Bill Text: TX SB523 | 2021-2022 | 87th Legislature | Introduced
Bill Title: Relating to the effect of certain reductions in a health benefit plan enrollee's out-of-pocket expenses for prescription drugs on enrollee cost-sharing requirements.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2021-04-08 - Co-author authorized [SB523 Detail]
Download: Texas-2021-SB523-Introduced.html
| 87R2815 RDS-F | ||
| By: Buckingham | S.B. No. 523 | |
|
|
||
|
|
||
| relating to the effect of certain reductions in a health benefit | ||
| plan enrollee's out-of-pocket expenses for prescription drugs on | ||
| enrollee cost-sharing requirements. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. The heading to Subchapter B, Chapter 1369, | ||
| Insurance Code, is amended to read as follows: | ||
| SUBCHAPTER B. REQUIREMENTS AFFECTING COVERAGE OF SPECIFIC | ||
| PRESCRIPTION DRUGS OR COST SHARING [ |
||
| SECTION 2. Subchapter B, Chapter 1369, Insurance Code, is | ||
| amended by adding Section 1369.0542 to read as follows: | ||
| Sec. 1369.0542. EFFECT OF REDUCTIONS IN OUT-OF-POCKET | ||
| EXPENSES ON COST SHARING. An issuer of a health benefit plan that | ||
| covers prescription drugs or a pharmacy benefit manager shall apply | ||
| any third-party payment, financial assistance, discount, product | ||
| voucher, or other reduction in out-of-pocket expenses made by or on | ||
| behalf of an enrollee for a prescription drug to the enrollee's | ||
| deductible, copayment, cost-sharing responsibility, or | ||
| out-of-pocket maximum applicable to prescription drug benefits | ||
| under the enrollee's plan. | ||
| SECTION 3. Section 1369.0542, Insurance Code, as added by | ||
| this Act, applies only to a health benefit plan that is delivered, | ||
| issued for delivery, or renewed on or after January 1, 2022. A | ||
| health benefit plan delivered, issued for delivery, or renewed | ||
| before January 1, 2022, 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 4. This Act takes effect September 1, 2021. | ||
