2024 Session

Budget Amendments - HB30 (Floor Approved)

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Eliminate New Limit for Weight Loss Medications in Medicaid (language only)

Item 288 #3h

Item 288 #3h

Health and Human Resources
Department of Medical Assistance Services


Page 348, strike lines 8 through 16.


(This amendment eliminates language in the introduced budget which significantly limits Medicaid payments for covered weight loss medications. The new restriction bars the use of weight loss medications except in individuals with a body mass index greater than 40. The restriction contradicts language adopted by the 2023 General Assembly in Chapter 1, 2023 Special Session I, which requires the Department of Medical Assistance Services to implement service authorization for weight loss drugs to ensure appropriate utilization, consistent with appropriate clinical criteria used in the health insurance industry. The agency has recently implemented these new requirements, which should result in appropriate utilization.)