85R28848 JG-D
By: Schwertner S.B. No. 1922
(Raymond)
Substitute the following for S.B. No. 1922: No.
A BILL TO BE ENTITLED
AN ACT
relating to contract requirements for prescription drug benefits
provided by Medicaid managed care organizations and a study
regarding Medicaid prior authorization requirements for certain
prescription drugs.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.073, Government Code, is amended by
adding Subsection (a-3) to read as follows:
(a-3) Once every 10 years, the commission shall conduct a
study to evaluate and determine the classes of prescription drugs
described by Subsection (a-1) for which prior authorizations are
required.
SECTION 2. Section 533.005(a-1), Government Code, is
amended to read as follows:
(a-1) The requirements imposed by Subsections (a)(23)(A),
(B), and (C) do not apply, and may not be enforced, on and after
August 31, 2023 [2018].
SECTION 3. Not later than September 1, 2018, the Health and
Human Services Commission shall conduct the initial study required
by Section 531.073(a-3), Government Code, as added by this Act. The
commission may not change a prior authorization requirement for a
prescription drug to which that subsection applies until the
commission has completed the study.
SECTION 4. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 5. 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, 2017.