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.
Spectrum: Partisan Bill (Republican 1-0)
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. |