H.B. No. 54 AN ACT relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 32.024(w), Human Resources Code, is amended to read as follows: (w) The executive commissioner shall set a personal needs allowance of not less than $75 [$60] a month for a resident of a convalescent or nursing facility or related institution licensed under Chapter 242, Health and Safety Code, assisted living facility, ICF-IID facility, or other similar long-term care facility who receives medical assistance. The commission may send the personal needs allowance directly to a resident who receives Supplemental Security Income (SSI) (42 U.S.C. Section 1381 et seq.). This subsection does not apply to a resident who is participating in a medical assistance waiver program administered by the commission. SECTION 2. The change in law made by this Act to Section 32.024(w), Human Resources Code, applies only to a personal needs allowance paid on or after the effective date of this Act. SECTION 3. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 4. This Act takes effect September 1, 2023. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 54 was passed by the House on April 18, 2023, by the following vote: Yeas 117, Nays 29, 1 present, not voting; and that the House concurred in Senate amendments to H.B. No. 54 on May 24, 2023, by the following vote: Yeas 126, Nays 15, 2 present, not voting. ______________________________ Chief Clerk of the House I certify that H.B. No. 54 was passed by the Senate, with amendments, on May 18, 2023, by the following vote: Yeas 26, Nays 5. ______________________________ Secretary of the Senate APPROVED: __________________ Date __________________ Governor