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Ensuring Lasting Smiles Act
This bill requires private health insurance plans to cover diagnosis and treatment of congenital anomalies and birth defects, such as reconstructive services and items. Coverage must include services and items that functionally improve, repair, or restore any body part that is medically necessary for normal bodily functions or appearance, as determined by the treating physician. Coverage limits and cost-sharing requirements for such services and items may not be more restrictive than those applicable to all medical and surgical benefits under the plan.
Written by the nonpartisan Congressional Research Service, describing H.R. 1916 as passed House on Apr 4, 2022. It is not the text of the measure; a later amendment may have changed what it does.
House Apr 4, 2022
Ensuring Lasting Smiles Act
Passed · Two-thirds required
310 Yea 110 Nay 9 not voting
Crossed both parties 92 of 420 voting members broke with their own party: 92 Republicans.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
429 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 1916 and vote against it. 133 signed when it was filed.
Showing the first 250 of 317 cosponsors, which is the largest page congress.gov serves.
Organizations that named H.R. 1916 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
33 disclosures name this measure. Retrieved from LDA.gov on 2026-10-04. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.