Bill > SB493

This bill protects pharmacists and pharmacies by prohibiting pharmacy benefit managers (PBMs) from preventing or restricting communication with patients and plan administrators about prescription drug costs. Specifically, the bill ensures that pharmacists can inform patients about the difference between their out-of-pocket costs when using their prescription drug benefit versus paying without insurance, and allows pharmacists to communicate with plan sponsors about various aspects of prescription drug services, including network access, benefits, and claim reimbursement. Any contract provisions that attempt to restrict these communications will be considered void and unenforceable. The law will apply to contracts entered into, amended, or renewed on or after September 1, 2025, and aims to increase transparency in prescription drug pricing and improve communication between pharmacists, patients, and insurance administrators.

Business and Industry, Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB493