S.B. No. 1500 introduces a new section to the Human Resources Code, specifically Section 32.0465, which establishes written protocols for certain nonprescription drugs under Medicaid. The bill defines key terms such as "health care provider," "medical director," and "recipient," and allows the medical director to issue standing written protocols aimed at improving access to preventive care for recipients during pregnancy and the preconception and postpartum periods. These protocols must include necessary pharmacy instructions, identify eligible recipient populations, and list known contraindications. The protocols will expire one year after issuance.

Additionally, the bill provides civil liability protections for various parties involved in the issuance and implementation of these protocols. The medical director, health care providers, and pharmacy personnel are granted immunity from civil liability when they comply with the established requirements. The bill also stipulates that if a state agency requires federal authorization for any provision, implementation may be delayed until such authorization is obtained. The law will take effect on September 1, 2025, and will only apply to causes of action that accrue on or after that date.

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