This is an example of a bill, once elected, I will propose.

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To require health insurance coverage parity for natural and holistic treatments and for services provided by licensed naturopathic doctors, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE. This Act may be cited as the "Natural Treatment and Naturopathic Parity Act of 2027".

SECTION 2. FINDINGS. Congress finds the following: (1) For over a century, natural and holistic treatments, such as natural desiccated thyroid hormone replacements, have been effective for many patients managing chronic conditions like hypothyroidism but have been understudied due to lack of financial incentives compared to synthetic pharmaceuticals. (2) Health insurers often deny or limit coverage for these treatments, citing inconsistencies or insufficient evidence, while readily covering synthetics—despite patient preferences and supportive data. (3) Licensed naturopathic doctors (NDs) provide preventive, integrative care aligned with Make America Healthy Again (MAHA) goals, yet are frequently excluded from insurance plans as covered providers or primary care providers (PCPs), particularly in Medicare and many private plans. (4) Requiring parity promotes patient choice, reduces discrimination, and supports MAHA's shift toward prevention—without new taxpayer expenditures or universal mandates.

SECTION 3. COVERAGE PARITY FOR NATURAL AND HOLISTIC TREATMENTS. (a) In General.—Section 2706 of the Public Health Service Act (42 U.S.C. 300gg-5), as amended by the Affordable Care Act, is further amended by adding at the end the following: "(d) Parity for Natural and Holistic Treatments.— (1) A group health plan and a health insurance issuer offering group or individual health insurance coverage shall provide coverage for natural or holistic treatments on terms no less favorable than those applicable to comparable synthetic or pharmaceutical treatments for the same condition. (2) Such coverage shall include no greater cost-sharing (copayments, coinsurance, deductibles), prior authorization requirements, or utilization management than for equivalent pharmaceuticals, subject to medical necessity review. (3) For purposes of this subsection, 'natural or holistic treatments' means therapies, including but not limited to natural desiccated thyroid extracts, dietary supplements, and integrative interventions— (A) prescribed by a licensed healthcare provider; (B) supported by diverse evidence of safety and efficacy, including peer-reviewed clinical studies, real-world patient outcomes, historical medical use, observational data, or expert consensus (as designated by the Secretary); and (C) not posing undue risk as determined by the Food and Drug Administration. (4) The Secretary shall establish expedited review processes for treatments with over 50 years of documented use, prioritizing those addressing chronic conditions like thyroid disorders. (5) Nothing in this subsection requires coverage of treatments lacking sufficient safety or efficacy data, or expands essential health benefits beyond current law."

(b) Application to Medicare and Other Programs.—The Secretary of Health and Human Services shall apply similar parity requirements to Medicare Advantage plans (under part C of title XVIII of the Social Security Act) and other Federal health programs, to the extent feasible without increasing overall program costs.

(c) Guidance and List.—Not later than 180 days after the date of enactment, and annually thereafter, the Secretary, in consultation with the Commissioner of Food and Drugs, the MAHA Commission, and stakeholders (including patient advocates and integrative medicine experts), shall issue guidance and maintain a public list of qualifying natural or holistic treatments. This shall incorporate emerging evidence and address historical biases in research funding.

SECTION 4. PARITY FOR LICENSED NATUROPATHIC DOCTORS AS PROVIDERS AND PRIMARY CARE PROVIDERS. (a) In General.—Section 2706 of the Public Health Service Act (42 U.S.C. 300gg-5) is further amended by adding at the end the following: "(e) Parity for Naturopathic Doctors.— (1) A group health plan and a health insurance issuer offering group or individual health insurance coverage shall provide coverage for services furnished by a licensed naturopathic doctor (ND) on terms no less favorable than those applicable to the same or similar services furnished by a physician (MD or DO). (2) Such coverage shall include recognition of licensed NDs as eligible primary care providers (PCPs) for purposes of plan designation, referrals, and care coordination, provided the ND is licensed in the state where services are rendered and acting within their scope of practice. (3) Coverage under this subsection shall apply to preventive, diagnostic, and therapeutic services, including but not limited to holistic assessments, nutritional counseling, and natural therapies, subject to medical necessity and without greater cost-sharing or restrictions than for equivalent physician services. (4) Nothing in this subsection requires coverage for services outside an ND's state-licensed scope or expands essential health benefits beyond current law."

(b) Medicare Amendments.— (1) Section 1861(r) of the Social Security Act (42 U.S.C. 1395x(r)), defining "physician," is amended to include licensed naturopathic doctors (NDs) for purposes of Medicare coverage, to the extent they are licensed in the state and providing services within their scope. (2) The Secretary shall update Medicare regulations to allow licensed NDs to serve as primary care providers (PCPs) in Medicare Advantage plans and original Medicare, including for billing and reimbursement at rates comparable to primary care physicians for equivalent services.

(c) Guidance.—Not later than 180 days after the date of enactment, the Secretary shall issue guidance on implementing naturopathic parity, including reimbursement standards and integration with MAHA preventive care initiatives.

SECTION 5. EFFECTIVE DATE. The amendments made by this Act shall apply to plan years beginning on or after June 1, 2027.