I 
119TH CONGRESS 
1ST SESSION H. R. 3864 
To amend title XI of the Social Security Act to prohibit the use of quality- 
adjusted life years and similar measures in coverage and payment deter-
minations under Federal health care programs. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 10, 2025 
Mrs. CAMMACK (for herself and Mr. HERN of Oklahoma) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XI of the Social Security Act to prohibit 
the use of quality-adjusted life years and similar meas-
ures in coverage and payment determinations under Fed-
eral health care programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protecting Health Care 
for All Patients Act of 2025’’. 
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SEC. 2. PROHIBITING THE USE OF QUALITY-ADJUSTED 
LIFE YEARS AND SIMILAR MEASURES IN COV-
ERAGE 
AND 
PAYMENT 
DETERMINATIONS 
UNDER FEDERAL HEALTH CARE PROGRAMS. 
(a) IN GENERAL.—Section 1182(e) of the Social Se-
curity Act (42 U.S.C. 1320e–1(e)) is amended— 
(1) by inserting ‘‘or treats extending the life of 
an elderly, disabled, or terminally ill individual as of 
lower value than extending the life of an individual 
who is younger, non-disabled, or not terminally ill’’ 
after ‘‘because of an individual’s disability’’; 
(2) by inserting ‘‘described in the preceding 
sentence’’ after ‘‘such a similar measure’’; 
(3) by striking ‘‘The Secretary shall not’’ and 
inserting ‘‘A Federal agency (including the CMI (as 
described in section 1115A)) or State may not’’; 
(4) by striking ‘‘under title XVIII.’’ and insert-
ing the following: ‘‘under any Federal health care 
program (as defined in section 1128B, except that 
such term shall include the health program estab-
lished under chapter 89 of title 5, United States 
Code).’’; and 
(5) by adding at the end the following new sen-
tence: ‘‘Notwithstanding any other provision of law, 
a Federal agency (including the CMI) or State may 
not waive the application of the provisions of this 
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subsection (or the provisions of section 1852(o), sec-
tion 1860D–12(h), section 1902(a)(88), section 
1932(b)(9), or section 2102(e)) under section 1115, 
section 1115A, or any other demonstration or waiver 
authority.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) MEDICAID.— 
(A) IN GENERAL.—Section 1902(a) of the 
Social Security Act (42 U.S.C. 1396a(a)) is 
amended— 
(i) in paragraph (86), by striking 
‘‘and’’ at the end; 
(ii) in paragraph (87)(D), by striking 
the period and inserting ‘‘; and’’; and 
(iii) by inserting after paragraph (87) 
the following new paragraph: 
‘‘(88) provide for compliance with the require-
ments of section 1182(e) (relating to prohibiting the 
use of certain measures in coverage determinations, 
reimbursement, and incentive programs).’’. 
(B) MANAGED
CARE
ORGANIZATIONS.— 
Section 1932(b) of the Social Security Act (42 
U.S.C. 1396u–2(b)) is amended by adding at 
the end the following new paragraph: 
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