American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Pediatric Issues

Federal Legislative Efforts

Ensuring Lasting Smiles Act

The American College of Surgeons (ACS) supports S.560/ H.R. 1379, the Ensuring Lasting Smiles Act (ELSA). This legislation would address issues that prevent access to necessary diagnosis and treatment for patients with congenial craniofacial anomalies such as such as cleft lip and palate, skeletal and maxillofacial abnormalities, facial paralysis, microtia, hypodontia, and craniosynostosis. Many private health insurance companies cover the preliminary procedures related to these conditions but routinely deny or delay follow-up or corrective procedures, claiming that they are cosmetic in nature. ELSA would require all private group and individual health plans to cover medically necessary services that repair or restore a patient’s anomaly.

In January 2020, both the Energy and Commerce Subcommittee on Health and the Education and Labor Subcommittee on Health, Labor, and Pensions, held hearings to evaluate this legislation. ACS appreciates the committee’s attention to this issue and actively supports its continued advancement in the U.S. House of Representatives.

Coalition Letter of Support (January 3, 2020)

Coalition Letter of Support (January 27, 2020)