Protecting Health Care for All Patients Act of 2022

Bill: 117-hr-7634
Sponsor: full_name: Rep. McMorris Rodgers, Cathy [R-WA-5]
Introduced: 2022-04-28
Policy area: Health
Subjects: Child health

Government employee pay, benefits, personnel management

Health care costs and insurance

Health care coverage and access

Medicaid

Poverty and welfare assistance

Veterans' medical care
Latest action: action_date: 2022-04-29
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2022-04-28
action_desc: Introduced in House
text: <p><b>Protecting Health Care for All Patients Act of 2022</b></p> <p>This bill prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally-funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability) to determine relevant thresholds for coverage, reimbursements, or incentive programs.</p>

tv_txt: I 117th CONGRESS 2d Session H. R. 7634 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 measures in coverage and payment determinations under Federal health care programs.

1. Short title This Act may be cited as the Protecting Health Care for All Patients Act of 2022 . 2. Prohibiting the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs (a) In general Section 1182(e) of the Social Security 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 inserting the following: under any Federal health care program (as defined in section 1128B, except that such term shall include the health program established 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; (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 requirements 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-Adjusted life years and similar measures A State child health plan shall provide for compliance with the requirements of section 1182(e) (relating to prohibiting the use of certain measures in coverage determinations, reimbursement, and incentive programs). .