SB1112 - Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.

  89R4233 JG-D     By: Hughes S.B. No. 1112       A BILL TO BE ENTITLED   AN ACT   relating to the determination of fees, charges, and rates for   certain benefits under Medicaid.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 32.028(c), Human Resources Code, is   amended to read as follows:          (c)  The fee, charge, or rate for other medical assistance is   the usual and customary fee, charge, or rate that prevails in the   community unless the payment is limited by state or federal law. In   determining the usual and customary fee, charge, or rate under this   subsection, the commission shall exclude any fee, charge, or rate   offered as part of a fee-based membership discount program.          SECTION 2.  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 3.  This Act takes effect September 1, 2025.