LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION

March 31, 2025

TO:	Honorable Lacey Hull, Chair, House Committee on Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB2402 by Rose (Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.), As Introduced

The fiscal implications of the bill cannot be determined. According to the Health and Human Services Commission (HHSC), the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate.

The bill would require HHSC, in determining the usual and customary fee, charge, or rate for certain medical assistance, to exclude any fee, charge, or rate offered as part of a fee-based membership discount program.

The bill would take effect September 1, 2025.

According to HHSC, the agency would not be able to implement the provisions of the bill because HHSC is not the entity that determines the usual and customary fee, charge, or rate. Therefore, the fiscal implications of the bill cannot be determined.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.

Source Agencies:

529 Health and Human Services Commission

LBB Staff:

JMc, NPe, ER, ESch, NV