Legislation


HB 1455 (see companion bill SB 692) – Texas

Status: Enacted
Year Introduced: 2019
Link: https://capitol.texas.gov/BillLookup/History.aspx?LegSess=86R&Bill=HB1455

Relating to the audit of wholesale invoices during certain audits of pharmacists and pharmacies. House Bill 1455 amends the Insurance Code to prohibit a health benefit plan issuer or pharmacy benefit manager that audits wholesale invoices during an audit of a pharmacist or pharmacy from auditing the pharmacy claims of another health benefit plan or pharmacy benefit manager. The bill requires a health benefit plan issuer or pharmacy benefit manager to reverse a finding of a discrepancy under certain circumstances, sets out the documents an issuer or manager must accept as evidence to support the validity of a claim related to a dispensed drug, and requires an issuer or manager to provide a pharmacist or pharmacy with any supporting documents the pharmacist’s or pharmacy’s suppliers provided to the issuer or manager by a certain date after the pharmacist or pharmacy requests the documents.


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