LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 31, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced The fiscal implications of the bill cannot be determined. According to the Health and Human Services Commission (HHSC), the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. The bill would require HHSC, in determining the usual and customary fee, charge, or rate for certain medical assistance, to exclude any fee, charge, or rate offered as part of a fee-based membership discount program.The bill would take effect September 1, 2025.According to HHSC, the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. Therefore, the fiscal implications of the bill cannot be determined. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, ESch, NV LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 31, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced Honorable Lacey Hull, Chair, House Committee on Human Services Honorable Lacey Hull, Chair, House Committee on Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced The fiscal implications of the bill cannot be determined. According to the Health and Human Services Commission (HHSC), the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. The fiscal implications of the bill cannot be determined. According to the Health and Human Services Commission (HHSC), the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. The bill would require HHSC, in determining the usual and customary fee, charge, or rate for certain medical assistance, to exclude any fee, charge, or rate offered as part of a fee-based membership discount program.The bill would take effect September 1, 2025.According to HHSC, the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. Therefore, the fiscal implications of the bill cannot be determined. The bill would require HHSC, in determining the usual and customary fee, charge, or rate for certain medical assistance, to exclude any fee, charge, or rate offered as part of a fee-based membership discount program. The bill would take effect September 1, 2025. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, ESch, NV JMc, NPe, ER, ESch, NV