Relating to the effect of a pharmacy benefit manager change on prescription drug coverage.
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HB 3542 — Relating to the effect of a pharmacy benefit manager change on prescription drug coverage.
Last action — Referred to Insurance: Mar 24 2025 2:16PM
No card. One bill, free forever — alerts when it moves.
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1Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 89th Legislature, Regular Session. It reached “Introduced” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Relating to the effect of a pharmacy benefit manager change on prescription drug coverage.
Bill Text
We don't have the full text on file for this bill yet.
Read HB 3542 on the official Texas source →AI-generated reading aid from the bill's amendatory text — verify against the official bill.
This bill amends the Texas statutes.
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SUBCHAPTER A-1. CONTINUOUS COVERAGE REQUIREMENTS Sec. 1369.021. DEFINITION. In this subchapter, "prescription drug" has the meaning assigned by Section 551.003, Occupations Code. Sec. 1369.022. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is offered by: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842; (3) a health maintenance organization operating under Chapter 843; (4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; (5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; (6) a stipulated premium company operating under Chapter 884; (7) a fraternal benefit society operating under Chapter 885; (8) a Lloyd's plan operating under Chapter 941; or (9) an exchange operating under Chapter 942. (b) Notwithstanding any other law, this subchapter applies to: (1) a small employer health benefit plan subject to Chapter 1501, including coverage provided through a health group cooperative under Subchapter B of that chapter; (2) a standard health benefit plan issued under Chapter 1507; (3) a basic coverage plan under Chapter 1551; (4) a basic plan under Chapter 1575; (5) a primary care coverage plan under Chapter 1579; (6) a plan providing basic coverage under Chapter 1601; (7) nonprofit agricultural organization health benefits offered by a nonprofit agricultural organization under Chapter 1682; (8) alternative health benefit coverage offered by a subsidiary of the Texas Mutual Insurance Company under Subchapter M, Chapter 2054; (9) health benefits provided by or through a church benefits board under Subchapter I, Chapter 22, Business Organizations Code; (10) group health coverage made available by a school district in accordance with Section 22.004, Education Code; (11) the state Medicaid program, including the Medicaid managed care program operated under Chapter 540, Government Code; (12) the child health plan program under Chapter 62, Health and Safety Code; (13) a regional or local health care program operated under Section 75.104, Health and Safety Code; (14) a self-funded health benefit plan sponsored by a professional employer organization under Chapter 91, Labor Code; (15) county employee group health benefits provided under Chapter 157, Local Government Code; and (16) health and accident coverage provided by a risk pool created under Chapter 172, Local Government Code. Sec. 1369.023. EFFECT OF PHARMACY BENEFIT MANAGER CHANGE ON PRESCRIPTION DRUG COVERAGE. A health benefit plan may not deny or limit an enrollee's coverage of a prescription drug solely because of a change in the plan's pharmacy benefit manager.
amended
Action History
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Referred to Insurance
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Read first time
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Filed
Sponsors
- Armando Martinez · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 183 not signed on
Sponsors (1)
Co-sponsors (0)
None.
Not signed on (183)
183 members have not signed on to this bill.
Show all 183 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does HB 3542 do?
- Relating to the effect of a pharmacy benefit manager change on prescription drug coverage.
- Who sponsors HB 3542?
- HB 3542 is sponsored by Armando Martinez.
- What is the current status of HB 3542?
- This bill died with 89th Legislature, Regular Session. It reached “Introduced” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 3542?
- Track HB 3542 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 4 months ago · updated continuously
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