Tex. Gov't Code § 549.0251 · Subchapter F. PRIOR AUTHORIZATION FOR CERTAIN DRUGS
DRUGS SUBJECT TO PRIOR AUTHORIZATION REQUIREMENTS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The executive commissioner, in the rules and standards governing the Medicaid vendor drug program and the child health plan program, shall require prior authorization for the reimbursement of a drug that is not included in the appropriate preferred drug list adopted under Subchapter E unless:
(1) the drug is exempt from prior authorization requirements by federal law; or
(2) the executive commissioner is prohibited under Sections 549.0252 and 549.0253(a) from requiring prior authorization for the drug.
(b) The executive commissioner may require prior authorization for the reimbursement of a drug provided through any state program, other than a program described by Subsection (a), that the commission or a state health and human services agency administers, including a community mental health center and a state mental health hospital if the commission adopts a preferred drug list under Subchapter E that applies to that facility and the drug is not included in the appropriate list.
(c) The executive commissioner shall require that the prior authorization be obtained by the prescribing physician or prescribing practitioner.
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 ed07bc8602d6266e4d83b414962095f5f51873a15ce3641fba02296fb7ae37d2
- 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
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Government Code
- Tex. Gov't Code § 549.0252PRIOR AUTHORIZATION AND CERTAIN PROTOCOL REQUIREMENTS PROHIBITED FOR CERTAIN ANTIRETROVIRAL DRUGS.Printed as Sections 549.0252 and 549.0253(a)
- Tex. Gov't Code § 549.0253PRIOR AUTHORIZATION PROHIBITED FOR CERTAIN NONPREFERRED ANTIPSYCHOTIC DRUGS.Printed as Sections 549.0252 and 549.0253(a)
Cited by 1 provision
Provisions in this library whose text cites Tex. Gov't Code § 549.0251. Each shows the citation as that text prints it.
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