This bill, called the TRUTH in Coverage Act of 2026, would change three federal statutes (the Public Health Service Act, ERISA, and the Internal Revenue Code) so that group health plans and health insurance issuers that provide benefits for "sex-rejecting procedures" must also provide benefits for items and services that address harms from those procedures. The required benefits are called "restorative care" and cover many listed issues, such as reproductive and endocrine problems, surgical complications, urinary and sexual dysfunction, voice changes, bone and cardiovascular conditions, mental health care, fertility assessments, reconstructive surgery, rehabilitation, and long-term monitoring. The bill says financial cost-sharing and treatment limits for restorative care cannot be more restrictive than those that apply to most medical and surgical benefits. The bill defines terms including "sex-rejecting procedure," "restorative care," "male," "female," and "sex." It lists many procedures it treats as "sex-rejecting," including puberty blockers, cross-sex hormones, various genital and chest surgeries, and other cosmetic or tissue-removal interventions. It also lists specific exceptions, for example treatments for certain disorders of sex development and care for precocious puberty. The changes would apply to plan years beginning on or after January 1, 2027. The bill was introduced on July 16, 2026, by Representative Diana Harshbarger and co-sponsors, and was referred to several House committees.
No publicly available information.
The text of the bill states its purpose is to require coverage of items and services that address the harms of sex-rejecting procedures and to restore healthy human form and functioning, to the greatest extent practicable. The bill was introduced by Representative Diana Harshbarger and other named sponsors on July 16, 2026.
No publicly available information.