Bill > HB2750

This bill adds a new subchapter to the Texas Insurance Code that addresses the use of pharmacy benefit managers (PBMs) by health benefit plan issuers with a financial interest in those PBMs. The bill defines "financial interest" as an ownership or investment interest through equity, debt, or other means, and specifies that it applies to a wide range of health benefit plans, including individual and group insurance policies, hospital service contracts, and plans offered by various types of health organizations. The key provision prohibits a health benefit plan issuer that has a financial interest in a pharmacy benefit manager from requiring enrollees to use that specific PBM, effectively preventing potential conflicts of interest and giving patients more choice in their pharmacy services. The new regulations will apply to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act itself taking effect on September 1, 2025. This legislation aims to protect consumers by ensuring that health benefit plan issuers cannot mandate the use of pharmacy benefit managers in which they have a financial stake, potentially reducing bias and promoting more competitive and consumer-friendly healthcare services.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB2750