Bill > HB2402

This bill modifies Section 32.028(c) of the Human Resources Code regarding how fees, charges, and rates are determined for medical assistance under Medicaid. Specifically, the bill clarifies that the fees for medical services will be based on the usual and customary rates in the community, as long as those rates are not limited by state or federal law. Additionally, the bill introduces a new provision that explicitly excludes any fees, charges, or rates that are part of a monthly fee-based membership discount program from the calculation of Medicaid reimbursement rates. The bill includes a provision allowing state agencies to request federal waivers if needed for implementation and is set to take effect on September 1, 2025. This change aims to provide more specific guidance on how Medicaid reimbursement rates are determined and to prevent certain membership discount programs from influencing those rates.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB2402