Digest: The Act forbids the HERC from using quality of life to measure the weight to give to a service that may be covered by the state Medicaid program. The Act caps the amount a person must pay for insulin under a health benefit plan to $35. (Flesch Readability Score: 63.9). [Digest: The Act forbids the HERC from using quality of life to measure the weight to give to a service that may be covered by the state Medicaid program. (Flesch Readability Score: 63.6).] In determining the ranking of a condition-treatment pair on the prioritized list of health services covered by the medical assistance program, prohibits the Health Evidence Review Commission from relying upon a quality of life in general measure or from relying on any research or analyses that rely upon or refer to a quality of life measure, unless specified conditions are met. Caps cost-sharing required by health benefit plans at $35 for coverage of insulin.

Statutes affected:
Introduced: 414.065, 414.689, 414.690, 414.701, 414.025
A-Engrossed: 414.065, 414.689, 414.690, 414.701, 414.025, 743A.069
Enrolled: 414.065, 414.689, 414.690, 414.701, 414.025, 743A.069