86R14929 LED-D By: Lucio III H.B. No. 4529 A BILL TO BE ENTITLED AN ACT relating to allowing for public comment before implementing a rate change under Medicaid. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 531, Government Code, is amended by adding Section 531.02116 to read as follows: Sec. 531.02116. PROCEDURE FOR IMPLEMENTING CHANGES TO PAYMENT RATES UNDER MEDICAID. Before implementing or approving a change to the fees, charges, and rates for payments under Medicaid, including under the Medicaid managed care program, the commission shall publish notice of the proposed change for public comment for a period of not less than 30 days. SECTION 2. The procedure for implementing changes to payment rates required by Section 531.02116, Government Code, as added by this Act, applies only to a change to a fee, charge, or rate that takes effect on or after January 1, 2020. SECTION 3. 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 4. This Act takes effect September 1, 2019.