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Medical Nutrition Coverage: New Rules for Digestive and Metabolic Disorders.

This act aims to ensure that federal health programs and private insurance cover the costs of specialized food, vitamins, and amino acids essential for individuals with digestive and inherited metabolic disorders. This will provide patients, including children, with better access to crucial treatment for their health and development, reducing the risk of complications and hospitalizations.
Key points
Expansion of health insurance coverage (Medicare, Medicaid, CHIP, TRICARE, FEHBP, and private insurance) to include medically necessary food, vitamins, and amino acids for individuals with specific conditions.
Definition of medically necessary food includes specially formulated products prescribed by a physician for the dietary management of diseases preventing normal digestion or nutrient absorption.
The act aims to prevent malnutrition, surgeries, and frequent hospitalizations for patients for whom medical food is the only form of treatment.
Ensuring that insurers cannot require medical food to be administered solely via feeding tube if the patient can take it orally.
Strengthening the protection of existing state laws regarding medical food coverage if they provide broader benefits.
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Additional Information
Print number: 118_HR_6892
Sponsor: Rep. McGovern, James P. [D-MA-2]
Process start date: 2023-12-22
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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

Medical Nutrition Equity Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_6892.

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 2023-12-22.

What are the main provisions?

Key points include:

  • Expansion of health insurance coverage (Medicare, Medicaid, CHIP, TRICARE, FEHBP, and private insurance) to include medically necessary food, vitamins, and amino acids for individuals with specific conditions.
  • Definition of medically necessary food includes specially formulated products prescribed by a physician for the dietary management of diseases preventing normal digestion or nutrient absorption.
  • The act aims to prevent malnutrition, surgeries, and frequent hospitalizations for patients for whom medical food is the only form of treatment.
  • Ensuring that insurers cannot require medical food to be administered solely via feeding tube if the patient can take it orally.
  • Strengthening the protection of existing state laws regarding medical food coverage if they provide broader benefits.
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. McGovern, James P. [D-MA-2].

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 2025-12-25.

CATEGORIES

Health