HR485-118

Passed House

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.

118th Congress Introduced Jan 24, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This 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., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Government Operations, Social Welfare.

Who Benefits and How

health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section HBD837A567FD643EABBFAA0192B5EBD17: 1. Short title This Act may be cited as the Protecting Health Care for All Patients Act of 2023.
  • Section H9BDE69999E744372BC467344F396CFFF: 2. Prohibiting the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs Section...
  • Section H41616E01EC3148F7832FE56FECC956A6: 3. Prevention and Public Health Fund Section 4002(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 300u–11) is amended by striking paragraphs...
  • Section HFC59C4D0B336461D9C8C2E8833869889: 4. Report Not later than 1 year after the date of the enactment of this Act, and annually thereafter, the Comptroller General of the United States shall submit...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

This 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., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Government Operations, Social Welfare

Primary Purpose

This 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., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Government Operations Social Welfare

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
health care providers and patients: , ,
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
federal implementing agencies: , ,
health care providers and patients: , ,

Legislative Progress

Passed House
Introduced Committee Passed
May 17, 2023

Additional sponsors: Mr. Hern and Mr. Carter of Georgia

May 17, 2023

Reported from the Committee on Energy and Commerce with an …

May 17, 2023

Committee on Ways and Means discharged; committed to the Committee …

Jan 24, 2023

Mrs. Rodgers of Washington (for herself, Mr. Smith of Missouri, …

Jan 24, 2023 (inferred)

Passed House (inferred from eh version)

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
5 mentions across 4 clauses
-5 negative

Center for Medicare & Medicaid Innovation, Federal healthcare programs, Federal healthcare programs (Medicare, Medicaid)

Pharmaceuticals
3 mentions across 3 clauses
+3 positive

Pharmaceutical and biotechnology companies

Healthcare Beneficiaries
2 mentions across 2 clauses
+2 positive

Individuals with intellectual and developmental disabilities, Patients with disabilities, elderly, and terminally ill

Healthcare
1 mention across 1 clause
+1 positive

Healthcare prevention service providers

State & Local Government
1 mention across 1 clause
-1 negative

State Medicaid programs

2/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Government Operations Social Welfare
Actor Mappings
"the_secretary"
→ The Secretary identified in the operative section

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology