89R25441 SCR-D By: Harris H.B. No. 3233 Substitute the following for H.B. No. 3233: By: Dean C.S.H.B. No. 3233 A BILL TO BE ENTITLED AN ACT relating to patient data maintained by pharmacy benefit managers. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter D, Chapter 4151, Insurance Code, is amended by adding Section 4151.1531 to read as follows: Sec. 4151.1531. SECURITY OF PATIENT DATA. A pharmacy benefit manager may not store or process patient data for a resident of this state in a location that is in a country the government of which has been determined by the secretary of state of the United States to have repeatedly provided support for acts of international terrorism as designated under: (1) Section 620A, Foreign Assistance Act of 1961 (22 U.S.C. Section 2371); (2) Section 40, Arms Export Control Act (22 U.S.C. Section 2780); or (3) Section 1754(c), John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. No. 115-232). SECTION 2. Section 4151.1531, Insurance Code, as added by this Act, applies only to a contract entered into or renewed on or after the effective date of this Act. SECTION 3. This Act takes effect September 1, 2025.