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A BILL TO BE ENTITLED
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AN ACT
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relating to contract requirements for prescription drug benefits |
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provided by Medicaid managed care organizations and a study |
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regarding Medicaid prior authorization requirements for certain |
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prescription drugs. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 531.073, Government Code, is amended by |
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adding Subsection (a-3) to read as follows: |
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(a-3) Once every 10 years, the commission shall conduct a |
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study to evaluate and determine the classes of prescription drugs |
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described by Subsection (a-1) for which prior authorizations are |
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required. |
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SECTION 2. Section 533.005(a-1), Government Code, is |
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amended to read as follows: |
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(a-1) The requirements imposed by Subsections (a)(23)(A), |
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(B), and (C) do not apply, and may not be enforced, on and after |
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August 31, 2023 [2018]. |
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SECTION 3. Not later than September 1, 2018, the Health and |
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Human Services Commission shall conduct the initial study required |
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by Section 531.073(a-3), Government Code, as added by this Act. The |
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commission may not change a prior authorization requirement for a |
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prescription drug to which that subsection applies until the |
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commission has completed the study. |
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SECTION 4. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 5. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2017. |