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House Bill 4169 |
House Author: Price et al. |
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Effective: 6-13-23 |
Senate Sponsor: Sparks |
House Bill 4169 amends the Human Resources Code to establish that prevocational services provided under the community living assistance and support services (CLASS) waiver program or another Medicaid waiver program providing long‑term services or supports to a Medicaid recipient should be designed to assist the recipient in achieving competitive integrated employment in the community receiving compensation at or above the minimum wage in the recipient's community. The bill requires the Health and Human Services Commission (HHSC) to apply for and actively pursue federal authorization to include prevocational services as part of the individualized skills and socialization services delivered under a Medicaid waiver program providing long‑term services and supports and sets out certain provisions relating to reimbursement that apply in the event HHSC's request is granted. If the request is not granted, HHSC must collaborate with stakeholders and federal agencies to establish a service similar to prevocational services in a manner that is authorized by federal law. The bill provides for the adoption of performance standards for providers providing prevocational or similar services under a Medicaid waiver program and for performance monitoring.