Medical Foods and Formulas Access Act of 2025
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Summary
The Medical Foods and Formulas Access Act of 2025 requires Medicare and Medicaid to cover medically necessary foods, vitamins, and individual amino acids prescribed for patients with digestive and inherited metabolic disorders. The bill defines covered medical foods as specially formulated products (not ordinary foods) used for dietary management of specified conditions including inherited metabolic disorders, malabsorption syndromes, food protein allergies, and inflammatory bowel disease. Medicare would cover 80 percent of the cost under a fee schedule, with implementation three years after enactment, while Medicaid coverage would be mandatory for states. The bill also includes provisions to protect existing state and federal coverage and prevent states from reducing benefits.
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