Bill > HR7634

This bill, the Protecting Health Care for All Patients Act of 2022, prohibits the use of quality-adjusted life years (QALYs) and similar measures in coverage and payment determinations under federal health care programs, including Medicare, Medicaid, and the Federal Employees Health Benefits Program. The bill amends the Social Security Act to specify that federal agencies and states may not use QALY-based prices or pricing metrics that indirectly take such measures into account when making coverage and payment decisions. It also requires state Medicaid and CHIP programs to comply with this prohibition on using QALYs and similar measures.