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  88R13490 KKR-F
 
  By: Price H.B. No. 4169
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to providing prevocational services under certain
  Medicaid waiver programs.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.0755 to read as follows:
         Sec. 32.0755.  PREVOCATIONAL SERVICES UNDER CERTAIN WAIVER
  PROGRAMS. (a)  In this section, "prevocational services" means
  services that are designed to prepare an individual for paid or
  unpaid work and achieve a generalized result rather than being
  job-task oriented.
         (b)  Prevocational services provided under the community
  living assistance and support services (CLASS) waiver program or
  another medical assistance waiver program providing long-term
  services or supports to a medical assistance recipient must be
  designed to assist the recipient in achieving permanent integrated
  employment receiving compensation at or above the minimum wage in
  the recipient's community and in accordance with state and federal
  law.
         (c)  For purposes of determining a recipient's eligibility
  for individualized skills and socialization services under a
  medical assistance program providing long-term services or
  supports to recipients under the medical assistance program,
  habilitation services include prevocational services.
         SECTION 2.  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 3.  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, 2023.