Protecting Health Care for All Patients Act of 2025

This bill prohibits federal health programs (including Medicare, Medicaid, and CHIP) from using quality-adjusted life years (QALYs) or similar metrics to deny coverage, limit payments, or set incentives for care. It directly affects patients with disabilities, elderly individuals, or those with terminal illnesses, who may have faced reduced care access under such metrics. Key provisions ban QALY-based decisions in coverage determinations starting January 1, 2027, and require states and insurers to comply. The bill also mandates a report on how QALYs negatively impact access to care for people with intellectual and developmental disabilities.