1. Call to Order.
2. Approval of the June 12, 2015 Council Meeting minutes.
3. Executive Commissioner’s Status Report: Update from the 84th Legislative Session.
4. Action Items Related to Rules.*
   1. Regarding Managed Care Organization Requirements Concerning Out-of-Network Providers: Health and Human Services Commission (HHSC) proposes to amend Texas Administrative Code Title 1, Part 15, Chapter 353, Subchapter A, §353.4, Managed Care Organization Requirements Concerning Out-of-Network Providers.
   2. Regarding Medicaid Drug Utilization Review Board Title 1, Part 15, Chapter 354, Subchapter F:
      1. HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, §354.1832, Prior Authorization Procedures; and §354.1924, Preferred Drug List.
      2. HHSC proposes to repeal Title 1, Part 15, Chapter 354, Subchapter F, §354.1928, Pharmaceutical and Therapeutics Committee; §354.1941, Conflict of Interest Policy.
      3. HHSC proposes as new Title 1, Part 15, Chapter 354, Subchapter F, §354.1941, Drug Utilization Review Board; §354.1942, Conflict of Interest Policy.
   3. Regarding Medicaid Drug Utilization Review Board; Drug Clinical Prior Authorization:
      HHSC proposes to amend Title 1, Part 15, Chapter 353, Subchapter J, §353.903, Definitions; §353.907, Prior Authorization Requirements.
   4. Regarding Vendor Drug Program Medicaid Audit Appeals:
      HHSC proposes to amend Title 1, Part 15, Chapter 354, Subchapter F, Division 5, §354.1891, Vendor Drug Providers Subject to Audit.
   5. Regarding Reimbursement for Certain Drugs in Disasters; Medicaid Fee-For-Service Drug Reimbursement:
      HHSC proposes to amend §354.1835, Prescriber Identification Numbers; §354.1863, Prescription Requirements; and §354.1901, Pharmacy Claims. HHSC proposes new §354.1868, Exceptions in Disasters.
   6. Regarding Medicaid Fee-For-Service Drug Reimbursement: HHSC proposes to amend Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8541, Legend and Nonlegend Medications; §355.8546, Brand-Name Drugs; §355.8547, Reimbursement for Compound Prescriptions; §355.8548, 340B Covered Entities; and §355.8551, Dispensing Fee.
      HHSC proposes to repeal Title 1, Part 15, Chapter 355, Subchapter J, Division 28, §355.8545, Texas Maximum Allowable Cost.
5. Adjourn.

*Public comment will be taken on this agenda item.

The HHSC Council will only take actions on items listed on the agenda.