LCO No. 5674 1 of 2 General Assembly Raised Bill No. 1473 January Session, 2025 LCO No. 5674 Referred to Committee on HUMAN SERVICES Introduced by: (HS) AN ACT REQUIRING MEDICAID COVERAGE FOR FDA -APPROVED GENE THERAPIES TO TREAT SICKLE CELL DISEASE. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective from passage) (a) The Commissioner of 1 Social Services shall provide Medicaid coverage for gene therapies 2 approved by the federal Food and Drug Administration to treat sickle 3 cell disease. 4 (b) The commissioner shall apply for any federal initiative to increase 5 cost-effective access to the therapies, including, but not limited to, the 6 Cell and Gene Therapy Access Model administered by the Centers for 7 Medicare and Medicaid Services. 8 (c) Not later than January 1, 2026, the commissioner shall file a report, 9 in accordance with the provisions of section 11-4a of the general statutes, 10 with the joint standing committee of the General Assembly having 11 cognizance of matters relating to human services on the (1) efforts to 12 increase cost-effective access to the therapies, (2) number of Medicaid 13 recipients who have received Medicaid coverage for the therapies, (3) 14 cost to the state to provide such therapies, and (4) estimated state 15 Raised Bill No. 1473 LCO No. 5674 2 of 2 appropriations needed to provide such coverage. 16 This act shall take effect as follows and shall amend the following sections: Section 1 from passage New section Statement of Purpose: To require Medicaid coverage for gene therapies approved by the federal Food and Drug Administration to treat sickle cell disease. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]