84R322 SCL-D
By: Zedler H.B. No. 185
A BILL TO BE ENTITLED
AN ACT
relating to benefits for a refill of a prescription drug by a health
benefit plan issuer.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 1369, Insurance Code, is
amended by adding Section 1369.058 to read as follows:
Sec. 1369.058. PAYMENT FOR REFILLS. A health benefit plan
issuer may not deny benefits for a refill, regardless of whether the
refill is early, of a prescription drug that is covered under the
plan and for which benefits have previously been paid under the plan
if the quantity limit, if applicable, for the drug has not been
exceeded after the refill.
SECTION 2. Section 1369.058, Insurance Code, as added by
this Act, applies only to a health benefit plan that is delivered,
issued for delivery, or renewed on or after January 1, 2016. A
health benefit plan delivered, issued for delivery, or renewed
before January 1, 2016, is governed by the law in effect as it
existed immediately before the effective date of this Act, and that
law is continued in effect for that purpose.
SECTION 3. This Act takes effect September 1, 2015.