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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Government Code § 549.0259: APPLICABILITY OF PRIOR AUTHORIZATION REQUIREMENTS TO PRIOR PRESCRIPTIONS.

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Where this section sits in the code
  1. GOVERNMENT CODE
  2. TITLE 4. EXECUTIVE BRANCH
  3. SUBTITLE I. HEALTH AND HUMAN SERVICES
  4. CHAPTER 549. PROVISION OF DRUGS AND DRUG INFORMATION
  5. SUBCHAPTER F. PRIOR AUTHORIZATION FOR CERTAIN DRUGS

The commission shall ensure that a prescription drug prescribed before implementation of a prior authorization requirement for that drug for a recipient or enrollee under Medicaid, the child health plan program, or another state program the commission or a health and human services agency administers, or for an individual who becomes eligible under Medicaid, the child health plan program, or another state program the commission or a health and human services agency administers, is not subject to any prior authorization requirement under this subchapter until the earlier of:

(1) the date the recipient or enrollee exhausts all the prescription, including any authorized refills; or

(2) the expiration of a period the commission prescribes.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Collected 2026-08-27T01:47:16Z. Source file · JSON

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