| 1 | 1 | | 88R8484 MM-D |
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| 2 | 2 | | By: Blanco S.B. No. 2254 |
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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 a report regarding certain residential and |
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| 8 | 8 | | nonresidential services provided to individuals with an |
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| 9 | 9 | | intellectual or developmental disability. |
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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. In this Act, "commission" means the Health and |
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| 12 | 12 | | Human Services Commission. |
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| 13 | 13 | | SECTION 2. (a) Not later than December 1, 2024, the |
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| 14 | 14 | | commission shall prepare and submit to the legislature a written |
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| 15 | 15 | | report regarding state and federally-funded residential and |
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| 16 | 16 | | nonresidential services provided: |
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| 17 | 17 | | (1) under the home and community-based services (HCS) |
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| 18 | 18 | | waiver program; |
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| 19 | 19 | | (2) under the Texas home living (TxHmL) waiver |
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| 20 | 20 | | program; and |
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| 21 | 21 | | (3) by intermediate care facilities licensed under |
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| 22 | 22 | | Chapter 252, Health and Safety Code. |
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| 23 | 23 | | (b) The report required under this section must: |
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| 24 | 24 | | (1) analyze the average monthly cost to the state per |
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| 25 | 25 | | person disaggregated by level of need for services provided to |
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| 26 | 26 | | individuals: |
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| 27 | 27 | | (A) residing in state-operated and privately |
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| 28 | 28 | | operated intermediate care facilities licensed under Chapter 252, |
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| 29 | 29 | | Health and Safety Code, disaggregated by facility size for |
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| 30 | 30 | | privately operated facilities; |
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| 31 | 31 | | (B) under the home and community-based services |
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| 32 | 32 | | (HCS) waiver program; and |
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| 33 | 33 | | (C) under the Texas home living (TxHmL) waiver |
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| 34 | 34 | | program; |
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| 35 | 35 | | (2) compare the severity of need for individuals |
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| 36 | 36 | | across settings; and |
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| 37 | 37 | | (3) include, based on data from the previous biennium: |
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| 38 | 38 | | (A) the total number of individuals, |
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| 39 | 39 | | disaggregated by level of need, who transitioned from |
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| 40 | 40 | | state-operated intermediate care facilities licensed under Chapter |
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| 41 | 41 | | 252, Health and Safety Code, to receiving services under the home |
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| 42 | 42 | | and community-based services (HCS) waiver program; and |
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| 43 | 43 | | (B) the average monthly cost of services under |
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| 44 | 44 | | the home and community-based services (HCS) waiver program for |
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| 45 | 45 | | individuals described by Paragraph (A). |
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| 46 | 46 | | SECTION 3. This Act expires September 1, 2025. |
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| 47 | 47 | | SECTION 4. This Act takes effect September 1, 2023. |
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