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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 ____. COMMUNICATIONS REGARDING PRESCRIPTION DRUG BENEFITS. Subchapter B, Chapter 531, Government Code, is amended by adding Section 531.0697 to read as follows:
Sec. 531.0697. PRIOR APPROVAL AND PROVIDER ACCESS TO CERTAIN COMMUNICATIONS WITH CERTAIN RECIPIENTS. (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) A managed care organization, including a health maintenance organization, or a pharmacy benefit manager, that administers claims for prescription drug benefits under a program to which this section applies shall, at least 10 days before the date the organization or pharmacy benefit manager intends to deliver a communication to recipients collectively under a program:
(1) submit a copy of the communication to the commission for approval; and
(2) if applicable, allow the pharmacy providers of recipients who are to receive the communication access to the communication.