Text of section effective on April 01, 2025
Sec. 543.0054.  ANALYSIS OF CLINICAL INITIATIVES.  After conducting a preliminary review of a clinical initiative under Section 543.0053(2), the commission shall analyze the clinical initiative if the commission selects the initiative for analysis.  The analysis must include a review of:
(1)  any public comments and submitted research relating to the initiative;
(2)  the available clinical research and historical utilization information relating to the initiative;
(3)  published medical literature relating to the initiative;
(4)  any adoption of the initiative by a medical society or other clinical group;
(5)  whether the initiative has been implemented under:
(A)  the Medicare program;
(B)  another state medical assistance program; or
(C)  a state-operated health care program, including the child health plan program;
(6)  the results of reports, research, pilot programs, or clinical studies relating to the initiative conducted by:
(A)  institutions of higher education, including related medical schools;
(B)  governmental entities and agencies; and
(C)  private and nonprofit think tanks and research groups;
(7)  the impact the initiative would have on Medicaid if the initiative were implemented in this state, including:
(A)  an estimate of the number of Medicaid recipients that would be impacted by implementing the initiative; and
(B)  a description of any potential cost savings to the state that would result from implementing the initiative; and
(8)  any statutory barriers to implementing the initiative.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.