Bill Text: TX HB2262 | 2017-2018 | 85th Legislature | Engrossed
Bill Title: Relating to health benefit plan coverage for accelerated refills of certain prescription eye drops.
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2017-05-08 - Referred to Business & Commerce [HB2262 Detail]
Download: Texas-2017-HB2262-Engrossed.html
85R11445 SMT-D | ||
By: Gooden, Muñoz, Jr. | H.B. No. 2262 |
|
||
|
||
relating to health benefit plan coverage for accelerated refills of | ||
certain prescription eye drops. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 1369, Insurance Code, is | ||
amended by adding Section 1369.0041 to read as follows: | ||
Sec. 1369.0041. ACCELERATED REFILLS OF CERTAIN | ||
PRESCRIPTION EYE DROPS. (a) Subject to Subsection (b), a health | ||
benefit plan that covers prescription eye drops to treat a chronic | ||
eye disease or condition may not deny coverage for a refill of the | ||
eye drops because the prescription is being refilled before the | ||
date established by the plan's general prescription refill | ||
guidelines if: | ||
(1) the original prescription states that additional | ||
quantities of the eye drops are needed; and | ||
(2) the refill does not exceed the total quantity of | ||
dosage units authorized by the prescribing provider on the original | ||
prescription, including refills. | ||
(b) A health benefit plan must provide coverage for the | ||
refill of a prescription for eye drops described by Subsection (a) | ||
that is dispensed on or before the last day of the prescribed dosage | ||
period and: | ||
(1) not earlier than the 21st day after the date a | ||
prescription for a 30-day supply of eye drops is dispensed; | ||
(2) not earlier than the 42nd day after the date a | ||
prescription for a 60-day supply of eye drops is dispensed; or | ||
(3) not earlier than the 63rd day after the date a | ||
prescription for a 90-day supply of eye drops is dispensed. | ||
SECTION 2. Section 1369.0041, Insurance Code, as added by | ||
this Act, applies only to a health benefit plan delivered, issued | ||
for delivery, or renewed on or after January 1, 2018. A health | ||
benefit plan delivered, issued for delivery, or renewed before | ||
January 1, 2018, 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 3. This Act takes effect September 1, 2017. |