84R1246 KKR-D
 
  By: Raymond H.B. No. 2463
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the functions of the Department of Assistive and
  Rehabilitative Services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 117.001, Human Resources Code, is
  amended by amending Subdivision (1) and adding Subdivisions (1-a),
  (1-b), (4-a), and (4-b) to read as follows:
               (1)  "Caseworker" means a department employee who
  manages a client's case under a direct services program and
  provides direct services to the client under the program.
               (1-a)  "Center for independent living" has the meaning
  assigned by Section 702 of the federal Rehabilitation Act of 1973
  (29 U.S.C. Section 796a).
               (1-b)  "Commission" means the Health and Human Services
  Commission.
               (4-a)  "Direct services" means services provided to a
  client by a department employee, including counseling,
  facilitating the purchase of services from a source other than the
  department, and purchasing equipment and other items and providing
  other services necessary for the client to successfully complete a
  department program.
               (4-b)  "Direct services program" means a program
  operated by the department through which direct services are
  provided.
         SECTION 2.  Subchapter D, Chapter 117, Human Resources Code,
  is amended by adding Sections 117.079, 117.080, 117.081, and
  117.082 to read as follows:
         Sec. 117.079.  INTEGRATION OF INDEPENDENT LIVING SERVICES
  PROGRAMS. (a) Not later than September 1, 2016, the department
  shall integrate into a single independent living services program
  the following programs that the department operates under Title VII
  of the federal Rehabilitation Act of 1973 (29 U.S.C. Section 796 et
  seq.):
               (1)  the Independent Living Program for individuals who
  are blind or have visual impairments; and
               (2)  the Independent Living Services Program for
  individuals with significant disabilities.
         (b)  The executive commissioner shall adopt any rules
  necessary to facilitate the integration of the programs identified
  in Subsection (a), including rules that direct the department, as
  the single designated state entity responsible for administering
  the state's independent living services program, to comply with the
  requirements of 29 U.S.C. Section 796c for the integrated program.
         (c)  This section expires September 1, 2017.
         Sec. 117.080.  PROVISION OF INDEPENDENT LIVING SERVICES.
  (a) The department shall ensure that all services provided under
  the independent living services program that the department
  operates under Title VII of the federal Rehabilitation Act of 1973
  (29 U.S.C. Section 796 et seq.) are directly provided by centers for
  independent living, except as provided by Subsection (b), and are
  not directly provided by the department.
         (b)  If an area of the state does not have a center for
  independent living, or no center for independent living in that
  area is able to provide certain necessary services under the
  independent living services program, the department shall seek to
  identify a center for independent living that is willing and able to
  contract with a nonprofit organization or other person to provide
  the independent living services in the area under the program. If
  no center for independent living is willing and able to contract
  with another organization or other person, the department may
  directly contract with an organization or other person who is not a
  center for independent living to provide the independent living
  services in the area under the program.
         (c)  The department shall evaluate the independent living
  services provided by a center for independent living and shall
  provide necessary training or technical assistance to help the
  center for independent living expand its capacity to provide a full
  range of independent living services.
         (d)  The department shall monitor the performance of each
  center for independent living in providing independent living
  services, including how the center for independent living monitors
  the performance of the organizations and other persons with whom it
  contracts to provide independent living services.
         (e)  The executive commissioner shall adopt rules to
  implement this section that include:
               (1)  an equitable and transparent methodology for
  allocating funds to centers for independent living under the
  independent living services program;
               (2)  requirements applicable to the department in
  contracting with centers for independent living to provide
  independent living services under the program;
               (3)  requirements applicable to centers for
  independent living in contracting with organizations and other
  persons to provide independent living services under the program;
               (4)  requirements applicable to the department in
  contracting with organizations or other persons who are not centers
  for independent living to provide independent living services under
  the program;
               (5)  a process for the department to monitor
  independent living services contracts;
               (6)  guidelines on the department's role in providing
  technical assistance and training to centers for independent living
  as necessary; and
               (7)  expectations for department employees to refer
  persons who contact the department seeking independent living
  services to centers for independent living.
         (f)  Notwithstanding the requirements of this section, the
  department shall ensure that services provided under the
  independent living services program are provided as required by
  this section not later than August 31, 2016.  This subsection
  expires September 1, 2017.
         Sec. 117.081.  COMPREHENSIVE REHABILITATION SERVICES
  PROGRAM. The department shall operate a comprehensive
  rehabilitation services program to provide comprehensive
  rehabilitation services to persons with traumatic brain or spinal
  cord injuries. The executive commissioner shall adopt rules for
  the program that include:
               (1)  a system of organization for the delivery of the
  comprehensive rehabilitation services;
               (2)  eligibility requirements for the comprehensive
  rehabilitation services;
               (3)  the types of services that may be provided to a
  client under the program; and
               (4)  requirements for client participation in the costs
  of the comprehensive rehabilitation services.
         Sec. 117.082.  CHILDREN'S AUTISM PROGRAM. The department
  shall operate a children's autism program to provide services to
  children with autism spectrum disorders. The executive
  commissioner shall adopt rules for the program that include:
               (1)  a system of organization for the delivery of the
  autism services;
               (2)  eligibility requirements for the autism services;
               (3)  the types of services that may be provided to a
  client under the program; and
               (4)  requirements for participation by the client's
  family in the costs of the autism services.
         SECTION 3.  Chapter 117, Human Resources Code, is amended by
  adding Subchapter E to read as follows:
  SUBCHAPTER E.  ADMINISTRATION OF DIRECT SERVICES PROGRAMS IN
  GENERAL
         Sec. 117.091.  DIRECT SERVICES PROGRAM CASEWORKER
  GUIDELINES. (a) The department shall use program data and best
  practices to establish and maintain guidelines that provide
  direction for caseworkers' decisions in all of the department's
  direct services programs. The guidelines:
               (1)  must categorize direct services program cases
  based on the types of services provided and, for each category,
  include provisions addressing:
                     (A)  the recommended length of time a case in that
  category should last; and
                     (B)  the recommended total expenditures for a case
  in that category;
               (2)  must include provisions for creating intermediate
  goals for a client receiving services through a direct services
  program that will allow:
                     (A)  the caseworker to monitor the client's
  progress; and
                     (B)  the caseworker's supervisor to evaluate how
  the client's case is advancing;
               (3)  must include criteria for caseworkers to use in
  evaluating progress on the intermediate goals described in
  Subdivision (2); and
               (4)  may include other provisions designed to assist
  caseworkers and their supervisors to achieve successful outcomes
  for clients.
         (b)  A caseworker may exceed the recommended guidelines
  described in Subsection (a)(1) in a direct services program case
  but must obtain the approval of the caseworker's supervisor after
  documenting the need to exceed the guidelines.
         (c)  The guidelines established under this section are not
  intended to limit the provision of appropriate or necessary
  services to a client.
         (d)  The department shall provide the guidelines established
  under this section to caseworkers in a format that allows
  caseworkers to easily access the information.
         Sec. 117.092.  DIRECT SERVICES PROGRAM CASE REVIEW SYSTEM.
  (a) The department shall establish and maintain a single, uniform
  case review system for all direct services programs.
         (b)  The case review system must:
               (1)  include risk assessment tools that account for the
  different risks involved in each direct services program;
               (2)  require that case reviews:
                     (A)  be used to consistently evaluate each direct
  services program across all regions, with the goal of evaluating at
  least 10 percent of all cases in each program and region annually;
                     (B)  focus on areas of highest risk and prioritize
  the review of the following cases:
                           (i)  except as provided by Subparagraph
  (ii), cases in which direct services have been provided for more
  than two years;
                           (ii)  cases in the Blind Children's
  Vocational Discovery and Development Program in which direct
  services have been provided for more than five years; and
                           (iii)  cases that are significantly outside
  the expenditure guidelines for that type of case;
                     (C)  be used to evaluate a caseworker's
  eligibility determinations and decisions to close a case before a
  service plan is developed or without the client reaching the
  client's goal; and
                     (D)  focus on the quality of a caseworker's
  decision-making and compliance with program requirements; and
               (3)  require a caseworker's supervisor to use the
  reviews of a caseworker's cases in conducting the caseworker's
  performance evaluation and in providing informal guidance to the
  caseworker to improve the caseworker's performance.
         Sec. 117.093.  DIRECT SERVICES PROGRAM MONITORING. (a)
  Department personnel not employed to perform functions directly
  under a direct services program must be designated to monitor those
  programs from a statewide perspective. The designated personnel
  shall collect, monitor, and analyze data relating to direct
  services programs and report outcomes and trends to program
  managers and, as necessary, the commissioner or other appropriate
  executive management.
         (b)  The monitoring function under Subsection (a) must
  include monitoring of:
               (1)  performance data from all regions and all direct
  services programs to identify trends; and
               (2)  case review data to ensure compliance with the
  case review system under Section 117.092.
         (c)  Personnel designated to perform the monitoring function
  required by this section shall work with direct services program
  staff to develop objective and detailed outcome measures for the
  programs.
         (d)  The department may conduct internal peer reviews of the
  department's field offices at regular intervals to assess the field
  offices' compliance with federal regulations and department
  policies and to compare each field office's compliance with the
  compliance of the other field offices. The department may use
  personnel designated to perform the monitoring function required by
  this section to facilitate the internal peer reviews.
         SECTION 4.  Sections 91.022 and 111.071, Human Resources
  Code, are repealed.
         SECTION 5.  The executive commissioner of the Health and
  Human Services Commission shall adopt the rules required by Section
  117.080(e), Human Resources Code, as added by this Act, as soon as
  practicable after the effective date of this Act.
         SECTION 6.  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 7.  This Act takes effect September 1, 2015.