Sec. 531.0697. PRIOR APPROVAL AND PROVIDER ACCESS TO CERTAIN COMMUNICATIONS WITH CERTAIN RECIPIENTS. (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 administered by the commission 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 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 recipients who are to receive the communication access to the communication.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.15, eff. September 28, 2011.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.107, eff. April 2, 2015.
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