Section 1369.554 - Prohibition On Certain Communications(a) A health benefit plan issuer or pharmacy benefit manager may not steer or direct a patient to use the issuer's or manager's affiliated provider through any oral or written communication, including: (1) online messaging regarding the provider; or (2) patient- or prospective patient-specific advertising, marketing, or promotion of the provider. (b) This section does not prohibit a health benefit plan issuer or pharmacy benefit manager from including the issuer's or manager's affiliated provider in a patient or prospective patient communication, if the communication: (1) is regarding information about the cost or service provided by pharmacies or durable medical equipment providers in the network of a health benefit plan in which the patient or prospective patient is enrolled; and (2) includes accurate comparable information regarding pharmacies or durable medical equipment providers in the network that are not the issuer's or manager's affiliated providers. Tex. Ins. Code § 1369.554
Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 1012,Sec. 1, eff. 6/18/2021.