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Federal · 119th Congress

S3011 Prohibiting Abortion & Transgender Procedures on the Exchanges Act

Direction

Transgender healthcareAI label

Restricts transgender recognition & access model confidence 95%

Prohibits health plans on the ACA Exchanges from covering gender-transition procedures (puberty blockers, cross-sex hormones, surgeries) for minors, with narrow exceptions for disorders of sex development or life-threatening conditions, so less access to such care for transgender minors.

An Exchange may not make available any health plan... that provides coverage for-- (B) gender-transition procedures for minors.

⚠ Quote could not be matched to the bill text: treat this label with caution

Abortion funding insuranceAI label

Restricts abortion access model confidence 90%

Prohibits health plans on the ACA Exchanges from covering abortion except in cases of life endangerment, rape or incest, and strikes prior provisions allowing state opt-out and nondiscrimination based on abortion provision, so narrower insurance coverage of abortion.

An Exchange may not make available any health plan... that provides coverage for-- (A) abortion, except in the case where a woman suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death unless an abortion is performed, including a life-endangering physical condition caused by or arising from the pregnancy itself, or unless the pregnancy is the result of an act of rape or incest;

⚠ Quote could not be matched to the bill text: treat this label with caution

  1. Introduced (completed)
  2. Committee
  3. Passed one chamber
  4. Passed both
  5. President
  6. Law

Stage: Committee · step 2 of 6

Last action
2025-10-15: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Filed
2025-10-15
Committee
Health, Education, Labor, and Pensions Committee
Sponsor
Josh Hawley R

Why the model tagged it this way: The bill amends the ACA to bar Exchange health plans from covering abortion (with limited exceptions) or gender-transition procedures for minors (with defined exceptions), directly restricting both topics via insurance coverage limits. No other listed topics are substantively addressed.

Related bills

Sponsors

Text versions

History (2 actions)
DateChamberAction
2025-10-15LibraIntroduced in Senate
2025-10-15SenatRead twice and referred to the Committee on Health, Education, Labor, and Pensions.