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	Amend SB 704 by adding the following appropriately numbered 
SECTION to the bill and renumbering subsequent SECTIONS of the bill 
accordingly:
	SECTION ____.  Subchapter B, Chapter 1369, Insurance Code, 
is amended by adding Section 1369.0551 to read as follows:
	Sec. 1369.0551.  STUDY. (a)  The department shall conduct a 
study to evaluate the ways in which pharmacy benefit managers use 
prescription drug information to manage therapeutic drug 
interchange programs and other drug substitution recommendations 
made by pharmacy benefit managers or other similar entities.  The 
study must include information regarding pharmacy benefit 
managers:
		(1)  intervening in the delivery or transmission of a 
prescription from a prescribing health care practitioner to a 
pharmacist for purposes of influencing the prescribing health care 
practitioner's choice of therapy;
		(2)  recommending that a prescribing health care 
practitioner change from the originally prescribed medication to 
another medication, including generic substitutions and 
therapeutic interchanges;
		(3)  changing a drug or device prescribed by a health 
care practitioner without the consent of the prescribing health 
care practitioner;
		(4)  changing a patient cost-sharing obligation for the 
cost of a prescription drug or device, including placing a drug or 
device on a higher formulary tier than the initial contracted 
benefit level; and
		(5)  removing a drug or device from a group health 
benefit plan formulary without providing proper enrollee notice.
	(b)  Not later than August 1, 2010, the department shall 
submit to the governor, the lieutenant governor, the speaker of the 
house of representatives, and the appropriate standing committees 
of the legislature a report regarding the results of the study 
required by Subsection (a), together with any recommendations for 
legislation.
	(c)  This section expires September 1, 2010.