Relating to the creation of the State Supported Living Center Realignment Commission.
Impact
If enacted, SB1068 could significantly alter the landscape for individuals with intellectual and developmental disabilities in Texas by potentially closing several state supported living centers. The legislation mandates that if closures are recommended, they must be considered by the 85th Legislature, which would create a legislative process for their closure. Furthermore, the Department of Aging and Disability Services would be required to develop plans to support both residents and employees during transitions following any closures. This could enhance the emphasis on community-based services and reduce the reliance on institutional care.
Summary
SB1068 proposes the establishment of the State Supported Living Center Realignment Commission, which aims to evaluate the operation and management of state supported living centers in Texas. The commission is charged with assessing these centers and recommending closures with the exception of the Austin State Supported Living Center. To execute this, the commission will function independently while receiving administrative support from the Department of Aging and Disability Services. The bill outlines key definitions and the composition of the commission, which will consist of appointed members as well as ex officio members from various governmental offices.
Contention
Concerns may arise regarding the potential displacement of residents and impact on the workforce. The bill requires the development of a comprehensive transition plan to assist all affected parties, but there may be skepticism about the adequacy of these supports. Critics may argue that closures could lead to inadequate community resources, particularly in rural areas where access to services is already limited. Additionally, there may be debates on the criteria used by the commission to evaluate centers, raising questions about the quality of care, safety, and various community needs that might not align with the proposed changes.
Relating to peer support specialists for individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid living outside of state supported living centers.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.
Relating to the reporting and investigation of certain allegations of abuse, neglect, and exploitation, the making and investigation of complaints alleging violations of certain health facility licensing requirements, and the content of the employee misconduct registry.
Relating to a "Texas solution" to reforming and addressing issues related to the Medicaid program, including the creation of an alternative program designed to ensure health benefit plan coverage to certain low-income individuals through the private marketplace; requiring a fee.
Relating to the transfer of functions relating to the economic regulation of water and sewer service from the Public Utility Commission of Texas and the Office of Public Utility Counsel to the Water Public Utility Commission and the Office of Water Public Utility Counsel; creating a criminal offense.
Relating to the terminology used in statute to refer to intellectual disability and certain references to abolished health and human services agencies.