SENATOR MARSHALL INTRODUCES BILL REQUIRING INSURERS TO COVER RESTORATIVE CARE FOLLOWING HARMFUL GENDER TRANSITION PROCEDURES

The following information was released by Kansas Senator Roger Marshall:

U.S. Senator Roger Marshall, M.D. (R-Kansas) introduced theTreatment and Restoration Uniformity and Transparency in Health Coverage (TRUTH in Coverage) Act, legislation requiring private health insurance plans that cover gender transition procedures to also cover medically necessary care for patients experiencing complications or seeking restorative treatment following those procedures. The bill establishes a federal standard ensuring insurance companies cannot cover transition procedures while denying coverage for treatment needed to address resulting harm or restore healthy human function.

"As physicians, we take an oath to first do no harm. Unfortunately, too many Americans have undergone irreversible gender transition procedures only to be left withlife-changing complications and nowhere to turn,"said Senator Marshall."Insurance companies have been more than willing to profit by covering these procedures, but when patients need care to treat complications and restore healthy human function, they're often left on their own. That's wrong. Patients deserve transparency before making life-altering medical decisions, and insurance companiesshould be consistent in their coveragewhen those decisions result in lifelong complications."

This bill is co-sponsored by Senator Cynthia Lummis (R-Wyoming.)

"For years, the medical establishment pushed dangerous and irreversible procedures on vulnerable patients while covering up the devastating harm they caused,"said Senator Lummis."Now, when those patients are left damaged and desperate for healing, insurance companies slam the door in their face. This bill ends that double standard. If a health insurance company pays to mutilate, it should also pay to help heal what it broke.

Rep. Diana Harshbarger (R-TN) introduced the House companion of this bill.

"It's outrageous that a health plan can cover sex-rejecting procedures but refuse to cover the restorative care patients need to address the harm they cause. That's not a fair deal for patients who want to restore healthy bodily function,"said Congresswoman Diana Harshbarger."Patients should never be abandoned after undergoing life-altering, harmful medical interventions once reality sets in. As a pharmacist, I've seen insurance companies find every excuse in the book to avoid paying for the care patients actually need. My TRUTH in Coverage Act restores fairness, promotes transparency, and ensures patients aren't left paying the price for care their insurance should cover."

What the bill does:

Requires private health plans that cover gender transition procedures to also cover restorative care and treatment for resulting complications.

Prohibits insurers from imposing more restrictive deductibles, copayments, prior authorization requirements, or other coverage limitations on restorative care than those applied to other covered medical services.

Applies regardless of when the original procedure occurred or whether it was covered by the patient's current insurance plan.

Establishes a nationwide standard across the individual insurance market, employer-sponsored health plans, and other private group health plans beginning with plan years starting January 1, 2027.

Background:

The TRUTH in Coverage Act builds on Senator Marshall's broader efforts to protect patients, promote medical transparency, and ensure federal policies are rooted in biological reality. Related legislation includes:

STOP Act

Defining Male and Female Act

No Subsidies for Gender Transition Procedures Act

End Taxpayer Funding of Gender Experimentation Act

This bill has earned support from a coalition of organizations dedicated to protecting patients and holding insurers accountable for providing medically necessary restorative care. Supporters include Family Policy Alliance, the American Principles Project, and others.

For years, Family Policy Alliance has fought to protect children from irreversible surgeries and dangerous drugs, including drafting the first Help Not Harm bill in the nation. That effort has now become law in 27 states protecting more than 34 million children across the country.The TRUTH in Coverage Act affirms that every family needs fairness and transparency in the consequential health carecoverage decisions for gender dysphoria.We applaud Sen. Marshall and Rep. Harshbarger for championing informed consent and true patient choice in health care." Craig DeRoche, President and CEO of Family Policy Alliance

Our medical elites incentivized the growth of the manipulative $4.5 billion transgender industry by abandoning children to the predatory practices of manipulative doctors. The TRUTH in Coverage Act will take vital steps to safeguard vulnerable patients and ensure that detransitions are able to get the care they need. Rep. Harshbarger and Sen. Marshall are delivering long overdue justice to the victims of medical and political malpractice. Terry Schilling, President of American Principles Project