Bill Text: TX HB3266 | 2011-2012 | 82nd Legislature | Introduced
Bill Title: Relating to the audit of retail and mail order pharmacy claims of certain public employees.
Sponsorship: Partisan Bill (Republican 1)
Status: (Introduced - Dead) 2011-04-26 - Left pending in committee [HB3266 Detail]
Download: Texas-2011-HB3266-Introduced.html
| 82R10267 PMO-D | ||
| By: Miller of Erath | H.B. No. 3266 | |
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| relating to the audit of retail and mail order pharmacy claims of | ||
| certain public employees. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter B, Chapter 1551, Insurance Code, is | ||
| amended by adding Section 1551.068 to read as follows: | ||
| Sec. 1551.068. AUDIT OF PHARMACY CLAIMS. The state auditor | ||
| shall conduct a biennial audit and submit to the board of trustees a | ||
| report on the claims data for prescriptions for a 90-day supply of | ||
| drugs to verify parity between retail and mail order pharmacies of | ||
| all factors of reimbursement, including average wholesale price and | ||
| maximum allowable cost. | ||
| SECTION 2. Subchapter C, Chapter 1575, Insurance Code, is | ||
| amended by adding Section 1575.111 to read as follows: | ||
| Sec. 1575.111. AUDIT OF PHARMACY CLAIMS. The state auditor | ||
| shall conduct a biennial audit and submit to the trustee a report on | ||
| the claims data for prescriptions for a 90-day supply of drugs to | ||
| verify parity between retail and mail order pharmacies of all | ||
| factors of reimbursement, including average wholesale price and | ||
| maximum allowable cost. | ||
| SECTION 3. The initial audit reports required by Sections | ||
| 1551.068 and 1575.111, Insurance Code, as added by this Act, are due | ||
| not later than September 1, 2013. | ||
| SECTION 4. The changes in law made by this Act apply only to | ||
| health benefit plans provided under Chapters 1551 and 1575, | ||
| Insurance Code, beginning with the 2011-2012 plan year. A plan year | ||
| before 2011-2012 is governed by the law as it existed immediately | ||
| before September 1, 2011, and that law is continued in effect for | ||
| that purpose. | ||
| SECTION 5. This Act takes effect immediately if it receives | ||
| a vote of two-thirds of all the members elected to each house, as | ||
| provided by Section 39, Article III, Texas Constitution. If this | ||
| Act does not receive the vote necessary for immediate effect, this | ||
| Act takes effect September 1, 2011. | ||
