Texas 2021 - 87th Regular

Texas Senate Bill SB812

Caption

Relating to prohibited practices for certain health benefit plan issuers and pharmacy benefit managers.

Impact

The implementation of SB812 is expected to strengthen patient rights when it comes to prescription medications. By prohibiting the transfer of patient-identifiable prescription information for commercial purposes and restricting how affiliated pharmacies can be presented to patients, the bill aims to reduce potential conflicts of interest and enhance transparency. Ultimately, this could lead to increased competition among pharmacies and better choices for consumers regarding where to fill their prescriptions.

Summary

SB812 addresses the practices of health benefit plan issuers and pharmacy benefit managers regarding affiliated pharmacies. The bill establishes specific prohibitions to prevent these entities from engaging in unfair practices that could jeopardize patient choices and rights. It particularly aims to prevent health benefit plan issuers and pharmacy benefit managers from steering or directing patients towards affiliated pharmacies through various forms of communication, thereby ensuring that patients have access to unbiased information about their pharmacy options.

Contention

One notable point of contention discussed around SB812 is the balance between the interests of pharmacy benefit managers, who often utilize affiliated pharmacies to streamline operations and reduce costs, and the autonomy of patients to choose their pharmacies without undue pressure. While supporters argue that the bill is essential for protecting consumer interests, critics may express concerns about the implications for the operational efficiency of pharmacy benefit managers and the potential consequences for healthcare costs overall.

Companion Bills

TX HB1919

Same As Relating to prohibited practices for certain health benefit plan issuers and pharmacy benefit managers.

Similar Bills

CA AB913

Pharmacy benefit managers.

CA SB362

Chain community pharmacies: quotas.

LA HB432

Provides for the regulation of pharmacy services administrative organizations (OR +$88,000 SG EX See Note)

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

CA AB401

Pharmacy: remote dispensing site pharmacy: telepharmacy: shared clinic office space.

LA HB387

Provides for the regulation of pharmacy services administrative organizations

MS HB1119

Pharmacy benefit managers; revise provisions related to.

CA AB690

Pharmacies: relocation: remote dispensing site pharmacy: pharmacy technician: qualifications.