SB 1812
AN ACT relating to prior authorization for prescription drug benefits
Senate Bill
89th Regular Session
Jan 14, 2025 - Jun 2, 2025 • Session ended
Awaiting Committee Assignment
Bill filed, pending referral to Senate committee
Committee
Not yet assigned
Fiscal Note
Not available
What This Bill Does
relating to prior authorization for prescription drug benefits
Subject Areas
Bill Text
relating to prior authorization for prescription drug benefits related to the treatment of neurodegenerative diseases. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. The heading to Subchapter N, Chapter 1369, Insurance Code, is amended to read as follows: SUBCHAPTER N. COVERAGE OF PRESCRIPTION DRUGS FOR CERTAIN [AUTOIMMUNE] DISEASES AND [CERTAIN BLOOD] DISORDERS SECTION 2. Section 1369.654(a), Insurance Code, is amended (a) A health benefit plan issuer that provides prescription drug benefits may not require an enrollee to receive more than one prior authorization annually of the prescription drug benefit for a prescription drug prescribed to treat an autoimmune disease, hemophilia, a neurodegenerative disease, or Von Willebrand SECTION 3. The change in law made by this Act applies only to a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2026. A health benefit plan delivered, issued for delivery, or renewed before January 1, 2026, is governed by the law as it existed immediately before the effective date of this Act, and that law is continued in effect for SECTION 4. This Act takes effect September 1, 2025.
Bill History
filed
Bill filed: AN ACT relating to prior authorization for prescription drug benefits
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