The proposed bill, known as the Fairness in Access to Interventions for Reversal of Covered Alteration or Reassignment Encounters Act, mandates insurance coverage for transition intervention reversal services in Pennsylvania. It defines "transition intervention reversal service" as healthcare services aimed at restoring physical or functional characteristics consistent with an individual's biological sex after they have undergone a gender transition intervention. The bill requires that private health insurance policies and state-funded programs, such as medical assistance and the Children's Health Insurance Program, provide coverage for these reversal services if they previously covered a gender transition intervention for the same individual.

Additionally, the bill outlines reporting requirements for health insurers and the Department of Human Services. Insurers must annually report the number of individuals covered for transition intervention reversal services and the associated expenditures to the Insurance Department. The Insurance Department is tasked with summarizing this data in a report to legislative committees, while the Department of Human Services must report on the services covered under state programs. The bill also abrogates any inconsistent regulations and is set to take effect immediately upon passage.