Texas 2019 - 86th Regular

Texas Senate Bill SB1818 Compare Versions

Version 1 (Old)

Version 2 (New)

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1	1		By: Zaffirini S.B. No. 1818
2		-	(Deshotel)
3	2
4	3
5	4		A BILL TO BE ENTITLED
6	5		AN ACT
7	6		relating to a competitive and integrated employment initiative for
8	7		certain Medicaid recipients.
9	8		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	9		SECTION 1. Subchapter B, Chapter 531, Government Code, is
11	10		amended by adding Section 531.02448 to read as follows:
12	11		Sec. 531.02448. COMPETITIVE AND INTEGRATED EMPLOYMENT
13	12		INITIATIVE FOR CERTAIN MEDICAID RECIPIENTS. (a) This section
14	13		applies to an individual receiving services under any of the
15	14		following waiver programs established under Section 1915(c),
16	15		Social Security Act (42 U.S.C. Section 1396n(c)):
17	16		(1) the home and community-based services (HCS) waiver
18	17		program;
19	18		(2) the Texas home living (TxHmL) waiver program;
20	19		(3) the deaf-blind with multiple disabilities (DBMD)
21	20		waiver program;
22	21		(4) the community living assistance and support
23	22		services (CLASS) waiver program; and
24	23		(5) the STAR+PLUS home and community-based services
25	24		(HCBS) waiver program.
26	25		(b) The executive commissioner by rule shall develop a
27	26		uniform process that complies with the policy adopted under Section
28	27		531.02447 to:
29	28		(1) assess the goals of and competitive and integrated
30	29		employment opportunities and related employment services available
31	30		to an individual to whom this section applies; and
32	31		(2) use the identified goals and available
33	32		opportunities and services to direct the individual's plan of care
34	33		at the time the plan is developed or renewed.
35	34		(c) The entity responsible for the development and renewal
36	35		of the plan of care for an individual to whom this section applies
37	36		shall use the uniform process the executive commissioner develops
38	37		to assess the individual's goals, opportunities, and services
39	38		described by Subsection (b) and incorporate those goals,
40	39		opportunities, and services into the plan of care.
41	40		(d) The executive commissioner by rule shall:
42	41		(1) establish performance measures for the employment
43	42		of individuals to whom this section applies and who are seeking
44	43		competitive and integrated employment;
45	44		(2) identify strategies to increase the number of
46	45		individuals who are receiving employment services from the Texas
47	46		Workforce Commission or through the waiver program in which an
48	47		individual is enrolled;
49	48		(3) determine a reasonable number of individuals who
50	49		indicate a desire to work to receive employment services and ensure
51	50		those individuals:
52	51		(A) have received employment services during the
53	52		state fiscal biennium ending August 31, 2021, or during the period
54	53		beginning September 1, 2021, and ending December 31, 2021, from the
55	54		Texas Workforce Commission or through the waiver program in which
56	55		an individual is enrolled; or
57	56		(B) are receiving employment services on
58	57		December 31, 2021, from the Texas Workforce Commission or through
59	58		the waiver program in which an individual is enrolled; and
60	59		(4) ensure each individual who indicates a desire to
61	60		work is referred to receive employment services from the Texas
62	61		Workforce Commission or through the waiver program in which the
63	62		individual is enrolled.
64	63		(e) Not later than December 31 of each even-numbered year,
65	64		the executive commissioner shall prepare and submit to the
66	65		governor, lieutenant governor, speaker of the house of
67	66		representatives, and legislature a written report that outlines:
68	67		(1) the number of individuals to whom this section
69	68		applies who are receiving employment services in accordance with
70	69		rules adopted under this section;
71	70		(2) whether the employment services described by
72	71		Subdivision (1) are provided by the Texas Workforce Commission,
73	72		through the waiver program in which an individual is enrolled, or
74	73		both; and
75	74		(3) the number of individuals to whom this section
76	75		applies who have obtained competitive and integrated employment,
77	76		categorized by waiver program and, if applicable, an individual's
78	77		level of care.
79	78		SECTION 2. As soon as practicable after the effective date
80	79		of this Act, the executive commissioner of the Health and Human
81	80		Services Commission shall adopt rules as necessary to implement
82	81		Section 531.02448, Government Code, as added by this Act.
83	82		SECTION 3. Notwithstanding Section 531.02448(e),
84	83		Government Code, as added by this Act, the executive commissioner
85	84		of the Health and Human Services Commission shall submit the first
86	85		report required by that section not later than December 31, 2022.
87	86		SECTION 4. The Health and Human Services Commission is
88	87		required to implement a provision of this Act only if the
89	88		legislature appropriates money to the commission specifically for
90	89		that purpose. If the legislature does not appropriate money
91	90		specifically for that purpose, the commission may, but is not
92	91		required to, implement a provision of this Act using other
93	92		appropriations that are available for that purpose.
94	93		SECTION 5. This Act takes effect September 1, 2019.