Texas SB959 modifies prescription drug benefits and coverage for certain health benefit plans.

Texas SB959 amends the Insurance Code to modify prescription drug benefits and coverage offered by certain health benefit plans. The bill prohibits health benefit plan issuers from modifying an enrollee's contracted benefit level for any prescription drug that was approved or covered under the plan in the immediately preceding plan year and prescribed during that year for a medical condition or mental illness of the enrollee. The bill also outlines specific modifications that require notice, such as removing a drug from a formulary or imposing a step-therapy restriction for a drug.

Texas SB959 modifies prescription drug benefits and coverage for certain health benefit plans.

Texas SB959 amends the Insurance Code to modify prescription drug benefits and coverage offered by certain health benefit plans. The bill prohibits health benefit plan issuers from modifying an enrollee's contracted benefit level for any prescription drug that was approved or covered under the plan in the immediately preceding plan year and prescribed during that year for a medical condition or mental illness of the enrollee. The bill also outlines specific modifications that require notice, such as removing a drug from a formulary or imposing a step-therapy restriction for a drug.