Bill Text: TX HCR103 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Expressing support for the Texas Health and Human Services Commission's application to the Cell and Gene Therapy Access Model through the Centers for Medicare and Medicaid Services and its Center for Medicare and Medicaid Innovation.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Introduced - Dead) 2025-03-17 - Referred to s/c on Dis Prev & Women's & Children's Health by Speaker [HCR103 Detail]
Download: Texas-2025-HCR103-Introduced.html
| 89R16409 BPG-D | ||
| By: Simmons | H.C.R. No. 103 | |
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| WHEREAS, Cell and gene therapies can transform the lives of | ||
| people living with rare and severe diseases that are difficult to | ||
| treat; and | ||
| WHEREAS, A rapidly growing class of one-time treatments, CGT | ||
| can correct underlying causes of such conditions as sickle cell | ||
| disease, alleviating symptoms and halting progression; these | ||
| treatments have the potential to reduce health care spending over | ||
| the long term by addressing the underlying causes of disease, | ||
| reducing the severity, and decreasing health care utilization; and | ||
| WHEREAS, The high upfront cost of these treatments makes it | ||
| difficult for state Medicaid agencies to pay for them; accordingly, | ||
| the CGT Access Model was created to improve health outcomes for | ||
| people with Medicaid by supporting agreements between states and | ||
| manufacturers that will provide for treatments within a framework | ||
| that lowers prices for states and ties payment to outcomes; and | ||
| WHEREAS, A voluntary program under the Center for Medicare | ||
| and Medicaid Innovation of the federal Centers for Medicare and | ||
| Medicaid Services, the CGT Access Model tests whether a CMS-led | ||
| approach to developing and administering outcomes-based agreements | ||
| for cell and gene therapies expands Medicaid beneficiaries' access | ||
| to innovative treatment, improves their health outcomes, and | ||
| reduces health care costs and burdens to state Medicaid programs; | ||
| under the model, CMS and pharmaceutical manufacturers would | ||
| negotiate a set of key terms, including pricing and outcome | ||
| measures, that would form the basis for individual contracts | ||
| between the manufacturer and participating states; participating | ||
| states would receive CMS technical assistance and funding; and | ||
| WHEREAS, The Texas Health and Human Services Commission has | ||
| evaluated the CGT Therapy Access Model and has applied for | ||
| admission in order to test its innovative payment and service | ||
| delivery models to reduce program expenditures while enhancing the | ||
| quality of care; and | ||
| WHEREAS, Cell and gene therapies offer potentially | ||
| life-changing benefits, and their use for Texas Medicaid patients | ||
| with rare and severe diseases holds the possibility of improving | ||
| health outcomes while lowering long-term costs to the state; now, | ||
| therefore, be it | ||
| RESOLVED, That the 89th Legislature of the State of Texas | ||
| hereby express support for the Texas Health and Human Services | ||
| Commission's application to the Cell and Gene Therapy Access Model | ||
| through the Centers for Medicare and Medicaid Services and its | ||
| Center for Medicare and Medicaid Innovation. | ||
