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ACA Marketplace Coverage Restrictions: Excluding Abortion and Minor Gender Transition Procedures.

This bill amends the Affordable Care Act (ACA) to restrict coverage options available on the Health Benefits Exchanges (Marketplaces). Starting in 2026, health plans offered through these Exchanges cannot cover abortion (except in cases of life endangerment, rape, or incest) or gender-transition procedures for individuals under 18. This means citizens relying on Marketplace plans will lose coverage for these specific medical services.
Key points
Health plans sold on the ACA Marketplaces will be prohibited from covering abortion, except when the woman's life is in danger, or in cases of rape or incest.
Coverage for gender-transition procedures, including puberty blockers and hormones, will be excluded for all individuals under the age of 18.
These changes affect plan years beginning on or after January 1, 2026, directly impacting healthcare choices and costs for specific procedures.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_S_3011
Sponsor: Sen. Hawley, Josh [R-MO]
Process start date: 2025-10-15
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Prohibiting Abortion & Transgender Procedures on the Exchanges Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_S_3011.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2025-10-15.

What are the main provisions?

Key points include:

  • Health plans sold on the ACA Marketplaces will be prohibited from covering abortion, except when the woman's life is in danger, or in cases of rape or incest.
  • Coverage for gender-transition procedures, including puberty blockers and hormones, will be excluded for all individuals under the age of 18.
  • These changes affect plan years beginning on or after January 1, 2026, directly impacting healthcare choices and costs for specific procedures.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Hawley, Josh [R-MO].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health