Texas 2023 - 88th Regular

Texas Senate Bill SB2201

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to certain prescription drug benefits under the Medicaid managed care program.

Impact

The impact of SB2201 on state laws revolves around stricter regulations on how Medicaid managed care organizations handle prescription drug requests. It mandates organizations to put in place a user-friendly process for physicians to request exceptions to step therapy protocols, potentially reducing delays in treatment for patients who may need specific medications not initially authorized through the step therapy process. This change is likely to foster a more patient-centered approach in managing medication regimens within the Medicaid framework.

Summary

SB2201 is a significant legislative effort aimed at reforming the prescription drug benefits associated with the Medicaid managed care program in Texas. The bill introduces provisions to establish a clearer protocol for managing 'step therapy,' which requires patients to try certain medications before receiving coverage for the drug originally prescribed by their healthcare provider. By stipulating the process for exception requests, the bill aims to enhance the accessibility and efficiency of medication access for Medicaid recipients, ensuring that necessary medications are covered in a timely manner.

Sentiment

General sentiment surrounding SB2201 appears to be primarily supportive, particularly from healthcare providers and advocates seeking to improve patient access to necessary medications under the Medicaid program. There is an acknowledgement among supporters that while step therapy protocols can help control costs, they should not hinder timely access to effective treatments. However, there may also be concerns from managed care organizations regarding the operational changes required to accommodate the bill's provisions.

Contention

Notable points of contention may arise regarding the balance between cost management for Medicaid programs and the need for timely patient access to medications. Critics of stringent step therapy protocols argue that they may delay necessary treatments and negatively impact patient health. Therefore, the introduction of SB2201 and its requirement for clear exception processes seeks to mitigate this concern. Still, discussions on how these regulations would be implemented in practice could lead to further debate on the financial implications for Medicaid managed care organizations.

Texas Constitutional Statutes Affected

Government Code

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

Companion Bills

TX HB3286

Identical Relating to prescription drug benefits under Medicaid and the child health plan program.

Similar Bills

TX HB3286

Relating to prescription drug benefits under Medicaid and the child health plan program.

TX SB1922

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.

TX SB23

Relating to the administration of and efficiency, cost-saving, fraud prevention, and funding measures for certain health and human services and health benefits programs, including the medical assistance and child health plan programs.

TX HB2658

Relating to the Medicaid program, including the administration and operation of the Medicaid managed care program.

TX HB4459

Relating to the provision of certain services under the Medicaid managed care program to recipients who are victims of family violence.

TX HB4115

Relating to the establishment of a home and community support services improvement pilot program under the Medicaid managed care program.

TX SB1283

Relating to the availability under Medicaid of certain drugs used to treat human immunodeficiency virus or prevent acquired immune deficiency syndrome.

TX HB4055

Relating to the availability under Medicaid of certain drugs used to treat human immunodeficiency virus or prevent acquired immune deficiency syndrome.