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Committee hears testimony supporting separate Medicaid payment for rapid whole-genome sequencing for infants in intensive care
Summary
House Bill 1444 would require Medicaid to cover rapid whole-genome sequencing separately from bundled inpatient payments for enrollees under age 1 in intensive care, neonatal or high-acuity pediatric units when specified criteria are met; advocates and clinicians said early diagnosis improves outcomes and can reduce unnecessary interventions.
The House Health Care & Wellness Committee heard testimony on House Bill 1444, which would require Medicaid to pay separately for rapid whole-genome sequencing for enrollees under age 1 who are receiving hospital services in an intensive care unit, neonatal unit or a high-acuity pediatric care unit and who meet the bill’s specified criteria.
Committee staff described current Medicaid practice: rapid whole-genome sequencing is covered as part of bundled inpatient payments. The bill would unbundle sequencing reimbursement so the test is reimbursed separately for eligible infants.
Representative (prime…
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