Bill

Bill > HR5882


US HR5882

To amend title XIX of the Social Security Act to provide States with the option under the Medicaid program to pay for covered outpatient drugs through risk-sharing value-based agreements, and for other purposes.


summary

Introduced
02/12/2020
In Committee
02/12/2020
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

Allows state Medicaid programs to pay for certain gene therapy drugs through risk-sharing value-based payment agreements with drug manufacturers. The bill applies to covered outpatient drugs that provide potentially curative treatment for serious or life-threatening rare diseases or conditions after not more than three administrations.

AI Summary

This bill allows state Medicaid programs to pay for certain gene therapy drugs through risk-sharing value-based payment agreements with drug manufacturers. The agreements must meet certain requirements, such as not increasing projected net federal spending, and provide for installment-based payments over time. The Secretary of Health and Human Services must approve the agreements and consult with the Commissioner of Food and Drugs. The bill also includes provisions for assessments, reporting to Congress, and guidance and regulations to implement the new payment option.

Committee Categories

Business and Industry

Sponsors (7)

Last Action

Referred to the House Committee on Energy and Commerce. (on 02/12/2020)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...