81R11072 KFF-F By: Howard of Travis H.B. No. 3270 A BILL TO BE ENTITLED AN ACT relating to the electronic transmission and certification of prescriptions under the medical assistance program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. STUDY. (a) The executive commissioner of the Health and Human Services Commission shall conduct a study of state and federal laws relating to the electronic transmission of prescriptions in the medical assistance program under Chapter 32, Human Resources Code. (b) Not later than March 31, 2010, the executive commissioner of the Health and Human Services Commission shall submit a report to the governor, lieutenant governor, and speaker of the house of representatives regarding the results of the study conducted under Subsection (a) of this section. The following must be included in the report: (1) an analysis of current state and federal laws relating to the electronic transmission of prescriptions in the medical assistance program under Chapter 32, Human Resources Code; and (2) a description of any necessary changes in that law to enable or facilitate the electronic transmission of prescriptions under the program, including the electronic transmission of a dispensing directive requiring that the drug dispensed be brand-name or allowing the drug dispensed to be a generic equivalent. SECTION 2. WAIVER. The executive commissioner of the Health and Human Services Commission shall develop and seek a waiver or other appropriate authorization from the Centers for Medicare and Medicaid Services or the United States secretary of health and human services, as appropriate, authorized by 42 C.F.R. Section 447.512(c) to implement an electronic alternative for certifying that a "brand necessary" or "brand medically necessary" prescription drug is medically necessary for a particular recipient of medical assistance under Chapter 32, Human Resources Code. The executive commissioner shall consult with the Texas State Board of Pharmacy in developing the waiver or other authorization under this section. SECTION 3. EFFECTIVE DATE. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2009.