Action on approved clinical initiatives. After HHSC conducts
an analysis of a clinical initiative:
(1) If the commission determines that the initiative
is cost-effective and will improve the quality of care under the Medicaid
program, HHSC may:
(A) Implement the initiative if implementation of the
initiative is not otherwise prohibited by law; or
(B) If implementation requires a change in law, submit
a copy of the final report together with recommendations relating
to the initiative's implementation to the standing committees of the
Senate and House of Representatives having jurisdiction over the Medicaid
program; and
(2) If the commission determines that the initiative
is not cost-effective or will not improve quality of care under the
Medicaid program, the commission may not implement the initiative.
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