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TX HB2528
Bill
Status
2/6/2025
Primary Sponsor
John Bucy
Click for details
AI Summary
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Prohibits health benefit plans from requiring prior authorization for medication-assisted treatment (MAT) of opioid or substance use disorders, except to prevent fraud, waste, and abuse
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Covers specific MAT medications including methadone, buprenorphine, buprenorphine/naloxone, and naltrexone
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Applies broadly to insurance companies, HMOs, group hospital service corporations, multiple employer welfare arrangements, small employer health plans, and self-funded plans sponsored by professional employer organizations
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Exempts state Medicaid programs (including Medicaid managed care) and the Children's Health Insurance Program (CHIP) from these requirements
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Takes effect September 1, 2025, applying to health benefit plans delivered, issued, or renewed on or after January 1, 2026
Legislative Description
Relating to health benefit plan coverage of prescription drugs for opioid and substance use disorders.
MEDICINE & PRESCRIPTION DRUGS
Last Action
Left pending in committee
4/9/2025