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. Bera, Ami [D-CA-6]
CA • D
Sponsored 9/18/2025
Bresnahan
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
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
Rep. Gosar, Paul A. [R-AZ-9]
AZ • R
Sponsored 5/8/2025
Nehls
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
Bonamici
OR • D
Sponsored 5/8/2025
Mrvan
IN • D
Sponsored 5/8/2025
Rep. Quigley, Mike [D-IL-5]
IL • D
Sponsored 5/8/2025
Mannion
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
Bost
IL • R
Sponsored 5/21/2025
Castro (TX)
TX • D
Sponsored 5/21/2025
Rep. Chu, Judy [D-CA-28]
CA • D
Sponsored 5/21/2025
Craig
MN • D
Sponsored 5/21/2025
Rep. Wasserman Schultz, Debbie [D-FL-25]
FL • D
Sponsored 5/21/2025
Davis (NC)
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
Levin
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
DelBene
WA • D
Sponsored 6/5/2025
Auchincloss
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
Rutherford
FL • R
Sponsored 6/24/2025
Rep. Magaziner, Seth [D-RI-2]
RI • D
Sponsored 6/24/2025
McBride
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
Simpson
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
McGovern
MA • D
Sponsored 7/14/2025
Van Drew
NJ • R
Sponsored 7/14/2025
Rep. Owens, Burgess [R-UT-4]
UT • R
Sponsored 7/14/2025
Franklin, Scott
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
Schmidt
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
Simon
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
Cherfilus-McCormick
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
Fitzgerald
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
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
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. Foushee, Valerie P. [D-NC-4]
NC • D
Sponsored 10/21/2025
Barr
KY • R
Sponsored 10/21/2025
Rep. Gimenez, Carlos A. [R-FL-28]
FL • R
Sponsored 10/21/2025
Mfume
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
Wittman
VA • R
Sponsored 10/21/2025
Bilirakis
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
Sewell
AL • D
Sponsored 11/18/2025
Himes
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
Riley (NY)
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
Onder
MO • R
Sponsored 12/18/2025
Crenshaw
TX • R
Sponsored 1/7/2026
Rep. Gillen, Laura [D-NY-4]
NY • D
Sponsored 1/7/2026
Rep. Subramanyam, Suhas [D-VA-10]
VA • D
Sponsored 1/7/2026
Cohen
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
McBath
GA • D
Sponsored 1/8/2026
Rep. Huffman, Jared [D-CA-2]
CA • D
Sponsored 1/12/2026
McCollum
MN • D
Sponsored 1/13/2026
Evans (CO)
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
Sponsored 2/9/2026
Conaway
NJ • D
Sponsored 2/9/2026
Rep. Cammack, Kat [R-FL-3]
FL • R
Sponsored 3/3/2026
Rep. Van Orden, Derrick [R-WI-3]
WI • R
Sponsored 3/3/2026
Rep. Kiggans, Jennifer A. [R-VA-2]
VA • R
Sponsored 3/3/2026
Mullin
CA • D
Sponsored 3/3/2026
Rep. Sherman, Brad [D-CA-32]
CA • D
Sponsored 3/3/2026
Rep. Lieu, Ted [D-CA-36]
CA • D
Sponsored 3/4/2026
Rep. Scanlon, Mary Gay [D-PA-5]
PA • D
Sponsored 3/4/2026
Rep. Meng, Grace [D-NY-6]
NY • D
Sponsored 3/17/2026
Rep. Doggett, Lloyd [D-TX-37]
TX • D
Sponsored 3/17/2026
Ciscomani
AZ • R
Sponsored 3/17/2026
Rep. Correa, J. Luis [D-CA-46]
CA • D
Sponsored 3/17/2026
Rep. Lee, Susie [D-NV-3]
NV • D
Sponsored 3/17/2026
Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]
TN • R
Sponsored 3/18/2026
Rep. Deluzio, Christopher R. [D-PA-17]
PA • D
Sponsored 3/18/2026
Rep. Hayes, Jahana [D-CT-5]
CT • D
Sponsored 3/18/2026
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 3/24/2026
Rep. Morrison, Kelly [D-MN-3]
MN • D
Sponsored 3/26/2026
Rep. Calvert, Ken [R-CA-41]
CA • R
Sponsored 3/26/2026
Smith (WA)
WA • D
Sponsored 4/14/2026
Rep. Letlow, Julia [R-LA-5]
LA • R
Sponsored 4/14/2026
Thompson (CA)
CA • D
Sponsored 4/14/2026
Budzinski
IL • D
Sponsored 4/14/2026
Kelly (MS)
MS • R
Sponsored 4/14/2026
Barragan
CA • D
Sponsored 4/14/2026
Rep. Lawler, Michael [R-NY-17]
NY • R
Sponsored 4/21/2026
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 4/22/2026
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Sponsored 4/27/2026
Lofgren
CA • D
Sponsored 5/12/2026
Rep. Carbajal, Salud O. [D-CA-24]
CA • D
Sponsored 5/12/2026
Pingree
ME • D
Sponsored 5/12/2026
Schakowsky
IL • D
Sponsored 5/14/2026
Roll Call Votes
No roll call votes available for this bill.
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