# 119-s-3304: Medical Foods and Formulas Access Act of 2025

119-s-3304, Medical Foods and Formulas Access Act of 2025, is a 119th Congress bill sponsored by Sen. Wicker, Roger F. [R-MS] (R-MS); status introduced; PRIA reads it as touching household money (as of 2026-06-11).

- Canonical: https://policyrisk.com/legislation/119-s-3304
- As of: 2026-06-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3304
- Congress: 119
- Title: Medical Foods and Formulas Access Act of 2025
- Status: introduced
- Introduced: 2025-12-02
- Sponsor: Sen. Wicker, Roger F. [R-MS] (R-MS)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-11

## Summary

**This bill would require federal health programs to cover medically necessary foods, vitamins, and individual amino acids for digestive and inherited metabolic disorders.** It defines who qualifies, what counts as medically necessary food, and phases the coverage into Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to create a consistent approach across programs. - Families and children would see guaranteed coverage in CHIP and Medicaid for prescribed specialty formulas and nutrition products. About 2,000 babies a year are noted as being diagnosed with disorders that may need these products. - Medicare beneficiaries would gain a new benefit for medically necessary foods and related equipment, with payment set at 80% of the lesser of the charge or a Secretary-set fee and a three-year implementation timeline. - Medicaid enrollees and state programs would be required to cover medically necessary food and administering equipment, and benchmark or benchmark-equivalent plans could not exclude that benefit; states generally get two years to comply. - Federal employees would be covered because the Federal Employees Health Benefits Program contracts would be required to include medically necessary foods and related supplies, typically within one contract year. - The bill expresses that private health plans should provide similar coverage so patients and physicians can choose full treatment options, while allowing states to keep or adopt stronger protections.

## Cosponsors (6)

- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-12-02T00:00:00.000Z
- Sen. Grassley, Chuck [R-IA] (R-IA), 2025-12-02T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-12-02T00:00:00.000Z
- Sen. Ossoff, Jon [D-GA] (D-GA), 2026-03-17T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2026-03-23T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2026-04-30T00:00:00.000Z

## Provisions PRIA read

- CHIP must cover medical foods: benefit, medium. If enacted, CHIP would be required to cover medically necessary foods and the supplies to administer them for eligible children. Coverage would apply to items furnished one year after enactment. States that need new State laws would get extra time to comply.
- Medicaid must cover medical foods: benefit, medium. If enacted, Medicaid would be required to cover medically necessary foods and the equipment to give them. States could not enroll people in benchmark plans that leave out these foods. The rule would start two years after enactment. States that need new State laws would get extra time to comply.
- Combined medical food prescriptions covered: benefit, low. If enacted, the bill would clarify that coverage is not limited when medically necessary foods or supplies are prescribed together. This clarification would apply across Medicare, Medicaid, CHIP, and FEHBP.
- Federal employee plans must cover medical foods: benefit, low. If enacted, Federal Employee Health Benefits Program plans would have to cover medically necessary foods and the supplies to administer them. The requirement would apply to contract years starting one year after enactment.
- States may require stronger coverage: benefit, low. If enacted, the bill would not stop States from requiring broader coverage than the federal minimum. States could keep rules that are stronger than these new standards.
- Medicare coverage and payment rules: mixed, medium. If enacted, Medicare would cover medically necessary foods and needed equipment for qualifying beneficiaries. Medicare would pay 80% of the lesser of the provider's charge or an HHS fee schedule amount, creating a 20% coinsurance exposure. Coverage would apply to items furnished three years after e…

## Related bills

- 119-s-2296: National Defense Authorization Act for Fiscal Year 2026
- 119-s-4784: National Defense Authorization Act for Fiscal Year 2027
- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-752: Accelerating Kids’ Access to Care Act
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.

## Sources
- [119-s-3304 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3304)

## Related
- [119-s-2296: National Defense Authorization Act for Fiscal Year 2026](https://policyrisk.com/legislation/119-s-2296)
- [119-s-4784: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-s-4784)
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-752: Accelerating Kids’ Access to Care Act](https://policyrisk.com/legislation/119-s-752)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3304 (as of 2026-06-11).