I 
117TH CONGRESS 
2D SESSION 
H. R. 7634 
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 
APRIL 28, 2022 
Mrs. RODGERS of Washington (for herself, Mr. BANKS, Mr. WENSTRUP, and 
Mr. BURGESS) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee 
on Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee 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 2022’’. 
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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 striking ‘‘The Secretary shall not’’ and 
inserting ‘‘A Federal agency or State may not’’; 
(2) by inserting ‘‘, including by using a price 
developed by any entity or government that is based 
on such an adjusted life year (or such a similar 
measure) or using averages or other pricing metrics 
that directly or indirectly take into account such 
prices,’’ after ‘‘(or such a similar measure)’’; and 
(3) 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).’’. 
(b) CONFORMING AMENDMENTS.— 
(1) MEDICAID.—Section 1902(a) of the Social 
Security Act (42 U.S.C. 1396a(a)) is amended— 
(A) in paragraph (86), by striking ‘‘and’’ 
at the end; 
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(B) in paragraph (87)(D), by striking the 
period and inserting ‘‘; and’’; and 
(C) 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).’’. 
(2) CHIP.—Section 2102 of the Social Security 
Act (42 U.S.C. 1397bb) is amended by adding at 
the end the following new subsection: 
‘‘(d) PROHIBITION ON THE USE OF QUALITY-AD-
JUSTED LIFE YEARS AND SIMILAR MEASURES.—A State 
child health plan shall provide for compliance with the re-
quirements of section 1182(e) (relating to prohibiting the 
use of certain measures in coverage determinations, reim-
bursement, and incentive programs).’’. 
Æ 
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