Texas 2025 - 89th Regular

Texas House Bill HCR103 Compare Versions

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11 89R16409 BPG-D
22 By: Simmons H.C.R. No. 103
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77 CONCURRENT RESOLUTION
88 WHEREAS, Cell and gene therapies can transform the lives of
99 people living with rare and severe diseases that are difficult to
1010 treat; and
1111 WHEREAS, A rapidly growing class of one-time treatments, CGT
1212 can correct underlying causes of such conditions as sickle cell
1313 disease, alleviating symptoms and halting progression; these
1414 treatments have the potential to reduce health care spending over
1515 the long term by addressing the underlying causes of disease,
1616 reducing the severity, and decreasing health care utilization; and
1717 WHEREAS, The high upfront cost of these treatments makes it
1818 difficult for state Medicaid agencies to pay for them; accordingly,
1919 the CGT Access Model was created to improve health outcomes for
2020 people with Medicaid by supporting agreements between states and
2121 manufacturers that will provide for treatments within a framework
2222 that lowers prices for states and ties payment to outcomes; and
2323 WHEREAS, A voluntary program under the Center for Medicare
2424 and Medicaid Innovation of the federal Centers for Medicare and
2525 Medicaid Services, the CGT Access Model tests whether a CMS-led
2626 approach to developing and administering outcomes-based agreements
2727 for cell and gene therapies expands Medicaid beneficiaries' access
2828 to innovative treatment, improves their health outcomes, and
2929 reduces health care costs and burdens to state Medicaid programs;
3030 under the model, CMS and pharmaceutical manufacturers would
3131 negotiate a set of key terms, including pricing and outcome
3232 measures, that would form the basis for individual contracts
3333 between the manufacturer and participating states; participating
3434 states would receive CMS technical assistance and funding; and
3535 WHEREAS, The Texas Health and Human Services Commission has
3636 evaluated the CGT Therapy Access Model and has applied for
3737 admission in order to test its innovative payment and service
3838 delivery models to reduce program expenditures while enhancing the
3939 quality of care; and
4040 WHEREAS, Cell and gene therapies offer potentially
4141 life-changing benefits, and their use for Texas Medicaid patients
4242 with rare and severe diseases holds the possibility of improving
4343 health outcomes while lowering long-term costs to the state; now,
4444 therefore, be it
4545 RESOLVED, That the 89th Legislature of the State of Texas
4646 hereby express support for the Texas Health and Human Services
4747 Commission's application to the Cell and Gene Therapy Access Model
4848 through the Centers for Medicare and Medicaid Services and its
4949 Center for Medicare and Medicaid Innovation.