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S 3104

Requires comprehensive coverage for treatment of obesity

2025 Regular Session Introduced by Jeremy Cooney

Summary of S 3104 - Requires Comprehensive Coverage for Obesity Treatment OverviewThis bill, titled "Requires Comprehensive Coverage for Treatment of Obesity", aims to mandate that

REFERRED TO HEALTH
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Bill Summary · S 3104

Summary of S 3104 - Requires Comprehensive Coverage for Obesity Treatment

Overview

This bill, titled "Requires Comprehensive Coverage for Treatment of Obesity", aims to mandate that health insurance plans provide comprehensive coverage for the diagnosis and treatment of obesity. The bill was introduced in the Senate on November 5, 2025 and has been referred to the Health committee for consideration.

Key Provisions

The main provisions of S 3104 include:

  1. Required Coverage for Obesity Treatment: Health insurance plans, including those offered through the individual and group markets as well as public programs like Medicare and Medicaid, would be required to cover the following treatments for obesity:

    • Intensive behavioral counseling and therapy
    • Pharmacotherapy (FDA-approved weight loss medications)
    • Bariatric surgery, including gastric bypass, sleeve gastrectomy, and other procedures

  2. Elimination of Cost-Sharing: The bill would prohibit insurers from imposing any deductibles, copayments, or other cost-sharing requirements for covered obesity treatments.

  3. Expansion of Preventive Services: The legislation would also require coverage of intensive, multicomponent behavioral interventions to promote sustained weight loss for adults with a body mass index (BMI) of 30 or higher.

Affected Populations

The provisions of S 3104 would impact:

  • Individuals enrolled in private, employer-sponsored, and individual health insurance plans
  • Medicare and Medicaid beneficiaries
  • Providers who treat patients for obesity, including primary care physicians, dietitians, and bariatric surgeons

Procedural Considerations

  • This bill is related to previous legislation, S 8959, which was introduced in the prior congressional session but did not become law.
  • The current version, S 3104, has been referred to the Senate Health committee for further consideration and potential amendment before advancing to a full Senate vote.
  • If passed by the Senate, the bill would then need to be taken up and approved by the House of Representatives before being sent to the President for signature into law.

Overall, S 3104 seeks to expand access to comprehensive obesity treatment by requiring insurance coverage and eliminating cost barriers for patients. The bill's passage could have significant implications for the healthcare system and individuals struggling with obesity-related health issues.

Compiled from official sources — confirm details with the bill’s official record.

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