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Reps. Eshoo, Ferguson, Sens. Baldwin, Ernst Introduce Bipartisan, Bicameral Reform to Ensure Coverage for Children Born With Congenital Anomalies or Birth Defects


Drew Ferguson (R-GA) and
Tammy Baldwin (D-WI) and
Joni Ernst (R-IA) today reintroduced bipartisan, bicameral legislation to ensure health insurance coverage for needed treatment and procedures for individuals born with congenital anomalies or birth defects. The Ensuring Lasting Smiles Act would close a coverage gap to ensure that health plans cover medically necessary services related to a patient s anomaly or birth defect, including any serious dental and oral-related procedures that are necessary to maintaining health and overall function.
Too many children born with congenital anomalies are denied coverage despite the long-term harm of such conditions. These are children like Rosie, the daughter of a family in my district who has congenital cataracts. She requires contact lenses because glasses aren t powerful enough, and without these lenses she is blind and will have no chance of ever developing normal vision, said ....

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Senate to consider legislation that would mandate insurance coverage for congenital anomalies


Sen. Tammy Baldwin on Tuesday will introduce legislation aimed at delivering relief to families who have struggled with the steep medical costs associated with congenital anomalies or birth defects.
The Ensuring Lasting Smiles Act would require all private group and individual health plans to cover medically necessary services for any anomaly that requires medically necessary care for any body part that has lost bodily function, including severe oral and facial defects. Though coverage is usually included in health plans, families fighting for the legislation say claims are routinely denied for external anomalies because they might be considered cosmetic, according to the bill s advocates and co-sponsors. ....

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