What does Preamble of Protecting Health Care for All Patients Act of 2025 do?

This bill proposes to amend title XI of the Social Security Act. The proposed amendment would prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations. These determinations would be made under Federal health care programs.

What does SHORT TITLE. of Protecting Health Care for All Patients Act of 2025 do?

This bill is formally titled Protecting Health Care for All Patients Act of 2025.

What does PROHIBITING THE USE OF QUALITY-ADJUSTED LIFE YEARS AND SIMILAR of Protecting Health Care for All Patients Act of 2025 do?

This section amends Section 1182(e) of the Social Security Act to prohibit Federal agencies and States from using quality-adjusted life years (QALYs) or similar measures in coverage and payment determinations under Federal health care programs. The amendment expands the prohibition to include programs such as Medicare, Medicaid, CHIP, and Medicare Part D. It prohibits waivers of these provisions under demonstration or waiver authorities. The section adds conforming amendments to various sections of the Social Security Act related to Medicaid, CHIP, Medicare Advantage, and Medicare Part D to ensure compliance with the QALY prohibition. The changes made by this section will take effect on January 1, 2027.

What does PREVENTION AND PUBLIC HEALTH FUND. of Protecting Health Care for All Patients Act of 2025 do?

This section amends Section 4002(b) of the Patient Protection and Affordable Care Act. The amendment modifies funding levels for the Prevention and Public Health Fund. Funding is allocated as follows: $1,102,000,000 for fiscal years 2026 and 2027. Funding is allocated as follows: $1,327,000,000 for fiscal years 2028 and 2029. Funding is allocated as follows: $1,526,000,000 for fiscal years 2030 and 2031.

What does REPORT. of Protecting Health Care for All Patients Act of 2025 do?

This section requires the Comptroller General of the United States to submit an annual report to Congress. The report must address the negative impact of quality-adjusted life years on individuals with intellectual and developmental disabilities. The report must also address the impact on their access to care. The first report is due within one year of the Act's enactment, with subsequent reports due annually thereafter.

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Protecting Health Care for All Patients Act of 2025

Last updated: 6/10/2025 · Introduced: 6/10/2025

Author: Kat Cammack (R-FL)

TL;DR (AI)

This bill prohibits federal agencies and states from using quality-adjusted life years (QALYs) or similar measures in coverage and payment decisions for federal healthcare programs like Medicare and Medicaid.
The bill modifies funding levels for the Prevention and Public Health Fund, allocating specific amounts for fiscal years 2026 through 2031.
It requires an annual report to Congress assessing the impact of QALYs on individuals with intellectual and developmental disabilities and their access to care.

119th Congressin committeeOfficial page

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Includes provisions on preamble, short title., and 3 more.

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