The Washington State Health Technology Assessment Program (HTA), through the Health Technology Clinical Committee (HTCC), is charged with assessing the safety, efficacy and cost-effectiveness of health technologies to make health care coverage decisions affecting all state employees, Medicaid and workers’ compensation patients. This Committee has voted to deny coverage for a number of interventional procedures that help patients suffering from chronic pain. Brett Quave, MD, Medical Director of Water’s Edge, Memorial’s Pain Relief Institute talks about how this could affect patients. Dr. Quave also talks about the recently introduced HB 1311, which calls for collaboration between the Health Technology Assessment Program and private insurance providers. Collaboration could result in also limiting private insurance coverage for these critical and valuable services.