1 | 1 | | 87R5657 MCF-F |
---|
2 | 2 | | By: Landgraf H.B. No. 1134 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to the home-delivered meal program. |
---|
8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
9 | 9 | | SECTION 1. Section 12.042, Agriculture Code, is amended by |
---|
10 | 10 | | adding Subsection (m) to read as follows: |
---|
11 | 11 | | (m) Notwithstanding Subsections (c) and (d) or any other |
---|
12 | 12 | | provision of this chapter, the department shall allow a |
---|
13 | 13 | | governmental agency, nonprofit private organization, or for-profit |
---|
14 | 14 | | private organization to apply to the department for a grant under |
---|
15 | 15 | | this section if the agency or organization contracts with an area |
---|
16 | 16 | | agency on aging to deliver meals. |
---|
17 | 17 | | SECTION 2. Subtitle C, Title 2, Health and Safety Code, is |
---|
18 | 18 | | amended by adding Chapter 65 to read as follows: |
---|
19 | 19 | | CHAPTER 65. HOME-DELIVERED MEAL PROGRAM |
---|
20 | 20 | | Sec. 65.0001. DEFINITIONS. In this chapter: |
---|
21 | 21 | | (1) "Area agency on aging" means: |
---|
22 | 22 | | (A) an area agency on aging designated under 42 |
---|
23 | 23 | | U.S.C. Section 3025(a)(2)(A); or |
---|
24 | 24 | | (B) a state agency performing the functions of an |
---|
25 | 25 | | area agency on aging under 42 U.S.C. Section 3025(b)(5). |
---|
26 | 26 | | (2) "Client" means an individual who is elderly or has |
---|
27 | 27 | | a disability and who receives a meal under the program. |
---|
28 | 28 | | (3) "Program" means the home-delivered meal program |
---|
29 | 29 | | under this chapter. |
---|
30 | 30 | | (4) "Provider" means a meal provider who contracts |
---|
31 | 31 | | with the commission or an area agency on aging to provide and |
---|
32 | 32 | | deliver home-delivered meals under the program. |
---|
33 | 33 | | Sec. 65.0002. APPLICABILITY. This chapter does not apply |
---|
34 | 34 | | to home-delivered meals provided through the Medicaid managed care |
---|
35 | 35 | | program under Chapter 533, Government Code. |
---|
36 | 36 | | Sec. 65.0003. PROGRAM MODERNIZATION. (a) The commission |
---|
37 | 37 | | shall maintain and revise as necessary operating guidelines for a |
---|
38 | 38 | | home-delivered meal program to effectively and efficiently provide |
---|
39 | 39 | | meal deliveries to individuals who are elderly or have a |
---|
40 | 40 | | disability. |
---|
41 | 41 | | (b) The commission may contract with a meal provider to |
---|
42 | 42 | | provide home-delivered meals under the program. |
---|
43 | 43 | | (c) In awarding a contract to a provider, the commission or |
---|
44 | 44 | | area agency on aging shall: |
---|
45 | 45 | | (1) prioritize providers who: |
---|
46 | 46 | | (A) conduct a face-to-face client visit; |
---|
47 | 47 | | (B) deliver hot meals for the program; and |
---|
48 | 48 | | (C) comply with reporting requirements for the |
---|
49 | 49 | | nutrition services incentive program established under 42 U.S.C. |
---|
50 | 50 | | Section 3030a; |
---|
51 | 51 | | (2) give extra consideration to providers capable of |
---|
52 | 52 | | delivering meals to clients in both rural and urban areas; |
---|
53 | 53 | | (3) give extra consideration to providers with the |
---|
54 | 54 | | capacity to deliver meals to eligible individuals who are currently |
---|
55 | 55 | | on an interest or other waiting list for services under the program; |
---|
56 | 56 | | (4) consider the individual dietary needs of clients |
---|
57 | 57 | | through condition-specific menus; and |
---|
58 | 58 | | (5) negotiate enhanced meal rates to ensure program |
---|
59 | 59 | | efficacy. |
---|
60 | 60 | | Sec. 65.0004. MEAL REQUIREMENTS. A provider may use |
---|
61 | 61 | | frozen, chilled, or shelf-stable meals if: |
---|
62 | 62 | | (1) the provider and the client are capable of |
---|
63 | 63 | | providing sanitary and safe conditions for storage, thawing, and |
---|
64 | 64 | | preparation of the meal; and |
---|
65 | 65 | | (2) the client, or another available person for the |
---|
66 | 66 | | client, is capable of safely handling the meal. |
---|
67 | 67 | | Sec. 65.0005. PACKAGING REQUIREMENTS. (a) A provider |
---|
68 | 68 | | shall use supplies and meal transport carriers that allow hot, |
---|
69 | 69 | | frozen, chilled, and shelf-stable meals to be packaged and stored |
---|
70 | 70 | | separately. |
---|
71 | 71 | | (b) For hot, frozen, chilled, or shelf-stable meals that are |
---|
72 | 72 | | easily damaged, a provider must use an enclosed meal transport |
---|
73 | 73 | | carrier and trays or other containers necessary to protect the |
---|
74 | 74 | | meals from contamination, crushing, or spillage during transport. |
---|
75 | 75 | | (c) A provider shall equip a meal transport carrier with |
---|
76 | 76 | | insulation or supplemental hot or cold sources as necessary to |
---|
77 | 77 | | maintain safe temperatures for meals during transport. |
---|
78 | 78 | | (d) A provider shall use meal packaging that: |
---|
79 | 79 | | (1) is sealed to prevent moisture loss or spillage; |
---|
80 | 80 | | (2) allows preservation of the meal at a safe |
---|
81 | 81 | | temperature during transport; |
---|
82 | 82 | | (3) includes compartments for separating food items to |
---|
83 | 83 | | increase visual appeal and minimize spillage; and |
---|
84 | 84 | | (4) allows easy access by clients. |
---|
85 | 85 | | (e) A provider shall maintain the food temperature of meals |
---|
86 | 86 | | prepared and packaged for delivery in accordance with commission |
---|
87 | 87 | | rules and area agency on aging requirements for home-delivered |
---|
88 | 88 | | meals. |
---|
89 | 89 | | Sec. 65.0006. DELIVERY REQUIREMENTS. (a) A provider shall |
---|
90 | 90 | | deliver meals: |
---|
91 | 91 | | (1) at a commercially reasonable time; and |
---|
92 | 92 | | (2) on a date on which the provider and client mutually |
---|
93 | 93 | | agree. |
---|
94 | 94 | | (b) A provider in accordance with the commission or area |
---|
95 | 95 | | agency on aging contract shall provide and deliver meals to each |
---|
96 | 96 | | client daily, weekly, or every other week, dependent on the |
---|
97 | 97 | | acceptable shelf life of the meal. The provider shall document |
---|
98 | 98 | | whether each meal is delivered or undelivered. A client's |
---|
99 | 99 | | statement that the client failed to receive a meal delivery |
---|
100 | 100 | | constitutes documentation that the meal was not delivered. |
---|
101 | 101 | | (c) If a client is not present to accept delivery of a meal, |
---|
102 | 102 | | a provider may leave the meal only if the provider ensures the meal |
---|
103 | 103 | | is maintained at a safe temperature. |
---|
104 | 104 | | (d) For each undelivered meal, a provider shall document the |
---|
105 | 105 | | meal as undelivered and the reason the provider was unable to |
---|
106 | 106 | | deliver the meal. A provider shall maintain documentation of |
---|
107 | 107 | | undelivered meals in accordance with the contract. |
---|
108 | 108 | | (e) If a provider violates this section, the commission or |
---|
109 | 109 | | area agency on aging may consider the provider in breach of the |
---|
110 | 110 | | contract. |
---|
111 | 111 | | Sec. 65.0007. CASE MANAGER NOTIFICATION. A provider who |
---|
112 | 112 | | has not had contact with the client or the client's responsible |
---|
113 | 113 | | party within the time agreed by contract shall notify in writing the |
---|
114 | 114 | | client's case manager, if applicable, of the provider's concerns |
---|
115 | 115 | | regarding the lack of contact. |
---|
116 | 116 | | SECTION 3. (a) In this section: |
---|
117 | 117 | | (1) "Area agency on aging," "client," and "program" |
---|
118 | 118 | | have the meanings assigned by Section 65.0001, Health and Safety |
---|
119 | 119 | | Code, as added by this Act. |
---|
120 | 120 | | (2) "Commission" means the Health and Human Services |
---|
121 | 121 | | Commission. |
---|
122 | 122 | | (b) The commission shall conduct a study examining the |
---|
123 | 123 | | interest or other waiting lists of individuals seeking |
---|
124 | 124 | | home-delivered meals maintained by the commission and each area |
---|
125 | 125 | | agency on aging in the program. |
---|
126 | 126 | | (c) In conducting the study under this section, the |
---|
127 | 127 | | commission shall identify additional strategies the commission |
---|
128 | 128 | | could employ to provide home-delivered meal services to additional |
---|
129 | 129 | | clients and eliminate the interest or other waiting lists, |
---|
130 | 130 | | including strategies employed by other states and strategies |
---|
131 | 131 | | through which the program could receive additional funding. |
---|
132 | 132 | | (d) Not later than December 1, 2022, the commission shall |
---|
133 | 133 | | submit to the legislature a written report containing the findings |
---|
134 | 134 | | of the study conducted under this section and the commission's |
---|
135 | 135 | | legislative recommendations. |
---|
136 | 136 | | SECTION 4. The executive commissioner of the Health and |
---|
137 | 137 | | Human Services Commission shall adopt rules necessary to implement |
---|
138 | 138 | | Chapter 65, Health and Safety Code, as added by this Act, and |
---|
139 | 139 | | modernize the home-delivered meal program under that chapter. |
---|
140 | 140 | | SECTION 5. This Act takes effect immediately if it receives |
---|
141 | 141 | | a vote of two-thirds of all the members elected to each house, as |
---|
142 | 142 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
143 | 143 | | Act does not receive the vote necessary for immediate effect, this |
---|
144 | 144 | | Act takes effect September 1, 2021. |
---|