Bill Text: TX HB4140 | 2021-2022 | 87th Legislature | Engrossed
Bill Title: Relating to issues affecting counties and certain other governmental entities and residents.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed - Dead) 2021-05-12 - Received from the House [HB4140 Detail]
Download: Texas-2021-HB4140-Engrossed.html
87R23010 TYPED | ||
By: Coleman | H.B. No. 4140 |
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relating to issues affecting counties and certain other | ||
governmental entities and residents. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.0991, Government Code, is amended by | ||
amending Subsections (h) and (k) and adding Subsection (n) to read | ||
as follows: | ||
(h) A community that receives a grant under this section is | ||
required to leverage funds in an amount: | ||
(1) equal to 25 [ |
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community mental health program is located in a county with a | ||
population of less than 100,000 [ |
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(2) equal to 50 percent of the grant amount if the | ||
community mental health program is located in a county with a | ||
population of 100,000 or more but less than 250,000; | ||
(3) equal to 100 percent of the grant amount if the | ||
community mental health program is located in a county with a | ||
population of at least 250,000; and | ||
(4) [ |
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otherwise required by this subsection for the largest county in | ||
which a community mental health program is located if the community | ||
mental health program is located in more than one county. | ||
(k) Not later than December 1 of each even-numbered | ||
[ |
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governor, the lieutenant governor, and each member of the | ||
legislature a report evaluating the success of the matching grant | ||
program created by this section. | ||
(n) A reasonable amount not to exceed five percent of the | ||
money appropriated by the legislature for the purposes of this | ||
section may be used by the commission to pay administrative costs of | ||
implementing this section. | ||
SECTION 2. Section 531.0992, Government Code, is amended by | ||
amending Subsections (d-1) and (d-2) and adding Subsection (g) to | ||
read as follows: | ||
(d-1) For services and treatment provided in a single | ||
county, the commission shall condition each grant provided under | ||
this section on a potential grant recipient providing funds from | ||
non-state sources in a total amount at least equal to: | ||
(1) 25 [ |
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community mental health program to be supported by the grant | ||
provides services and treatment in a county with a population of | ||
less than 100,000 [ |
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(2) 50 percent of the grant amount if the community | ||
mental health program to be supported by the grant provides | ||
services and treatment in a county with a population of 100,000 or | ||
more but less than 250,000; or | ||
(3) 100 percent of the grant amount if the community | ||
mental health program to be supported by the grant provides | ||
services and treatment in a county with a population of 250,000 or | ||
more. | ||
(d-2) For a community mental health program that provides | ||
services and treatment in more than one county, the commission | ||
shall condition each grant provided under this section on a | ||
potential grant recipient providing funds from non-state sources in | ||
a total amount at least equal to: | ||
(1) 25 [ |
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with the largest population [ |
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health program to be supported by the grant provides services and | ||
treatment has a population of less than 100,000 [ |
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(2) 50 [ |
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with the largest population [ |
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health program to be supported by the grant provides services and | ||
treatment has a population of 100,000 or more but less than 250,000; | ||
or | ||
(3) 100 percent of the grant amount if the county with | ||
the largest population in which the community mental health program | ||
to be supported by the grant provides services and treatment has a | ||
population of 250,000 or more. | ||
(g) A reasonable amount not to exceed five percent of the | ||
money appropriated by the legislature for the purposes of this | ||
section may be used by the commission to pay administrative costs of | ||
implementing this section. | ||
SECTION 3. Section 531.0993, Government Code, is amended by | ||
amending Subsection (c) and adding Subsection (j) to read as | ||
follows: | ||
(c) The commission shall condition each grant provided to a | ||
community collaborative under this section on the collaborative | ||
providing funds from non-state sources in a total amount at least | ||
equal to: | ||
(1) 25 [ |
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collaborative includes a county with a population of less than | ||
100,000 [ |
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(2) 50 percent of the grant amount if the | ||
collaborative includes a county with a population of 100,000 or | ||
more but less than 250,000; | ||
(3) 100 percent of the grant amount if the | ||
collaborative includes a county with a population of 250,000 or | ||
more; and | ||
(4) [ |
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required by this subsection for the largest county included in the | ||
collaborative, if the collaborative includes more than one county. | ||
(j) A reasonable amount not to exceed five percent of the | ||
money appropriated by the legislature for the purposes of this | ||
section may be used by the commission to pay administrative costs of | ||
implementing this section. | ||
SECTION 4. Sections 539.002(b) and (c), Government Code, | ||
are amended to read as follows: | ||
(b) Except as provided by Subsection (c), the department | ||
shall require each entity awarded a grant under this section to: | ||
(1) leverage additional funding or in-kind | ||
contributions from private contributors or local governments, | ||
excluding state or federal funds, [ |
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least equal to the amount of the grant awarded under this section; | ||
(2) provide evidence of significant coordination and | ||
collaboration between the entity, local mental health authorities, | ||
municipalities, local law enforcement agencies, and other | ||
community stakeholders in establishing or expanding a community | ||
collaborative funded by a grant awarded under this section; and | ||
(3) provide evidence of a local law enforcement policy | ||
to divert appropriate persons from jails or other detention | ||
facilities to an entity affiliated with a community collaborative | ||
for the purpose of providing services to those persons. | ||
(c) The department may award a grant under this chapter to | ||
an entity for the purpose of establishing a community mental health | ||
program in a county with a population of less than 250,000, if the | ||
entity leverages additional funding or in-kind contributions from | ||
private contributors or local governments, excluding state or | ||
federal funds, [ |
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amount of the grant to be awarded under this section, and the entity | ||
otherwise meets the requirements of Subsections (b)(2) and (3). | ||
SECTION 5. Section 539.003, Government Code, is amended to | ||
read as follows: | ||
Sec. 539.003. ACCEPTABLE USES OF GRANT MONEY. An entity | ||
shall use money received from a grant made by the department and | ||
private funding sources for the establishment or expansion of a | ||
community collaborative[ |
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include: | ||
(1) the development of the infrastructure of the | ||
collaborative and the start-up costs of the collaborative; | ||
(2) the establishment, operation, or maintenance of | ||
other community service providers in the community served by the | ||
collaborative, including intake centers, detoxification units, | ||
sheltering centers for food, workforce training centers, | ||
microbusinesses, and educational centers; | ||
(3) the provision of clothing, hygiene products, and | ||
medical services to and the arrangement of transitional and | ||
permanent residential housing for persons served by the | ||
collaborative; | ||
(4) the provision of mental health services and | ||
substance abuse treatment not readily available in the community | ||
served by the collaborative; | ||
(5) the provision of information, tools, and resource | ||
referrals to assist persons served by the collaborative in | ||
addressing the needs of their children; and | ||
(6) the establishment and operation of coordinated | ||
intake processes, including triage procedures, to protect the | ||
public safety in the community served by the collaborative. | ||
SECTION 6. Section 539.007, Government Code, is amended to | ||
read as follows: | ||
Sec. 539.007. REDUCTION AND CESSATION OF FUNDING. The | ||
department shall establish processes by which the department may | ||
reduce or cease providing funding to an entity if the community | ||
collaborative operated by the entity does not meet the outcome | ||
measures selected by the entity for the collaborative under Section | ||
539.005 [ |
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department shall redistribute any funds withheld from an entity | ||
under this section to other entities operating high-performing | ||
collaboratives on a competitive basis. | ||
SECTION 7. Chapter 539, Government Code, is amended by | ||
adding Section 539.009 to read as follows: | ||
Sec. 539.009. ADMINISTRATIVE COSTS. A reasonable amount | ||
not to exceed five percent of the money appropriated by the | ||
legislature for the purposes of this subchapter may be used by the | ||
commission to pay administrative costs of implementing this | ||
subchapter. | ||
SECTION 8. The heading to Section 152.1073, Human Resources | ||
Code, is amended to read as follows: | ||
Sec. 152.1073. HARRIS COUNTY BOARD OF RESOURCES [ |
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SECTION 9. Section 152.1073(a)(1), Human Resources Code, is | ||
amended to read as follows: | ||
(1) "Board" means the Harris County Board of Resources | ||
[ |
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SECTION 10. Section 152.1073, Human Resources Code, is | ||
amended by amending Subsections (g) and (h) and adding Subsection | ||
(h-1) to read as follows: | ||
(g) In addition to the authority granted to the board by the | ||
commissioners court, the Health and Human Services Commission, and | ||
the [ |
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the board may: | ||
(1) disburse funds from sources other than the | ||
commissioners court, the commission, and the department [ |
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with disabilities, and eligible elderly persons under this section | ||
and to provide care, protection, evaluation, training, treatment, | ||
education, and recreation to those persons [ |
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(2) refuse to accept any funds the board considers to | ||
be inappropriate, incompatible, or burdensome to board policies or | ||
the provision of services; | ||
(3) accept a gift or grant of real or personal property | ||
or accept support under or an interest in a trust to benefit persons | ||
described by Subdivision (1) [ |
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the gift or grant directly or in trust; | ||
(4) use a gift or grant to benefit persons described by | ||
Subdivision (1) [ |
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protection, education, or training to those persons [ |
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(5) accept and disburse as provided by Subdivision (1) | ||
fees and contributions from parents, guardians, and relatives of | ||
persons described by that subdivision [ |
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(A) in county supported substitute care or | ||
custody, in the county guardianship program, in the county | ||
representative payee program, or receiving services from the county | ||
Senior Justice Assessment Center; or | ||
(B) being assisted by casework, day care, or | ||
homemaker services, by medical, psychological, dental, or other | ||
remedial help, or by teaching, training, or other services; | ||
(6) account for and spend funds the board receives as | ||
fees, contributions, payments made by guardians, or payments made | ||
to benefit a person described by Subdivision (1) who is [ |
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the board's or the county's legal custody; | ||
(7) receive and disburse funds available to support or | ||
benefit a person described by Subdivision (1) who is [ |
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board's or the county's legal custody, including social security | ||
benefits, life insurance proceeds, survivors' pension or annuity | ||
benefits, or a beneficial interest in property; and | ||
(8) receive and use funds, grants, and assistance | ||
available to the board or the county from a federal or state | ||
department or agency to carry out the functions and programs of the | ||
department or agency that is designed to aid or extend programs and | ||
operations approved by the board. | ||
(h) The board shall designate the director or an assistant | ||
to apply for letters of guardianship if necessary to receive funds | ||
under Subsection (g)(7). The director or an assistant may: | ||
(1) apply for and disburse the funds to provide | ||
special items of support for children, eligible adults with | ||
disabilities, and eligible elderly persons under this section or to | ||
pay general administrative expenses relating to services under this | ||
section; | ||
(2) hold the funds in trust; or | ||
(3) apply the funds for a particular or more | ||
restricted purpose as required by law or the source of the funds. | ||
(h-1) The board may collaborate with state agencies to | ||
provide services for eligible adults with disabilities and eligible | ||
elderly persons who: | ||
(1) are residents of the county; | ||
(2) have been exploited, abused, or neglected; or | ||
(3) may be in need of a guardianship or assistance from | ||
a representative payee. | ||
SECTION 11. Section 299.001, Health and Safety Code, is | ||
amended by adding Subdivision (6) to read as follows: | ||
(6) "Qualifying assessment basis" means the health | ||
care item, health care service, or other health care-related basis | ||
consistent with 42 U.S.C. Section 1396b(w) on which the board | ||
requires mandatory payments to be assessed under this chapter. | ||
SECTION 12. Section 299.004, Health and Safety Code, is | ||
amended to read as follows: | ||
Sec. 299.004. EXPIRATION. (a) Subject to Section | ||
299.153(d), the authority of the district to administer and operate | ||
a program under this chapter expires December 31, 2023 [ |
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(b) This chapter expires December 31, 2023 [ |
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SECTION 13. Section 299.053, Health and Safety Code, is | ||
amended to read as follows: | ||
Sec. 299.053. INSTITUTIONAL HEALTH CARE PROVIDER | ||
REPORTING. If the board authorizes the district to participate in a | ||
program under this chapter, the board may [ |
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institutional health care provider to submit to the district a copy | ||
of any financial and utilization data as reported in: | ||
(1) the provider's Medicare cost report [ |
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for the most recent [ |
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Medicare cost report; or | ||
(2) a report other than the report described by | ||
Subdivision (1) that the board considers reliable and is submitted | ||
by or to the provider for the most recent fiscal year. | ||
SECTION 14. Section 299.103(c), Health and Safety Code, is | ||
amended to read as follows: | ||
(c) Money deposited to the local provider participation | ||
fund of the district may be used only to: | ||
(1) fund intergovernmental transfers from the | ||
district to the state to provide the nonfederal share of Medicaid | ||
payments for: | ||
(A) uncompensated care payments to nonpublic | ||
hospitals, if those payments are authorized under the Texas | ||
Healthcare Transformation and Quality Improvement Program waiver | ||
issued under Section 1115 of the federal Social Security Act (42 | ||
U.S.C. Section 1315); | ||
(B) uniform rate enhancements for nonpublic | ||
hospitals in the Medicaid managed care service area in which the | ||
district is located; | ||
(C) payments available under another waiver | ||
program authorizing payments that are substantially similar to | ||
Medicaid payments to nonpublic hospitals described by Paragraph (A) | ||
or (B); or | ||
(D) any reimbursement to nonpublic hospitals for | ||
which federal matching funds are available; | ||
(2) subject to Section 299.151(d), pay the | ||
administrative expenses of the district in administering the | ||
program, including collateralization of deposits; | ||
(3) refund a mandatory payment collected in error from | ||
a paying provider; | ||
(4) refund to a paying provider, in an amount that is | ||
proportionate to the mandatory payments made under this chapter by | ||
the provider during the 12 months preceding the date of the refund, | ||
[ |
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mandatory payments collected under this chapter that the district: | ||
(A) receives from the Health and Human Services | ||
Commission that is not used to fund the nonfederal share of Medicaid | ||
supplemental payment program payments; or | ||
(B) determines cannot be used to fund the | ||
nonfederal share of Medicaid supplemental payment program | ||
payments; and | ||
(5) transfer funds to the Health and Human Services | ||
Commission if the district is legally required to transfer the | ||
funds to address a disallowance of federal matching funds with | ||
respect to programs for which the district made intergovernmental | ||
transfers described by Subdivision (1). | ||
SECTION 15. The heading to Section 299.151, Health and | ||
Safety Code, is amended to read as follows: | ||
Sec. 299.151. MANDATORY PAYMENTS [ |
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SECTION 16. Section 299.151, Health and Safety Code, is | ||
amended by amending Subsections (a), (b), and (c) and adding | ||
Subsections (a-1) and (a-2) to read as follows: | ||
(a) If the board authorizes a health care provider | ||
participation program under this chapter, the board may require [ |
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mandatory payments [ |
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institutional health care provider located in the district, either | ||
annually or periodically throughout the year at the discretion of | ||
the board, on the basis of a health care item, health care service, | ||
or other health care-related basis that is consistent with the | ||
requirements of 42 U.S.C. Section 1396b(w) [ |
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each institutional health care provider in the district. The board | ||
shall provide an institutional health care provider written notice | ||
of each assessment under this section [ |
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provider has 30 calendar days following the date of receipt of the | ||
notice to pay the assessment. | ||
(a-1) Except as otherwise provided by this subsection, the | ||
qualifying assessment basis must be determined by the board using | ||
information contained in an institutional health care provider's | ||
Medicare cost report for the most recent fiscal year for which the | ||
provider submitted the report. If the provider is not required to | ||
submit a Medicare cost report, or if the Medicare cost report | ||
submitted by the provider does not contain information necessary to | ||
determine the qualifying assessment basis, the qualifying | ||
assessment basis may be determined by the board using information | ||
contained in another report the board considers reliable that is | ||
submitted by or to the provider for the most recent fiscal year. To | ||
the extent practicable, the board shall use the same type of report | ||
to determine the qualifying assessment basis for each paying | ||
provider in the district. | ||
(a-2) [ |
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payments are [ |
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amount of the mandatory payments [ |
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may update the amount on a more frequent basis. | ||
(b) The amount of a mandatory payment authorized under this | ||
chapter must be uniformly proportionate with the qualifying | ||
assessment basis for [ |
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each paying provider in the district as permitted under federal | ||
law. A health care provider participation program authorized under | ||
this chapter may not hold harmless any institutional health care | ||
provider, as required under 42 U.S.C. Section 1396b(w). | ||
(c) If the board requires a mandatory payment authorized | ||
under this chapter, the board shall set the amount of the mandatory | ||
payment, subject to the limitations of this chapter. The aggregate | ||
amount of the mandatory payments required of all paying providers | ||
in the district may not exceed six [ |
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net patient revenue from hospital services provided by all paying | ||
providers in the district. | ||
SECTION 17. Subchapter D, Chapter 299, Health and Safety | ||
Code, is amended by adding Section 299.154 to read as follows: | ||
Sec. 299.154. REQUEST FOR CERTAIN RELIEF. If 42 U.S.C. | ||
Section 1396b(w) or 42 C.F.R. Part 433 Subpart B is revised or | ||
interpreted in a manner that impedes the operations of a program | ||
under this chapter, and the operations may be improved by a request | ||
for relief under 42 C.F.R. Section 433.72, the board may request the | ||
Health and Human Services Commission to submit, and if requested | ||
the commission shall submit, a request to the Centers for Medicare | ||
and Medicaid Services for relief under 42 C.F.R. Section 433.72. | ||
SECTION 18. The heading to Chapter 180, Local Government | ||
Code, is amended to read as follows: | ||
CHAPTER 180. MISCELLANEOUS PROVISIONS AFFECTING OFFICERS AND | ||
EMPLOYEES OF MORE THAN ONE TYPE OF [ |
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SECTION 19. Chapter 180, Local Government Code, is amended | ||
by adding Section 180.008 to read as follows: | ||
Sec. 180.008. QUARANTINE LEAVE FOR FIRE FIGHTERS, PEACE | ||
OFFICERS, DETENTION OFFICERS, AND EMERGENCY MEDICAL TECHNICIANS. | ||
(a) In this section: | ||
(1) "Detention officer" means an individual appointed | ||
or employed by a political subdivision as a county jailer or other | ||
individual responsible for the care and custody of individuals | ||
incarcerated in a county or municipal jail. | ||
(2) "Emergency medical technician" means an | ||
individual who is: | ||
(A) certified as an emergency medical technician | ||
under Chapter 773, Health and Safety Code; and | ||
(B) employed by a political subdivision. | ||
(3) "Fire fighter" means a paid employee of a | ||
municipal fire department or emergency services district who: | ||
(A) holds a position that requires substantial | ||
knowledge of fire fighting; | ||
(B) has met the requirements for certification by | ||
the Texas Commission on Fire Protection under Chapter 419, | ||
Government Code; and | ||
(C) performs a function listed in Section | ||
143.003(4)(A). | ||
(4) "Peace officer" means an individual described by | ||
Article 2.12, Code of Criminal Procedure, who is elected for, | ||
employed by, or appointed by a political subdivision. | ||
(b) A political subdivision shall place on paid quarantine | ||
leave a fire fighter, peace officer, detention officer, or | ||
emergency medical technician employed by the political subdivision | ||
and ordered by a supervisor or a health authority to quarantine or | ||
isolate due to a possible or known exposure to a communicable | ||
disease while on duty. | ||
(c) A political subdivision shall provide to a fire fighter, | ||
peace officer, detention officer, or emergency medical technician | ||
on quarantine leave: | ||
(1) all employment benefits and compensation, | ||
including leave accrual, pension benefits, and health benefit plan | ||
benefits; and | ||
(2) costs related to the quarantine, including | ||
lodging, medical, and transportation costs. | ||
(d) A political subdivision may not reduce a fire fighter's, | ||
peace officer's, detention officer's, or emergency medical | ||
technician's sick leave balance, vacation leave balance, holiday | ||
leave balance, or other paid leave balance in connection with | ||
quarantine leave required by Subsection (b). | ||
SECTION 20. On the effective date of this Act, the Harris | ||
County Board of Protective Services for Children and Adults is | ||
redesignated as the Harris County Board of Resources for Children | ||
and Adults. | ||
SECTION 21. The changes in law made by this Act apply to a | ||
grant awarded on or after the effective date of this Act. A grant | ||
awarded under a provision amended by this Act is governed by the law | ||
in effect on the date the grant was awarded, and the former law is | ||
continued in effect for that purpose. | ||
SECTION 22. 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 23. This Act takes effect immediately if it | ||
receives a vote of two-thirds of all the members elected to each | ||
house, as provided by Section 39, Article III, Texas Constitution. | ||
If this Act does not receive the vote necessary for immediate | ||
effect, this Act takes effect September 1, 2021. |