# 119-s-1677: Ensuring Lasting Smiles Act

119-s-1677, Ensuring Lasting Smiles Act, is a 119th Congress bill sponsored by Sen. Baldwin, Tammy [D-WI] (D-WI); status in_committee; PRIA reads it as touching household money (as of 2026-10-01).

- Canonical: https://policyrisk.com/legislation/119-s-1677
- As of: 2026-10-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1677
- Congress: 119
- Title: Ensuring Lasting Smiles Act
- Status: in_committee
- Introduced: 2025-05-08
- Sponsor: Sen. Baldwin, Tammy [D-WI] (D-WI)
- Cosponsors: 54
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-01

## Summary

**Requires health plans to cover diagnosis and treatment of congenital anomalies that mainly affect the appearance or function of the eyes, ears, teeth, mouth, or jaw.** It mandates medically necessary reconstructive, diagnostic, and adjunctive dental, orthodontic, and prosthodontic services and excludes cosmetic surgery that reshapes normal structures. - Families and children: Parents get guaranteed coverage for reconstructive and dental/orthodontic care from birth until treatment is complete, including follow-up care for related secondary conditions. - Plans, employers, and tax rules: Group and individual insurers must cover these services and may not impose cost-sharing more restrictive than the plan's predominant medical and surgical benefits. Plans must notify enrollees in service descriptions for plan years beginning on or after January 1, 2026. The Employee Retirement Income Security Act and Internal Revenue Code are amended to mirror these coverage rules for employer and tax-qualified plans. - Federal study and reporting: The Department of Health and Human Services must study provider network adequacy and changes in out-of-pocket and procedure costs, and report to Congress by December 31, 2027.

## Cosponsors (54)

- Sen. Moreno, Bernie [R-OH] (R-OH), 2026-09-28T00:00:00.000Z
- Sen. Ernst, Joni [R-IA] (R-IA), 2025-05-08T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-05-08T00:00:00.000Z
- Sen. Murkowski, Lisa [R-AK] (R-AK), 2025-05-08T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-05-08T00:00:00.000Z
- Sen. Tillis, Thomas [R-NC] (R-NC), 2025-05-08T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2025-05-08T00:00:00.000Z
- Sen. Marshall, Roger [R-KS] (R-KS), 2025-05-08T00:00:00.000Z
- Sen. Reed, Jack [D-RI] (D-RI), 2025-05-08T00:00:00.000Z
- Sen. Grassley, Chuck [R-IA] (R-IA), 2025-05-08T00:00:00.000Z
- Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-05-08T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-05-08T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-05-08T00:00:00.000Z
- Sen. Kelly, Mark [D-AZ] (D-AZ), 2025-05-19T00:00:00.000Z
- Sen. Boozman, John [R-AR] (R-AR), 2025-06-09T00:00:00.000Z
- Sen. Daines, Steve [R-MT] (R-MT), 2025-06-16T00:00:00.000Z
- Sen. Warren, Elizabeth [D-MA] (D-MA), 2025-06-24T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2025-06-25T00:00:00.000Z
- Sen. Alsobrooks, Angela D. [D-MD] (D-MD), 2025-07-22T00:00:00.000Z
- Sen. Sullivan, Dan [R-AK] (R-AK), 2025-07-23T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2025-07-23T00:00:00.000Z
- Sen. Van Hollen, Chris [D-MD] (D-MD), 2025-09-02T00:00:00.000Z
- Sen. Markey, Edward J. [D-MA] (D-MA), 2025-09-08T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-09-09T00:00:00.000Z
- Sen. Rosen, Jacky [D-NV] (D-NV), 2025-09-17T00:00:00.000Z
- Sen. Justice, James C. [R-WV] (R-WV), 2025-09-29T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2025-09-29T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2025-09-29T00:00:00.000Z
- Sen. Fetterman, John [D-PA] (D-PA), 2025-09-29T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-10-01T00:00:00.000Z
- Sen. Slotkin, Elissa [D-MI] (D-MI), 2025-10-29T00:00:00.000Z
- Sen. Collins, Susan M. [R-ME] (R-ME), 2025-11-04T00:00:00.000Z
- Sen. Scott, Rick [R-FL] (R-FL), 2025-11-05T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-11-06T00:00:00.000Z
- Sen. Wyden, Ron [D-OR] (D-OR), 2025-11-18T00:00:00.000Z
- Sen. Schiff, Adam B. [D-CA] (D-CA), 2025-12-03T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2025-12-03T00:00:00.000Z
- Sen. Padilla, Alex [D-CA] (D-CA), 2025-12-09T00:00:00.000Z
- Sen. Bennet, Michael F. [D-CO] (D-CO), 2026-01-05T00:00:00.000Z
- Sen. Cramer, Kevin [R-ND] (R-ND), 2026-01-29T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2026-02-10T00:00:00.000Z
- Sen. Cantwell, Maria [D-WA] (D-WA), 2026-03-02T00:00:00.000Z
- Sen. Blunt Rochester, Lisa [D-DE] (D-DE), 2026-03-02T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2026-03-03T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2026-03-03T00:00:00.000Z
- Sen. Peters, Gary C. [D-MI] (D-MI), 2026-03-04T00:00:00.000Z
- Sen. Hirono, Mazie K. [D-HI] (D-HI), 2026-03-11T00:00:00.000Z
- Sen. Murphy, Christopher [D-CT] (D-CT), 2026-04-13T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2026-05-19T00:00:00.000Z
- Sen. Sheehy, Tim [R-MT] (R-MT), 2026-07-14T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2026-07-16T00:00:00.000Z
- Sen. Barrasso, John [R-WY] (R-WY), 2026-07-30T00:00:00.000Z
- Sen. Murray, Patty [D-WA] (D-WA), 2026-08-03T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2026-09-17T00:00:00.000Z

## Provisions PRIA read

- Coverage for facial and oral defects: benefit, high. This bill would require group and individual health plans to cover diagnosis and treatment for birth defects that mainly affect the eyes, ears, teeth, mouth, or jaw. Plans would have to pay for medically necessary reconstructive surgery and related care, plus dental, orthodontic, and prosthetic sup…

## Related bills

- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.
- 119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham, a Senator from the State of South Carolina.
- 119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former Senator for the State of Michigan.
- 119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for the State of California.
- 119-sres-723: A resolution honoring the life of Dirk Arthur Kempthorne, former United States Senator for the State of Idaho.

## Sources
- [119-s-1677 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1677)

## Related
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham,…](https://policyrisk.com/legislation/119-sres-801)
- [119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former S…](https://policyrisk.com/legislation/119-sres-755)
- [119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for…](https://policyrisk.com/legislation/119-sres-739)
- [119-sres-723: A resolution honoring the life of Dirk Arthur Kempthorne, former United States…](https://policyrisk.com/legislation/119-sres-723)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1677 (as of 2026-10-01).