Insurance Code §1369.601

In force on May 13, 2024 · this text took effect Sep 01, 2023 · same as today's text

DEFINITIONS

In this subchapter: (1) "Pharmacy benefit manager" has the meaning assigned by Section 4151.151 . (2) "Pharmacy benefit network" means a network of pharmacies that have contracted with a pharmacy benefit manager to provide pharmacist services to enrollees. (3) "Pharmacy services administrative organization" means an entity that contracts with a pharmacist or pharmacy to conduct on behalf of the pharmacist or pharmacy the pharmacist's or pharmacy's business with a third-party payor, including a pharmacy benefit manager, in connection with pharmacy benefits and to assist the pharmacist or pharmacy by providing administrative services, including negotiating, executing, and administering a contract with a third-party payor and communicating with the third-party payor in connection with a contract or pharmacy benefits.

History: Added by Acts 2021, 87th Leg., R.S., Ch. 142 (H.B. 1763 ), Sec. 1, eff. September 1, 2021. Redesignated from Insurance Code, Section 1369.551 by Acts 2023, 88th Leg., R.S., Ch. 768 (H.B. 4595 ), Sec. 24.001(27), eff. September 1, 2023.

Source: the Legislature's file server, seen Nov 08, 2026.

Every version on file

Effective Sep 01, 2023 · seen Nov 2026–Nov 2026

Attorney General opinions that cite it

KP-0480 (May 13, 2024): Whether House Bill 1763 and House Bill 1919, enacted by the 87th Legislature and codified in chapter 1369 of the Insurance Code, are enforceable against a health benefit plan issuer and a pharmacy benefit manager administering the pharmacy benefits of the health benefit plan in certain circumstances

A research copy. The official text is the Legislature's (statutes), the Secretary of State's (Texas Administrative Code) or eCFR's (federal rules). Not legal advice.