Ensuring Lasting Smiles Act
Sponsored By: Representative Dunn (FL)
Introduced
Summary
Uniform coverage for medically necessary diagnosis and treatment of congenital anomalies affecting the eyes, ears, teeth, mouth, or jaw. The bill would require group and individual health plans to cover inpatient and outpatient services needed to repair or restore function or appearance, and to include reconstructive and dental, orthodontic, or prosthodontic support from birth until treatment is complete, with cost-sharing no more restrictive than the predominant medical and surgical benefits, while excluding non-medical cosmetic surgery.
Show full summary
- Families: People born with covered anomalies would have explicit insurance protection for reconstructive care and related dental or orthodontic treatment, reducing the chance those services are denied as cosmetic.
- Health plans and insurers: Group health plans and issuers offering individual or group coverage, including employer-sponsored plans, would have to add these benefits and provide notice to enrollees by January 1, 2026; the rule applies to plan years beginning on or after January 1, 2026.
- Access and oversight: The Department of Health and Human Services must study network adequacy and changes in out-of-pocket and procedure costs and report findings by December 31, 2027.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Health plans would cover facial birth defects
If enacted, most group and individual health plans would have to cover care for birth defects that affect the eyes, ears, teeth, mouth, or jaw. Coverage would include medically necessary reconstruction, care for related complications, and needed dental, orthodontic, or prosthetic support from birth until treatment is finished. Plans could charge deductibles, copays, and coinsurance, but not stricter than for other medical or surgical care. Cosmetic-only procedures to change normal features would not be covered. Plans would also have to give you a notice about this coverage in plan documents by January 1, 2026. The rules would apply to plan years starting on or after January 1, 2026.
HHS would study access and costs
If enacted, HHS would study access to these services and report to Congress by December 31, 2027. The study would check if provider networks are sufficient and easy to reach. It would also track changes in patient out‑of‑pocket costs by procedure and overall procedure costs. The study would not change your coverage by itself.
Sponsors & CoSponsors
Sponsor
Dunn (FL)
FL • R
Cosponsors
Bera
CA • D
Sponsored 9/18/2025
Bresnahan
PA • R
Sponsored 9/30/2025
Beyer
VA • D
Sponsored 9/30/2025
Baumgartner
WA • R
Sponsored 10/8/2025
Elfreth
MD • D
Sponsored 10/8/2025
Schrier
WA • D
Sponsored 5/8/2025
Aderholt
AL • R
Sponsored 5/8/2025
Babin
TX • R
Sponsored 5/8/2025
Salazar
FL • R
Sponsored 5/8/2025
Gosar
AZ • R
Sponsored 5/8/2025
Nehls
TX • R
Sponsored 5/8/2025
Yakym
IN • R
Sponsored 5/8/2025
Moore (WI)
WI • D
Sponsored 5/8/2025
Dingell
MI • D
Sponsored 5/8/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 5/8/2025
Tlaib
MI • D
Sponsored 5/8/2025
Landsman
OH • D
Sponsored 5/8/2025
Fields
LA • D
Sponsored 5/8/2025
Bonamici
OR • D
Sponsored 5/8/2025
Mrvan
IN • D
Sponsored 5/8/2025
Quigley
IL • D
Sponsored 5/8/2025
Mannion
NY • D
Sponsored 5/8/2025
Lynch
MA • D
Sponsored 5/8/2025
Omar
MN • D
Sponsored 5/8/2025
Houlahan
PA • D
Sponsored 5/8/2025
Tokuda
HI • D
Sponsored 5/8/2025
Neguse
CO • D
Sponsored 5/8/2025
Stanton
AZ • D
Sponsored 5/21/2025
Pocan
WI • D
Sponsored 5/21/2025
Bost
IL • R
Sponsored 5/21/2025
Castro (TX)
TX • D
Sponsored 5/21/2025
Chu
CA • D
Sponsored 5/21/2025
Craig
MN • D
Sponsored 5/21/2025
Wasserman Schultz
FL • D
Sponsored 5/21/2025
Davis (NC)
NC • D
Sponsored 5/21/2025
Kelly (IL)
IL • D
Sponsored 5/21/2025
Johnson (TX)
TX • D
Sponsored 6/5/2025
Levin
CA • D
Sponsored 6/5/2025
Ryan
NY • D
Sponsored 6/5/2025
Davids (KS)
KS • D
Sponsored 6/5/2025
Pappas
NH • D
Sponsored 6/5/2025
DelBene
WA • D
Sponsored 6/5/2025
Auchincloss
MA • D
Sponsored 6/5/2025
Nunn (IA)
IA • R
Sponsored 6/10/2025
Olszewski
MD • D
Sponsored 6/10/2025
Vindman
VA • D
Sponsored 6/10/2025
Rutherford
FL • R
Sponsored 6/24/2025
Magaziner
RI • D
Sponsored 6/24/2025
McBride
DE • D
Sponsored 6/24/2025
Krishnamoorthi
IL • D
Sponsored 6/24/2025
Panetta
CA • D
Sponsored 6/24/2025
Simpson
ID • R
Sponsored 6/27/2025
Matsui
CA • D
Sponsored 7/14/2025
Amo
RI • D
Sponsored 7/14/2025
Castor (FL)
FL • D
Sponsored 7/14/2025
Gottheimer
NJ • D
Sponsored 7/14/2025
McGovern
MA • D
Sponsored 7/14/2025
Van Drew
NJ • R
Sponsored 7/14/2025
Owens
UT • R
Sponsored 7/14/2025
Franklin, Scott
FL • R
Sponsored 7/14/2025
DeLauro
CT • D
Sponsored 7/22/2025
Bergman
MI • R
Sponsored 7/22/2025
Murphy
NC • R
Sponsored 7/22/2025
Raskin
MD • D
Sponsored 7/22/2025
Kim
CA • R
Sponsored 8/1/2025
Schmidt
KS • R
Sponsored 8/1/2025
Malliotakis
NY • R
Sponsored 8/1/2025
Jayapal
WA • D
Sponsored 8/1/2025
McClain Delaney
MD • D
Sponsored 8/1/2025
Simon
CA • D
Sponsored 8/1/2025
Brownley
CA • D
Sponsored 8/1/2025
Bynum
OR • D
Sponsored 8/26/2025
Cherfilus-McCormick
FL • D
Sponsored 8/26/2025
Frankel, Lois
FL • D
Sponsored 8/26/2025
Meuser
PA • R
Sponsored 8/26/2025
Fitzgerald
WI • R
Sponsored 9/3/2025
Fitzpatrick
PA • R
Sponsored 9/9/2025
Begich
AK • R
Sponsored 9/9/2025
Grothman
WI • R
Sponsored 9/9/2025
Khanna
CA • D
Sponsored 9/17/2025
Ivey
MD • D
Sponsored 9/17/2025
Langworthy
NY • R
Sponsored 9/17/2025
Soto
FL • D
Sponsored 9/17/2025
Suozzi
NY • D
Sponsored 9/17/2025
Ross
NC • D
Sponsored 9/17/2025
Foushee
NC • D
Sponsored 10/21/2025
Barr
KY • R
Sponsored 10/21/2025
Gimenez
FL • R
Sponsored 10/21/2025
Mfume
MD • D
Sponsored 10/21/2025
Min
CA • D
Sponsored 10/21/2025
Harder (CA)
CA • D
Sponsored 10/21/2025
Wittman
VA • R
Sponsored 10/21/2025
Bilirakis
FL • R
Sponsored 10/28/2025
Cleaver
MO • D
Sponsored 10/28/2025
Fine
FL • R
Sponsored 10/28/2025
Harris (MD)
MD • R
Sponsored 10/28/2025
Salinas
OR • D
Sponsored 11/18/2025
Miller-Meeks
IA • R
Sponsored 11/18/2025
Sewell
AL • D
Sponsored 11/18/2025
Himes
CT • D
Sponsored 11/18/2025
Goldman (NY)
NY • D
Sponsored 11/18/2025
Hinson
IA • R
Sponsored 11/19/2025
Pettersen
CO • D
Sponsored 11/19/2025
Garamendi
CA • D
Sponsored 11/19/2025
Balint
VT • D
Sponsored 11/19/2025
Walkinshaw
VA • D
Sponsored 11/19/2025
Perez
WA • D
Sponsored 11/19/2025
Strickland
WA • D
Sponsored 11/19/2025
Hoyle (OR)
OR • D
Sponsored 12/3/2025
Vasquez
NM • D
Sponsored 12/16/2025
Riley (NY)
NY • D
Sponsored 12/17/2025
Tran
CA • D
Sponsored 12/18/2025
McDonald Rivet
MI • D
Sponsored 12/18/2025
Onder
MO • R
Sponsored 12/18/2025
Crenshaw
TX • R
Sponsored 1/7/2026
Gillen
NY • D
Sponsored 1/7/2026
Subramanyam
VA • D
Sponsored 1/7/2026
Cohen
TN • D
Sponsored 1/7/2026
Thanedar
MI • D
Sponsored 1/7/2026
Stevens
MI • D
Sponsored 1/8/2026
McBath
GA • D
Sponsored 1/8/2026
Huffman
CA • D
Sponsored 1/12/2026
McCollum
MN • D
Sponsored 1/13/2026
Evans (CO)
CO • R
Sponsored 2/9/2026
McCormick
GA • R
Sponsored 2/9/2026
Beatty
OH • D
Sponsored 2/9/2026
Conaway
NJ • D
Sponsored 2/9/2026
Cammack
FL • R
Sponsored 3/3/2026
Van Orden
WI • R
Sponsored 3/3/2026
Kiggans (VA)
VA • R
Sponsored 3/3/2026
Mullin
CA • D
Sponsored 3/3/2026
Sherman
CA • D
Sponsored 3/3/2026
Lieu
CA • D
Sponsored 3/4/2026
Scanlon
PA • D
Sponsored 3/4/2026
Meng
NY • D
Sponsored 3/17/2026
Doggett
TX • D
Sponsored 3/17/2026
Ciscomani
AZ • R
Sponsored 3/17/2026
Correa
CA • D
Sponsored 3/17/2026
Lee (NV)
NV • D
Sponsored 3/17/2026
Fleischmann
TN • R
Sponsored 3/18/2026
Deluzio
PA • D
Sponsored 3/18/2026
Hayes
CT • D
Sponsored 3/18/2026
Roll Call Votes
No roll call votes available for this bill.
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