This legislation aims to prevent federal agencies and states from utilizing quality-adjusted life years (QALYs) and similar metrics when making coverage and payment determinations within federal health care programs. It specifically prohibits measures that assign lower value to extending the lives of elderly, disabled, or terminally ill individuals compared to younger, non-disabled, or non-terminally ill individuals. This expanded prohibition applies across all federal health care programs, including the Federal Employees Health Benefits Program, and cannot be waived under any demonstration or waiver authority. The bill extends these restrictions to various specific programs, amending the Social Security Act to ensure compliance in Medicaid , the Children's Health Insurance Program (CHIP) , Medicare Advantage , and Medicare Part D prescription drug plans. These provisions are set to take effect beginning January 1, 2027. Additionally, the legislation mandates the Comptroller General to submit annual reports to Congress detailing how QALYs negatively impact individuals with intellectual and developmental disabilities and their access to care, and it also increases appropriations for the Prevention and Public Health Fund for fiscal years 2026 through 2031.