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US S560

US S560
Ensuring Lasting Smiles Act


summary

Introduced
02/26/2019
In Committee
02/26/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a congenital anomaly or birth defect. This bill requires private health insurance plans to cover diagnosis and treatment services for congenital anomalies and birth defects, such as reconstructive services and prosthetics. Coverage must include services that functionally improve, repair, or restore any body part that is medically necessary for normal bodily functions or appearance, as determined by the treating physician.

AI Summary

This bill, the Ensuring Lasting Smiles Act, amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for the treatment of congenital anomalies or birth defects. The bill mandates that insurers cover outpatient and inpatient services related to the diagnosis and treatment of these conditions, including any medically necessary services to functionally improve, repair, or restore any body part, as determined by the treating physician. The required coverage includes reconstructive services, prosthetics, adjunctive dental and orthodontic support, and procedures for secondary conditions, but excludes purely cosmetic surgery.

Committee Categories

Health and Social Services

Sponsors (54)

Tammy Baldwin (D)* Michael Bennet (D),  Richard Blumenthal (D),  Cory Booker (D),  John Boozman (R),  Mike Braun (R),  Sherrod Brown (D),  Shelley Moore Capito (R),  Ben Cardin (D),  Tom Carper (D),  Bob Casey (D),  Bill Cassidy (R),  Susan Collins (R),  Catherine Cortez Masto (D),  Kevin Cramer (R),  Steve Daines (R),  Joni Ernst (R),  Deb Fischer (R),  Kirsten Gillibrand (D),  Lindsey Graham (R),  Chuck Grassley (R),  Kamala Harris (D),  Maggie Hassan (D),  Martin Heinrich (D),  Mazie Hirono (D),  Cindy Hyde-Smith (R),  Doug Jones (D),  John Neely Kennedy (R),  Angus King (I),  Amy Klobuchar (D),  Patrick Leahy (D),  Ed Markey (D),  Martha McSally (R),  Jeff Merkley (D),  Jerry Moran (R),  Lisa Murkowski (R),  Chris Murphy (D),  David Perdue (R),  Gary Peters (D),  Jack Reed (D),  Pat Roberts (R),  Jacky Rosen (D),  Bernie Sanders (I),  Jeanne Shaheen (D),  Kyrsten Sinema (I),  Tina Smith (D),  Debbie Stabenow (D),  Dan Sullivan (R),  Jon Tester (D),  Thom Tillis (R),  Chris Van Hollen (D),  Elizabeth Warren (D),  Sheldon Whitehouse (D),  Roger Wicker (R), 

Last Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (on 02/26/2019)

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