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1 | 1 | 89R4233 JG-D | |
2 | 2 | By: Hughes S.B. No. 1112 | |
3 | 3 | ||
4 | 4 | ||
5 | 5 | ||
6 | 6 | ||
7 | 7 | A BILL TO BE ENTITLED | |
8 | 8 | AN ACT | |
9 | 9 | relating to the determination of fees, charges, and rates for | |
10 | 10 | certain benefits under Medicaid. | |
11 | 11 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
12 | 12 | SECTION 1. Section 32.028(c), Human Resources Code, is | |
13 | 13 | amended to read as follows: | |
14 | 14 | (c) The fee, charge, or rate for other medical assistance is | |
15 | 15 | the usual and customary fee, charge, or rate that prevails in the | |
16 | 16 | community unless the payment is limited by state or federal law. In | |
17 | 17 | determining the usual and customary fee, charge, or rate under this | |
18 | 18 | subsection, the commission shall exclude any fee, charge, or rate | |
19 | 19 | offered as part of a fee-based membership discount program. | |
20 | 20 | SECTION 2. If before implementing any provision of this Act | |
21 | 21 | a state agency determines that a waiver or authorization from a | |
22 | 22 | federal agency is necessary for implementation of that provision, | |
23 | 23 | the agency affected by the provision shall request the waiver or | |
24 | 24 | authorization and may delay implementing that provision until the | |
25 | 25 | waiver or authorization is granted. | |
26 | 26 | SECTION 3. This Act takes effect September 1, 2025. |