The bill, H.B. No. 2402, amends Section 32.028(c) of the Human Resources Code regarding the determination of fees, charges, and rates for medical assistance under Medicaid. The key change introduced is the requirement that, in determining the usual and customary fee, charge, or rate, the commission must exclude any fees associated with fee-based membership discount programs. This aims to ensure that the rates set for Medicaid services reflect the standard community rates without the influence of discounted membership fees.

Additionally, the bill stipulates that if a state agency finds that a federal waiver or authorization is necessary for implementing any provision of the Act, the agency may delay implementation until such waiver or authorization is obtained. The Act is set to take effect on September 1, 2025.

Statutes affected:
Introduced: Human Resources Code 32.028 (Human Resources Code 32)