HB 2402 Texas House · 89th Legislature (2025)

Relating to the determination of fees, charges, and rates for certain benefits under Medicaid.

HB 2402 sets new rules for how Texas Medicaid pays for medical services. It requires that fees, charges, or rates for Medicaid-covered benefits must match the "usual and customary" rates in the local community, unless federal law restricts them. The bill also explicitly excludes fees from monthly membership discount programs when determining payments. This directly affects healthcare providers who accept Medicaid by changing how they are reimbursed, and beneficiaries who receive covered services through Medicaid. The law takes effect September 1, 2025.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 17, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 3 edits · Jun 20, 2025
MINOR
The bill text was reformatted from a draft version to an enrolled version, adding official signatures, certification of passage votes, and proper legislative formatting. No substantive policy changes were made to the Medicaid fee structure or implementation requirements.
TECHNICAL

Bill formatting changed from draft to enrolled version with official signatures and vote certifications added

Removed draft version headers and added proper enrolled bill formatting including President of Senate and Speaker of House signatures

Added certification of House passage vote (May 2, 2025) and Senate passage vote (May 23, 2025)

Floor votes · House May 1, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
50
Key actions
17
Committee
12
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 25, 2025
Upper · Passed
Signed in the Senate
upper
May 25, 2025
Lower · Passed
Signed in the House
lower
May 24, 2025
Lower · Passed
Senate passage reported
lower
May 23, 2025
Upper · Passed
Passed
upper
May 22, 2025
Upper · Passed
Committee report printed and distributed
upper
May 22, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 20, 2025
Upper · Passed
Vote taken in committee
upper
May 14, 2025
Upper · Passed
Left pending in committee
upper
May 14, 2025
Upper · Passed
Testimony taken in committee
upper
May 5, 2025
Committee
Referred to Health & Human Services
upper
May 5, 2025
Introduced
Read first time
upper
May 5, 2025
Introduced
Received from the House
upper
May 2, 2025
Lower · Passed
Passed
lower
May 1, 2025
Lower · Passed
Passed to engrossment
lower
Apr 25, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 23, 2025
Lower · Passed
Committee report distributed
lower
Apr 15, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 1, 2025
Lower · Passed
Left pending in committee
lower
Apr 1, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 17, 2025
Committee
Referred to Human Services
lower
Mar 17, 2025
Introduced
Read first time
lower
5 primary · 0 co-sponsors

Sponsors