Amend CSHB 1 (house committee printing) as follows:

In Article II of the bill, following the appropriations to the Health and Human Services Commission (page II-33), add the following appropriately numbered amendment:

____.  Expedited Review and Clear Process for Including New Prescription Drugs on the Texas Drug Code Index to Address Drug Availability on the Preferred Drug List. The Health and Human Services Commission (HHSC) shall review and modify their process to expedite the inclusion of new prescription drugs in Medicaid and Children's Health Insurance Program. In expediting the prescription review process, HHSC shall ensure that the timeline for review, including initiation of drug review, clinical evaluation, rate setting, Legislative Budget Board notification, and making the product available for clinician prescribing does not extend past the 90th day of receipt of the completed application for coverage on the Texas Drug Code Index. In accordance with Chapters 531.072 and 531.073 HHSC shall perform expedited drug reviews and prior authorization requirements. The Drug Utilization Review Board shall review clinical edits in consultation with Medicaid Managed Care plans to address any substantial safety or documented drug utilization irregularities.