TRUTH in Coverage Act of 2026
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 intended to treat physical and psychological complications resulting from those procedures. This mandate applies regardless of whether the original gender-affirming treatment was covered by the plan and ensures that any required follow-up care faces the same cost-sharing rules and limitations as 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, life-threatening emergencies, and standard puberty suppression for early puberty. These provisions would take effect for plan years beginning on or after January 1, 2027, affecting individuals with access to employer-sponsored or individual health insurance.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jul 2026
Committee Review
Floor Vote
President
Introduced Jul 16, 2026
Last action Jul 16, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Jul 16, 2026
Committee
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.
lower
Jul 16, 2026
Introduced
Introduced in House
lower
1 primary · 13 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Diana Harshbarger
RRepublican
Co
Abraham J. Hamadeh
RRepublican
Co
Andy Harris
RRepublican
Co
Brian Babin
RRepublican
Co
Clay Fuller
RRepublican
Co
Earl L. "Buddy" Carter
RRepublican
Co
John J. McGuire III
RRepublican
Co
John R. Carter
RRepublican
Co
Juan Ciscomani
RRepublican
Co
Marlin A. Stutzman
RRepublican
Co
Mary E. Miller
RRepublican
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