HB 2402
AN ACT relating to the determination of fees, charges, and rates for
89th Regular Session
Jan 14, 2025 - Jun 2, 2025 • Session ended
Awaiting Committee Assignment
Bill filed, pending referral to House committee
Committee
Not yet assigned
Fiscal Note
Not available
What This Bill Does
Modifies how Medicaid fees, charges, and rates are determined by requiring the commission to use the usual and customary rates in the community, explicitly excluding any fees from membership discount programs. This ensures that Medicaid reimbursement rates reflect typical local healthcare pricing while preventing potential manipulation through discounted program rates. If federal waivers are needed for implementation, the state agency can request them and delay implementation until authorization is granted.
Bill Text
relating to the determination of fees, charges, and rates for certain benefits under Medicaid. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 32.028(c), Human Resources Code, is (c) The fee, charge, or rate for other medical assistance is the usual and customary fee, charge, or rate that prevails in the community unless the payment is limited by state or federal law. In determining the usual and customary fee, charge, or rate under this subsection, the commission shall exclude any fee, charge, or rate offered as part of a fee-based membership discount program. SECTION 2. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect September 1, 2025.
Bill History
Bill filed: AN ACT relating to the determination of fees, charges, and rates for
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