85th Texas Legislature, Regular Session, House Bill 1296, Chapter 1007 Page: 4 of 10
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H.B. No. 1296
1 (a) A health benefit plan that provides benefits for preschiption
drugs shall prorate any cost-sharing amount charged for a partial
supply of a prescription drug if:
(1) the pharmacy or the enrollee's prescribing
physician or health care provider notifies the health benefit plan
that:
(A) the quantity dispensed is to synchronize the
dates that the pharmacy dispenses the enrollee's prescription9 drugs; and
(B) the synchronization of the dates is in the
11 best interest of the enrollee; and
(2) the enrollee agrees to the synchronization.
(b) The proration described b Subsection (a) must be based'
14 on the number of days' supply of the drug actually dispensed.
Sec. 1369.455.
PRORATION OF DISPENSING FEE PROHIBITED.
16 health benefit plan that prorates a cost-sharing amount as required
17 by Section 1369.454 may not prorate the fee paid to the pharmacy for
18 dispensing the drug for which the cost-sharing amount was prorated.Sec. 1369.456.
IMPLEMENTATION
OF
CERTAIN
MEDICATION
20 SYNCHRONIZATION PLANS.
(a) For the purposes of this section:
"Chronic
illness" means an illness
or physical
22 condition that may be:
(A) reasonably
expected
to continue
24 uninterrupted period of at least three months; and
(B) controlled
but not
cured by medical
26 treatment.
"Medication synchronization plan"
means
a plan
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(1)
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(2)
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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/m1/4/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.