By Van de Putte H.C.R. No. 332
75R17502 SMZ-D
HOUSE CONCURRENT RESOLUTION
1-1 WHEREAS, Virtually all health benefit plans that offer
1-2 prescription drug coverage issue pharmacy benefit cards to their
1-3 enrollees to help them understand their coverage while assisting
1-4 the pharmacist in delivering the appropriate medication with
1-5 minimum delay or confusion; and
1-6 WHEREAS, Information regarding a patient's prescription
1-7 coverage and copayment and other medical information can be
1-8 received by the pharmacist only if basic information relating to
1-9 the patient's coverage is correct and available for confirmation
1-10 from the health benefit plan; and
1-11 WHEREAS, Despite the effort to increase the speed and
1-12 efficiency of processing prescription drug claims electronically
1-13 with a pharmacy benefit card, valuable time and money is wasted
1-14 because of the lack of rigorous standards governing the type of
1-15 information a benefit card should include; and
1-16 WHEREAS, Many pharmacists, deeply concerned for their
1-17 patients' health and welfare, diligently spend extra hours
1-18 communicating with representatives from health benefit plans to
1-19 secure basic information that should be included on the benefit
1-20 card in order to process routine insurance claims, thereby
1-21 jeopardizing personal and business relations with their customers;
1-22 and
1-23 WHEREAS, By February 1998, the National Council on
1-24 Prescription Drug Programs (NCPDP) will have developed uniform
2-1 standards for prescription benefit cards that will make the
2-2 exchange of information between the coverage provider, the
2-3 pharmacist, and the patient more accurate and efficient; and
2-4 WHEREAS, A Texas State Board of Pharmacy task force,
2-5 consisting of representatives from the Texas State Board of
2-6 Pharmacy, Texas Department of Insurance, health maintenance
2-7 organizations, prescription benefit management companies, and
2-8 pharmacists, recommends the adoption of the NCPDP standards; now,
2-9 therefore, be it
2-10 RESOLVED, That the 75th Legislature of the State of Texas
2-11 hereby direct the Texas Department of Insurance to promulgate rules
2-12 to ensure uniform compliance with the standards developed by the
2-13 National Council on Prescription Drug Programs relating to pharmacy
2-14 benefit cards and pharmacy software vendors operating in Texas;
2-15 and, be it further
2-16 RESOLVED, That the secretary of state forward an official
2-17 copy of this resolution to the commissioner of the Texas Department
2-18 of Insurance.