1 | 1 | | 81R18049 GCB-D |
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2 | 2 | | By: Guillen, Naishtat, Lucio III, Flores, H.B. No. 1905 |
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3 | 3 | | Leibowitz, et al. |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | A BILL TO BE ENTITLED |
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7 | 7 | | AN ACT |
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8 | 8 | | relating to studying the costs and benefits of a pilot program for |
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9 | 9 | | services for adults with autism and other related disabilities with |
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10 | 10 | | similar support needs. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. (a) The executive commissioner of the Health |
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13 | 13 | | and Human Services Commission shall conduct a study to determine |
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14 | 14 | | the costs and benefits to this state of initiating a pilot program |
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15 | 15 | | to provide services to adult persons with autism and other related |
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16 | 16 | | disabilities with similar support needs. |
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17 | 17 | | (b) The study will determine the costs and benefits of a |
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18 | 18 | | pilot program based on a program designed to: |
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19 | 19 | | (1) encourage sustainable employment and community |
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20 | 20 | | integration through specialized supports coordination, case |
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21 | 21 | | management, vocational assessment, training, and support to |
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22 | 22 | | increase job skills and competitive employment opportunities; |
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23 | 23 | | (2) develop meaningful community-based activities for |
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24 | 24 | | persons for whom competitive employment is not a goal; |
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25 | 25 | | (3) promote continued individual development and |
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26 | 26 | | avoid regression; |
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27 | 27 | | (4) promote self-determination and independence; |
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28 | 28 | | (5) coordinate services and behavioral supports |
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29 | 29 | | across all areas of need; and |
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30 | 30 | | (6) allow for flexible funding and for a flexible |
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31 | 31 | | array of services to meet individual needs. |
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32 | 32 | | (c) In conducting the study, the executive commissioner of |
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33 | 33 | | the Health and Human Services Commission shall: |
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34 | 34 | | (1) define and describe a pilot program with a |
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35 | 35 | | seamless system of supports to provide: |
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36 | 36 | | (A) options for independent living, if |
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37 | 37 | | appropriate; |
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38 | 38 | | (B) community-based housing, if needed; and |
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39 | 39 | | (C) individualized supports, including: |
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40 | 40 | | (i) prevocational training; |
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41 | 41 | | (ii) employment training; and |
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42 | 42 | | (iii) leisure and recreational activities; |
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43 | 43 | | (2) research and analyze best practices and programs |
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44 | 44 | | from other states that may serve as pilot program models; |
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45 | 45 | | (3) consult with and solicit feedback from key |
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46 | 46 | | stakeholders, including advocacy organizations, potential service |
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47 | 47 | | recipients, and parents; |
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48 | 48 | | (4) address the barriers that may prevent adults with |
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49 | 49 | | autism or other related disabilities with similar support needs |
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50 | 50 | | from living in their local community including: |
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51 | 51 | | (A) housing needs and living arrangements; |
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52 | 52 | | (B) behavioral services; |
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53 | 53 | | (C) social and communication services and |
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54 | 54 | | supports; |
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55 | 55 | | (D) transportation issues; and |
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56 | 56 | | (E) health and medical care; |
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57 | 57 | | (5) identify the existence and cause of service gaps |
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58 | 58 | | in this state; |
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59 | 59 | | (6) develop recommendations and determine costs |
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60 | 60 | | associated with eliminating service gaps; |
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61 | 61 | | (7) identify the potential benefit to persons who |
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62 | 62 | | would receive services from the pilot program; and |
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63 | 63 | | (8) identify potential federal sources of funding for |
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64 | 64 | | a pilot program. |
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65 | 65 | | (d) Not later than September 1, 2010, the executive |
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66 | 66 | | commissioner of the Health and Human Services Commission shall |
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67 | 67 | | submit a report of the findings and conclusions of the study to the |
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68 | 68 | | governor, the lieutenant governor, the speaker of the house of |
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69 | 69 | | representatives, and the presiding officers of the standing |
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70 | 70 | | committees of the senate and house of representatives with primary |
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71 | 71 | | jurisdiction over the provision of services to persons with |
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72 | 72 | | disabilities. |
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73 | 73 | | (e) The report required under Subsection (d) of this section |
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74 | 74 | | must include: |
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75 | 75 | | (1) a recommendation for the structure of a pilot |
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76 | 76 | | program; |
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77 | 77 | | (2) a recommendation on the choice of an appropriate |
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78 | 78 | | agency to design and administer a pilot program; |
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79 | 79 | | (3) an estimation of the number of persons who may |
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80 | 80 | | benefit from a pilot program if a program similar to the pilot |
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81 | 81 | | program were instituted statewide; |
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82 | 82 | | (4) an estimation of the potential costs of the pilot |
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83 | 83 | | program and whether the pilot program may lead to savings; |
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84 | 84 | | (5) a method of determining which persons would be |
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85 | 85 | | eligible to participate in the pilot program; and |
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86 | 86 | | (6) which Medicaid waiver programs are appropriate to |
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87 | 87 | | the pilot program and whether new Medicaid waiver programs may be |
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88 | 88 | | required. |
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89 | 89 | | SECTION 2. This Act takes effect immediately if it receives |
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90 | 90 | | a vote of two-thirds of all the members elected to each house, as |
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91 | 91 | | provided by Section 39, Article III, Texas Constitution. If this |
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92 | 92 | | Act does not receive the vote necessary for immediate effect, this |
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93 | 93 | | Act takes effect September 1, 2009. |
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