Section 549.0005 - [Effective 4/1/2025] Prior Approval Of And Pharmacy Provider Access To Certain Communications With Certain Recipients And Enrollees(a) This section applies to:(1) the vendor drug program for Medicaid and the child health plan program;(2) the kidney health care program;(3) the children with special health care needs program; and(4) any other state program the commission administers that provides prescription drug benefits.(b) A managed care organization, including a health maintenance organization, or a pharmacy benefit manager, that administers claims for prescription drug benefits under a program to which this section applies shall, at least 10 days before the date the organization or pharmacy benefit manager intends to deliver a communication to recipients or enrollees collectively under a program: (1) submit a copy of the communication to the commission for approval; and(2) if applicable, allow the pharmacy providers of the recipients or enrollees who are to receive the communication access to the communication. (Gov. Code, Sec. 531.0697.) Tex. Gov't. Code § 549.0005
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.