Bill Text: TX SB1122 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to applicability of certain prescription drug insurance laws to health benefit plans and pharmacy benefit managers.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced) 2025-02-24 - Referred to Health & Human Services [SB1122 Detail]
Download: Texas-2025-SB1122-Introduced.html
| 89R1175 SCL-F | ||
| By: Schwertner | S.B. No. 1122 | |
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| relating to applicability of certain prescription drug insurance | ||
| laws to health benefit plans and pharmacy benefit managers. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter L, Chapter 1369, Insurance Code, is | ||
| amended by adding Section 1369.5515 to read as follows: | ||
| Sec. 1369.5515. APPLICABILITY OF SUBCHAPTER. (a) Except | ||
| as provided by this subsection, a pharmacy benefit manager must | ||
| comply with the provisions of this subchapter with respect to each | ||
| health benefit plan administered by the pharmacy benefit manager, | ||
| regardless of whether a provision of this subchapter is | ||
| specifically made applicable to the plan. A pharmacy benefit | ||
| manager is not required to comply with a provision of this | ||
| subchapter with respect to a plan expressly excluded by this | ||
| subchapter from the applicability of the provision. | ||
| (b) This subchapter applies to a health benefit plan | ||
| provided to a resident of this state, regardless of whether the | ||
| plan, policy, agreement, or contract is delivered, issued for | ||
| delivery, or renewed within or outside this state and to the | ||
| pharmacy benefit manager for that plan. | ||
| SECTION 2. Section 1369.602, Insurance Code, is amended by | ||
| adding Subsections (d) and (e) to read as follows: | ||
| (d) Except as provided by this subsection, a pharmacy | ||
| benefit manager must comply with the provisions of this subchapter | ||
| with respect to each health benefit plan administered by the | ||
| pharmacy benefit manager, regardless of whether a provision of this | ||
| subchapter is specifically made applicable to the plan. A pharmacy | ||
| benefit manager is not required to comply with a provision of this | ||
| subchapter with respect to a plan expressly excluded by this | ||
| subchapter from the applicability of the provision. | ||
| (e) This subchapter applies to a health benefit plan | ||
| provided to a resident of this state, regardless of whether the | ||
| plan, policy, agreement, or contract is delivered, issued for | ||
| delivery, or renewed within or outside this state and to the | ||
| pharmacy benefit manager for that plan. | ||
| SECTION 3. As soon as practicable after the effective date | ||
| of this Act, the commissioner of insurance shall repeal all rules | ||
| that are inconsistent with the changes in law made by this Act. | ||
| SECTION 4. The changes in law made by this Act apply only to | ||
| a health benefit plan that is delivered, issued for delivery, or | ||
| renewed on or after January 1, 2026. A health benefit plan | ||
| delivered, issued for delivery, or renewed before January 1, 2026, | ||
| is governed by the law as it existed immediately before the | ||
| effective date of this Act, and that law is continued in effect for | ||
| that purpose. | ||
| SECTION 5. This Act takes effect September 1, 2025. | ||
