SB 1112
Hughes’s bill changes how Medicaid figures usual prices
Died in committee
Verdict: No flags
Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade
Caption
relating to the determination of fees, charges, and rates for certain benefits under Medicaid.
Caption from analyzed text · version I.
Summary
Membership discount program prices get left out.
The bill tells the state health commission how to figure the usual and customary price it uses to set Medicaid payments for certain medical services. It touches Medicaid providers and the commission, which must now leave out prices offered through fee-based membership discount programs when it figures what prevails in the community. On the ground, low membership-club prices can no longer pull down the benchmark Medicaid uses for those payments, starting September 1, 2025, unless a federal waiver is needed first.
Receipt
The receipt
89R-SB1112 · 2025-02-05
SOLD BY
ITEM
relating to the determination of fees, charges, and rates for certain benefits under Medicaid.
WHAT IT DOES
Membership discount program prices get left out.
The bill tells the state health commission how to figure the usual and customary price it uses to set Medicaid payments for certain medical services. It touches Medicaid providers and the commission, which must now leave out prices offered through fee-based membership discount programs when it figures what prevails in the community. On the ground, low membership-club prices can no longer pull down the benchmark Medicaid uses for those payments, starting September 1, 2025, unless a federal waiver is needed first.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to Health & Human Services
FILED UNDER
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Not tied to this bill.
Sources
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Jul 1, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
GOPAC Election Fund$250,000.00
GOPAC Election Fund
$250,000.00
- Cash
- $250,000.00
- Paid by others
- $0.00
- Total
- $250,000.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101028838, 101071548.
CRAFTPAC (Court Reform Action for Texas Families)$100,000.00
CRAFTPAC (Court Reform Action for Texas Families)
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Sep 4, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Sep 4, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101067724.
Court Reform Action for Families Texas PAC$100,000.00
Court Reform Action for Families Texas PAC
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
Also funds 32 other sitting lawmakers.
Derived recipient stock · Feb 20, 2026 to Oct 14, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Oct 13, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101071548.
Missing data does not establish zero giving. Display amounts are rounded.
GOPAC Election Fund
$250,000.00
- Cash
- $250,000.00
- Paid by others
- $0.00
- Total
- $250,000.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101028838, 101071548.
CRAFTPAC (Court Reform Action for Texas Families)
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Sep 4, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Sep 4, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101067724.
Court Reform Action for Families Texas PAC
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
Also funds 32 other sitting lawmakers.
Derived recipient stock · Feb 20, 2026 to Oct 14, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Oct 13, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101071548.
Votes
No floor vote loaded for this bill.
Fiscal
No fiscal note in the loaded record.
How this was graded
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Sources
Texas Senate · Filed Feb 5, 2025
02/24/2025 S Referred to Health & Human Services
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
Senate committee · Health & Human Services · Final status: Died in committee
Companion
HB 2402 by Rose (identical)
Subjects
Human Services--Medical Assistance
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 181 words
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.