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ARTICLE | Politics, Policy & Law

House Republicans want to ban QALYs from federal, state healthcare

Patient groups, industry support anti-QALY bill; ICER, consumer groups oppose it

February 1, 2023 12:45 AM UTC

Legislation introduced Tuesday by House Republicans seeks to prevent the use of quality-adjusted life years and similar metrics by all federal and state government agencies for healthcare payment or coverage decisions.

If enacted, the Protecting Health Care for All Patients Act of 2023 (H.R. 485) could force the Veterans Administration and some state Medicaid programs to stop using value assessments developed by the Institute for Clinical and Economic Review (ICER) or other entities that use methods similar to ICER’s. ...

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