Bill Text: TX HB3916 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to a competitive and integrated employment initiative for certain Medicaid recipients.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2019-04-25 - Left pending in committee [HB3916 Detail]

Download: Texas-2019-HB3916-Introduced.html
  86R9277 JG-D
 
  By: Deshotel H.B. No. 3916
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a competitive and integrated employment initiative for
  certain Medicaid recipients.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.02448 to read as follows:
         Sec. 531.02448.  COMPETITIVE AND INTEGRATED EMPLOYMENT
  INITIATIVE FOR CERTAIN MEDICAID RECIPIENTS. (a) This section
  applies to an individual receiving services under the following
  waiver programs established under Section 1915(c), Social Security
  Act (42 U.S.C. Section 1396n(c)):
               (1)  the home and community-based services (HCS) waiver
  program;
               (2)  the Texas home living (TxHmL) waiver program;
               (3)  the deaf-blind with multiple disabilities (DBMD)
  waiver program;
               (4)  the community living assistance and support
  services (CLASS) waiver program; and
               (5)  the STAR+PLUS home and community-based services
  (HCBS) waiver program.
         (b)  The executive commissioner by rule shall develop a
  process that complies with the policy adopted under Section
  531.02447 to:
               (1)  assess the goals of and competitive and integrated
  employment opportunities and related employment services available
  to an individual to whom this section applies; and
               (2)  use the identified goals and available
  opportunities and services to direct the individual's plan of care
  at the time the plan is developed or renewed.
         (c)  The entity responsible for the development and renewal
  of the plan of care for an individual to whom this section applies
  shall use the process the executive commissioner develops to assess
  the individual's goals, opportunities, and services described by
  Subsection (b) and incorporate those goals, opportunities, and
  services into the plan of care.
         (d)  The executive commissioner by rule shall establish
  performance measures for the employment of individuals to whom this
  section applies and who are seeking competitive and integrated
  employment. The rules must ensure that:
               (1)  at least 20 percent of those individuals are
  receiving employment services by December 31, 2021; and
               (2)  each individual to whom this section applies and
  who indicates a desire to work is referred to receive employment
  services from the Texas Workforce Commission or through the waiver
  program in which the individual is enrolled.
         (e)  Not later than December 31 of each even-numbered year,
  the executive commissioner shall prepare and submit to the
  governor, the lieutenant governor, the speaker of the house of
  representatives, and the legislature a written report that
  outlines:
               (1)  the number of individuals to whom this section
  applies who are receiving employment services in accordance with
  rules adopted under this section; and
               (2)  the number of individuals to whom this section
  applies who have obtained competitive and integrated employment,
  categorized by waiver program and, if applicable, the individual's
  level of care.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall adopt rules as necessary to implement
  Section 531.02448, Government Code, as added by this Act.
         SECTION 3.  Notwithstanding Section 531.02448(e),
  Government Code, as added by this Act, the executive commissioner
  of the Health and Human Services Commission shall submit the first
  report required by that section not later than December 31, 2022.
         SECTION 4.  This Act takes effect September 1, 2019.
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