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A BILL TO BE ENTITLED
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AN ACT
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relating to a competitive and integrated employment initiative for |
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certain Medicaid recipients. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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amended by adding Section 531.02448 to read as follows: |
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Sec. 531.02448. COMPETITIVE AND INTEGRATED EMPLOYMENT |
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INITIATIVE FOR CERTAIN MEDICAID RECIPIENTS. (a) This section |
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applies to an individual receiving services under the following |
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waiver programs established under Section 1915(c), Social Security |
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Act (42 U.S.C. Section 1396n(c)): |
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(1) the home and community-based services (HCS) waiver |
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program; |
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(2) the Texas home living (TxHmL) waiver program; |
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(3) the deaf-blind with multiple disabilities (DBMD) |
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waiver program; |
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(4) the community living assistance and support |
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services (CLASS) waiver program; and |
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(5) the STAR+PLUS home and community-based services |
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(HCBS) waiver program. |
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(b) The executive commissioner by rule shall develop a |
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process that complies with the policy adopted under Section |
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531.02447 to: |
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(1) assess the goals of and competitive and integrated |
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employment opportunities and related employment services available |
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to an individual to whom this section applies; and |
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(2) use the identified goals and available |
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opportunities and services to direct the individual's plan of care |
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at the time the plan is developed or renewed. |
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(c) The entity responsible for the development and renewal |
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of the plan of care for an individual to whom this section applies |
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shall use the process the executive commissioner develops to assess |
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the individual's goals, opportunities, and services described by |
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Subsection (b) and incorporate those goals, opportunities, and |
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services into the plan of care. |
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(d) The executive commissioner by rule shall establish |
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performance measures for the employment of individuals to whom this |
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section applies and who are seeking competitive and integrated |
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employment. The rules must ensure that: |
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(1) at least 20 percent of those individuals are |
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receiving employment services by December 31, 2021; and |
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(2) each individual to whom this section applies and |
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who indicates a desire to work is referred to receive employment |
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services from the Texas Workforce Commission or through the waiver |
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program in which the individual is enrolled. |
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(e) Not later than December 31 of each even-numbered year, |
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the executive commissioner shall prepare and submit to the |
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governor, the lieutenant governor, the speaker of the house of |
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representatives, and the legislature a written report that |
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outlines: |
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(1) the number of individuals to whom this section |
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applies who are receiving employment services in accordance with |
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rules adopted under this section; and |
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(2) the number of individuals to whom this section |
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applies who have obtained competitive and integrated employment, |
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categorized by waiver program and, if applicable, the individual's |
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level of care. |
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SECTION 2. As soon as practicable after the effective date |
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of this Act, the executive commissioner of the Health and Human |
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Services Commission shall adopt rules as necessary to implement |
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Section 531.02448, Government Code, as added by this Act. |
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SECTION 3. Notwithstanding Section 531.02448(e), |
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Government Code, as added by this Act, the executive commissioner |
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of the Health and Human Services Commission shall submit the first |
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report required by that section not later than December 31, 2022. |
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SECTION 4. This Act takes effect September 1, 2019. |