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A BILL TO BE ENTITLED
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AN ACT
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relating to the determination of fees, charges, and rates for |
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certain benefits under Medicaid. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 32.028(c), Human Resources Code, is |
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amended to read as follows: |
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(c) The fee, charge, or rate for other medical assistance is |
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the usual and customary fee, charge, or rate that prevails in the |
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community unless the payment is limited by state or federal law. In |
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determining the usual and customary fee, charge, or rate under this |
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subsection, the commission shall exclude any fee, charge, or rate |
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offered as part of a fee-based membership discount program. |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 3. This Act takes effect September 1, 2025. |