81R9144 CLG-F By: Watson S.B. No. 1484 A BILL TO BE ENTITLED AN ACT relating to delivery of certain services through consumer direction to elderly persons and persons with disabilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 531.051, Government Code, is amended by adding Subsections (e) and (f) to read as follows: (e) Section 301.251(a), Occupations Code, does not apply to delivery of a service for which payment is provided under the consumer-directed service option developed under this section if: (1) the person who delivers the service: (A) has not been denied a license under Chapter 301, Occupations Code; (B) has not been issued a license under Chapter 301, Occupations Code, that is revoked or suspended; and (C) performs a service that is not expressly prohibited from delegation by the Texas Board of Nursing; and (2) the consumer who receives the service: (A) has a disability and the service would have been performed by the consumer or the consumer's legally authorized representative except for that disability; and (B) if: (i) the consumer is capable of training the person in the proper performance of the service, the consumer directs the person to deliver the service; or (ii) the consumer is not capable of training the person in the proper performance of the service, the consumer's legally authorized representative is capable of training the person in the proper performance of the service and directs the person to deliver the service. (f) If the person delivers the service under Subsection (e)(2)(B)(ii), the legally authorized representative must be present when the service is performed or be immediately accessible to the person who delivers the service. If the person will perform the service when the representative is not present, the representative must observe the person performing the service at least once to assure the representative that the person performing the service can competently perform that service. SECTION 2. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2009.