HR 485 United States House · 118th Congress

Protecting Health Care for All Patients Act of 2023

HR 485, the Protecting Health Care for All Patients Act of 2023, prohibits federal health programs from using quality-adjusted life years (QALYs) or similar measures to decide coverage, payment, or incentives. It directly affects Medicare, Medicaid, CHIP, and other federal health programs by banning the use of QALYs - metrics that weigh health outcomes against cost - when determining patient coverage or reimbursement. The bill amends key sections of the Social Security Act to require states and federal agencies to comply with this prohibition in all program rules and administration. This policy change aims to prevent decisions based on metrics that might limit access to care for certain patients, particularly those with chronic conditions or disabilities.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2023

Committee Review

Dec 2024

House Passage

Feb 2024

Senate Passage

President

Introduced Jan 24, 2023 Last action Dec 17, 2024

Floor votes · House Feb 7, 2024

How they voted

211–208

Passed · 11 other

Total votes 430

Feb 7, 2024

D Democratic212

208 Nay 4

98% Nay

I Independent1

1 Yea

100% Yea

R Republican217

210 Yea 7

96% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Dec 17, 2024

Committee

Referred to the Subcommittee on Health.

lower

Feb 8, 2024

Committee

Received in the Senate and Read twice and referred to the Committee on Finance.

upper

Feb 7, 2024

Lower · Passed

On passage Passed by recorded vote: 211 - 208 (Roll no. 40).

lower

Feb 7, 2024

Lower · Passed

Passed/agreed to in House: On passage Passed by recorded vote: 211 - 208 (Roll no. 40).

lower

Feb 7, 2024

Lower · Passed

Mrs. Fletcher moved to recommit to the Committee on Energy and Commerce. (text: CR H518)

lower

Feb 7, 2024

Lower · Passed

The House adopted the amendment as agreed to by the Committee of the Whole House on the state of the Union.

lower

Feb 7, 2024

Lower · Passed

The House rose from the Committee of the Whole House on the state of the Union to report H.R. 485.

lower

Feb 7, 2024

Lower · Passed

DEBATE - Pursuant to the provisions of H. Res. 996, the Committee of the Whole proceeded with 10 minutes of debate on the Molinaro amendment No. 1.

lower

Feb 7, 2024

Lower · Passed

GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 485.

lower

Feb 7, 2024

Lower · Passed

The Speaker designated the Honorable Daniel Meuser to act as Chairman of the Committee.

lower

Feb 7, 2024

Lower · Passed

House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 996 and Rule XVIII.

lower

Feb 7, 2024

Lower · Passed

Rule provides for consideration of H. Res. 863 and H.R. 485. The resolution provides for consideration of H. Res. 863 under a closed rule and H.R. 485 under a structured rule. The rule provides for two hours of general debate on H. Res. 863 and one hour of general debate on H.R. 485. One motion to recommit allowed on H.R. 485. The resolution further provides that upon adoption H. Res. 863, H. Res. 995 is considered adopted; and further, that no other resolution incidental to impeachment relating to H. Res. 863 shall be privileged during the remainder of the 118th Congress.

lower

Feb 6, 2024

Lower · Passed

Rule H. Res. 996 passed House.

lower

Feb 5, 2024

Lower · Passed

Rules Committee Resolution H. Res. 996 Reported to House. Rule provides for consideration of H. Res. 863 and H.R. 485. The resolution provides for consideration of H. Res. 863 under a closed rule and H.R. 485 under a structured rule. The rule provides for two hours of general debate on H. Res. 863 and one hour of general debate on H.R. 485. One motion to recommit allowed on H.R. 485. The resolution further provides that upon adoption H. Res. 863, H. Res. 995 is considered adopted; and further, that no other resolution incidental to impeachment relating to H. Res. 863 shall be privileged during the remainder of the 118th Congress.

lower

May 17, 2023

Lower · Passed

Committee on Ways and Means discharged.

lower

May 17, 2023

Lower · Passed

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-65, Part I.

lower

Mar 24, 2023

Introduced

Ordered to be Reported (Amended) by the Yeas and Nays: 27 - 20.

lower

Mar 24, 2023

Lower · Passed

Committee Consideration and Mark-up Session Held.

lower

Mar 23, 2023

Lower · Passed

Committee Consideration and Mark-up Session Held.

lower

Mar 8, 2023

Lower · Passed

Forwarded by Subcommittee to Full Committee by Voice Vote .

lower

Mar 8, 2023

Lower · Passed

Subcommittee Consideration and Mark-up Session Held.

lower

Jan 24, 2023

Committee

Referred to the Subcommittee on Health.

lower

Jan 24, 2023

Committee

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.

lower

Jan 24, 2023

Introduced

Introduced in House

lower

1 primary · 5 co-sponsors