Tex. Gov't Code § 540.0205

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 540.0205 - [Effective 4/1/2025] Contract Considerations Relating To Pharmacy Benefit Managers

In considering approval of a subcontract between a managed care organization and a pharmacy benefit manager to provide Medicaid prescription drug benefits, the commission shall review and consider whether in the preceding three years the pharmacy benefit manager has been:

(1) convicted of:

(A) an offense involving a material misrepresentation or an act of fraud; or

(B) another violation of state or federal criminal law;

(2) adjudicated to have committed a breach of contract; or

(3) assessed a penalty or fine of $500,000 or more in a state or federal administrative proceeding. (Gov. Code, Sec. 533.003(b).)

Tex. Gov't. Code § 540.0205

Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.