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119-hr-3277119th CongressWALLET

Ensuring Lasting Smiles Act

Sponsored By: Representative Dunn, Neal P. [R-FL-2]

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, Neal P. [R-FL-2]

FL • R

Cosponsors

  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

    Sponsored 9/28/2026

  • Rep. Escobar, Veronica [D-TX-16]

    TX • D

    Sponsored 10/1/2026

  • Rep. McGarvey, Morgan [D-KY-3]

    KY • D

    Sponsored 10/1/2026

  • Rep. Kelly, Mike [R-PA-16]

    PA • R

    Sponsored 10/9/2026

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 10/9/2026

  • Rep. Cisneros, Gilbert Ray [D-CA-31]

    CA • D

    Sponsored 10/9/2026

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 10/9/2026

  • Rep. Ansari, Yassamin [D-AZ-3]

    AZ • D

    Sponsored 11/2/2026

  • Rep. Ramirez, Delia C. [D-IL-3]

    IL • D

    Sponsored 11/2/2026

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 9/18/2025

  • Rep. Bresnahan, Robert P. [R-PA-8]

    PA • R

    Sponsored 9/30/2025

  • Rep. Beyer, Donald S. [D-VA-8]

    VA • D

    Sponsored 9/30/2025

  • Rep. Baumgartner, Michael [R-WA-5]

    WA • R

    Sponsored 10/8/2025

  • Rep. Elfreth, Sarah [D-MD-3]

    MD • D

    Sponsored 10/8/2025

  • Rep. Schrier, Kim [D-WA-8]

    WA • D

    Sponsored 5/8/2025

  • Rep. Aderholt, Robert B. [R-AL-4]

    AL • R

    Sponsored 5/8/2025

  • Rep. Babin, Brian [R-TX-36]

    TX • R

    Sponsored 5/8/2025

  • Rep. Salazar, Maria Elvira [R-FL-27]

    FL • R

    Sponsored 5/8/2025

  • Rep. Gosar, Paul A. [R-AZ-9]

    AZ • R

    Sponsored 5/8/2025

  • Rep. Nehls, Troy E. [R-TX-22]

    TX • R

    Sponsored 5/8/2025

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 5/8/2025

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 5/8/2025

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 5/8/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 5/8/2025

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 5/8/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 5/8/2025

  • Rep. Fields, Cleo [D-LA-6]

    LA • D

    Sponsored 5/8/2025

  • Rep. Bonamici, Suzanne [D-OR-1]

    OR • D

    Sponsored 5/8/2025

  • Rep. Mrvan, Frank J. [D-IN-1]

    IN • D

    Sponsored 5/8/2025

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 5/8/2025

  • Rep. Mannion, John W. [D-NY-22]

    NY • D

    Sponsored 5/8/2025

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 5/8/2025

  • Rep. Omar, Ilhan [D-MN-5]

    MN • D

    Sponsored 5/8/2025

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 5/8/2025

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 5/8/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 5/8/2025

  • Rep. Stanton, Greg [D-AZ-4]

    AZ • D

    Sponsored 5/21/2025

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 5/21/2025

  • Rep. Bost, Mike [R-IL-12]

    IL • R

    Sponsored 5/21/2025

  • Rep. Castro, Joaquin [D-TX-20]

    TX • D

    Sponsored 5/21/2025

  • Rep. Chu, Judy [D-CA-28]

    CA • D

    Sponsored 5/21/2025

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 5/21/2025

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 5/21/2025

  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

    Sponsored 5/21/2025

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 5/21/2025

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 6/5/2025

  • Rep. Levin, Mike [D-CA-49]

    CA • D

    Sponsored 6/5/2025

  • Rep. Ryan, Patrick [D-NY-18]

    NY • D

    Sponsored 6/5/2025

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 6/5/2025

  • Rep. Pappas, Chris [D-NH-1]

    NH • D

    Sponsored 6/5/2025

  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 6/5/2025

  • Rep. Auchincloss, Jake [D-MA-4]

    MA • D

    Sponsored 6/5/2025

  • Rep. Nunn, Zachary [R-IA-3]

    IA • R

    Sponsored 6/10/2025

  • Rep. Olszewski, Johnny [D-MD-2]

    MD • D

    Sponsored 6/10/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 6/10/2025

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 6/24/2025

  • Rep. Magaziner, Seth [D-RI-2]

    RI • D

    Sponsored 6/24/2025

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 6/24/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 6/24/2025

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 6/24/2025

  • Rep. Simpson, Michael K. [R-ID-2]

    ID • R

    Sponsored 6/27/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 7/14/2025

  • Rep. Amo, Gabe [D-RI-1]

    RI • D

    Sponsored 7/14/2025

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 7/14/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 7/14/2025

  • Rep. McGovern, James P. [D-MA-2]

    MA • D

    Sponsored 7/14/2025

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 7/14/2025

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 7/14/2025

  • Rep. Franklin, Scott [R-FL-18]

    FL • R

    Sponsored 7/14/2025

  • Rep. DeLauro, Rosa L. [D-CT-3]

    CT • D

    Sponsored 7/22/2025

  • Rep. Bergman, Jack [R-MI-1]

    MI • R

    Sponsored 7/22/2025

  • Rep. Murphy, Gregory F. [R-NC-3]

    NC • R

    Sponsored 7/22/2025

  • Rep. Raskin, Jamie [D-MD-8]

    MD • D

    Sponsored 7/22/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 8/1/2025

  • Rep. Schmidt, Derek [R-KS-2]

    KS • R

    Sponsored 8/1/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 8/1/2025

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 8/1/2025

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 8/1/2025

  • Rep. Simon, Lateefah [D-CA-12]

    CA • D

    Sponsored 8/1/2025

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 8/1/2025

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 8/26/2025

  • Rep. Cherfilus-McCormick, Sheila [D-FL-20]

    FL • D

    Sponsored 8/26/2025

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 8/26/2025

  • Rep. Meuser, Daniel [R-PA-9]

    PA • R

    Sponsored 8/26/2025

  • Rep. Fitzgerald, Scott [R-WI-5]

    WI • R

    Sponsored 9/3/2025

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 9/9/2025

  • Rep. Begich, Nicholas J. [R-AK-At Large]

    AK • R

    Sponsored 9/9/2025

  • Rep. Grothman, Glenn [R-WI-6]

    WI • R

    Sponsored 9/9/2025

  • Rep. Khanna, Ro [D-CA-17]

    CA • D

    Sponsored 9/17/2025

  • Rep. Ivey, Glenn [D-MD-4]

    MD • D

    Sponsored 9/17/2025

  • Rep. Langworthy, Nicholas A. [R-NY-23]

    NY • R

    Sponsored 9/17/2025

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 9/17/2025

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 9/17/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 9/17/2025

  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

    Sponsored 10/29/2026

  • Rep. Fischbach, Michelle [R-MN-7]

    MN • R

    Sponsored 10/29/2026

  • Rep. Bice, Stephanie I. [R-OK-5]

    OK • R

    Sponsored 10/29/2026

  • Rep. Costa, Jim [D-CA-21]

    CA • D

    Sponsored 10/29/2026

  • Rep. Garbarino, Andrew R. [R-NY-2]

    NY • R

    Sponsored 10/29/2026

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 10/29/2026

  • Rep. McIver, LaMonica [D-NJ-10]

    NJ • D

    Sponsored 10/22/2026

  • Rep. Amodei, Mark E. [R-NV-2]

    NV • R

    Sponsored 10/22/2026

  • Rep. Bishop, Sanford D. [D-GA-2]

    GA • D

    Sponsored 10/22/2026

  • Rep. Foushee, Valerie P. [D-NC-4]

    NC • D

    Sponsored 10/21/2025

  • Rep. Barr, Andy [R-KY-6]

    KY • R

    Sponsored 10/21/2025

  • Rep. Gimenez, Carlos A. [R-FL-28]

    FL • R

    Sponsored 10/21/2025

  • Rep. Mfume, Kweisi [D-MD-7]

    MD • D

    Sponsored 10/21/2025

  • Rep. Min, Dave [D-CA-47]

    CA • D

    Sponsored 10/21/2025

  • Rep. Harder, Josh [D-CA-9]

    CA • D

    Sponsored 10/21/2025

  • Rep. Wittman, Robert J. [R-VA-1]

    VA • R

    Sponsored 10/21/2025

  • Rep. Bilirakis, Gus M. [R-FL-12]

    FL • R

    Sponsored 10/28/2025

  • Rep. Cleaver, Emanuel [D-MO-5]

    MO • D

    Sponsored 10/28/2025

  • Rep. Fine, Randy [R-FL-6]

    FL • R

    Sponsored 10/28/2025

  • Rep. Harris, Andy [R-MD-1]

    MD • R

    Sponsored 10/28/2025

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 11/18/2025

  • Rep. Miller-Meeks, Mariannette [R-IA-1]

    IA • R

    Sponsored 11/18/2025

  • Rep. Sewell, Terri A. [D-AL-7]

    AL • D

    Sponsored 11/18/2025

  • Rep. Himes, James A. [D-CT-4]

    CT • D

    Sponsored 11/18/2025

  • Rep. Goldman, Daniel S. [D-NY-10]

    NY • D

    Sponsored 11/18/2025

  • Rep. Hinson, Ashley [R-IA-2]

    IA • R

    Sponsored 11/19/2025

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 11/19/2025

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 11/19/2025

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 11/19/2025

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 11/19/2025

  • Rep. Perez, Marie Gluesenkamp [D-WA-3]

    WA • D

    Sponsored 11/19/2025

  • Rep. Strickland, Marilyn [D-WA-10]

    WA • D

    Sponsored 11/19/2025

  • Rep. Hoyle, Val T. [D-OR-4]

    OR • D

    Sponsored 12/3/2025

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

    Sponsored 12/16/2025

  • Rep. Riley, Josh [D-NY-19]

    NY • D

    Sponsored 12/17/2025

  • Rep. Tran, Derek [D-CA-45]

    CA • D

    Sponsored 12/18/2025

  • Rep. McDonald Rivet, Kristen [D-MI-8]

    MI • D

    Sponsored 12/18/2025

  • Rep. Onder, Robert F. [R-MO-3]

    MO • R

    Sponsored 12/18/2025

  • Rep. Crenshaw, Dan [R-TX-2]

    TX • R

    Sponsored 1/7/2026

  • Rep. Gillen, Laura [D-NY-4]

    NY • D

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  • Rep. Subramanyam, Suhas [D-VA-10]

    VA • D

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  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 1/7/2026

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 1/7/2026

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 1/8/2026

  • Rep. McBath, Lucy [D-GA-6]

    GA • D

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  • Rep. Huffman, Jared [D-CA-2]

    CA • D

    Sponsored 1/12/2026

  • Rep. McCollum, Betty [D-MN-4]

    MN • D

    Sponsored 1/13/2026

  • Rep. Evans, Gabe [R-CO-8]

    CO • R

    Sponsored 2/9/2026

  • Rep. McCormick, Richard [R-GA-7]

    GA • R

    Sponsored 2/9/2026

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

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  • Rep. Conaway, Herbert C. [D-NJ-3]

    NJ • D

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  • Rep. Cammack, Kat [R-FL-3]

    FL • R

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  • Rep. Van Orden, Derrick [R-WI-3]

    WI • R

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  • Rep. Kiggans, Jennifer A. [R-VA-2]

    VA • R

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    CA • D

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    CA • D

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    CA • D

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    PA • D

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    NY • D

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    TX • D

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    AZ • R

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    CA • D

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    NV • D

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  • Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]

    TN • R

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    PA • D

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    CT • D

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    NE • R

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    CA • R

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    CA • D

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    WA • D

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    LA • R

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    NY • R

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    PA • R

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    GA • R

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    CA • D

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    CA • D

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    ME • D

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    IL • D

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    WA • D

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    UT • R

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    IA • R

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    NY • D

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    GU • R

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    CA • I

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    CA • R

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    FL • R

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    MA • D

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    MI • D

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    CT • D

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    MP • R

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    IL • D

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    GA • D

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    CA • D

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    NV • D

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    IL • D

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    TN • R

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    IN • D

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    NY • D

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  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 9/1/2026

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 9/1/2026

  • Rep. Alford, Mark [R-MO-4]

    MO • R

    Sponsored 9/1/2026

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 9/2/2026

  • Rep. Ocasio-Cortez, Alexandria [D-NY-14]

    NY • D

    Sponsored 9/2/2026

  • Rep. Allen, Rick W. [R-GA-12]

    GA • R

    Sponsored 9/3/2026

  • Rep. Grijalva, Adelita S. [D-AZ-7]

    AZ • D

    Sponsored 9/3/2026

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 9/10/2026

  • Rep. Stauber, Pete [R-MN-8]

    MN • R

    Sponsored 9/10/2026

  • Rep. Fuller, Clay [R-GA-14]

    GA • R

    Sponsored 9/10/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 9/10/2026

  • Rep. Whitesides, George [D-CA-27]

    CA • D

    Sponsored 9/10/2026

  • Rep. Lee, Summer L. [D-PA-12]

    PA • D

    Sponsored 9/10/2026

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 9/14/2026

  • Rep. Van Duyne, Beth [R-TX-24]

    TX • R

    Sponsored 9/14/2026

  • Rep. Moolenaar, John R. [R-MI-2]

    MI • R

    Sponsored 9/14/2026

Roll Call Votes

No roll call votes available for this bill.

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