Ensuring Lasting Smiles Act mandates health insurance coverage for congenital anomalies and birth defects affecting eyes, ears, teeth, mouth, or jaw.
The Ensuring Lasting Smiles Act requires group health plans and health insurance issuers to cover outpatient and inpatient services for congenital anomalies and birth defects impacting eyes, ears, teeth, mouth, or jaw. This includes diagnostic services, reconstructive procedures, and ongoing dental, orthodontic, or prosthodontic support. The act mandates notices to participants and beneficiaries starting January 1, 2026. Cosmetic surgery not resulting from a medical determination of a congenital anomaly or birth defect is excluded.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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