1 | 1 | | 89R16409 BPG-D |
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2 | 2 | | By: Simmons H.C.R. No. 103 |
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6 | 6 | | |
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7 | 7 | | CONCURRENT RESOLUTION |
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8 | 8 | | WHEREAS, Cell and gene therapies can transform the lives of |
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9 | 9 | | people living with rare and severe diseases that are difficult to |
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10 | 10 | | treat; and |
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11 | 11 | | WHEREAS, A rapidly growing class of one-time treatments, CGT |
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12 | 12 | | can correct underlying causes of such conditions as sickle cell |
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13 | 13 | | disease, alleviating symptoms and halting progression; these |
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14 | 14 | | treatments have the potential to reduce health care spending over |
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15 | 15 | | the long term by addressing the underlying causes of disease, |
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16 | 16 | | reducing the severity, and decreasing health care utilization; and |
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17 | 17 | | WHEREAS, The high upfront cost of these treatments makes it |
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18 | 18 | | difficult for state Medicaid agencies to pay for them; accordingly, |
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19 | 19 | | the CGT Access Model was created to improve health outcomes for |
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20 | 20 | | people with Medicaid by supporting agreements between states and |
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21 | 21 | | manufacturers that will provide for treatments within a framework |
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22 | 22 | | that lowers prices for states and ties payment to outcomes; and |
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23 | 23 | | WHEREAS, A voluntary program under the Center for Medicare |
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24 | 24 | | and Medicaid Innovation of the federal Centers for Medicare and |
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25 | 25 | | Medicaid Services, the CGT Access Model tests whether a CMS-led |
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26 | 26 | | approach to developing and administering outcomes-based agreements |
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27 | 27 | | for cell and gene therapies expands Medicaid beneficiaries' access |
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28 | 28 | | to innovative treatment, improves their health outcomes, and |
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29 | 29 | | reduces health care costs and burdens to state Medicaid programs; |
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30 | 30 | | under the model, CMS and pharmaceutical manufacturers would |
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31 | 31 | | negotiate a set of key terms, including pricing and outcome |
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32 | 32 | | measures, that would form the basis for individual contracts |
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33 | 33 | | between the manufacturer and participating states; participating |
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34 | 34 | | states would receive CMS technical assistance and funding; and |
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35 | 35 | | WHEREAS, The Texas Health and Human Services Commission has |
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36 | 36 | | evaluated the CGT Therapy Access Model and has applied for |
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37 | 37 | | admission in order to test its innovative payment and service |
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38 | 38 | | delivery models to reduce program expenditures while enhancing the |
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39 | 39 | | quality of care; and |
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40 | 40 | | WHEREAS, Cell and gene therapies offer potentially |
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41 | 41 | | life-changing benefits, and their use for Texas Medicaid patients |
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42 | 42 | | with rare and severe diseases holds the possibility of improving |
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43 | 43 | | health outcomes while lowering long-term costs to the state; now, |
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44 | 44 | | therefore, be it |
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45 | 45 | | RESOLVED, That the 89th Legislature of the State of Texas |
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46 | 46 | | hereby express support for the Texas Health and Human Services |
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47 | 47 | | Commission's application to the Cell and Gene Therapy Access Model |
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48 | 48 | | through the Centers for Medicare and Medicaid Services and its |
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49 | 49 | | Center for Medicare and Medicaid Innovation. |
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