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Ban on QALY Measures in Federal Healthcare Programs

This act prohibits the use of measures like "quality-adjusted life years" (QALYs) in federal healthcare programs, including Medicaid and CHIP. This means that decisions about whether a treatment or medical service will be covered, or how much it will cost, cannot be based on an assessment of a patient's life value. The goal is to ensure that access to healthcare is not limited by such metrics.
Key points
Prohibition of QALYs: Federal agencies and states are prohibited from using measures like "quality-adjusted life years" (QALYs) in healthcare coverage and payment decisions.
Impact on Access to Care: Decisions regarding access to medical treatments and services cannot be based on an assessment of a patient's "value of life," aiming to protect healthcare access for all.
Expanded Scope: The prohibition extends to all federal healthcare programs, including Medicaid (medical assistance for low-income individuals) and CHIP (Children's Health Insurance Program).
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Expired
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Additional Information
Print number: 117_HR_7634
Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5]
Process start date: 2022-04-28
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Protecting Health Care for All Patients Act of 2022

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_7634.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2022-04-28.

What are the main provisions?

Key points include:

  • Prohibition of QALYs: Federal agencies and states are prohibited from using measures like "quality-adjusted life years" (QALYs) in healthcare coverage and payment decisions.
  • Impact on Access to Care: Decisions regarding access to medical treatments and services cannot be based on an assessment of a patient's "value of life," aiming to protect healthcare access for all.
  • Expanded Scope: The prohibition extends to all federal healthcare programs, including Medicaid (medical assistance for low-income individuals) and CHIP (Children's Health Insurance Program).
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. McMorris Rodgers, Cathy [R-WA-5].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health