Providing for consideration of the resolution (H.Res. 863) impeaching Alejandro Nicholas Mayorkas, Secretary of Homeland Security, for high crimes and misdemeanors, and providing for consideration of the bill (H.R. 485) to amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs.
Summary
House Resolution 996 is a procedural "rule" that established the framework for the House of Representatives to debate and vote on two separate, significant measures. First, it cleared the way for the House to consider the impeachment of Secretary of Homeland Security Alejandro Mayorkas. Second, it set the terms for debating a bill that would prohibit federal health programs, such as Medicare, from using "quality-adjusted life years" (QALYs)—a metric sometimes used to calculate the cost-effectiveness of medical treatments—when making coverage or payment decisions.
For citizens, this resolution acted as the necessary legislative gateway for Congress to address border security accountability through the impeachment process. Additionally, the health care component of the resolution impacts patients by moving to ensure that federal insurance coverage decisions are not based on mathematical formulas that value the lives of people with disabilities or chronic illnesses differently than those of healthier individuals. This resolution was successfully adopted by the House on February 6, 2024.