Texas HB2402 amends Medicaid fee determinations, excluding membership discount program fees.

HB2402 modifies the Texas Human Resources Code to change how fees, charges, and rates for certain Medicaid benefits are determined. Specifically, it excludes any fees, charges, or rates offered as part of a fee-based membership discount program when calculating the usual and customary fee. If a state agency needs a waiver or authorization from a federal agency to implement this change, it can request the waiver and delay implementation until it is granted. The act takes effect on September 1, 2025.

Texas HB2402 amends Medicaid fee determinations, excluding membership discount program fees.

HB2402 modifies the Texas Human Resources Code to change how fees, charges, and rates for certain Medicaid benefits are determined. Specifically, it excludes any fees, charges, or rates offered as part of a fee-based membership discount program when calculating the usual and customary fee. If a state agency needs a waiver or authorization from a federal agency to implement this change, it can request the waiver and delay implementation until it is granted. The act takes effect on September 1, 2025.