Texas SB1287 mandates that reductions in out-of-pocket expenses for certain prescription drugs be applied to health benefit plan enrollees'.

Texas SB1287 amends the Insurance Code to ensure that any reduction in out-of-pocket expenses for prescription drugs that are essential health benefits is applied to the enrollee's deductible, copayment, cost-sharing responsibility, or out-of-pocket maximum. This applies to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026.

Texas SB1287 mandates that reductions in out-of-pocket expenses for certain prescription drugs be applied to health benefit plan enrollees'.

Texas SB1287 amends the Insurance Code to ensure that any reduction in out-of-pocket expenses for prescription drugs that are essential health benefits is applied to the enrollee's deductible, copayment, cost-sharing responsibility, or out-of-pocket maximum. This applies to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026.