Texas § GV.543.0054 - ANALYSIS OF CLINICAL INITIATIVES

§ GV.543.0054. ANALYSIS OF CLINICAL INITIATIVES

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.