Ensuring Lasting Smiles Act provides health insurance coverage for congenital anomalies and birth defects affecting eyes, ears, teeth, mouth, or jaw.
The Ensuring Lasting Smiles Act mandates that group health plans and health insurance issuers provide coverage for outpatient and inpatient items and services related to the diagnosis and treatment of congenital anomalies or birth defects impacting the eyes, ears, teeth, mouth, or jaw. This includes reconstructive services, adjunctive dental, orthodontic, or prosthodontic support, and secondary conditions or follow-up treatment. 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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