to differ from their genetic sex would also have to cover care for any harms from those procedures. This "restorative care" would have the same cost-sharing and treatment limits as other medical benefits. This would apply to group health plans and individual health insurance coverage.
Today, health plans are not federally required to cover "restorative care" for harms from procedures that aim to change a person's physical appearance to differ from their genetic sex, nor are there specific rules for equal cost-sharing. If this bill passes, health plans that cover such procedures would be required to cover "restorative care" for related harms, with financial requirements and treatment limits no stricter than those for other medical benefits. This would take effect for plan years beginning on or after January 1, 2027.
S 5030 · 119th Congress · July 16, 2026 · AI Summary by gemini-2.5-flash · 9/10
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