Since the Ensuring Lasting Smiles Act (ELSA) was re-introduced, it has received incredible bi-partisan support in the U.S. House of Representatives and the U.S. Senate.

During our Advocacy Day on the Hill events, our advocates fight for ELSA to get passed in the current session of the U.S. Congress, and on Monday, April 4, 2022, ELSA was passed by the U.S. House of Representatives!

This federal legislation would require private insurance to cover medically necessary services resulting from congenital anomalies.

We’re Baaaacccckkk! Join The Fight on October 19

The Ensuring Lasting Smiles Act (ELSA) has come farther than ever because of the dedication and efforts of YOU, our advocates. BUT, we have very little time left in the 117th Congress to get ELSA passed into law. If we don’t get this done by the end of the year, we will have to start all over!

And, that is why we are here, asking you to raise your voice for ELSA, again. Please join Team ELSA for another Virtual Advocacy Day with the Senate on October 19, 2022.

Register Now!

Never participated in a Virtual Advocacy Day Before? No problem, check out what to expect during Virtual Advocacy Day.

Sponsor Advocacy Day with The Senate

It takes a lot of resources to host a successful advocacy day. Your sponsorship will ensure that we can continue to offer valuable advocacy training and resources in addition to scheduling virtual legislative meetings for ELSA advocates. Any donation of $500 or more will be recognized in our sponsorship posts. 

You can submit your sponsorship at the time of registration. Can’t join us on Advocacy Day? Use the button below to support the event with a donation.

Please contact Becky at for more information about the event and/or sponsorships.

Sponsor Only

Show your ELSA Spirit on Advocacy Day

Let’s light up social media with support for ELSA. Please remember to use the hashtags, exactly as they are written, #EnsuringLastingSmiles and #NFEDOnTheHill2022, so that we can find and see your posts!

What to Expect During Virtual Advocacy Day

Advocates who join us on Advocacy Day will have at least two virtual meetings scheduled that day, one with each senator from their state. Final schedules with meeting times will be available about a week prior to the event and emailed to you. There will also be other advocates on the meeting, so you won’t be alone.

It is extremely important that registered advocates keep their schedule and participate in the full day. As you can imagine, senators and their staff are very busy, and we want to appreciate and respect their time by showing up at our scheduled times. Please make every effort to attend the meetings after you register. If there is a time conflict or you need to remove your registration, please contact as soon as you can. 

You will access your meeting schedule and connect virtually with the senators or their staff member(s) using an online platform. How to access and use the platform will be covered during the mandatory training on Tuesday, October 11 from 7 p.m. to 8:30 p.m. CT (you will receive information on how to join this Zoom webinar via email).

During the meeting, you will have approximately two minutes to tell your personal or patient’s story about what ELSA would mean to you and your family or patients, and why we are asking the Senate to make the bill a priority. At the end of the day, all participating advocates are invited to a Zoom party to celebrate everyone’s hard work!

Can’t Participate? You Can Still Help!

We still need your help to advocate for ELSA. Please contact your U.S. Senators NOW and ask them to make the Ensuring Lasting Smiles Act (S. 754) a priority.

Here’s What You Can Do

  1. Use our quick and easy webtool to send a message directly to your Senators. This only takes a couple of minutes!
  2. Post about the #EnsuringLastingSmiles Act on social media, tag your Senators, and ask them to make ELSA a priority. You can find your Senator’s social media accounts here.
  3. Tell your friends, family and colleagues how important ELSA is to you and ask them to reach out to their Senators in support of this life-changing legislation.

Our Last Virtual Advocacy Day with The Senate

On June 21, the NFED hosted a second advocacy day event in support of the Ensuring Lasting Smiles Act. The NFED’s Advocacy Day with The Senate saw over 300 advocates meet with 49 U.S. Senate offices. Their mission was to ask their senators to co-sponsor the bill and to help move it through the Senate H.E.L.P. Committee.

This year’s first Advocacy Day took place on March 23, just five days prior to ELSA going to the U.S. House of Representatives for a vote. Because our advocates raised their voices and bravely told their stories, the House passed ELSA! This is an extraordinary milestone for this life-changing bill, but our work is not done. To become a law, ELSA must be passed by the U.S. Senate and then signed into law by the President.

Thank You to Our Advocacy Day Sponsors

Register Virtual Advocacy Day With The Senate