Bill Text: TX SB1500 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to written protocols for certain nonprescription drugs under Medicaid and civil liability related to those protocols.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced) 2025-02-20 - Filed [SB1500 Detail]
Download: Texas-2025-SB1500-Introduced.html
89R13767 CMO-F | ||
By: Alvarado, Cook | S.B. No. 1500 |
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relating to written protocols for certain nonprescription drugs | ||
under Medicaid and civil liability related to those protocols. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter B, Chapter 32, Human Resources Code, | ||
is amended by adding Section 32.0465 to read as follows: | ||
Sec. 32.0465. WRITTEN PROTOCOLS FOR CERTAIN | ||
NONPRESCRIPTION DRUGS; LIMITATION ON LIABILITY. (a) In this | ||
section: | ||
(1) "Health care provider" means a physician or other | ||
person who is licensed, certified, or otherwise authorized by this | ||
state's laws to prescribe a prescription drug in the ordinary | ||
course of business or practice of a profession. | ||
(2) "Medical director" means the medical director | ||
employed by the executive commissioner under Section 523.0054, | ||
Government Code. | ||
(3) "Nonprescription drug," "pharmacist," "pharmacy | ||
technician," "pharmacy technician trainee," "provide," and | ||
"written protocol" have the meanings assigned by Section 551.003, | ||
Occupations Code. | ||
(4) "Recipient" means a medical assistance recipient. | ||
(b) The medical director may issue a standing written | ||
protocol for a nonprescription drug to support recipient access to | ||
preventive care and improve recipient health during pregnancy and | ||
the preconception and postpartum periods. A written protocol the | ||
medical director issues under this subsection: | ||
(1) must: | ||
(A) include pharmacy instructions the medical | ||
director determines necessary; | ||
(B) identify the recipient population eligible | ||
to obtain a nonprescription drug under the written protocol; and | ||
(C) list each known contraindication; and | ||
(2) expires on the first anniversary of the date the | ||
medical director issues the written protocol. | ||
(c) The medical director is immune from civil liability for | ||
issuing a written protocol that complies with the requirements | ||
listed in Subsection (b). | ||
(d) A health care provider is immune from civil liability | ||
for issuing a written protocol for a nonprescription drug for a | ||
recipient that includes a list of each known contraindication. | ||
(e) A pharmacist, pharmacy technician, or pharmacy | ||
technician trainee is immune from civil liability for providing a | ||
nonprescription drug to a recipient in accordance with a written | ||
protocol described by Subsection (b) or (d). | ||
SECTION 2. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 3. The change in law made by this Act applies only | ||
to a cause of action that accrues on or after the later of the | ||
effective date of this Act or the date any necessary waiver or | ||
authorization described by Section 2 of this Act is granted. A | ||
cause of action that accrues before the later of those dates is | ||
governed by the law applicable to the cause of action immediately | ||
before that date, and that law is continued in effect for that | ||
purpose. | ||
SECTION 4. This Act takes effect September 1, 2025. |