1 | 1 | | 85R15355 TYPED |
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2 | 2 | | By: Klick H.B. No. 4096 |
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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 improving the care of, and increasing opportunities |
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8 | 8 | | for, children and adolescents with physical and developmental |
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9 | 9 | | disabilities. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Subchapter A, Chapter 54 Education Code, is |
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12 | 12 | | amended by adding Section 54.9031 |
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13 | 13 | | Sec. 54.9031 INCREASED OUTREACH REGARDING TEXAS ABLE |
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14 | 14 | | PROGRAM. (a) In administering this section, the board shall engage |
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15 | 15 | | in outreach efforts to inform and educate individuals eligible for |
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16 | 16 | | an ABLE account, including families of eligible children. |
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17 | 17 | | (b) As part of this effort the board shall ensure that |
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18 | 18 | | information regarding ABLE accounts is provided to state agencies |
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19 | 19 | | serving individuals with physical and developmental disabilities |
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20 | 20 | | who may be eligible for an ABLE account. The board shall also |
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21 | 21 | | ensure that managed care organizations providing benefits and |
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22 | 22 | | services under the medical assistance program and the Children's |
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23 | 23 | | Health Insurance Program (CHIP) to individuals eligible for ABLE |
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24 | 24 | | accounts are furnished information to provide to eligible |
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25 | 25 | | enrollees. |
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26 | 26 | | SECTION 2. Subchapter A, Chapter 531, Government Code, |
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27 | 27 | | Section 531.02445 is amended by adding subsection (C)to read as |
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28 | 28 | | follows: |
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29 | 29 | | Sec. 531.02445. TRANSITION SERVICES FOR YOUTH WITH |
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30 | 30 | | DISABILITIES. (a) The executive commissioner shall monitor |
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31 | 31 | | programs and services offered through health and human services |
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32 | 32 | | agencies designed to assist youth with disabilities to transition |
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33 | 33 | | from school-oriented living to post-schooling activities, services |
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34 | 34 | | for adults, or community living. |
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35 | 35 | | (b) In monitoring the programs and services, the executive |
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36 | 36 | | commissioner shall: |
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37 | 37 | | (1) consider whether the programs or services result |
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38 | 38 | | in positive outcomes in the employment, community integration, |
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39 | 39 | | health, and quality of life of individuals with disabilities; and |
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40 | 40 | | (2) collect information regarding the outcomes of the |
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41 | 41 | | transition process as necessary to assess the programs and |
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42 | 42 | | services. |
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43 | 43 | | (c) In reviewing available services and programs for these |
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44 | 44 | | individuals, the executive commissioner shall consider whether any |
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45 | 45 | | opportunities exist to partner with the Texas Education Agency or |
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46 | 46 | | other applicable agencies to offer training I specialized skills |
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47 | 47 | | for school-age children with disabilities to help promote |
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48 | 48 | | independence. |
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49 | 49 | | SECTION 3. Subchapter A, Chapter 531 Government, Section |
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50 | 50 | | 531.0245 is amended by adding subsection (c) to read as follows: |
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51 | 51 | | Sec. 531.0245. PERMANENCY PLANNING FOR CERTAIN CHILDREN. |
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52 | 52 | | (a) The commission and each appropriate health and human |
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53 | 53 | | services agency shall develop procedures to ensure that permanency |
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54 | 54 | | planning is provided for each child residing in an institution in |
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55 | 55 | | this state on a temporary or long-term basis or for whom |
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56 | 56 | | institutional care is sought. |
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57 | 57 | | (b) In this section: |
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58 | 58 | | (1) "Institution" has the meaning assigned by Section |
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59 | 59 | | 242.002, Health and Safety Code. |
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60 | 60 | | (2) "Permanency planning" has the meaning assigned by |
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61 | 61 | | Section 531.151. |
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62 | 62 | | (c) The commission shall take into consideration the |
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63 | 63 | | educational needs of each child in developing the permanency plans |
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64 | 64 | | required by this section, and how those needs may be met both on an |
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65 | 65 | | immediate and long-term basis. |
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66 | 66 | | SECTION 4. Subchapter A, Chapter 531 Government Code, |
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67 | 67 | | Section 531.02491 is amended to read as follows: |
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68 | 68 | | Sec. 531.02491. JOINT TRAINING FOR CERTAIN CASEWORKERS. |
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69 | 69 | | (a) The executive commissioner shall provide for joint training |
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70 | 70 | | for health and human services caseworkers whose clients are |
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71 | 71 | | children, including caseworkers employed by: |
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72 | 72 | | (1) the commission; |
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73 | 73 | | (2) the Department of Aging and Disability Services; |
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74 | 74 | | (3) the Department of State Health Services; |
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75 | 75 | | (4) the Department of Family and Protective Services; |
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76 | 76 | | (5) a Medicaid managed care organization providing |
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77 | 77 | | services under the STAR Kids Program; |
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78 | 78 | | (4) (6) a local mental health authority; and |
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79 | 79 | | (5) (7) a local intellectual and developmental |
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80 | 80 | | disability authority. |
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81 | 81 | | (b) Training provided under this section must be designed to |
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82 | 82 | | increase a caseworker's knowledge and awareness of the services |
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83 | 83 | | available to children at each health and human services agency or |
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84 | 84 | | local mental health or intellectual and developmental disability |
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85 | 85 | | authority, including long-term care programs and services |
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86 | 86 | | available under a Section 1915(c) waiver program, and the Texas |
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87 | 87 | | ABLE Program. |
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88 | 88 | | SECTION 5. Subchapter A, Chapter 531 Government Code, |
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89 | 89 | | amended by adding Section 531.02493 to read as follows: |
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90 | 90 | | Sec. 531.02493. DELIVERY OF HEALTH AND HUMAN SERVICES AND |
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91 | 91 | | OTHER SUPPORT SERVICES TO SCHOOL-AGE TEXANS WITH DISABILITIES. |
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92 | 92 | | (b) The commission, in conjunction with the Texas Education |
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93 | 93 | | Agency, shall electronically publish on the commission's Internet |
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94 | 94 | | website a biennial report and, on or before the date the report is |
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95 | 95 | | due, shall notify the governor, the lieutenant governor, the |
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96 | 96 | | speaker of the house of representatives, the comptroller, the |
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97 | 97 | | Legislative Budget Board, the Texas Education Agency, and the |
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98 | 98 | | appropriate legislative committees that the report is available on |
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99 | 99 | | the commission's Internet website. The report must address the |
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100 | 100 | | efforts of the health and human services agencies and the Texas |
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101 | 101 | | Education Agency to provide health and human services and support |
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102 | 102 | | services to school-age children with physical and developmental |
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103 | 103 | | disabilities. The report may contain recommendations by the |
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104 | 104 | | commission and the Texas Education Agency to better coordinate |
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105 | 105 | | state agency programs relating to the delivery of services to these |
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106 | 106 | | children and may propose joint agency collaborative programs. This |
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107 | 107 | | information may be combined with the report required by Sec. |
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108 | 108 | | 531.02492 or other relevant reporting requirements. |
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109 | 109 | | SECTION 6. Subchapter A, Chapter 531 Government Code, is |
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110 | 110 | | amended by addition Section 531.095 to read as follows: |
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111 | 111 | | Sec. 531.095. OPPORTUNITY SAVINGS ACCOUNTS FOR CHILDREN |
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112 | 112 | | WITH DISABILITIES. (a) The commission shall study the |
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113 | 113 | | establishment of an Opportunity Savings Account for children with |
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114 | 114 | | disabilities enrolled in the medical assistance program and the |
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115 | 115 | | Children's Health Insurance Program (CHIP) to be used promote |
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116 | 116 | | support and independence of these children. |
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117 | 117 | | (b) In conducting this study the commission shall review: |
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118 | 118 | | (1) eligibility standards and allowable expenses |
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119 | 119 | | under the Texas ABLE Program; |
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120 | 120 | | (2) the estimated number of enrollees in medical |
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121 | 121 | | assistance and Children's Health Insurance Program who will be |
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122 | 122 | | eligible for the Texas ABLE Program; |
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123 | 123 | | (3) the extent to which Health Savings Accounts would |
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124 | 124 | | be beneficial to children with disabilities; |
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125 | 125 | | (4) any additional savings programs that are available |
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126 | 126 | | to, and could benefit, children with disabilities; |
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127 | 127 | | (5) whether opportunity exists to establish an |
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128 | 128 | | Opportunity Savings Program specifically for children described by |
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129 | 129 | | Sec. 531.095(a). |
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130 | 130 | | (c) If the commission finds that additional needs exist |
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131 | 131 | | beyond what are covered, or that a significant number of children |
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132 | 132 | | described in Sec. 531,095(a) are not eligible for existing |
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133 | 133 | | programs, the Commission shall pursue establishment of an |
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134 | 134 | | Opportunity Savings Account program, to be administered by the |
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135 | 135 | | commission, for the purpose of promoting the health, wellness, and |
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136 | 136 | | independence of children with disabilities. |
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137 | 137 | | SECTION 7. Subchapter A, Chapter 533 Government Code, is |
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138 | 138 | | amended by adding Section 533.00253 is amended by adding Subsection |
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139 | 139 | | (g) to read as follows: |
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140 | 140 | | (g) Managed care organizations providing services in this |
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141 | 141 | | program must inform and, to the extent feasible, assist families in |
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142 | 142 | | pursuing savings programs designed to support and further |
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143 | 143 | | independence for children with disabilities. Programs include, but |
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144 | 144 | | are not limited to, health savings accounts, the Texas ABLE |
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145 | 145 | | Program, and the Texas Tomorrow Fund. |
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146 | 146 | | SECTION 8. The commission shall finalize the report |
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147 | 147 | | required by Sec. 531.095 no later than September 1, 2018, and |
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148 | 148 | | provide a copy to the governor, lt. governor, speaker, and standing |
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149 | 149 | | legislative committees with jurisdiction over these matters. |
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150 | 150 | | SECTION 9. Not later than January 1, 2018, the executive |
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151 | 151 | | commissioner of the Health and Human Services Commission shall |
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152 | 152 | | adopt necessary rules, guidelines, or contract provisions or amend |
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153 | 153 | | existing rules, guidelines, or contract provisions as necessary to |
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154 | 154 | | comply with the requirements as added by this Act. |
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155 | 155 | | SECTION 10. This Act takes effect immediately if it |
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156 | 156 | | receives a vote of two-thirds of all the members elected to each |
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157 | 157 | | house, as provided by Section 39, Article III, Texas Constitution. |
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158 | 158 | | If this Act does not receive the vote necessary for immediate |
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159 | 159 | | effect, this Act takes effect September 1, 2017. |
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