Bill Text: TX HB4185 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to examination of pharmacy benefit managers by the commissioner of insurance.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-25 - Referred to Insurance [HB4185 Detail]
Download: Texas-2019-HB4185-Introduced.html
| 86R15372 PMO-D | ||
| By: Canales | H.B. No. 4185 | |
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| relating to examination of pharmacy benefit managers by the | ||
| commissioner of insurance. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 4151, Insurance Code, is amended by | ||
| adding Subchapter D-1 to read as follows: | ||
| SUBCHAPTER D-1. EXAMINATION OF PHARMACY BENEFIT MANAGERS | ||
| Sec. 4151.176. DEFINITIONS. In this subchapter: | ||
| (1) "Pharmacy benefit manager" has the meaning | ||
| assigned by Section 4151.151. | ||
| (2) "Records" has the meaning assigned by Section | ||
| 36.151. | ||
| Sec. 4151.177. EXAMINATION OF PHARMACY BENEFIT MANAGERS. | ||
| The commissioner may examine the records of a pharmacy benefit | ||
| manager to determine compliance with Chapter 1369, this chapter, | ||
| and other applicable provisions of this code and matters considered | ||
| necessary by the commissioner by rule to protect the interests of | ||
| health benefit plan issuers, enrollees, pharmacists, and | ||
| pharmacies. | ||
| Sec. 4151.178. EXAMINATION EXPENSES. (a) A pharmacy | ||
| benefit manager shall pay the cost of the examination authorized by | ||
| Section 4151.177. The department shall collect an assessment in an | ||
| amount determined by the commissioner to cover all expenses | ||
| attributable directly to the examination, including the salaries | ||
| and expenses of the department employees and all reasonable | ||
| expenses of the department attributable to the administration of | ||
| this subchapter. | ||
| (b) The assessment collected under this section shall be | ||
| deposited to the credit of the Texas Department of Insurance | ||
| operating account. | ||
| Sec. 4151.179. CONFIDENTIALITY. A pharmacy benefit manager | ||
| may request that the commissioner treat specified records obtained | ||
| under this subchapter as confidential and excepted from public | ||
| disclosure under Chapter 552, Government Code, in accordance with | ||
| Section 552.110, Government Code, or other applicable law. | ||
| SECTION 2. This Act takes effect September 1, 2019. | ||
