By Maxey, Wohlgemuth, Naishtat H.B. No. 460 75R3474 DLF-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to federal waivers or authorizations relating to certain 1-3 federally funded long-term care Medicaid programs. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Not later than January 15, 1999, the Commissioner 1-6 of Health and Human Services shall report to the legislature on the 1-7 feasibility and advisability of replacing all or several of the 1-8 waivers or authorizations that this state has obtained with respect 1-9 to administration of federally funded Medicaid programs supporting 1-10 long-term care services at the Texas Department of Human Services, 1-11 the Texas Department of Mental Health and Mental Retardation, the 1-12 Texas Rehabilitation Commission, and the Texas Department of Health 1-13 with a single waiver or authorization to minimize administrative 1-14 duplication, maximize the services provided, and provide 1-15 flexibility to the state in determining the appropriate combination 1-16 of services to be provided to each individual based on that 1-17 individual's needs. In making this report, the commissioner shall 1-18 consider the waivers or authorizations obtained with respect to: 1-19 (1) the community-based alternatives program 1-20 administered by the Texas Department of Human Services; 1-21 (2) the community living assistance support and 1-22 services program administered by the Texas Department of Human 1-23 Services; 1-24 (3) the home and community services program and the 2-1 home and community services program under the Omnibus Budget 2-2 Reconciliation Act (OBRA), P.L. 100-203, Nursing Home Reform 2-3 Amendments of 1987, administered by the Texas Department of Mental 2-4 Health and Mental Retardation; 2-5 (4) the deaf and blind services program administered 2-6 by the Texas Rehabilitation Commission; and 2-7 (5) the medically dependent children program 2-8 administered by the Texas Department of Health. 2-9 SECTION 2. The importance of this legislation and the 2-10 crowded condition of the calendars in both houses create an 2-11 emergency and an imperative public necessity that the 2-12 constitutional rule requiring bills to be read on three several 2-13 days in each house be suspended, and this rule is hereby suspended, 2-14 and that this Act take effect and be in force from and after its 2-15 passage, and it is so enacted.