1 | 1 | | 84R8524 EES-F |
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2 | 2 | | By: RodrÃguez S.B. No. 1068 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the creation of the State Supported Living Center |
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8 | 8 | | Realignment Commission. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Subtitle B, Title 7, Health and Safety Code, is |
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11 | 11 | | amended by adding Chapter 556 to read as follows: |
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12 | 12 | | CHAPTER 556. STATE SUPPORTED LIVING CENTER REALIGNMENT COMMISSION |
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13 | 13 | | SUBCHAPTER A. GENERAL PROVISIONS |
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14 | 14 | | Sec. 556.001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Commission" means the Health and Human Services |
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16 | 16 | | Commission. |
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17 | 17 | | (2) "Community services provider" means a provider of |
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18 | 18 | | services under a home and community-based services waiver program |
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19 | 19 | | and a licensed ICF-IID provider with fewer than six beds. |
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20 | 20 | | (3) "Department" means the Department of Aging and |
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21 | 21 | | Disability Services. |
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22 | 22 | | (4) "Executive commissioner" means the executive |
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23 | 23 | | commissioner of the Health and Human Services Commission. |
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24 | 24 | | (5) "Local authority" means a local intellectual and |
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25 | 25 | | developmental disability authority. |
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26 | 26 | | (6) "Realignment commission" means the State |
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27 | 27 | | Supported Living Center Realignment Commission. |
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28 | 28 | | (7) "State supported living center" has the meaning |
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29 | 29 | | assigned by Section 531.002. |
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30 | 30 | | Sec. 556.002. STATE SUPPORTED LIVING CENTER REALIGNMENT |
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31 | 31 | | COMMISSION. The State Supported Living Center Realignment |
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32 | 32 | | Commission is established to evaluate the state supported living |
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33 | 33 | | centers and make recommendations regarding the operation and |
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34 | 34 | | management of the state supported living centers, including |
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35 | 35 | | recommendations for the closure of state supported living centers, |
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36 | 36 | | other than the Austin State Supported Living Center. The |
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37 | 37 | | realignment commission is administratively attached to the |
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38 | 38 | | department but is independent of direction by the department. The |
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39 | 39 | | department shall provide to the realignment commission |
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40 | 40 | | administrative support and resources and access to the department's |
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41 | 41 | | documents relating to the state supported living centers as |
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42 | 42 | | necessary to enable the realignment commission to perform its |
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43 | 43 | | duties. |
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44 | 44 | | Sec. 556.003. EXPIRATION. This chapter expires and the |
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45 | 45 | | realignment commission is abolished September 1, 2027. |
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46 | 46 | | SUBCHAPTER B. ADMINISTRATIVE PROVISIONS |
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47 | 47 | | Sec. 556.021. APPOINTMENT OF REALIGNMENT COMMISSION |
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48 | 48 | | MEMBERS. (a) The realignment commission is composed of nine |
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49 | 49 | | appointed members and three nonvoting ex officio members as |
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50 | 50 | | provided by this section. |
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51 | 51 | | (b) The nonvoting ex officio members are: |
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52 | 52 | | (1) the executive commissioner or the executive |
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53 | 53 | | commissioner's designee; |
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54 | 54 | | (2) the executive director of the Texas Facilities |
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55 | 55 | | Commission or the executive director's designee; and |
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56 | 56 | | (3) the land commissioner or the land commissioner's |
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57 | 57 | | designee. |
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58 | 58 | | (c) The appointed members are: |
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59 | 59 | | (1) three members of the public appointed by the |
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60 | 60 | | governor; |
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61 | 61 | | (2) three members of the public appointed by the |
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62 | 62 | | lieutenant governor; and |
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63 | 63 | | (3) three members of the public appointed by the |
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64 | 64 | | governor from a list provided by the speaker of the house of |
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65 | 65 | | representatives. |
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66 | 66 | | (d) To be eligible for appointment to the realignment |
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67 | 67 | | commission, a person may not: |
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68 | 68 | | (1) be an agent, paid consultant, officer, or employee |
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69 | 69 | | of a state supported living center, state center, local authority, |
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70 | 70 | | licensed provider of ICF-IID services, or other provider of |
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71 | 71 | | services to individuals with an intellectual or developmental |
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72 | 72 | | disability; |
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73 | 73 | | (2) have a financial interest in a state supported |
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74 | 74 | | living center, state center, local authority, licensed provider of |
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75 | 75 | | ICF-IID services, or other provider of services to individuals with |
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76 | 76 | | an intellectual or developmental disability; |
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77 | 77 | | (3) have a financial interest in the closure of a state |
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78 | 78 | | supported living center; |
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79 | 79 | | (4) be an officer, employee, or paid consultant of a |
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80 | 80 | | trade association in the field of residential services for |
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81 | 81 | | individuals with an intellectual or developmental disability; |
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82 | 82 | | (5) be a resident of a state supported living center; |
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83 | 83 | | or |
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84 | 84 | | (6) be related within the second degree by affinity or |
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85 | 85 | | consanguinity, as determined under Chapter 573, Government Code, to |
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86 | 86 | | a person who is an officer, employee, paid consultant, or resident |
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87 | 87 | | of a state supported living center, state center, local authority, |
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88 | 88 | | licensed provider of ICF-IID services, or other provider of |
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89 | 89 | | services to individuals with an intellectual or developmental |
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90 | 90 | | disability. |
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91 | 91 | | (e) A person may not serve as an appointed member of the |
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92 | 92 | | realignment commission or act as the general counsel to the |
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93 | 93 | | realignment commission if the person is required to register as a |
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94 | 94 | | lobbyist under Chapter 305, Government Code, because of the |
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95 | 95 | | person's activities for compensation on behalf of a profession |
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96 | 96 | | related to the operation of the realignment commission. |
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97 | 97 | | (f) Chapter 551, Government Code, applies to the |
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98 | 98 | | realignment commission. |
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99 | 99 | | (g) A majority of the members of the realignment commission |
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100 | 100 | | constitutes a quorum for the transaction of business. |
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101 | 101 | | (h) Appointments to the realignment commission shall be |
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102 | 102 | | made without regard to the race, color, disability, sex, religion, |
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103 | 103 | | age, or national origin of the appointees. |
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104 | 104 | | (i) An appointed member of the realignment commission |
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105 | 105 | | serves at the will of the person who appointed the member. |
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106 | 106 | | Sec. 556.022. VACANCY. The governor or lieutenant governor |
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107 | 107 | | shall fill a vacancy on the realignment commission in the same |
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108 | 108 | | manner as the original appointment. |
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109 | 109 | | Sec. 556.023. PRESIDING OFFICER; OTHER OFFICERS; |
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110 | 110 | | MEETINGS. (a) The members of the realignment commission shall |
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111 | 111 | | elect a presiding officer and other necessary officers. |
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112 | 112 | | (b) The realignment commission shall hold meetings in |
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113 | 113 | | different areas of the state. |
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114 | 114 | | Sec. 556.024. COMPENSATION; TRAVEL EXPENSES. A member of |
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115 | 115 | | the realignment commission may not receive compensation for service |
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116 | 116 | | on the realignment commission but is entitled to reimbursement for |
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117 | 117 | | travel expenses incurred while conducting realignment commission |
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118 | 118 | | business. |
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119 | 119 | | SUBCHAPTER C. POWERS AND DUTIES OF REALIGNMENT COMMISSION |
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120 | 120 | | Sec. 556.051. GENERAL POWERS AND DUTIES OF REALIGNMENT |
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121 | 121 | | COMMISSION. The realignment commission shall recommend the closure |
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122 | 122 | | of state supported living centers, other than the Austin State |
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123 | 123 | | Supported Living Center, in accordance with criteria and benchmarks |
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124 | 124 | | as described by this chapter and determined by the realignment |
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125 | 125 | | commission. The realignment commission shall oversee the |
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126 | 126 | | implementation of the realignment commission's recommendations by |
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127 | 127 | | the department as required by this chapter. |
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128 | 128 | | Sec. 556.052. ADVISORY COMMITTEE. (a) An advisory |
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129 | 129 | | committee is created to assist and provide information to the |
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130 | 130 | | realignment commission. |
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131 | 131 | | (b) The advisory committee is composed of the following |
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132 | 132 | | members, appointed by the executive commissioner: |
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133 | 133 | | (1) one representative of the commission; |
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134 | 134 | | (2) one representative of the department; |
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135 | 135 | | (3) one representative of the Department of State |
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136 | 136 | | Health Services; |
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137 | 137 | | (4) two representatives of community services |
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138 | 138 | | providers; |
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139 | 139 | | (5) one representative of local authorities; |
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140 | 140 | | (6) two representatives of advocacy groups that focus |
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141 | 141 | | on the independent living of persons with disabilities; |
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142 | 142 | | (7) two family members of individuals residing in a |
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143 | 143 | | state supported living center; and |
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144 | 144 | | (8) two individuals with an intellectual or |
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145 | 145 | | developmental disability, including one individual who resides or |
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146 | 146 | | has resided in a state supported living center. |
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147 | 147 | | (c) The advisory committee shall study and make |
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148 | 148 | | recommendations to the realignment commission regarding the |
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149 | 149 | | evaluation and closure of state supported living centers. |
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150 | 150 | | Sec. 556.053. EVALUATION OF STATE SUPPORTED LIVING CENTERS. |
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151 | 151 | | (a) The realignment commission shall evaluate the state supported |
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152 | 152 | | living center system and determine which state supported living |
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153 | 153 | | centers, other than the Austin State Supported Living Center, |
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154 | 154 | | should be closed by the department. |
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155 | 155 | | (b) In evaluating a state supported living center, the |
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156 | 156 | | realignment commission shall consider the following factors: |
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157 | 157 | | (1) the proximity of the state supported living center |
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158 | 158 | | to other state supported living centers and the geographical |
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159 | 159 | | distribution of remaining state supported living centers if the |
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160 | 160 | | state supported living center is closed; |
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161 | 161 | | (2) the proximity of the state supported living center |
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162 | 162 | | to community services providers and the geographical distribution |
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163 | 163 | | of those providers; |
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164 | 164 | | (3) the cost of operating the state supported living |
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165 | 165 | | center; |
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166 | 166 | | (4) the availability of other employment |
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167 | 167 | | opportunities in the area for employees that would be displaced by |
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168 | 168 | | the closure of the state supported living center, including |
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169 | 169 | | additional employment that may be needed by community services |
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170 | 170 | | providers if the state supported living center is closed; |
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171 | 171 | | (5) the condition of existing state supported living |
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172 | 172 | | center structures and existing community services providers; |
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173 | 173 | | (6) the property value, marketability, and deed |
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174 | 174 | | restrictions of the property where the state supported living |
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175 | 175 | | center is located, as determined in consultation with persons with |
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176 | 176 | | business development expertise, and whether the property should be |
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177 | 177 | | sold or converted to another use if the state supported living |
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178 | 178 | | center is closed; |
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179 | 179 | | (7) the ease of client transfer capability to a |
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180 | 180 | | community placement or another state supported living center; |
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181 | 181 | | (8) the capacity at remaining state supported living |
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182 | 182 | | centers to accommodate persons who will need or want to be |
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183 | 183 | | transferred from the state supported living center to another state |
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184 | 184 | | supported living center if the state supported living center is |
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185 | 185 | | closed; |
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186 | 186 | | (9) the capacity of local community services providers |
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187 | 187 | | to accommodate persons formerly served by the state supported |
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188 | 188 | | living center who will need or want to be transferred to a community |
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189 | 189 | | placement if the state supported living center is closed; |
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190 | 190 | | (10) the quality of services provided at the state |
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191 | 191 | | supported living center, the state supported living center's most |
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192 | 192 | | recent certification inspections, and the state supported living |
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193 | 193 | | center's ability to meet the minimum standards for an ICF-IID |
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194 | 194 | | facility; |
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195 | 195 | | (11) specialty programs and services available at the |
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196 | 196 | | state supported living center, including programs and services for |
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197 | 197 | | alleged offenders and high-risk residents, and whether those |
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198 | 198 | | programs and services are available at other state supported living |
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199 | 199 | | centers or from local community services providers; |
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200 | 200 | | (12) the history of incidents of abuse, neglect, or |
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201 | 201 | | exploitation at the state supported living center, and any findings |
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202 | 202 | | of circumstances at the state supported living center constituting |
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203 | 203 | | immediate jeopardy to the health or safety of the residents; |
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204 | 204 | | (13) the state supported living center's record of |
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205 | 205 | | compliance with the systemwide settlement agreement between the |
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206 | 206 | | state and the United States Department of Justice regarding the |
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207 | 207 | | department of justice's investigation of state supported living |
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208 | 208 | | centers, as determined by the independent monitors engaged in |
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209 | 209 | | monitoring compliance with the settlement agreement; |
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210 | 210 | | (14) the services and supports that are not available |
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211 | 211 | | in the community and that resulted in commitment of individuals to |
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212 | 212 | | the state supported living center during the previous five years; |
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213 | 213 | | (15) the support needs of residents in the state |
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214 | 214 | | supported living center and the availability of programs that |
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215 | 215 | | provide those services in the community; |
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216 | 216 | | (16) the effect of expanding community programs in the |
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217 | 217 | | area of the state supported living center, particularly in |
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218 | 218 | | historically underserved areas of the state; and |
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219 | 219 | | (17) any other relevant factor as determined by the |
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220 | 220 | | realignment commission. |
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221 | 221 | | (c) The advisory committee to the realignment commission |
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222 | 222 | | may assist the realignment commission in performing the evaluation |
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223 | 223 | | required by this section. |
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224 | 224 | | (d) The realignment commission shall hold public hearings |
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225 | 225 | | throughout the state in a manner that accommodates individuals with |
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226 | 226 | | disabilities and their families in order to solicit input during |
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227 | 227 | | the evaluation process. |
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228 | 228 | | Sec. 556.054. RECOMMENDATION FOR CLOSURE; REPORT. (a) Not |
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229 | 229 | | later than December 1, 2016, the realignment commission shall |
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230 | 230 | | submit to the governor, the commission, the department, the |
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231 | 231 | | lieutenant governor, the speaker of the house of representatives, |
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232 | 232 | | and the presiding officers of the standing committees of the senate |
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233 | 233 | | and house of representatives having primary jurisdiction over |
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234 | 234 | | intellectual and developmental disability issues a report |
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235 | 235 | | detailing the realignment commission's evaluation of each state |
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236 | 236 | | supported living center and proposing the closure of certain state |
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237 | 237 | | supported living centers, other than the Austin State Supported |
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238 | 238 | | Living Center. |
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239 | 239 | | (b) The realignment commission shall include in the report: |
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240 | 240 | | (1) the name and location of each state supported |
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241 | 241 | | living center recommended by the realignment commission to be |
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242 | 242 | | closed; |
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243 | 243 | | (2) the estimated number of individuals that would |
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244 | 244 | | require a transfer to another state supported living center or a |
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245 | 245 | | community services provider as a result of each recommended |
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246 | 246 | | closure; |
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247 | 247 | | (3) the number and type of community programs that |
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248 | 248 | | need to be developed, based on the services and supports the |
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249 | 249 | | realignment commission determined are not available in the |
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250 | 250 | | community and that resulted in commitment of individuals to the |
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251 | 251 | | state supported living center during the previous five years; |
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252 | 252 | | (4) the number and type of training competencies that |
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253 | 253 | | would be needed to assist state supported living center employees |
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254 | 254 | | in gaining the skills needed to transfer to providing services in |
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255 | 255 | | the community; and |
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256 | 256 | | (5) any other relevant information as determined by |
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257 | 257 | | the realignment commission. |
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258 | 258 | | Sec. 556.055. EFFECT OF RECOMMENDATION. (a) The 85th |
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259 | 259 | | Legislature shall consider legislation proposing the closure of the |
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260 | 260 | | state supported living centers recommended for closure. In |
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261 | 261 | | considering the proposed legislation described by this subsection, |
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262 | 262 | | members of the legislature may not propose amendments to the |
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263 | 263 | | legislation. |
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264 | 264 | | (b) If the legislation described by Subsection (a) is |
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265 | 265 | | enacted and becomes law, the department shall develop a plan and |
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266 | 266 | | timeline for the closure of the state supported living centers |
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267 | 267 | | approved by the legislature for closure under Subsection (a) and |
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268 | 268 | | close those state supported living centers no later than August 31, |
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269 | 269 | | 2025. In developing the plan and timeline under this section, the |
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270 | 270 | | department shall identify specific resources available to assist |
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271 | 271 | | residents and employees of those state supported living centers |
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272 | 272 | | with the transition. The department shall use the evaluation of the |
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273 | 273 | | closure of the Austin State Supported Living Center as a guide for |
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274 | 274 | | closing the state supported living centers under this section. In |
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275 | 275 | | closing the state supported living centers under this section, the |
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276 | 276 | | department shall consult with the commission regarding the sale of |
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277 | 277 | | any property. The proceeds of the sale of property where a state |
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278 | 278 | | supported living center was located may be appropriated only for |
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279 | 279 | | the long-term services and supports system. |
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280 | 280 | | Sec. 556.056. MORATORIUM ON STATE SUPPORTED LIVING CENTER |
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281 | 281 | | PLACEMENTS. (a) An individual with an intellectual or |
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282 | 282 | | developmental disability may not be admitted or committed to a |
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283 | 283 | | state supported living center under Chapter 593 on or after |
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284 | 284 | | September 1, 2015, if: |
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285 | 285 | | (1) the closure of the center has been recommended by |
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286 | 286 | | the realignment commission; or |
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287 | 287 | | (2) as provided by the Centers for Medicare and |
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288 | 288 | | Medicaid Services: |
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289 | 289 | | (A) the center's certification is at risk because |
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290 | 290 | | of deficient practices that have put the health and safety of the |
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291 | 291 | | center's residents in immediate jeopardy; or |
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292 | 292 | | (B) the center's certification is at risk of |
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293 | 293 | | termination in 90 days because of noncompliance with certification |
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294 | 294 | | requirements. |
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295 | 295 | | (b) The department shall ensure that individuals who would |
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296 | 296 | | otherwise be committed under Chapter 593 receive services by |
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297 | 297 | | ensuring programs are available to provide those services through |
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298 | 298 | | diversion and other community capacity building activities. |
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299 | 299 | | SECTION 2. (a) Not later than September 1, 2015, the |
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300 | 300 | | governor and lieutenant governor shall appoint the members of the |
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301 | 301 | | State Supported Living Center Realignment Commission as provided by |
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302 | 302 | | Chapter 556, Health and Safety Code, as added by this Act. |
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303 | 303 | | (b) Not later than January 1, 2016, the executive |
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304 | 304 | | commissioner of the Health and Human Services Commission shall |
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305 | 305 | | appoint the advisory committee as provided by Section 556.052, |
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306 | 306 | | Health and Safety Code, as added by this Act. |
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307 | 307 | | SECTION 3. If before implementing any provision of this Act |
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308 | 308 | | a state agency determines that a waiver or authorization from a |
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309 | 309 | | federal agency is necessary for implementation of that provision, |
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310 | 310 | | the agency affected by the provision shall request the waiver or |
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311 | 311 | | authorization and may delay implementing that provision until the |
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312 | 312 | | waiver or authorization is granted. |
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313 | 313 | | SECTION 4. This Act takes effect immediately if it receives |
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314 | 314 | | a vote of two-thirds of all the members elected to each house, as |
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315 | 315 | | provided by Section 39, Article III, Texas Constitution. If this |
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316 | 316 | | Act does not receive the vote necessary for immediate effect, this |
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317 | 317 | | Act takes effect September 1, 2015. |
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