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A BILL TO BE ENTITLED
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AN ACT
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relating to the use of a prescription drug formulary by a group |
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health benefit plan. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 1369.055(a), Insurance Code, is amended |
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to read as follows: |
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(a) An issuer of a group health benefit plan that covers |
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prescription drugs shall, for at least 90 days after the date the |
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plan issuer provides written notice of a formulary change to the |
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enrollee and the group policyholder, offer to each enrollee at the |
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contracted benefit level [and until the enrollee's plan renewal
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date] any prescription drug that was approved or covered under the |
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plan for a medical condition or mental illness, regardless of |
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whether the drug has been removed from the health benefit plan's |
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drug formulary [before the plan renewal date]. |
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SECTION 2. This Act applies only to a group health benefit |
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plan that is delivered, issued for delivery, or renewed on or after |
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January 1, 2008. A policy delivered, issued for delivery, or |
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renewed before January 1, 2008, is governed by the law as it existed |
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immediately before the effective date of this Act, and that law is |
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continued in effect for that purpose. |
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SECTION 3. This Act takes effect September 1, 2007. |