Texas 2025 - 89th Regular

Texas Senate Bill SB1122 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	By: Schwertner, Flores, Hughes S.B. No. 1122
2		-	(In the Senate - Filed February 6, 2025; February 24, 2025,
3		-	read first time and referred to Committee on Health & Human
4		-	Services; March 31, 2025, reported favorably by the following
5		-	vote: Yeas 6, Nays 2, one present not voting; March 31, 2025, sent
6		-	to printer.)
	1	+	89R1175 SCL-F
	2	+	By: Schwertner S.B. No. 1122
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9	7		A BILL TO BE ENTITLED
10	8		AN ACT
11	9		relating to applicability of certain prescription drug insurance
12	10		laws to health benefit plans and pharmacy benefit managers.
13	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
14	12		SECTION 1. Subchapter L, Chapter 1369, Insurance Code, is
15	13		amended by adding Section 1369.5515 to read as follows:
16	14		Sec. 1369.5515. APPLICABILITY OF SUBCHAPTER. (a) Except
17	15		as provided by this subsection, a pharmacy benefit manager must
18	16		comply with the provisions of this subchapter with respect to each
19	17		health benefit plan administered by the pharmacy benefit manager,
20	18		regardless of whether a provision of this subchapter is
21	19		specifically made applicable to the plan. A pharmacy benefit
22	20		manager is not required to comply with a provision of this
23	21		subchapter with respect to a plan expressly excluded by this
24	22		subchapter from the applicability of the provision.
25	23		(b) This subchapter applies to a health benefit plan
26	24		provided to a resident of this state, regardless of whether the
27	25		plan, policy, agreement, or contract is delivered, issued for
28	26		delivery, or renewed within or outside this state and to the
29	27		pharmacy benefit manager for that plan.
30	28		SECTION 2. Section 1369.602, Insurance Code, is amended by
31	29		adding Subsections (d) and (e) to read as follows:
32	30		(d) Except as provided by this subsection, a pharmacy
33	31		benefit manager must comply with the provisions of this subchapter
34	32		with respect to each health benefit plan administered by the
35	33		pharmacy benefit manager, regardless of whether a provision of this
36	34		subchapter is specifically made applicable to the plan. A pharmacy
37	35		benefit manager is not required to comply with a provision of this
38	36		subchapter with respect to a plan expressly excluded by this
39	37		subchapter from the applicability of the provision.
40	38		(e) This subchapter applies to a health benefit plan
41	39		provided to a resident of this state, regardless of whether the
42	40		plan, policy, agreement, or contract is delivered, issued for
43	41		delivery, or renewed within or outside this state and to the
44	42		pharmacy benefit manager for that plan.
45	43		SECTION 3. As soon as practicable after the effective date
46	44		of this Act, the commissioner of insurance shall repeal all rules
47	45		that are inconsistent with the changes in law made by this Act.
48	46		SECTION 4. The changes in law made by this Act apply only to
49	47		a health benefit plan that is delivered, issued for delivery, or
50	48		renewed on or after January 1, 2026. A health benefit plan
51	49		delivered, issued for delivery, or renewed before January 1, 2026,
52	50		is governed by the law as it existed immediately before the
53	51		effective date of this Act, and that law is continued in effect for
54	52		that purpose.
55	53		SECTION 5. This Act takes effect September 1, 2025.
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