85th Texas Legislature, Regular Session, House Bill 1296, Chapter 1007 Page: 3 of 10
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H.B. No. 1296
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benefit plan subject to Chapter 1501.
(e) This subchapter applies to a standard health benefit
plan issued under Chapter 1507.
(f) To the extent allowed by federal law, the child health
plan program operated under Chapter 62, Health and Safety Code, and
the state Medicaid program, including the Medicaid managed care
program operated under Chapter 533, Government Code, shall provide
the coverage required under this subchapter to a recipient.
Sec. 1369.453. APPLICABILITY TO CERTAIN MEDICATIONS. This
subchapter applies with respect to only a medication that:
(1) is covered by the enrollee's health benefit lan;
(2) meets the prior authorization criteria
specifically applicable to the medication under the health benefit
plan on the date the request for synchronization is made;
(3) is used for treatment and management of a chronic
illness, as that term is defined by Section 1369.456;
(4) may be prescribed with refills;
(5) is a formulation that can be effectively dispensed
in accordance with the medication synchronization plan described by
Section 1369.456; and
(6) is not, according to the schedules established by
the commissioner of the Department of State Health Services under
Chapter 481, Health and Safety Code:
(A) a Schedule II controlled substance; or
(B) a Schedule III controlled substance
containing hydrocodone.
Sec. 1369.454. PRORATION OF COST-SHARING AMOUNT REQUIRED..
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Texas. Legislature. House of Representatives. 85th Texas Legislature, Regular Session, House Bill 1296, Chapter 1007, legislative document, June 15, 2017; [Austin, Texas]. (https://texashistory.unt.edu/ark:/67531/metapth1049981/m1/3/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.