Tex. Gov't Code § 549.0005 · Subchapter A. GENERAL PROVISIONS APPLICABLE TO PROVISION OF DRUGS UNDER VENDOR DRUG PROGRAM AND CERTAIN OTHER PROGRAMS
PRIOR APPROVAL OF AND PHARMACY PROVIDER ACCESS TO CERTAIN COMMUNICATIONS WITH CERTAIN RECIPIENTS AND ENROLLEES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) This section applies to:
(1) the vendor drug program for Medicaid and the child health plan program;
(2) the kidney health care program;
(3) the children with special health care needs program; and
(4) any other state program the commission administers 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 or enrollees 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 the recipients or enrollees who are to receive the communication access to the communication.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/GV/htm/GV.549.htm
- Text hash
- sha256 0eb41edfa1e0a7eb40586de8a02926f9ffd07573d5fad7e107a1ec4b862a922b
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.