The Protecting Our Kids from Harmful Research Act prohibits the use of federal funds to support research or publications regarding gender transition for individuals under the age of 18. This restriction specifically targets studies that aim to affirm a minor's perception or identity when it differs from their sex assigned at birth, as defined by their reproductive biology and genetics. The bill directly affects federal agencies and institutions that might otherwise receive funding to conduct such observational studies on hormonal treatments or surgical procedures for minors. By limiting financial support, the legislation seeks to prevent government resources from being used for research that challenges the biological definition of sex at birth.
This bill removes a specific legal provision that previously allowed mental health counselors to obtain a limited license to practice in Michigan. By repealing Section 18109 of the Public Health Code, the legislation eliminates the existing framework for this particular licensing option. The change directly affects the regulatory environment for mental health counselors and the state's licensing board, which will no longer be able to issue these limited licenses under the old rules.
The TRUTH in Coverage Act of 2026 requires group health plans and health insurance issuers that cover gender-affirming procedures to also cover medical services aimed at treating the physical and psychological harms caused by those procedures. This mandate applies regardless of whether the original procedure was covered under the plan and ensures that follow-up care has the same cost-sharing rules and limitations as other standard medical benefits. The bill defines "sex-rejecting procedures" broadly to include hormone therapy, surgeries, and puberty blockers, while explicitly excluding treatments for intersex conditions, precocious puberty, and emergency care. Coverage for these restorative services would become effective for plan years starting on or after January 1, 2027.
The Nitrous Oxide Inhalation Prevention Act establishes new federal regulations to curb the misuse of nitrous oxide while allowing its continued use for legitimate medical, industrial, and automotive purposes. Key provisions include banning flavored products and limiting food-use canisters to 8 grams, alongside strict rules that prohibit packaging with bright colors or cartoon characters and require prominent warning labels on every cartridge. The bill also imposes age restrictions by setting a minimum purchase age of 21, mandates that retailers verify identification and limit sales hours, and restricts wholesalers from selling directly to individual consumers. To support harm reduction efforts, the legislation authorizes funding for grants aimed at education, prevention programs, and training for law enforcement and medical professionals. Non-compliance with these new requirements can result in civil monetary penalties for manufacturers and distributors, or escalating fines and potential sales bans for retailers.
The ORTHO Act directs the Federal Trade Commission to create new rules requiring dentists to perform an in-person examination before providing most dental services or medical devices through teledentistry. This requirement includes exceptions for emergency care, approved public health programs, and specific orthodontic diagnoses that must still be confirmed by an in-person visit and review of X-rays before a patient begins using an appliance. Violations of these rules would be treated as unfair or deceptive practices, allowing both the FTC and state attorneys general to enforce the law through civil penalties and potential damages. The bill also clarifies that states retain the ability to adopt additional regulations that are consistent with these federal standards.
The Employer Health Plan Flexibility Act would allow certain employer-sponsored group health plans to opt out of the Affordable Care Act's requirement to cover specific Essential Health Benefits. This exemption applies to plans governed by the Employee Retirement Income Security Act and would take effect for plan years starting on or after January 1, 2028. While exempt from those specific coverage mandates, the bill explicitly states that employers must still comply with other federal rules, including those regarding mental health parity, nondiscrimination, and preventive services. To ensure transparency, employers claiming this exemption must annually inform their employees about the benefits included in their plan and identify any Essential Health Benefits that are not covered.
The SHIELD Citizens Act aims to restrict access to federal welfare programs, such as food assistance, Medicaid, and housing aid, exclusively to United States citizens. By amending existing laws, the bill removes eligibility for noncitizens, including lawfully domiciled residents, while preserving access to emergency medical care, disaster relief, and services like soup kitchens. The legislation includes a transition period allowing current recipients to keep their benefits for up to 180 days after the law takes effect, which is set to begin 180 days after enactment. This change directly impacts noncitizen families who currently rely on these safety net programs, narrowing the pool of eligible individuals to citizens only.
This bill requires hospitals that receive federal health care funding to ask patients about their immigration status during admission and report the results to government agencies. Under the law, hospitals must include a specific statement on intake forms assuring patients that their answers will not affect their medical care or lead to a law enforcement report unless the patient is suspected of certain crimes. Hospitals must also submit quarterly reports detailing how many patients are citizens, lawful residents, or undocumented, along with the number of individuals who refused to answer or failed to provide proof of their legal status. The legislation prohibits hospitals from sharing personal identifying information with the government while allowing them to exclude non-compliant facilities from federal programs. Additionally, the bill mandates an annual report to Congress analyzing the costs of uncompensated care for undocumented patients and its impact on hospital services.
