Prohibiting Abortion & Transgender Procedures on the Exchanges Act

Protections for specific medical emergencies (Section 2(a)(1)(A)): The bill allows for abortion coverage if a physician certifies that a woman faces a physical disorder, physical injury, or physical illness that would place her in danger of death, or if the pregnancy resulted from rape or incest.

Exceptions for certain medical conditions (Section 2(a)(2)(A)(ii)): The bill excludes certain interventions from the definition of gender-transition procedures if they are used to treat an infection, injury, disease, or disorder caused or exacerbated by a previous intervention.

Exceptions for specific biological circumstances (Section 2(a)(2)(A)(ii)): The term "gender-transition procedure" does not include interventions performed on individuals with inherently ambiguous biological sex characteristics or those with specific hormone or chromosome structures determined by a physician.

Exceptions for imminent danger (Section 2(a)(2)(A)(ii)(III)): The bill allows for procedures if an individual suffers from a physical disorder, injury, or illness that would place them in imminent danger of death or impairment of major bodily function.

Loss of coverage for abortions (Section 2(a)(1)(A)): Health plans offered through the American Health Benefits Exchanges would be prohibited from providing coverage for abortions, except under specific life-threatening or criminal circumstances.

Loss of coverage for gender-transition procedures for minors (Section 2(a)(1)(B)): The bill prohibits coverage for gender-transition procedures for any individual who has not yet reached 18 years of age.

Restrictions on gender-transition coverage (Section 2(a)(2)(A)(i)): The bill defines gender-transition procedures to include the administration of puberty-blocking drugs, testosterone, or estrogen, and certain surgeries, all of which would be excluded from coverage for minors.