,i #aaith ,,congress #ast ,session ,h4 ,r4 #chfd ,,in ,,the ,,house ,,of ,,representatives ,june #aj1 #bjbe,mrs4 ,cammack 7for herself and ,mr4 ,hern of ,oklahoma7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 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 programs4 #a4 ,short title ,this ,act may be cited as the ,protecting ,health ,care for ,all ,patients ,act of #bjbe4 #b4 ,prohibiting the use of quality-adjusted life years and similar measures in coverage and payment determinations under ,federal health care programs 7a7 ,in general ,section #aahb7;e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;e-#a7;e77 is amended-- 7#a7 by inserting or treats extending the life of an elderly1 disabled1 or terminally ill individual as of lower value than extending the life of an individual who is younger1 non-disabled1 or not terminally ill after because of an individual's disability2 7#b7 by inserting described in the preceding sentence after such a similar measure2 7#c7 by striking ,the ,secretary shall not and inserting ,a ,federal agency 7including the ,,cmi 7as described in section #aaae;,a77 or ,state may not2 7#d7 by striking under title ,,xviii4 and inserting the following3 under any ,federal health care program 7as defined in section #aabh;,b1 except that such term shall include the health program established under chapter #hi of title #e1 ,united ,states ,code742 and 7#e7 by adding at the end the following new sentence3 ,notwithstanding any other provision of law1 a ,federal agency 7including the ,,cmi7 or ,state may not waive the application of the provisions of this subsection 7or the provisions of section #aheb7o71 section #ahfj;,d-#ab7;h71 section #aijb7;a77#hh71 section #aicb7;b77#i71 or section #bajb7;e77 under section #aaae1 section #aaae;,a1 or any other demonstration or waiver authority44 7b7 ,conforming amendments 7#a7 ,medicaid 7,a7 ,in general ,section #aijb7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is amended-- 7i7 in paragraph 7#hf71 by striking and at the end2 7ii7 in paragraph 7#hg77;,d71 by striking the period and inserting 2 and2 and 7iii7 by inserting after paragraph 7#hg7 the following new paragraph3 7#hh7 provide for compliance with the requirements of section #aahb7;e7 7relating to prohibiting the use of certain measures in coverage determinations1 reimbursement1 and incentive programs74 4 7,b7 ,managed care organizations ,section #aicb7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;b77 is amended by adding at the end the following new paragraph3 7#i7 ,prohibition on use of quality-adjusted life years ,the provisions of section #aahb7;e7 shall apply to the utilization of a dollars-per-quality adjusted life year or similar measure 7as described in such section7 by a medicaid managed care organization under this title 7or a prepaid inpatient health plan or prepaid ambulatory health plan1 as defined in section #dch4b of title #db1 ,code of ,federal ,regulations 7or any successor regulation71 under a contract with the ,state7 in the same manner as such provisions apply to the utilization of such a year or measure by a ,state under this title4 4 7#b7 ,,chip ,section #bajb of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;bb7 is amended by adding at the end the following new subsection3 7e7 ,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 #aahb7;e7 7relating to prohibiting the use of certain measures in coverage determinations1 reimbursement1 and incentive programs74 4 7#c7 ,medicare ,advantage ,section #aheb of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7 is amended by adding at the end the following new subsection3 7o7 ,prohibition on use of quality-,adjusted life years ,the provisions of section #aahb7;e7 shall apply to the utilization of a dollars-per-quality adjusted life year or similar measure 7as described in such section7 by an ,,ma plan in the same manner as such provisions apply to the utilization of such a year or measure by the ,secretary under this title4 4 7#d7 ,medicare part ,d ,section #ahfj;,d-#ab of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aab7 is amended by adding at the end the following new subsection3 7h7 ,prohibition on use of quality-,adjusted life years ,the provisions of section #aahb7;e7 shall apply to the utilization of a dollars-per-quality adjusted life year or similar measure 7as described in such section7 by a prescription drug plan in the same manner as such provisions apply to the utilization of such a year or measure by the ,secretary under this title4 4 7c7 ,implementation ,the amendments made by this section shall apply beginning on ,january #a1 #bjbg4 #c4 ,prevention and ,public ,health ,fund ,section #djjb7;b7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #cjju-#aa7 is amended by striking paragraphs 7#g71 7#h71 and 7#i7 and inserting the following3 7#g7 for each of fiscal years #bjbf and #bjbg1 #a1ajb1jjj1jjj2 7#h7 for each of fiscal years #bjbh and #bjbi1 #a1cbg1jjj1jjj2 7#i7 for each of fiscal years #bjcj and #bjca1 #a1ebf1jjj1jjj2 and 4 #d4 ,report ,not later than #a year after the date of the enactment of this ,act1 and annually thereafter1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report on how quality-adjusted life years negatively impacts individuals with intellectual and developmental disabilities and their access to care4