6421 AMH HCW H5827.1

SB 6421  - H COMM AMD
     By Committee on Health Care & Wellness

     On page 1, beginning on line 10, after "1396r-8(k)." strike all material through "medications." on line 11

     On page 1, beginning on line 14, after "to" strike all material through "chapter." on line 14, and insert "encourage the use of effective, evidence-based services. The department shall track per-capita expenditures for a cohort of clients that receive smoking cessation benefits, and submit a cost-benefit analysis to the legislature on or before January 1, 2012."

EFFECT:  Removes the exemption from prior authorization requirements for smoking cessation medications.
     Requires the establishment of coverage limitations to encourage the use of effective, evidence-based services rather than to discourage waste or address fraud.
     Requires DSHS to track expenditures for a cohort of clients receiving smoking cessation benefits and to submit a cost-benefit analysis to the Legislature by January 1, 2012.

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