Republican Representative Diana Harshbarger of Tennessee is introducing legislation that would require health insurers covering transgender medical procedures to also cover treatment for people who seek to detransition, including reversing surgeries where possible. The proposal aims to address concerns that some patients may be left without insurance support after changing their decisions about transition-related care.

Harshbarger, who has a pharmacy background, argues that insurers should bear responsibility for follow-up care when they fund transgender procedures. The article frames the bill around detransitioners’ experiences, including accounts from campaigners who say they received medical interventions when younger and later sought to reverse or manage their effects; the excerpt does not provide the bill’s full terms, projected cost or evidence of its likely prospects in Congress.