Amends Medicaid fee determinations to exclude membership discount programs.

The bill modifies the Human Resources Code to change how fees, charges, and rates for certain Medicaid benefits are determined. Specifically, it excludes fees from membership discount programs when setting the usual and customary rate. If a state agency needs a federal waiver or authorization to implement the bill, it can request it and delay implementation until the waiver or authorization is granted. The changes will take effect on September 1, 2025.

Amends Medicaid fee determinations to exclude membership discount programs.

The bill modifies the Human Resources Code to change how fees, charges, and rates for certain Medicaid benefits are determined. Specifically, it excludes fees from membership discount programs when setting the usual and customary rate. If a state agency needs a federal waiver or authorization to implement the bill, it can request it and delay implementation until the waiver or authorization is granted. The changes will take effect on September 1, 2025.