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US SB3304

Bill

Status

Introduced

12/2/2025

Primary Sponsor

Roger Wicker

Click for details

Origin

Senate

119th Congress

AI Summary

  • Requires Medicare, Medicaid, CHIP, and Federal Employee Health Benefits Program (FEHBP) to cover medically necessary food, vitamins, and amino acids for patients with digestive and inherited metabolic disorders who cannot properly digest or metabolize ordinary food

  • Defines covered conditions to include inherited metabolic disorders on the Recommended Uniform Screening Panel, malabsorption conditions like short bowel syndrome, food protein allergies, eosinophilic disorders, and inflammatory bowel diseases including Crohn's disease and ulcerative colitis

  • Coverage includes specially formulated products for oral or tube feeding, low protein modified foods, amino acid preparations, and the medical equipment and supplies needed to administer them, when prescribed by a physician or qualified practitioner

  • Excludes from coverage general diet foods for disease risk reduction or weight loss, gluten-free foods for celiac disease, and foods marketed for diabetes management

  • Sets phased implementation: CHIP and FEHBP coverage begins 1 year after enactment, Medicaid coverage in 2 years, and Medicare coverage in 3 years, with exceptions for states requiring legislative action

Legislative Description

Medical Foods and Formulas Access Act of 2025

Health

Last Action

Read twice and referred to the Committee on Finance.

12/2/2025

Committee Referrals

Finance12/2/2025

Full Bill Text

No bill text available