Contact Your Texas State Rep. To Support TX HB 1763 - Legislation to Help Prevent PBM Retroactive Fees, Patient Steering, and Narrow Networks

Apr 26, 2021

Good Neighbor Pharmacy and Elevate Provider Network are supporting Texas House Bill 1763 and we ask that you contact your state representative by 4:00pm on Monday April 26th to urge their support for HB 1763.  The bill is scheduled for a vote on April 26th at 4:00 PM. 

HB 1763 aims to curtail unreasonable, aggressive PBM tactics and will  help to ensure that Texas based community and independent pharmacies can continue serving patients. Specifically, HB 1763 will prevent PBMs from assessing retroactive fees, and ensure that PBMs cannot require pharmacies to obtain excessive credentialing or certifications. Additionally, this legislation seeks to prevent PBMs from paying their own affiliate pharmacies more than other independently owned pharmacies for the same services, or requiring patients to use a PBM-owned mail-order pharmacy. Additional information can be found here.

HB 1763 is expected to be voted on in the Texas House of Representatives early next week, and we are asking you to call your Texas state representative and tell him/her to support HB 678 by following the steps below.

Step 1:

Once completed, select your Texas state representative from the search results. Please DO NOT select your U.S. Representative, U.S. Senator, or Texas State Senator – You must identify your Texas State Representative or you will not reach the correct office (it will say “Texas House District ##” below his/her name).

Step 2:

  • Click through to Find Your State Representative’s Phone Number on his/her home page.

Step 3:

  • Call Your State Representative’s Office and make the “ask” using the talking points/phone script below:

Hello, my name is YOUR NAME HERE and I am an independent, community pharmacist who works/lives/owns NAME & OF PHARMACY, in your district. As a registered pharmacist and constituent, I am calling you today to urge your support for House Bill 1763.

Currently, Pharmacy Benefit Managers (PBMs) engage in practices that create barriers to fair competition and impede pharmacists’ ability to care for patients. PBMs assess retroactive fees against pharmacies, penalizing them for not reaching unrealistic, vague, and often undefined performance goals. In addition, these middlemen frequently require pharmacies to obtain excessive credentialing or certifications in order to narrow their network of providers, while at the same time paying their own affiliate pharmacies more than other independently owned pharmacies for the same services. PBMs also may require patients to use a PBM-owned mail-order pharmacy, restricting patient choice and fair market competition. 

HB 1763 will help put an end to these unreasonable PBM tactics and will help to ensure that Texas based community and independent pharmacies can continue serving Texas patients - especially in underserved and rural communities.

For these reasons, I encourage you to support Texas patients, independent pharmacists, and the small business that they operate by voting “YES” on HB 1763 should it come up for a for a vote.

If you have questions, or need help please email Chris Johnson, Manager of State Government Affairs at Christian.johnson@amerisroucebergen.com or call 202-655-6549.