Health Insurance: Coverage for Reversing Gender-Affirming Care
A senate committee must act next: committee consideration.
This bill addresses a highly controversial topic and lacks bipartisan support, making it unlikely to pass in the current political environment.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
The bill legally defines gender-affirming medical care as a 'sex-rejecting procedure' that causes 'harms' requiring correction, and requires insurers that cover such procedures to also cover extensive complication and reversal treatment. This creates a strong financial incentive for insurers to simply stop covering gender-affirming care altogether rather than take on the added coverage obligations, which could reduce access for transgender people who want that care while only helping those who choose to detransition.
“The term `sex-rejecting procedure' means any medical or surgical intervention for the purpose of attempting to align an individual's physical appearance or body with an asserted identity that differs from the individual's sex”
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
Representative Diana Harshbarger introduced the Treatment and Restoration Uniformity and Transparency in Health Coverage (TRUTH in Coverage) Act to ensure patients seeking to detransition or treat complications from gender-affirming care are not denied coverage by their insurance providers.
The TRUTH in Coverage Act aims to establish a federal standard requiring private health plans to cover restorative care for individuals who experience adverse effects from gender-transition procedures, preventing insurers from charging higher copays or setting stricter limits for such care.
During a recent markup session, House Republicans advanced several measures including the TRUTH in Coverage Act, which mandates that insurers covering gender-affirming care also provide coverage for detransition services and long-term health complications resulting from initial treatments.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
TRUTH in Coverage Act of 2026
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