Texas House Bill HB2985

Texas 2023 - 88th Regular

• Filed: 2/28/23

Caption

Relating to prior authorization for prescription drug benefits related to the prevention of human immunodeficiency virus infections.

Impact

If enacted, HB2985 would have significant implications for health benefit plans across Texas. The bill would apply to various forms of insurance products, including those offered by health maintenance organizations, group hospital service corporations, and state Medicaid programs. The removal of prior authorization requirements will likely lead to more immediate access to necessary preventive medications, ultimately aiming to decrease HIV transmission rates within the state. Furthermore, the bill aims to promote equitable access, particularly benefiting populations disproportionately affected by HIV.

Summary

House Bill 2985, introduced by Jones of Dallas, focuses on amending the Texas Insurance Code to address prior authorization requirements for prescription drugs related to the prevention of human immunodeficiency virus (HIV) infections. This legislation aims to eliminate prior authorization barriers for specific medications, thus facilitating timely access to drugs crucial for preventing HIV infection. By streamlining the process, HB2985 seeks to expand healthcare access and improve health outcomes for individuals at risk of HIV, aligning with broader public health objectives.

Sentiment

The sentiment surrounding HB2985 appears to be predominantly supportive, reflecting an acknowledgment of the importance of accessible healthcare in combating HIV. Advocacy groups and public health officials have expressed positive views, emphasizing that overcoming prior authorization hurdles is critical for timely prevention efforts. However, there may also be concerns related to the regulatory implications of removing such requirements, especially among insurance providers who may worry about the operational ramifications and cost implications involved with the legislation.

Contention

Notable points of contention could arise primarily from stakeholders involved in providing health insurance. While public health advocates support the bill for its potential health benefits, some insurance companies might argue that the removal of prior authorization could lead to increased costs and potentially misuse of medications. Balancing the need for both accessibility to essential drugs and safeguarding against potential indiscriminate use is likely to be a key consideration in the ongoing discussions regarding HB2985.

Texas Constitutional Statutes Affected

Insurance Code

• Chapter 1369. Benefits Related To Prescription Drugs And Devices And Related Services
  • Section: New Section

• Chapter 1501. Health Insurance Portability And Availability Act
  • Section: 004

• Chapter 1507. Consumer Choice Of Benefits Plans
  • Section: 004

• Chapter 1551. Texas Employees Group Benefits Act
  • Section: 004

• Chapter 1575. Texas Public School Employees Group Benefits Program
  • Section: 004

• Chapter 1579. Texas School Employees Uniform Group Health Coverage
  • Section: 004

• Chapter 1601. Uniform Insurance Benefits Act For Employees Of The University Of Texas System And The Texas A&m University System
  • Section: 004

Business Organizations Code

• Chapter 22. Nonprofit Corporations
  • Section: New Section

Government Code

• Chapter 533. Medicaid Managed Care Program
  • Section: New Section

Health And Safety Code

• Chapter 62. Child Health Plan For Certain Low-income Children
  • Section: New Section

Labor Code

• Chapter 91. Professional Employer Organizations
  • Section: New Section

Local Government Code

• Chapter 157. Assistance, Benefits, And Working Conditions Of County Officers And Employees
  • Section: New Section

• Chapter 172. Texas Political Subdivisions Uniform Group Benefits Program
  • Section: New Section