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. The key change introduced by the bill is the requirement that, in determining the usual and customary fee, charge, or rate, the commission must exclude any fees, charges, or rates that are part of a fee-based membership discount program. 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 needs a waiver or authorization from a federal agency to implement any provision of the Act, it must request this waiver and may delay implementation until it is granted. The Act is set to take effect on September 1, 2025.

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