arrow_back Back to App

Health Insurance: Mandatory Coverage for Congenital Anomalies

New rules require health insurers to cover the costs of treating congenital anomalies, including procedures that improve body function and appearance. This also includes dental and orthodontic support. The aim is to ensure that individuals with birth defects receive necessary medical care without additional financial burdens that might arise from a lack of coverage for these specific conditions.
Key points
Health insurers must cover diagnosis and treatment costs for congenital anomalies.
Treatment includes procedures to improve body function or restore normal appearance, including dental support.
Cost-sharing, such as co-payments or deductibles, cannot be higher than for other medical benefits.
Insurers will be required to inform about these changes in an understandable manner.
The changes take effect from January 1, 2024.
article Official text account_balance Process page
VOTING RESULTS
2022-04-04
74%
For 310
Against 110
Abstain 0
Full voting results open_in_new
Expired
Citizen Poll
No votes cast
Additional Information
Print number: 117_HR_1916
Sponsor: Rep. Eshoo, Anna G. [D-CA-18]
Process start date: 2021-03-16
Voting date: 2022-04-04
Meeting no: 2
Voting no: 109
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
AI work logs for this document launch

OFFICIAL LEGAL TITLE

Ensuring Lasting Smiles Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_1916.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-03-16.

What are the main provisions?

Key points include:

  • Health insurers must cover diagnosis and treatment costs for congenital anomalies.
  • Treatment includes procedures to improve body function or restore normal appearance, including dental support.
  • Cost-sharing, such as co-payments or deductibles, cannot be higher than for other medical benefits.
  • Insurers will be required to inform about these changes in an understandable manner.
  • The changes take effect from January 1, 2024.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Where is the official voting record?

The official roll call vote is recorded at: voting record

Who is the primary sponsor?

The primary sponsor is Rep. Eshoo, Anna G. [D-CA-18].

What is the latest detailed status?

The latest detailed status is: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 310 - 110 (Roll no. 109). (text: CR H4140-4141)

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-27.

CATEGORIES

Health