1 | 1 | | 81R1379 TJS-D |
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2 | 2 | | By: Davis of Dallas H.B. No. 2723 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to pharmacy networks for health benefit plans for certain |
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8 | 8 | | governmental employees. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is |
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11 | 11 | | amended by adding Section 1551.226 to read as follows: |
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12 | 12 | | Sec. 1551.226. NETWORK PHARMACY PROVIDERS. (a) To achieve |
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13 | 13 | | cost savings and economies of scale, prescription drugs provided |
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14 | 14 | | under the group benefits program shall be provided, to the extent |
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15 | 15 | | practicable, by a limited number of pharmacy providers that have |
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16 | 16 | | contracted to provide the drugs through a pharmacy network. |
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17 | 17 | | (b) The board of trustees may identify regions of the state |
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18 | 18 | | that have an insufficient number of pharmacy providers |
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19 | 19 | | participating in the pharmacy network and may provide that, in an |
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20 | 20 | | identified region, prescription drug benefits may be provided |
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21 | 21 | | through a pharmacy network established for that region. |
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22 | 22 | | SECTION 2. Subchapter D, Chapter 1575, Insurance Code, is |
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23 | 23 | | amended by adding Section 1575.172 to read as follows: |
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24 | 24 | | Sec. 1575.172. NETWORK PHARMACY PROVIDERS. (a) To achieve |
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25 | 25 | | cost savings and economies of scale, prescription drugs provided |
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26 | 26 | | under the group program shall be provided, to the extent |
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27 | 27 | | practicable, by a limited number of pharmacy providers that have |
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28 | 28 | | contracted to provide the drugs through a pharmacy network. |
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29 | 29 | | (b) The trustee may identify regions of the state that have |
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30 | 30 | | an insufficient number of pharmacy providers participating in the |
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31 | 31 | | pharmacy network and may provide that, in an identified region, |
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32 | 32 | | prescription drug benefits may be provided through a pharmacy |
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33 | 33 | | network established for that region. |
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34 | 34 | | SECTION 3. Subchapter C, Chapter 1579, Insurance Code, is |
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35 | 35 | | amended by adding Section 1579.109 to read as follows: |
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36 | 36 | | Sec. 1579.109. NETWORK PHARMACY PROVIDERS. (a) To achieve |
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37 | 37 | | cost savings and economies of scale, prescription drugs provided |
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38 | 38 | | under the program shall be provided, to the extent practicable, by a |
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39 | 39 | | limited number of pharmacy providers that have contracted to |
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40 | 40 | | provide the drugs through a pharmacy network. |
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41 | 41 | | (b) The trustee may identify regions of the state that have |
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42 | 42 | | an insufficient number of pharmacy providers participating in the |
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43 | 43 | | pharmacy network and may provide that, in an identified region, |
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44 | 44 | | prescription drug benefits may be provided through a pharmacy |
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45 | 45 | | network established for that region. |
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46 | 46 | | SECTION 4. Subchapter C, Chapter 1601, Insurance Code, is |
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47 | 47 | | amended by adding Section 1601.112 to read as follows: |
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48 | 48 | | Sec. 1601.112. NETWORK PHARMACY PROVIDERS. (a) To achieve |
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49 | 49 | | cost savings and economies of scale, prescription drugs provided |
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50 | 50 | | under a uniform program shall be provided, to the extent |
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51 | 51 | | practicable, by a limited number of pharmacy providers that have |
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52 | 52 | | contracted to provide the drugs through a pharmacy network. |
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53 | 53 | | (b) A system may identify a region served by a uniform |
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54 | 54 | | program that has an insufficient number of pharmacy providers |
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55 | 55 | | participating in the pharmacy network and may provide that, in the |
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56 | 56 | | identified region, prescription drug benefits may be provided |
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57 | 57 | | through a pharmacy network established for that region. |
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58 | 58 | | SECTION 5. This Act takes effect September 1, 2009. |
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