Text of section effective on April 01, 2025

Sec. 540.0205.  CONTRACT CONSIDERATIONS RELATING TO PHARMACY BENEFIT MANAGERS.  In considering approval of a subcontract between a managed care organization and a pharmacy benefit manager to provide Medicaid prescription drug benefits, the commission shall review and consider whether in the preceding three years the pharmacy benefit manager has been:
(1)  convicted of:
(A)  an offense involving a material misrepresentation or an act of fraud; or
(B)  another violation of state or federal criminal law;
(2)  adjudicated to have committed a breach of contract; or
(3)  assessed a penalty or fine of $500,000 or more in a state or federal administrative proceeding.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.