The bill, S.B. No. 1112, amends Section 32.028(c) of the Human Resources Code regarding the determination of fees, charges, and rates for medical assistance under Medicaid. It specifies that the fee, charge, or rate for other medical assistance will be based on the usual and customary rates prevailing in the community, but with a significant change: when determining these rates, the commission must exclude any fees, charges, or rates that are part of a fee-based membership discount program.

Additionally, the bill includes a provision that allows state agencies to delay the implementation of any part of the Act if they determine that a waiver or authorization from a federal agency is necessary. The Act is set to take effect on September 1, 2025.

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