Texas 2025 - 89th Regular

Texas House Bill HB4110

Voted on by House
 
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to establishing a minimum base wage for certain direct care workers under Medicaid.

Impact

The implementation of HB4110 is expected to significantly enhance the financial welfare of direct care workers by providing them with a livable wage, which could help address the ongoing staffing shortages in the caregiving sector. These workers play a crucial role in the health care system, and improving their remuneration may aid in retaining qualified personnel. However, there are implications for state budgets and Medicaid funding structures, as increased wages for care workers could lead to higher operational costs for impacted agencies and programs.

Summary

House Bill 4110 seeks to establish a minimum base wage for certain direct care workers who provide essential nonmedical services to individuals with intellectual or developmental disabilities. This legislation is particularly aimed at workers involved in Medicaid-funded programs, ensuring they receive a fair wage for their labor, which includes activities that support daily living and health management. Specifically, the bill mandates that these direct care workers earn at least $15 per hour or the federal minimum wage, whichever is higher, starting from the 2026 calendar year.

Contention

Notably, while the bill has garnered support from advocates for workers' rights and disability services, it may face opposition from budget-conscious lawmakers who are concerned about the financial ramifications of increasing wage mandates within state-funded programs. Additionally, potential concerns regarding the availability of state and federal funds to support these changes might create friction among stakeholders, particularly in relation to the needed waivers for federal compliance before the bill can be fully enacted in 2025.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 546. Long-term Care And Support Options For Individuals With Disabilities And Elderly Individuals
    • Section: New Section

Labor Code

  • Chapter 62. Minimum Wage
    • Section: New Section

Companion Bills

No companion bills found.

Previously Filed As

TX HB1430

Relating to establishing a minimum wage for certain personal attendants under Medicaid and other programs administered by the Health and Human Services Commission.

TX HB4568

Relating to establishing a base wage for personal attendants under the community living assistance and support services (CLASS) waiver program.

TX HB3551

Relating to presumptive eligibility of certain elderly individuals for home and community-based services under Medicaid.

TX HB991

Relating to establishing a minimum wage for school bus drivers.

TX HB54

Relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities.

TX HB4169

Relating to providing prevocational or similar services under certain Medicaid waiver programs.

TX HB113

Relating to the use of community health workers in Medicaid managed care.

TX SB74

Relating to the use of community health workers in Medicaid managed care.

TX SB2489

Relating to providing prevocational or similar services under certain Medicaid waiver programs.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

Similar Bills

No similar bills found.