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HR 5684 · in committee · significant

Medical Foods and Formulas Access Act of 2025

What this bill does

  • This bill requires Medicare, Medicaid, CHIP, and federal employee health plans to cover medically necessary food and related equipment.
  • The coverage applies to people with digestive or metabolic disorders who need specially formulated nutritional products prescribed by doctors.
  • The bill takes effect upon enactment with no specified federal spending limit mentioned in the bill text.

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Community Threads

Started by Cosponsor

  1. 01

    How would requiring Medicare and Medicaid to cover medically necessary food and formulas affect healthcare costs for these programs without a specified spending limit?

  2. 02

    Which digestive or metabolic disorders should qualify for coverage under this bill, and who decides if a patient's prescribed formula meets the medical necessity standard?

  3. 03

    What is the current gap in coverage for medical foods across private insurance and government programs, and how many patients would gain access if this bill passes?

Cosponsor writes these to seed civic discussion — they aren't user posts. Sign in to reply.

Sponsor · D-MA-2

James P. McGovern

Citizen cosponsors

0

In Congress

10/ 435

House Reps cosponsoring

Introduced 2025-10-03

Joining the bill

Legislative timeline

  1. 2025-10-03 · house · IntroReferral

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, 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.

  2. 2025-10-03 · house · IntroReferral

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, 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.

  3. 2025-10-03 · house · IntroReferral

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, 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.

  4. 2025-10-03 · IntroReferral

    Introduced in House

  5. 2025-10-03 · IntroReferral

    Introduced in House

Congress.gov ↗

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