1 | 1 | | 89R13767 CMO-F |
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2 | 2 | | By: Alvarado, Cook S.B. No. 1500 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to written protocols for certain nonprescription drugs |
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10 | 10 | | under Medicaid and civil liability related to those protocols. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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13 | 13 | | is amended by adding Section 32.0465 to read as follows: |
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14 | 14 | | Sec. 32.0465. WRITTEN PROTOCOLS FOR CERTAIN |
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15 | 15 | | NONPRESCRIPTION DRUGS; LIMITATION ON LIABILITY. (a) In this |
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16 | 16 | | section: |
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17 | 17 | | (1) "Health care provider" means a physician or other |
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18 | 18 | | person who is licensed, certified, or otherwise authorized by this |
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19 | 19 | | state's laws to prescribe a prescription drug in the ordinary |
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20 | 20 | | course of business or practice of a profession. |
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21 | 21 | | (2) "Medical director" means the medical director |
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22 | 22 | | employed by the executive commissioner under Section 523.0054, |
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23 | 23 | | Government Code. |
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24 | 24 | | (3) "Nonprescription drug," "pharmacist," "pharmacy |
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25 | 25 | | technician," "pharmacy technician trainee," "provide," and |
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26 | 26 | | "written protocol" have the meanings assigned by Section 551.003, |
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27 | 27 | | Occupations Code. |
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28 | 28 | | (4) "Recipient" means a medical assistance recipient. |
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29 | 29 | | (b) The medical director may issue a standing written |
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30 | 30 | | protocol for a nonprescription drug to support recipient access to |
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31 | 31 | | preventive care and improve recipient health during pregnancy and |
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32 | 32 | | the preconception and postpartum periods. A written protocol the |
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33 | 33 | | medical director issues under this subsection: |
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34 | 34 | | (1) must: |
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35 | 35 | | (A) include pharmacy instructions the medical |
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36 | 36 | | director determines necessary; |
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37 | 37 | | (B) identify the recipient population eligible |
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38 | 38 | | to obtain a nonprescription drug under the written protocol; and |
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39 | 39 | | (C) list each known contraindication; and |
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40 | 40 | | (2) expires on the first anniversary of the date the |
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41 | 41 | | medical director issues the written protocol. |
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42 | 42 | | (c) The medical director is immune from civil liability for |
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43 | 43 | | issuing a written protocol that complies with the requirements |
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44 | 44 | | listed in Subsection (b). |
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45 | 45 | | (d) A health care provider is immune from civil liability |
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46 | 46 | | for issuing a written protocol for a nonprescription drug for a |
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47 | 47 | | recipient that includes a list of each known contraindication. |
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48 | 48 | | (e) A pharmacist, pharmacy technician, or pharmacy |
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49 | 49 | | technician trainee is immune from civil liability for providing a |
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50 | 50 | | nonprescription drug to a recipient in accordance with a written |
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51 | 51 | | protocol described by Subsection (b) or (d). |
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52 | 52 | | SECTION 2. If before implementing any provision of this Act |
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53 | 53 | | a state agency determines that a waiver or authorization from a |
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54 | 54 | | federal agency is necessary for implementation of that provision, |
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55 | 55 | | the agency affected by the provision shall request the waiver or |
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56 | 56 | | authorization and may delay implementing that provision until the |
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57 | 57 | | waiver or authorization is granted. |
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58 | 58 | | SECTION 3. The change in law made by this Act applies only |
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59 | 59 | | to a cause of action that accrues on or after the later of the |
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60 | 60 | | effective date of this Act or the date any necessary waiver or |
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61 | 61 | | authorization described by Section 2 of this Act is granted. A |
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62 | 62 | | cause of action that accrues before the later of those dates is |
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63 | 63 | | governed by the law applicable to the cause of action immediately |
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64 | 64 | | before that date, and that law is continued in effect for that |
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65 | 65 | | purpose. |
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66 | 66 | | SECTION 4. This Act takes effect September 1, 2025. |
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