# 119-s-3011: Prohibiting Abortion & Transgender Procedures on the Exchanges Act

119-s-3011, Prohibiting Abortion & Transgender Procedures on the Exchanges Act, is a 119th Congress bill sponsored by Sen. Hawley, Josh [R-MO] (R-MO); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3011
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3011
- Congress: 119
- Title: Prohibiting Abortion & Transgender Procedures on the Exchanges Act
- Status: introduced
- Introduced: 2025-10-15
- Sponsor: Sen. Hawley, Josh [R-MO] (R-MO)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Prohibits coverage of gender‑transition procedures for minors and sharply limits abortion coverage in ACA Exchange health plans.** This bill would amend the Affordable Care Act so Exchange plans cannot cover those services starting in plan years on or after January 1, 2026. - Minors and families: Would ban Exchange coverage of puberty‑blocking drugs, cross‑sex hormones (testosterone for females or estrogen for males) and surgeries for anyone under 18. Exceptions are made for people with inherently ambiguous biological sex or certain genetic or hormonal conditions and for emergency life‑saving care or treatment of injury or disease caused by a prior intervention. - Pregnant people: Would allow abortion coverage only in two narrow cases. First, when a physician certifies a physical disorder, injury, or illness places the woman in danger of death unless an abortion is performed, including life‑threatening conditions caused by the pregnancy or resulting from rape or incest. Second, when the pregnancy results from an act of rape or incest. - Health plans and Exchanges: Would bar Exchanges from offering any plan that provides abortion (except as described above) or gender‑transition procedures for minors. The prohibition applies to all Exchange plans, including plans that offer excepted benefits, and the bill also restructures related ACA text and makes conforming edits.

## Provisions PRIA read

- Marketplace ban on abortion and minor care: cost, high. If enacted, this bill would bar Exchange (marketplace) health plans from covering most abortions and from covering gender‑transition procedures for people under 18. Abortion coverage would be allowed only if a physician certifies the pregnancy threatens the woman's life, or if the pregnancy resulte…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-1792: AI Whistleblower Protection Act
- 119-s-1381: Protecting Employees and Retirees in Business Bankruptcies Act of 2025
- 119-s-292: Educational Choice for Children Act of 2025
- 119-s-243: Radiation Exposure Compensation Reauthorization Act
- 119-s-4509: PBM Act

## Sources
- [119-s-3011 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3011)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1792: AI Whistleblower Protection Act](https://policyrisk.com/legislation/119-s-1792)
- [119-s-1381: Protecting Employees and Retirees in Business Bankruptcies Act of 2025](https://policyrisk.com/legislation/119-s-1381)
- [119-s-292: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-s-292)
- [119-s-243: Radiation Exposure Compensation Reauthorization Act](https://policyrisk.com/legislation/119-s-243)
- [119-s-4509: PBM Act](https://policyrisk.com/legislation/119-s-4509)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3011 (as of 2026-04-21).