Prohibiting Abortion & Transgender Procedures on the Exchanges Act

This bill would change the Affordable Care Act so that health insurance exchanges could not offer any health plan that covers abortion, except when a physician certifies the woman's life is in danger from a physical condition, or when the pregnancy resulted from rape or incest. It would also bar exchange plans from covering gender-transition procedures for people under 18, including puberty blockers, cross-sex hormones, and surgery. The ban would not apply to people with certain differences in sex development, to treatment of complications from earlier procedures, or to procedures needed to prevent imminent death or major bodily impairment. The changes would apply to plan years starting on or after January 1, 2026.

Full text and official record on Congress.gov

Sponsors

• Josh Hawley Republican sponsor
• 0 cosponsors