Bill · H.R. 3277· House(119-HR-3277)
Ensuring Lasting Smiles Act
- Introduced
- 5/8/2025
- Last activity
- 5/8/2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Sponsored by
- Neal Dunn
- Cosponsors
- - 69 - 141
- Introduced
- In Committee
What this bill would do
This bill is called the Ensuring Lasting Smiles Act. It requires group health plans and health insurance issuers to cover outpatient and inpatient items and services for diagnosing and treating congenital anomalies or birth defects. The targeted conditions are those that primarily impact the appearance or function of the eyes, ears, teeth, mouth, or jaw. Plans must provide this coverage with cost-sharing requirements that are no more restrictive than those applied to other medical and surgical benefits. The bill also requires health plans to notify participants and beneficiaries about this coverage starting no later than January 1, 2026. Finally, the Secretary of Health and Human Services must study and report to Congress on network adequacy and out-of-pocket costs by December 31, 2027.
Yes· 3 of 22
Would children be better off under this?+9
Most congenital anomalies are identified at birth, and this bill secures their long-term treatment coverage.
Would people with disabilities be better off under this?+9
Directly improves health outcomes and financial accessibility for those with congenital physical disabilities.
Would households on low incomes be better off under this?+8
Reduces the catastrophic out-of-pocket costs associated with birth defect treatments.
The opposite
Would business owners be better off under this?-2
May increase costs for employer-sponsored group health plans.
Does this lower what people pay for private health insurance?-2
Mandating new coverage benefits may lead to slight increases in premiums for private insurance plans.
Who it would affect, and how
Potential Positive Impacts for People
-
Coverage for Reconstructive Treatment: Section 2 adds provisions like section 2799A-11(a)(1) to the Public Health Service Act, requiring group health plans and health insurance issuers to cover inpatient and outpatient items and services for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. This ensures individuals can get medical care to repair or restore body parts to normal functioning or appearance.
-
Dental and Orthodontic Support: Section 2 adds section 2799A-11(a)(3)(A)(ii)(II), which provides adjunctive dental, orthodontic, or prosthodontic support from birth until medical or surgical treatment is completed. This helps patients maintain function and approximate a normal appearance without being blocked by standard plan exclusions on dental services.
-
Fair Cost-Sharing Rules: Section 2 adds section 2799A-11(a)(2), which dictates that financial requirements like copayments, coinsurance, and deductibles for this coverage cannot be more restrictive than the predominant cost-sharing applied to substantially all other medical and surgical benefits. This protects patients from facing unfair financial barriers for their care.
-
Required Patient Notice: Section 2 adds section 2799A-11(b), requiring health plans and issuers to give notice to participants and beneficiaries about the required coverage in service documents starting no later than January 1, 2026. This keeps people informed of the benefits they are entitled to receive.
Potential Negative Impacts for People
- Exclusion of General Cosmetic Surgery: Section 2 adds section 2799A-11(a)(3)(B), which excludes cosmetic surgery performed to reshape normal body structures simply to improve appearance or self-esteem if it is not the result of a medical determination of a congenital anomaly or birth defect. While intended to target specific medical conditions, individuals seeking general cosmetic enhancements will not receive coverage under these provisions.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Children+9Good For People With Disabilities+9Good For Low Income Households+8Good For Middle Class Households+7Good For Young Adults+7Good For African Americans+5Good For Asian Americans+5Good For Hispanic Americans+5Good For Men+5Good For Middle Aged+5Good For Native Americans+5Good For Students+5Good For Union Workers+5Good For White Americans+5Good For Women+5Good For High Income Households+4Good For Seniors+3Good For Business Owners-2
- Social Issues And Justice
- Improves Disability Rights+7Improves Poverty Reduction+2
- Healthcare
- Improves Healthcare Access+8Reduces Private Insurance Premiums-2
- Economy And Finance
- Improves Consumer Protection+3
- Governance And Ideology
- Increases Federal Power+2
- 10/9/2026
- 4 Cosponsors added.
- 10/1/2026
- 2 Cosponsors added.
- 9/28/2026
- 1 Cosponsor added.
- 9/14/2026
- 3 Cosponsors added.
- 9/10/2026
- 6 Cosponsors added.
- 9/3/2026
- 2 Cosponsors added.
- 9/2/2026
- 2 Cosponsors added.
- 9/1/2026
- 3 Cosponsors added.
- 8/31/2026
- 11 Cosponsors added.
- 8/10/2026
- 6 Cosponsors added.
- 7/20/2026
- 2 Cosponsors added.
- 7/15/2026
- 1 Cosponsor added.
- 7/13/2026
- 1 Cosponsor added.
- 7/6/2026
- 1 Cosponsor added.
- 6/29/2026
- 1 Cosponsor added.
- 6/23/2026
- 2 Cosponsors added.
- 6/11/2026
- 1 Cosponsor added.
- 6/2/2026
- 1 Cosponsor added.
- 5/29/2026
- 1 Cosponsor added.
- 5/21/2026
- 1 Cosponsor added.
- 5/15/2026
- 1 Cosponsor added.
- 5/14/2026
- 1 Cosponsor added.
- 5/12/2026
- 3 Cosponsors added.
- 4/27/2026
- 1 Cosponsor added.
- 4/22/2026
- 1 Cosponsor added.
- 4/21/2026
- 1 Cosponsor added.
- 4/14/2026
- 6 Cosponsors added.
- 3/26/2026
- 2 Cosponsors added.
- 3/24/2026
- 1 Cosponsor added.
- 3/18/2026
- 3 Cosponsors added.
- 3/17/2026
- 5 Cosponsors added.
- 3/4/2026
- 2 Cosponsors added.
- 3/3/2026
- 5 Cosponsors added.
- 2/9/2026
- 4 Cosponsors added.
- 1/13/2026
- 1 Cosponsor added.
- 1/12/2026
- 1 Cosponsor added.
- 1/8/2026
- 2 Cosponsors added.
- 1/7/2026
- 5 Cosponsors added.
- 12/18/2025
- 3 Cosponsors added.
- 12/17/2025
- 1 Cosponsor added.
- 12/16/2025
- 1 Cosponsor added.
- 12/3/2025
- 1 Cosponsor added.
- 11/19/2025
- 7 Cosponsors added.
- 11/18/2025
- 5 Cosponsors added.
- 10/28/2025
- 4 Cosponsors added.
- 10/21/2025
- 7 Cosponsors added.
- 10/8/2025
- 2 Cosponsors added.
- 9/30/2025
- 2 Cosponsors added.
- 9/18/2025
- 1 Cosponsor added.
- 9/17/2025
- 6 Cosponsors added.
- 9/9/2025
- 3 Cosponsors added.
- 9/3/2025
- 1 Cosponsor added.
- 8/26/2025
- 4 Cosponsors added.
- 8/1/2025
- 7 Cosponsors added.
- 7/22/2025
- 4 Cosponsors added.
- 7/14/2025
- 8 Cosponsors added.
- 6/27/2025
- 1 Cosponsor added.
- 6/24/2025
- 5 Cosponsors added.
- 6/10/2025
- 3 Cosponsors added.
- 6/5/2025
- 7 Cosponsors added.
- 5/21/2025
- 9 Cosponsors added.
- 5/8/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 22 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Robert AderholtRepublican · Alabama
Jake AuchinclossDemocrat · Massachusetts
Pete AguilarDemocrat · California
Rick AllenRepublican · Georgia
Mark AlfordRepublican · Missouri
Gabe AmoDemocrat · Rhode Island
Gus BilirakisRepublican · Florida
Suzanne BonamiciDemocrat · Oregon
Joyce BeattyDemocrat · Ohio
Andy BarrRepublican · Kentucky
Julia BrownleyDemocrat · California
Ami BeraDemocrat · California
Brian BabinRepublican · Texas
Donald BeyerDemocrat · Virginia
Mike BostRepublican · Illinois
Nanette BarragánDemocrat · California
Jack BergmanRepublican · Michigan
Aaron BeanRepublican · Florida
Nikki BudzinskiDemocrat · Illinois
Becca BalintDemocrat · Vermont
Michael BaumgartnerRepublican · Washington
Nicholas BegichRepublican · Alaska
Wesley BellDemocrat · Missouri
Janelle BynumDemocrat · Oregon
Robert BresnahanRepublican · Pennsylvania
Ken CalvertRepublican · California
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Emanuel CleaverDemocrat · Missouri
Kathy CastorDemocrat · Florida
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
Joe CourtneyDemocrat · Connecticut
André CarsonDemocrat · Indiana
Judy ChuDemocrat · California
Joaquin CastroDemocrat · Texas
Earl CarterRepublican · Georgia
J. CorreaDemocrat · California
Salud CarbajalDemocrat · California
Angie CraigDemocrat · Minnesota
Dan CrenshawRepublican · Texas
Jason CrowDemocrat · Colorado
Gilbert CisnerosDemocrat · California
Sheila Cherfilus-McCormickDemocrat · Florida
Juan CiscomaniRepublican · Arizona
Herbert ConawayDemocrat · New Jersey
Rosa DeLauroDemocrat · Connecticut
Donald DavisDemocrat · North Carolina
Lloyd DoggettDemocrat · Texas
Christopher DeluzioDemocrat · Pennsylvania
Scott DesJarlaisRepublican · Tennessee
Suzan DelBeneDemocrat · Washington
Debbie DingellDemocrat · Michigan
Sharice DavidsDemocrat · Kansas
Veronica EscobarDemocrat · Texas
Gabe EvansRepublican · Colorado
Sarah ElfrethDemocrat · Maryland
Cleo FieldsDemocrat · Louisiana
Randy FeenstraRepublican · Iowa
Charles FleischmannRepublican · Tennessee
Lois FrankelDemocrat · Florida
Brian FitzpatrickRepublican · Pennsylvania
Scott FitzgeraldRepublican · Wisconsin
Scott FranklinRepublican · Florida
Maxwell FrostDemocrat · Florida
Valerie FousheeDemocrat · North Carolina
Randy FineRepublican · Florida
Clay FullerRepublican · Georgia
John GaramendiDemocrat · California
Paul GosarRepublican · Arizona
Glenn GrothmanRepublican · Wisconsin
Vicente GonzalezDemocrat · Texas
Josh GottheimerDemocrat · New Jersey
Jesús GarcíaDemocrat · Illinois
Carlos GimenezRepublican · Florida
Daniel GoldmanDemocrat · New York
Marie PerezDemocrat · Washington
Laura GillenDemocrat · New York
Adelita GrijalvaDemocrat · Arizona
James HimesDemocrat · Connecticut
Andy HarrisRepublican · Maryland
Jared HuffmanDemocrat · California
Jahana HayesDemocrat · Connecticut
Chrissy HoulahanDemocrat · Pennsylvania
Josh HarderDemocrat · California
Ashley HinsonRepublican · Iowa
Val HoyleDemocrat · Oregon
Wesley HuntRepublican · Texas
Pablo HernándezDemocrat · Puerto Rico
Glenn IveyDemocrat · Maryland
Henry JohnsonDemocrat · Georgia
Pramila JayapalDemocrat · Washington
John JamesRepublican · Michigan
Julie JohnsonDemocrat · Texas
Mike KellyRepublican · Pennsylvania
Robin KellyDemocrat · Illinois
Trent KellyRepublican · Mississippi
Ro KhannaDemocrat · California
Raja KrishnamoorthiDemocrat · Illinois
Young KimRepublican · California
Jennifer KiggansRepublican · Virginia
Kevin KileyIndependent · California
Timothy KennedyDemocrat · New York
Kimberlyn King-HindsRepublican · Northern Mariana Islands
Zoe LofgrenDemocrat · California
Stephen LynchDemocrat · Massachusetts
Ted LieuDemocrat · California
Darin LaHoodRepublican · Illinois
Susie LeeDemocrat · Nevada
Mike LevinDemocrat · California
Julia LetlowRepublican · Louisiana
Michael LawlerRepublican · New York
Nicholas LangworthyRepublican · New York
Greg LandsmanDemocrat · Ohio
Summer LeeDemocrat · Pennsylvania
George LatimerDemocrat · New York
James McGovernDemocrat · Massachusetts
Nicole MalliotakisRepublican · New York
Kweisi MfumeDemocrat · Maryland
Betty McCollumDemocrat · Minnesota
Gwen MooreDemocrat · Wisconsin
Doris MatsuiDemocrat · California
Grace MengDemocrat · New York
John MoolenaarRepublican · Michigan
Seth MoultonDemocrat · Massachusetts
Daniel MeuserRepublican · Pennsylvania
Joseph MorelleDemocrat · New York
Lucy McBathDemocrat · Georgia
Gregory MurphyRepublican · North Carolina
Blake MooreRepublican · Utah
Frank MrvanDemocrat · Indiana
Mariannette Miller-MeeksRepublican · Iowa
Cory MillsRepublican · Florida
Richard McCormickRepublican · Georgia
James MoylanRepublican · Guam
Morgan McGarveyDemocrat · Kentucky
Seth MagazinerDemocrat · Rhode Island
Kevin MullinDemocrat · California
John MannionDemocrat · New York
April McClain DelaneyDemocrat · Maryland
Kelly MorrisonDemocrat · Minnesota
Kristen McDonald RivetDemocrat · Michigan
Sarah McBrideDemocrat · Delaware
Dave MinDemocrat · California
Troy NehlsRepublican · Texas
Eleanor NortonDemocrat · District of Columbia
Joe NeguseDemocrat · Colorado
Zachary NunnRepublican · Iowa
Burgess OwensRepublican · Utah
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Johnny OlszewskiDemocrat · Maryland
Robert OnderRepublican · Missouri
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Scott PetersDemocrat · California
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Brittany PettersenDemocrat · Colorado
Mike QuigleyDemocrat · Illinois
Deborah RossDemocrat · North Carolina
Patrick RyanDemocrat · New York
Raul RuizDemocrat · California
Jamie RaskinDemocrat · Maryland
John RutherfordRepublican · Florida
Emily RandallDemocrat · Washington
Josh RileyDemocrat · New York
Maria SalazarRepublican · Florida
Brad ShermanDemocrat · California
Adam SmithDemocrat · Washington
Janice SchakowskyDemocrat · Illinois
Michael SimpsonRepublican · Idaho
Marilyn StricklandDemocrat · Washington
Adrian SmithRepublican · Nebraska
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Mary Gay ScanlonDemocrat · Pennsylvania
Greg StantonDemocrat · Arizona
Pete StauberRepublican · Minnesota
Haley StevensDemocrat · Michigan
Kim SchrierDemocrat · Washington
Hillary ScholtenDemocrat · Michigan
Andrea SalinasDemocrat · Oregon
Derek SchmidtRepublican · Kansas
Suhas SubramanyamDemocrat · Virginia
Lateefah SimonDemocrat · California
Mike ThompsonDemocrat · California
Glenn ThompsonRepublican · Pennsylvania
Dina TitusDemocrat · Nevada
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Ritchie TorresDemocrat · New York
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
Derek TranDemocrat · California
Lauren UnderwoodDemocrat · Illinois
David ValadaoRepublican · California
Juan VargasDemocrat · California
Jefferson Van DrewRepublican · New Jersey
Beth Van DuyneRepublican · Texas
Derrick Van OrdenRepublican · Wisconsin
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Joe WilsonRepublican · South Carolina
Debbie Wasserman SchultzDemocrat · Florida
Robert WittmanRepublican · Virginia
Frederica WilsonDemocrat · Florida
George WhitesidesDemocrat · California
James WalkinshawDemocrat · Virginia
Rudy YakymRepublican · Indiana