{"data":{"id":"us-tx/tex.-insurance-code-1369.265","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1369.265","heading":"CERTAIN AUDITS EXEMPT FROM DEADLINES.","body":"A health benefit plan issuer or pharmacy benefit manager is not subject to the deadlines for sending a report under Sections 1369.263 and 1369.264 if, after reviewing claims data, written or oral statements of pharmacy staff, wholesalers, or others, or other investigative information, including patient referrals, anonymous reports, or postings on Internet websites, the plan issuer or pharmacy benefit manager suspects the audited pharmacist or pharmacy committed fraud or made an intentional misrepresentation related to the pharmacy business.\nAdded by Acts 2013, 83rd Leg., R.S., Ch. 915 (H.B. 1358), Sec. 1, eff. September 1, 2013.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1369. BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES","SUBCHAPTER F. AUDITS OF PHARMACISTS AND PHARMACIES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm#1369.265","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"626f1d6d0f6d399fef5f4d3fcedaa1c28b839abb510929eaef619fea75f58a29","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1369.264","next":"us-tx/tex.-insurance-code-1369.266"},"notice":"GroundRules: Original legal text. Not legal advice."}