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No significant fiscal implication to the State is anticipated.
HB 1455 would prohibit a health benefit plan issuer or pharmacy benefit manager that audits wholesale invoices from auditing the pharmacy claims of another health benefit plan or pharmacy benefit manager. It would also require that a health benefit plan issuer or pharmacy benefit manager reverse a finding of a discrepancy if certain conditions are met. This bill is intended to prevent abusive auditing practices arising from legitimate differences between quantities or drug codes stated on a wholesale invoice, and those stated on the dispensed prescription or submitted claim for that prescription.
Texas Action remains neutral on HB 1455 because it does not affect our liberty principles.
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