Requires health insurance to cover medically necessary treatment for certain birth defects affecting face, eyes, ears.
This bill would require health insurance plans to cover medically necessary care for certain birth defects affecting a person's eyes, ears, teeth, mouth, or jaw. This means health insurance plans would cover treatments like reconstructive surgery or dental work that might not be fully covered today. The new rules would take effect for plan years starting in 2026.
Today, federal law does not require health insurance plans to cover all diagnosis and treatment for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. If this bill becomes law, group health plans and health insurance issuers would be required to cover these medically necessary services. Patients would have more consistent coverage for treatments like reconstructive surgery and specialized dental care. Cost-sharing would be no higher than for other medical benefits, starting for plan years in 2026.
HR 3277 · 119th Congress · AI Summary by gemini-2.5-flash · 10/10
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10 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.