16 | | - | (c) The fee, charge, or rate for other medical assistance: |
---|
17 | | - | (1) is the usual and customary fee, charge, or rate |
---|
18 | | - | that prevails in the community unless the payment is limited by |
---|
19 | | - | state or federal law; and |
---|
20 | | - | (2) excludes any fee, charge, or rate offered as part |
---|
21 | | - | of a monthly fee-based membership discount program. |
---|
| 14 | + | (c) The fee, charge, or rate for other medical assistance is |
---|
| 15 | + | the usual and customary fee, charge, or rate that prevails in the |
---|
| 16 | + | community unless the payment is limited by state or federal law. In |
---|
| 17 | + | determining the usual and customary fee, charge, or rate under this |
---|
| 18 | + | subsection, the commission shall exclude any fee, charge, or rate |
---|
| 19 | + | offered as part of a fee-based membership discount program. |
---|
22 | 20 | | SECTION 2. If before implementing any provision of this Act |
---|
23 | 21 | | a state agency determines that a waiver or authorization from a |
---|
24 | 22 | | federal agency is necessary for implementation of that provision, |
---|
25 | 23 | | the agency affected by the provision shall request the waiver or |
---|
26 | 24 | | authorization and may delay implementing that provision until the |
---|
27 | 25 | | waiver or authorization is granted. |
---|
28 | 26 | | SECTION 3. This Act takes effect September 1, 2025. |
---|