Texas HB3542 prohibits health benefit plans from denying or limiting prescription drug coverage due to a change in pharmacy benefit manager.

HB3542 amends the Texas Insurance Code to add a new subchapter on continuous coverage requirements for prescription drugs. It prohibits health benefit plans from denying or limiting an enrollee's coverage of a prescription drug solely because of a change in the plan's pharmacy benefit manager. The changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026. The act takes effect September 1, 2025.

Texas HB3542 prohibits health benefit plans from denying or limiting prescription drug coverage due to a change in pharmacy benefit manager.

HB3542 amends the Texas Insurance Code to add a new subchapter on continuous coverage requirements for prescription drugs. It prohibits health benefit plans from denying or limiting an enrollee's coverage of a prescription drug solely because of a change in the plan's pharmacy benefit manager. The changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026. The act takes effect September 1, 2025.