Texas 2025 - 89th Regular

Texas Senate Bill SB1500 Compare Versions

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11 89R13767 CMO-F
22 By: Alvarado, Cook S.B. No. 1500
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to written protocols for certain nonprescription drugs
1010 under Medicaid and civil liability related to those protocols.
1111 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1212 SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
1313 is amended by adding Section 32.0465 to read as follows:
1414 Sec. 32.0465. WRITTEN PROTOCOLS FOR CERTAIN
1515 NONPRESCRIPTION DRUGS; LIMITATION ON LIABILITY. (a) In this
1616 section:
1717 (1) "Health care provider" means a physician or other
1818 person who is licensed, certified, or otherwise authorized by this
1919 state's laws to prescribe a prescription drug in the ordinary
2020 course of business or practice of a profession.
2121 (2) "Medical director" means the medical director
2222 employed by the executive commissioner under Section 523.0054,
2323 Government Code.
2424 (3) "Nonprescription drug," "pharmacist," "pharmacy
2525 technician," "pharmacy technician trainee," "provide," and
2626 "written protocol" have the meanings assigned by Section 551.003,
2727 Occupations Code.
2828 (4) "Recipient" means a medical assistance recipient.
2929 (b) The medical director may issue a standing written
3030 protocol for a nonprescription drug to support recipient access to
3131 preventive care and improve recipient health during pregnancy and
3232 the preconception and postpartum periods. A written protocol the
3333 medical director issues under this subsection:
3434 (1) must:
3535 (A) include pharmacy instructions the medical
3636 director determines necessary;
3737 (B) identify the recipient population eligible
3838 to obtain a nonprescription drug under the written protocol; and
3939 (C) list each known contraindication; and
4040 (2) expires on the first anniversary of the date the
4141 medical director issues the written protocol.
4242 (c) The medical director is immune from civil liability for
4343 issuing a written protocol that complies with the requirements
4444 listed in Subsection (b).
4545 (d) A health care provider is immune from civil liability
4646 for issuing a written protocol for a nonprescription drug for a
4747 recipient that includes a list of each known contraindication.
4848 (e) A pharmacist, pharmacy technician, or pharmacy
4949 technician trainee is immune from civil liability for providing a
5050 nonprescription drug to a recipient in accordance with a written
5151 protocol described by Subsection (b) or (d).
5252 SECTION 2. If before implementing any provision of this Act
5353 a state agency determines that a waiver or authorization from a
5454 federal agency is necessary for implementation of that provision,
5555 the agency affected by the provision shall request the waiver or
5656 authorization and may delay implementing that provision until the
5757 waiver or authorization is granted.
5858 SECTION 3. The change in law made by this Act applies only
5959 to a cause of action that accrues on or after the later of the
6060 effective date of this Act or the date any necessary waiver or
6161 authorization described by Section 2 of this Act is granted. A
6262 cause of action that accrues before the later of those dates is
6363 governed by the law applicable to the cause of action immediately
6464 before that date, and that law is continued in effect for that
6565 purpose.
6666 SECTION 4. This Act takes effect September 1, 2025.