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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to the provision of employment assistance and supported  | 
      
      
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        employment to certain Medicaid waiver program participants. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,  | 
      
      
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        is amended by adding Section 32.075 to read as follows: | 
      
      
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               Sec. 32.075.  EMPLOYMENT ASSISTANCE AND SUPPORTED  | 
      
      
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        EMPLOYMENT.  (a)  In this section: | 
      
      
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                     (1)  "Employment assistance" means assistance provided  | 
      
      
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        to an individual to help the individual locate paid employment in  | 
      
      
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        the community.  Employment assistance includes: | 
      
      
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                           (A)  identifying an individual's employment  | 
      
      
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        preferences, job skills, and requirements for a work setting and  | 
      
      
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        work conditions; | 
      
      
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                           (B)  locating prospective employers offering  | 
      
      
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        employment compatible with an individual's identified preferences,  | 
      
      
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        skills, and requirements; and | 
      
      
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                           (C)  contacting a prospective employer on behalf  | 
      
      
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        of an individual and negotiating the individual's employment. | 
      
      
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                     (2)  "Supported employment" means assistance provided,  | 
      
      
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        in order to sustain paid employment, to an individual who, because  | 
      
      
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        of a disability, requires intensive, ongoing support to be  | 
      
      
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        self-employed, work from home, or perform in a work setting at which  | 
      
      
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        individuals without disabilities are employed.  Supported  | 
      
      
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        employment includes adaptations, supervision, and training related  | 
      
      
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        to an individual's diagnosis. | 
      
      
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               (b)  This section applies only to the following medical  | 
      
      
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        assistance waiver programs: | 
      
      
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                     (1)  the community based alternatives program; | 
      
      
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                     (2)  the community living assistance and support  | 
      
      
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        services program; | 
      
      
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                     (3)  the deaf-blind with multiple disabilities  | 
      
      
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        program; | 
      
      
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                     (4)  the home and community-based services program; | 
      
      
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                     (5)  the medically dependent children program; | 
      
      
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                     (6)  the STAR + PLUS Medicaid managed care program; | 
      
      
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                     (7)  the Texas home living program; and | 
      
      
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                     (8)  the youth empowerment services program. | 
      
      
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               (c)  The department shall provide employment assistance and  | 
      
      
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        supported employment to participants in the waiver programs  | 
      
      
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        identified in Subsection (b). | 
      
      
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               SECTION 2.  As soon as possible after the effective date of  | 
      
      
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        this Act, the Health and Human Services Commission shall apply for  | 
      
      
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        any waiver or other authorization necessary to implement this Act.   | 
      
      
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        The commission may delay implementing this Act until the waiver or  | 
      
      
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        authorization is granted. | 
      
      
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               SECTION 3.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2013. |