Amend CSSB 23 (house committee printing) by adding the following appropriately numbered SECTION to the bill and renumbering subsequent SECTIONS of the bill accordingly:
SECTION ____. CONTRACTS FOR PRESCRIPTION DRUG BENEFITS. Subchapter B, Chapter 531, Government Code, is amended by adding Section 531. 0696 to read as follows:
Sec. 531.0696. CONSIDERATIONS IN AWARDING CERTAIN PRESCRIPTION DRUG BENEFITS CONTRACTS. (a) This section applies to:
(1) the vendor drug program for the Medicaid and child health plan programs;
(2) the kidney health care program;
(3) the children with special health care needs program; and
(4) any other state program administered by the commission that provides prescription drug benefits.
(b) The commission may not contract with a managed care organization, including a health maintenance organization, or a pharmacy benefit manager to provide prescription drug benefits under a program to which this section applies if the organization or pharmacy benefit manager, in connection with a bid, proposal, or contract with a governmental entity:
(1) in the preceding five years:
(A) made a material misrepresentation or committed fraud;
(B) committed a breach of contract;
(C) was convicted of violating a state or federal law; or
(D) was assessed a penalty or fine in the amount of $100,000 or more in a state or federal administrative proceeding; or
(2) is the defendant in a pending state or federal criminal case or subject to a pending state or federal enforcement action.