Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.
HB 2978 requires pharmacy benefit managers (PBMs) to reimburse network pharmacies for prescription drugs and devices at least the actual cost to the pharmacy, excluding professional dispensing fees from this calculation. It mandates that dispensing fees must be no less than the amount paid under Texas Medicaid's fee-for-service model. The law applies to most health benefit plans but excludes Medicaid, TRICARE, the child health plan, and specific state programs like workers' compensation. Pharmacies can appeal if they believe their reimbursement falls below these standards.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 20, 2025
Last action Mar 20, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
3
Key actions
0
Committee
1
Mar 20, 2025
Committee
Referred to Insurance
lower
Mar 20, 2025
Introduced
Read first time
lower
1 primary · 1 co-sponsor
Sponsors
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