Prohibiting Abortion & Transgender Procedures on the Exchanges Act

This bill prohibits health insurance plans sold through the American Health Benefits Exchanges (the ACA marketplace) from covering abortion (except in cases of life endangerment, rape, or incest) or gender-transition procedures for minors. It defines "gender-transition procedures" to include puberty blockers, hormone therapy, or surgeries for minors seeking to align their bodies with their gender identity, with limited medical exceptions. The law directly affects health plans on the ACA marketplace and their enrollees, particularly minors seeking gender-affirming care and individuals seeking abortions outside the specified exceptions. The changes would take effect for plan years starting January 1, 2026.