|
|
A BILL TO BE ENTITLED
|
|
AN ACT
|
|
|
relating to the name of the program serving certain persons with |
|
special health care needs and prioritizing services provided under |
|
the program. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. The legislature finds that: |
|
(1) when proposing, adopting, or amending the rules of |
|
the Department of State Health Services, or the Health and Human |
|
Services Commission and when publishing new or amended reference |
|
materials, publications, or electronic media, the name of the |
|
Children with Special Health Care Needs Services Program should be |
|
changed to accurately reflect that the program provides services to |
|
persons other than children, including persons 21 years of age and |
|
older who have cystic fibrosis; |
|
(2) as of January 31, 2015, persons not lawfully |
|
present in the United States constituted two-thirds the total |
|
number of persons served by the program; |
|
(3) as of January 31, 2015, the program's waiting list |
|
for services consisted of 178 persons, more than half of whom were |
|
identified as persons not lawfully present in the United States; |
|
(4) if because of financial limitations the program is |
|
unable to serve all persons eligible for services under the |
|
program, some persons placed on the program's waiting list may not |
|
receive the services; |
|
(5) the only authority the state may exercise to |
|
address the limited availability of services when financial |
|
limitations exist is for the state to give priority for services to |
|
citizens of the United States who are on the program's waiting list; |
|
and |
|
(6) it is the policy of this state that, when financial |
|
limitations restrict the number of persons served by the program, |
|
citizens of the United States who are on the program's waiting list |
|
for services should be given priority over persons not lawfully |
|
present in the United States. |
|
SECTION 2. The heading to Chapter 35, Health and Safety |
|
Code, is amended to read as follows: |
|
CHAPTER 35. TEXAS [CHILDREN WITH] SPECIAL HEALTH CARE NEEDS PROGRAM |
|
SECTION 3. Section 35.001, Health and Safety Code, is |
|
amended to read as follows: |
|
Sec. 35.001. SHORT TITLE; REFERENCE IN OTHER LAW. (a) This |
|
chapter may be cited as the Texas [Children with] Special Health |
|
Care Needs Program [Services] Act. |
|
(b) A reference in other law to the Children with Special |
|
Health Care Needs Services Program means the program administered |
|
under this chapter. |
|
SECTION 4. Section 35.0021, Health and Safety Code, is |
|
amended by adding Subdivision (6-a) and amending Subdivision (8) to |
|
read as follows: |
|
(6-a) "Person with special health care needs" has the |
|
meaning assigned by Section 35.0022. |
|
(8) "Program" means the services program for persons |
|
[children] with special health care needs. |
|
SECTION 5. Section 35.0022, Health and Safety Code, is |
|
amended to read as follows: |
|
Sec. 35.0022. PERSON [CHILD] WITH SPECIAL HEALTH CARE |
|
NEEDS. (a) In this chapter, "person [child] with special health |
|
care needs" means a person who: |
|
(1) is younger than 21 years of age and who has a |
|
chronic physical or developmental condition; or |
|
(2) has cystic fibrosis, regardless of the person's |
|
age. |
|
(b) The term "person ["child] with special health care |
|
needs" may include a person who has a behavioral or emotional |
|
condition that accompanies the person's physical or developmental |
|
condition. The term does not include a person who has a behavioral |
|
or emotional condition without having an accompanying physical or |
|
developmental condition. |
|
(c) A reference in this chapter to a "child with special |
|
health care needs" means a "person with special health care needs" |
|
and a reference to a "child" means a "person." |
|
SECTION 6. The heading to Section 35.003, Health and Safety |
|
Code, is amended to read as follows: |
|
Sec. 35.003. SERVICES PROGRAM FOR PERSONS [CHILDREN] WITH |
|
SPECIAL HEALTH CARE NEEDS. |
|
SECTION 7. Section 35.003, Health and Safety Code, is |
|
amended by amending Subsections (a) and (d) and adding Subsection |
|
(c-1) to read as follows: |
|
(a) The program is in the department to provide services to |
|
eligible persons [children] with special health care needs. The |
|
program shall provide: |
|
(1) early identification of persons [children] with |
|
special health care needs; |
|
(2) diagnosis and evaluation of persons [children] |
|
with special health care needs; |
|
(3) rehabilitation services to persons [children] |
|
with special health care needs; |
|
(4) development and improvement of standards and |
|
services for persons [children] with special health care needs; |
|
(5) case management services; |
|
(6) other family support services; and |
|
(7) access to health benefits plan coverage under |
|
Section 35.0031. |
|
(c-1) To the extent allowed by federal law, the executive |
|
commissioner shall adopt rules requiring the department to give |
|
priority for services provided under the program to an eligible |
|
person who is placed on a waiting list under Subsection (c) based on |
|
the following criteria in order of importance: |
|
(1) the acuity of the person's medical condition; |
|
(2) whether the person is a United States citizen or a |
|
qualified alien as that term is defined by 8 U.S.C. Section 1641(b); |
|
(3) the amount of time the person has been on the |
|
waiting list; and |
|
(4) any other factors considered relevant by the |
|
department. |
|
(d) The program may provide: |
|
(1) transportation and subsistence for an eligible |
|
person [child] with special health care needs and the person's |
|
[child's] parent, managing conservator, guardian, or other adult |
|
caretaker approved by the program to obtain services provided by |
|
the program; and |
|
(2) the following services to an eligible person |
|
[child] with special health care needs who dies in an approved |
|
facility outside the person's [child's] municipality of residence |
|
while receiving program services: |
|
(A) the transportation of the person's [child's] |
|
remains, and the transportation of a parent or other person |
|
accompanying the remains, from the facility to the place of burial |
|
in this state that is designated by the parent or other person |
|
legally responsible for interment; |
|
(B) the expense of embalming, if required for |
|
transportation; |
|
(C) the cost of a coffin purchased at a minimum |
|
price, if a coffin is required for transportation; and |
|
(D) any other necessary expenses directly |
|
related to the care and return of the person's [child's] remains to |
|
the place of burial in this state. |
|
SECTION 8. The changes in law made by this Act apply to an |
|
eligible person placed on a waiting list under Section 35.003(c), |
|
Health and Safety Code, following an initial determination or |
|
redetermination of the person's eligibility for services under |
|
Chapter 35, Health and Safety Code, that is made on or after the |
|
effective date of this Act. |
|
SECTION 9. Not later than September 1, 2019, the name of the |
|
Children with Special Health Care Needs Program operated under |
|
Chapter 35, Health and Safety Code, must be updated in applicable |
|
rules and reference materials, publications, and electronic media |
|
to reflect the change in law made by this Act. Before that date, the |
|
name of the program must be changed in applicable rules and |
|
reference materials, publications, and electronic media only when |
|
proposing, adopting, or amending the rules and when publishing new |
|
or amended reference materials, publications, or electronic media. |
|
SECTION 10. This Act takes effect September 1, 2015. |
|
|
|
* * * * * |