Enrolled Bill Summary

Senate Bill 1106	Senate Author:  Schwertner et al.
Effective:  See below	House Sponsor:  Davis, John

            Senate Bill 1106 amends the Government Code, effective September 1, 2013, to require the outpatient pharmacy benefit plan developed, implemented, and maintained by a Medicaid managed care organization for its enrolled recipients as part of a contract between the organization and the Health and Human Services Commission to meet certain requirements relating to the maximum allowable cost list and maximum allowable cost price information. The bill makes the maximum allowable cost list specific to a network pharmacy provider confidential but includes among the contract requirements, effective March 1, 2014, that a managed care organization or pharmacy benefit manager, as applicable, provide a process for each of its network pharmacy providers to readily access the maximum allowable cost list specific to the provider.