A-2.4. Board Composition

The Board is composed of 20 members appointed by the HHSC Executive Commissioner in accordance with Texas Government Code section 531.0736 and compliance with Social Security Act section 1927(g)(3). Except as specified, all members are voting members.

This membership includes:

  1. 17 physicians and pharmacists providing services across the entire population of Medicaid recipients representing at least one of each of the following physician types:
    1. Provider of pediatrician services;
    2. Primary care physician;
    3. Provider of obstetrician and gynecologist services;
    4. Provider of child and adolescent psychiatry services; and
    5. Provider of adult psychiatry.
  2. One physician provider representing Medicaid managed care organization (non-voting member);
  3. One pharmacist provider representing Medicaid managed care organization (non-voting member); and
  4. One consumer advocate representing the Medicaid population.

Physician and pharmacist members must:

  1. Have experience in developing or practicing under a PDL.
  2. Have recognized knowledge and expertise in one or more of the following:
    1. Clinically appropriate prescribing of outpatient drugs;
    2. Clinically appropriate dispensing and monitoring of outpatient drugs;
    3. DUR, evaluation, and intervention; and
    4. Medical quality assurance; and
  3. Be licensed and in good standing with the Texas Medical Board or the Texas State Board of Pharmacy and actively provide services across the entire population of Medicaid in Texas.

Voting members have access to confidential drug pricing information and will attend the executive session. The managed care organization representatives will not attend the executive session or have access to confidential drug pricing information.

Under HHSC Policy and to the greatest extent possible, the HHSC Executive Commissioner appoints members who reflect the diversity of Texas.