House QALY Bill Overreach Threatens Medicare Price Negotiation Program, Democrats Warn

Concern about disrupting the implementation of the negotiation program could presage a tough road for the legislation in the Democrat-controlled Senate.

Bill Language Expected To Change Before Full House Vote • Source: Shutterstock

House legislation prohibiting the use of quality-adjusted life years (QALYs) as a cost effectiveness metric in federal health insurance programs needs to safeguard some cost effectiveness tools because otherwise it could undermine implementation of the Medicare price negotiation program, Democrats said during a markup of the bill in the House Energy and Commerce Committee on 24 March.

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