Medical Foods and Formulas Access Act of 2025
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Summary
Expands coverage under Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to include medically necessary food and associated equipment and supplies. Defines medically necessary food as specially formulated and processed products (e.g., nutritional formulas) prescribed by health care practitioners for individuals with special dietary requirements due to certain digestive or metabolic disorders or conditions.
Key Provisions
Expands Medicare, Medicaid, CHIP, and FEHBP coverage to include medically necessary food and associated equipment/supplies. Defines medically necessary food as specially formulated and processed products prescribed by health care practitioners for individuals with special dietary requirements due to digestive or metabolic disorders.
Who This Bill Serves & Who's Backing It
Core Patient Populations
People with food allergies — including children, students, and their families.
Advocacy Groups Backing This Legislation
No advocacy organizations are currently tracked as backing this bill.Browse advocacy organizations →
Legislative Timeline
Votes & Legislative History
Medically Necessary Foods Coverage
Medically Necessary Foods Coverage Act of 2022
Requires health insurance plans in the District to provide coverage for medically necessary foods for individuals with specific conditions, including IgE and non-IgE mediated food allergies, FPIES, and eosinophilic esophagitis.
Elijah's Law
Elijah's Law
Requires the commissioner of health to establish anaphylactic policies for child care programs to protect children with severe food allergies.
Allergy Safe Schools Act
Increases food allergy safety in public schools by requiring a nurse in every school, staff training on anaphylaxis, medical action plans, and prohibiting food at school celebrations.
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