Rep. Toni Rose introduced HB 4422, a bill on Business & Commerce, Health, and Insurance, to the Texas House on Tuesday, March 11 during the 89(R) legislative session, according to the Texas Legislature website.
More specifically, the official text was summarized by the state legislature as ’’relating to discriminatory practices by a health benefit plan issuer, pharmacy benefit manager, and third-party payor with respect to certain entities participating in a federal drug discount program’’.
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
This bill amends Chapter 1369 of the Texas Insurance Code by introducing Subchapter O, which prohibits discriminatory practices by health benefit plan issuers, pharmacy benefit managers, and third-party payors. Specifically, it prevents them from reimbursing covered entities at lower rates or imposing different terms solely because of their status as covered entities, as defined by federal drug discount program laws. The bill also prohibits imposing additional charges on patients who choose to receive prescription drugs from covered entities. It applies to various health benefit plans and will only affect plans delivered, issued, or renewed on or after Jan. 1, 2026. The act takes effect on Sept. 1, 2025.
Toni Rose, the vice chair of the House Committee on Calendars, proposed another 11 bills during the 89(R) legislative session. She is also a member of the House Committee on Appropriations, a member of the House Committee on Appropriations – S/C on Article II, and a member of the House Committee on Human Services.
Toni Rose is currently serving in the Texas State House, representing the state’s 110th House district. She replaced previous state representative Barbara Mallory Caraway in 2013.
Bills in Texas go through a multi-step legislative process, including committee review, debates, and votes in both chambers before reaching a final decision. Each session, there are typically thousands of bills introduced, but only a portion successfully navigate the process to become law.
You can read more about the bills and other measures here.
| Legislative Session | Bill Number | Date Introduced | Short Description |
|---|---|---|---|
| 89(R) | HB 4421 | 03/11/2025 | Relating to available resources of certain state agencies to support and sustain peer-recovery organizations in this state |
| 89(R) | HB 4420 | 03/11/2025 | Relating to the collection of information on available beds at inpatient mental health facilities providing acute psychiatric treatment |
| 89(R) | HB 3981 | 03/06/2025 | Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees |
| 89(R) | HB 3917 | 03/06/2025 | Relating to coverage for maternal depression screenings under Medicaid and the child health plan program |
| 89(R) | HB 3902 | 03/06/2025 | Relating to licensure and contracting for the delivery of medical assistance by nursing facilities |
| 89(R) | HB 3174 | 02/21/2025 | Relating to county and hospital district disease control pilot programs to reduce the risk of certain infectious and communicable diseases; authorizing fees |
| 89(R) | HB 2809 | 02/13/2025 | Relating to required reporting by the Department of Family and Protective Services regarding youth in the managing conservatorship of the department who attempt suicide |
| 89(R) | HB 2808 | 02/13/2025 | Relating to the administration by the Texas Department of Housing and Community Affairs of a homeless housing and services program for youth and young adults |
| 89(R) | HB 2807 | 02/13/2025 | Relating to the statewide intellectual and developmental disability coordinating council |
| 89(R) | HB 2777 | 02/13/2025 | Relating to the applicability of the death penalty to a capital offense committed by a person with severe mental illness |
| 89(R) | HB 2402 | 02/04/2025 | Relating to the determination of fees, charges, and rates for certain benefits under Medicaid |
| 88(R) | HB 4951 | 03/10/2023 | Relating to the Medicare Primacy Coordination Audit and Assistance Program to assist eligible individuals in obtaining certain Medicare benefits |
| 88(R) | HB 4065 | 03/08/2023 | Relating to required reporting by the Department of Family and Protective Services regarding youth in the managing conservatorship of the department who attempt suicide |
| 88(R) | HB 3550 | 03/06/2023 | Relating to standards for and services provided by prescribed pediatric extended care centers, including Medicaid reimbursement for those services |
| 88(R) | HB 2802 | 02/24/2023 | Relating to the Medicaid application form and communication with Medicaid recipients |
| 88(R) | HB 12 | 02/23/2023 | Relating to the duration of services provided under Medicaid to women following a pregnancy |
| 88(R) | HB 2479 | 02/17/2023 | Relating to parental approval for the participation of certain students in human sexuality instruction in public schools |
| 88(R) | HB 2181 | 02/10/2023 | Relating to the administration by the Texas Department of Housing and Community Affairs of a homeless housing and services program for youth and young adults |
| 88(R) | HB 1803 | 01/30/2023 | Relating to the eligibility of certain individuals to purchase Medicare supplement benefit plans |
| 88(R) | HB 1473 | 01/19/2023 | Relating to the standard service and disability retirement benefits for members of the employee class of the Employees Retirement System of Texas |
| 88(R) | HB 1481 | 01/19/2023 | Relating to sickle cell disease health care improvement and the sickle cell task force |
| 88(R) | HB 1488 | 01/19/2023 | Relating to sickle cell disease health care improvement and the sickle cell task force |
| 88(R) | HB 1383 | 01/18/2023 | Relating to procedures in a criminal case after a defendant is found competent to stand trial and to consequences arising from certain violations of those procedures |
| 88(R) | HB 1293 | 01/12/2023 | Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program |
| 88(R) | HB 1184 | 01/05/2023 | Relating to access to criminal history record information for use in certain research or statistical projects |
| 88(R) | HB 725 | 11/16/2022 | Relating to prohibiting certain discrimination based on sexual orientation or gender identity or expression |
| 88(R) | HB 726 | 11/16/2022 | Relating to the criteria for court-ordered inpatient and extended inpatient mental health services |
| 88(R) | HB 727 | 11/16/2022 | Relating to the applicability of the death penalty to a capital offense committed by a person with severe mental illness |
| 88(R) | HB 728 | 11/16/2022 | Relating to the statewide interagency aging services coordinating council |
| 88(R) | HB 729 | 11/16/2022 | Relating to the statewide intellectual and developmental disability coordinating council |
