One-Pager Supporting HB 3286: Patient Prescription Protections in Medicaid
The Problem: In 2017, Texas protected patients from formulary-related, non-medical switching in private health insurance but not in Medicaid. As a result, patients in Medicaid are often forced off medications that work for them, causing delays and denials of care. Currently, about 30% of all drug denials are the result of drugs not being on the PDL. These protections were widely supported by physicians, and patients hailed them as some of the strongest in the country.
TAHP supports HB 3286, adding similar protections to the Medicaid program to prevent our most vulnerable Texans from being forced into non-medical switching that could lead to poor health care outcomes, delayed care, or care denials.
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