PBM Licensure Law – TEXAS

TEXAS SUMMARY OF EXISTING LAW

Requires registration of third party administrators, or TPAs, which are defined as persons/entities who, in connection with annuities or life, health, accident, pharmacy, or workers’ compensation benefits, collects premiums or contributions from or adjusts or settles claims for Texas residents. TPAs are subject to annual reporting requirements to the Texas Comptroller and to TDI, must report name changes, and submit biographical information for select officers, directors, and owners.

Link to Existing Law: 28 TAC §§ 7.1601-7.1618

PRACTICAL NOTE FOR EXISTING LAW

While not an express PBM registration law, Texas has treated a PBM as a Third Party Administrator. However, while this may require certain registration and reporting requirements as to the entity’s financial solvency, it does not provide the oversight typically afforded by PBM Licensure Law.