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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
Medical Nutrition Equity Act of 2023
Print number: HR 6892
Sponsor: Rep. McGovern, James P. [D-MA-2]
Process start date: 2023-12-22