SB 1525 Texas Senate · 89th Legislature (2025)

Relating to prior authorization for prescription drug benefits related to the treatment of neurodegenerative diseases.

SB 1525 would limit insurance companies in Texas from requiring more than one annual prior authorization for prescription drugs treating neurodegenerative diseases (like Alzheimer's or Parkinson's), autoimmune diseases, hemophilia, or Von Willebrand disease. It specifically allows insurers to require a prior authorization for a *new* prescription drug for a neurodegenerative disease, but not for ongoing treatment. The law would apply only to health plans delivered, issued, or renewed on or after January 1, 2026. This bill directly affects patients with these conditions who rely on prescription medications for treatment.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
May 2025
House Passage
Governor
Introduced Feb 21, 2025 Last action May 8, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 4 edits · May 7, 2025
MODERATE
This bill updates the Texas Insurance Code to clarify coverage requirements for prescription drugs treating autoimmune, neurodegenerative, and certain blood disorders. The changes reorganize the bill's structure and update the scope to explicitly include neurodegenerative diseases alongside autoimmune diseases and blood disorders. The effective date and applicability rules remain unchanged, applying to plans issued or renewed on or after January 1, 2026.
Scope change
The bill's scope was expanded to explicitly include neurodegenerative diseases as a covered condition alongside autoimmune diseases and certain blood disorders, and the title was updated to reflect this broader scope.
SCOPE

The bill title and scope were updated to explicitly include neurodegenerative diseases alongside autoimmune diseases and certain blood disorders.

DEFINITION

The heading for Subchapter N was revised to reflect the updated scope covering autoimmune, neurodegenerative, and blood disorders.

REQUIREMENT

Section 1369.654 was amended to clarify that prior authorization limits apply to drugs treating autoimmune, neurodegenerative, hemophilia, or Von Willebrand disease.

TECHNICAL

New text was added regarding WCAG 2.1 accessibility standards for digital content, though this appears to be administrative rather than substantive policy change.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
26
Key actions
6
Committee
7
May 8, 2025
Committee
Referred to Insurance
lower
May 8, 2025
Introduced
Read first time
lower
May 7, 2025
Introduced
Received from the Senate
lower
May 7, 2025
Upper · Passed
Passed
upper
May 5, 2025
Upper · Passed
Committee report printed and distributed
upper
May 5, 2025
Upper · Passed
Reported favorably as substituted
upper
Apr 30, 2025
Upper · Passed
Vote taken in committee
upper
Apr 23, 2025
Upper · Passed
Left pending in committee
upper
Apr 23, 2025
Upper · Passed
Testimony taken in committee
upper
Mar 6, 2025
Committee
Referred to Health & Human Services
upper
Mar 6, 2025
Introduced
Read first time
upper
1 primary · 1 co-sponsor

Sponsors