Medical Foods and Formulas Access Act of 2025

The Medical Foods and Formulas Access Act of 2025 would require Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to cover medically necessary food for people with specific digestive and metabolic disorders. This includes specialized formulas and nutrients prescribed by healthcare providers for conditions like inherited metabolic disorders, inflammatory bowel disease, and food protein allergies. The bill defines "medically necessary food" to include items such as amino acid preparations, low protein modified foods, and vitamins specifically designed for these conditions, along with necessary medical equipment for administration. Coverage would apply to federal health programs with different effective dates (1-3 years from enactment) and encourages private health insurance plans to provide similar coverage for these life-sustaining treatments.