1 | 1 | | H.B. No. 25 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | AN ACT |
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5 | 5 | | relating to wholesale importation of prescription drugs in this |
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6 | 6 | | state; authorizing a fee. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. This Act may be cited as the Wholesale |
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9 | 9 | | Prescription Drug Importation Act. |
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10 | 10 | | SECTION 2. Subtitle A, Title 6, Health and Safety Code, is |
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11 | 11 | | amended by adding Chapter 444 to read as follows: |
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12 | 12 | | CHAPTER 444. WHOLESALE PRESCRIPTION DRUG IMPORTATION PROGRAM |
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13 | 13 | | Sec. 444.001. DEFINITIONS. In this chapter: |
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14 | 14 | | (1) "Canadian supplier" means a manufacturer, |
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15 | 15 | | wholesale distributor, or pharmacy that is appropriately licensed |
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16 | 16 | | or permitted under Canadian federal or provincial laws and rules to |
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17 | 17 | | manufacture, distribute, or dispense prescription drugs. |
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18 | 18 | | (2) "Commission" means the Health and Human Services |
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19 | 19 | | Commission. |
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20 | 20 | | (3) "Prescription drug wholesaler" means a person |
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21 | 21 | | licensed as a wholesale distributor under Subchapter N, Chapter |
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22 | 22 | | 431, that contracts with this state to import prescription drugs |
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23 | 23 | | under the program. |
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24 | 24 | | (4) "Program" means the wholesale prescription drug |
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25 | 25 | | importation program established under this chapter. |
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26 | 26 | | Sec. 444.002. ESTABLISHMENT OF WHOLESALE PRESCRIPTION DRUG |
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27 | 27 | | IMPORTATION PROGRAM. (a) The commission shall establish the |
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28 | 28 | | wholesale prescription drug importation program to provide lower |
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29 | 29 | | cost prescription drugs available outside of the United States to |
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30 | 30 | | consumers in this state at the lower cost. |
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31 | 31 | | (b) The commission shall implement the program by: |
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32 | 32 | | (1) contracting with one or more prescription drug |
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33 | 33 | | wholesalers and Canadian suppliers to import prescription drugs and |
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34 | 34 | | provide prescription drug cost savings to consumers in this state; |
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35 | 35 | | (2) developing a registration process for health |
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36 | 36 | | benefit plan issuers, health care providers, and pharmacies to |
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37 | 37 | | obtain and dispense prescription drugs imported under the program; |
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38 | 38 | | (3) developing a list of prescription drugs, including |
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39 | 39 | | the prices of those drugs, that meet the requirements of Section |
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40 | 40 | | 444.003 and publishing the list on the commission's Internet |
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41 | 41 | | website; |
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42 | 42 | | (4) establishing an outreach and marketing plan to |
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43 | 43 | | generate program awareness; |
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44 | 44 | | (5) establishing and administering a telephone call |
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45 | 45 | | center or electronic portal to provide information about the |
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46 | 46 | | program; |
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47 | 47 | | (6) ensuring the program and the prescription drug |
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48 | 48 | | wholesalers that contract with this state under Subdivision (1) |
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49 | 49 | | comply with the tracking, tracing, verification, and |
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50 | 50 | | identification requirements of 21 U.S.C. Section 360eee-1; |
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51 | 51 | | (7) prohibiting the distribution, dispensing, or sale |
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52 | 52 | | of prescription drugs imported under this chapter outside the |
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53 | 53 | | boundaries of this state; and |
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54 | 54 | | (8) performing any other duties the executive |
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55 | 55 | | commissioner determines necessary to implement the program. |
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56 | 56 | | (c) The commission shall ensure that the program meets the |
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57 | 57 | | requirements of 21 U.S.C. Section 384. |
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58 | 58 | | (d) In developing the program, the commission may consult |
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59 | 59 | | with interested parties. |
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60 | 60 | | Sec. 444.003. ELIGIBLE PRESCRIPTION DRUGS. A prescription |
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61 | 61 | | drug may be imported into this state under the program only if the |
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62 | 62 | | drug: |
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63 | 63 | | (1) meets the United States Food and Drug |
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64 | 64 | | Administration's standards related to prescription drug safety, |
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65 | 65 | | effectiveness, misbranding, and adulteration; |
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66 | 66 | | (2) does not violate any federal patent laws through |
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67 | 67 | | its importation; |
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68 | 68 | | (3) is expected to generate cost savings for |
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69 | 69 | | consumers; and |
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70 | 70 | | (4) is not: |
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71 | 71 | | (A) listed as a controlled substance under state |
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72 | 72 | | or federal law; |
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73 | 73 | | (B) a biological product; |
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74 | 74 | | (C) an infused drug; |
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75 | 75 | | (D) an intravenously injected drug; |
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76 | 76 | | (E) a drug that is inhaled during surgery; or |
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77 | 77 | | (F) a parenteral drug. |
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78 | 78 | | Sec. 444.004. ANTICOMPETITIVE BEHAVIOR MONITORING. The |
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79 | 79 | | commission, in consultation with the attorney general, shall |
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80 | 80 | | identify and monitor any potential anticompetitive activities in |
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81 | 81 | | industries affected by the program. |
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82 | 82 | | Sec. 444.005. PROGRAM FUNDING. In addition to money |
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83 | 83 | | appropriated by the legislature, the commission may impose a fee on |
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84 | 84 | | each prescription drug sold under the program or establish another |
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85 | 85 | | funding method to administer the program. |
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86 | 86 | | Sec. 444.006. AUDIT PROCEDURES. The executive commissioner |
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87 | 87 | | by rule shall develop procedures to effectively audit a |
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88 | 88 | | prescription drug wholesaler participating in the program. |
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89 | 89 | | Sec. 444.007. ANNUAL REPORTING. Not later than December 1 |
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90 | 90 | | of each year, the commission shall submit a report to the governor |
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91 | 91 | | and the legislature regarding the operation of the program during |
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92 | 92 | | the preceding state fiscal year, including: |
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93 | 93 | | (1) which prescription drugs and Canadian suppliers |
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94 | 94 | | are included in the program; |
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95 | 95 | | (2) the number of health benefit plan issuers, health |
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96 | 96 | | care providers, and pharmacies participating in the program; |
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97 | 97 | | (3) the number of prescriptions dispensed through the |
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98 | 98 | | program; |
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99 | 99 | | (4) the estimated cost savings to consumers, health |
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100 | 100 | | plans, employers, and this state since the establishment of the |
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101 | 101 | | program and during the preceding state fiscal year; |
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102 | 102 | | (5) information regarding the implementation of the |
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103 | 103 | | audit procedures under Section 444.006; and |
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104 | 104 | | (6) any other information: |
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105 | 105 | | (A) the governor or the legislature requests; or |
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106 | 106 | | (B) the commission considers necessary. |
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107 | 107 | | SECTION 3. As soon as practicable after the effective date |
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108 | 108 | | of this Act, the executive commissioner of the Health and Human |
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109 | 109 | | Services Commission shall adopt any rules necessary to implement |
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110 | 110 | | Chapter 444, Health and Safety Code, as added by this Act. |
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111 | 111 | | SECTION 4. If before implementing any provision of this Act |
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112 | 112 | | a state agency determines that a waiver or authorization from a |
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113 | 113 | | federal agency is necessary for implementation of that provision, |
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114 | 114 | | the agency affected by the provision shall request the waiver or |
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115 | 115 | | authorization and may delay implementing that provision until the |
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116 | 116 | | waiver or authorization is granted. |
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117 | 117 | | SECTION 5. This Act takes effect September 1, 2023. |
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118 | 118 | | ______________________________ ______________________________ |
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119 | 119 | | President of the Senate Speaker of the House |
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120 | 120 | | I certify that H.B. No. 25 was passed by the House on April |
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121 | 121 | | 12, 2023, by the following vote: Yeas 144, Nays 1, 2 present, not |
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122 | 122 | | voting. |
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123 | 123 | | ______________________________ |
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124 | 124 | | Chief Clerk of the House |
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125 | 125 | | I certify that H.B. No. 25 was passed by the Senate on May 22, |
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126 | 126 | | 2023, by the following vote: Yeas 31, Nays 0. |
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127 | 127 | | ______________________________ |
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128 | 128 | | Secretary of the Senate |
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129 | 129 | | APPROVED: _____________________ |
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130 | 130 | | Date |
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131 | 131 | | _____________________ |
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132 | 132 | | Governor |
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