Bill Text: TX SB94 | 2015-2016 | 84th Legislature | Enrolled
Bill Title: Relating to certain fees charged for the adjudication of pharmacy benefit claims.
Spectrum: Bipartisan Bill
Status: (Passed) 2015-05-15 - Effective on 9/1/15 [SB94 Detail]
Download: Texas-2015-SB94-Enrolled.html
| S.B. No. 94 | ||
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| relating to certain fees charged for the adjudication of pharmacy | ||
| benefit claims. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 1369, Insurance Code, is amended by | ||
| adding Subchapter I to read as follows: | ||
| SUBCHAPTER I. PHARMACY BENEFIT CLAIM ADJUDICATION | ||
| Sec. 1369.401. DEFINITION. In this subchapter, "pharmacy | ||
| benefit manager" has the meaning assigned by Section 4151.151. | ||
| Sec. 1369.402. CERTAIN FEES PROHIBITED. A health benefit | ||
| plan issuer or a pharmacy benefit manager may not directly or | ||
| indirectly charge or hold a pharmacist or pharmacy responsible for | ||
| a fee for any step of or component or mechanism related to the claim | ||
| adjudication process, including: | ||
| (1) the adjudication of a pharmacy benefit claim; | ||
| (2) the processing or transmission of a pharmacy | ||
| benefit claim; | ||
| (3) the development or management of a claim | ||
| processing or adjudication network; or | ||
| (4) participation in a claim processing or | ||
| adjudication network. | ||
| SECTION 2. The change in law made by this Act does not | ||
| affect the terms of a contract, if any, entered into or renewed | ||
| before the effective date of this Act until a renewal of the | ||
| contract that occurs on or after the effective date of this Act. | ||
| SECTION 3. This Act takes effect September 1, 2015. | ||
| ______________________________ | ______________________________ | |
| President of the Senate | Speaker of the House | |
| I hereby certify that S.B. No. 94 passed the Senate on | ||
| April 9, 2015, by the following vote: Yeas 29, Nays 2. | ||
| ______________________________ | ||
| Secretary of the Senate | ||
| I hereby certify that S.B. No. 94 passed the House on | ||
| May 1, 2015, by the following vote: Yeas 136, Nays 0, two present | ||
| not voting. | ||
| ______________________________ | ||
| Chief Clerk of the House | ||
| Approved: | ||
| ______________________________ | ||
| Date | ||
| ______________________________ | ||
| Governor | ||
