88R8484 MM-D By: Blanco S.B. No. 2254 A BILL TO BE ENTITLED AN ACT relating to a report regarding certain residential and nonresidential services provided to individuals with an intellectual or developmental disability. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. In this Act, "commission" means the Health and Human Services Commission. SECTION 2. (a) Not later than December 1, 2024, the commission shall prepare and submit to the legislature a written report regarding state and federally-funded residential and nonresidential services provided: (1) under the home and community-based services (HCS) waiver program; (2) under the Texas home living (TxHmL) waiver program; and (3) by intermediate care facilities licensed under Chapter 252, Health and Safety Code. (b) The report required under this section must: (1) analyze the average monthly cost to the state per person disaggregated by level of need for services provided to individuals: (A) residing in state-operated and privately operated intermediate care facilities licensed under Chapter 252, Health and Safety Code, disaggregated by facility size for privately operated facilities; (B) under the home and community-based services (HCS) waiver program; and (C) under the Texas home living (TxHmL) waiver program; (2) compare the severity of need for individuals across settings; and (3) include, based on data from the previous biennium: (A) the total number of individuals, disaggregated by level of need, who transitioned from state-operated intermediate care facilities licensed under Chapter 252, Health and Safety Code, to receiving services under the home and community-based services (HCS) waiver program; and (B) the average monthly cost of services under the home and community-based services (HCS) waiver program for individuals described by Paragraph (A). SECTION 3. This Act expires September 1, 2025. SECTION 4. This Act takes effect September 1, 2023.