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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to the deaf-blind with multiple disabilities waiver  | 
      
      
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        program. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subchapter B, Chapter 531, Government Code, is  | 
      
      
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        amended by adding Section 531.09731 to read as follows: | 
      
      
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               Sec. 531.09731.  MINIMUM REIMBURSEMENT RATE FOR CERTAIN  | 
      
      
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        PROVIDERS UNDER DEAF-BLIND WITH MULTIPLE DISABILITIES WAIVER  | 
      
      
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        PROGRAM. The executive commissioner by rule shall establish minimum  | 
      
      
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        reimbursement rates for interveners and orientation and mobility  | 
      
      
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        specialists providing services under the deaf-blind with multiple  | 
      
      
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        disabilities waiver program.  The rates established under this  | 
      
      
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        section must: | 
      
      
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                     (1)  take into account the provider's level of  | 
      
      
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        training, education, and experience; and | 
      
      
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                     (2)  be adjusted annually for inflation. | 
      
      
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               SECTION 2.  Section 161.078, Human Resources Code, is  | 
      
      
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        amended by adding Subsection (c) to read as follows: | 
      
      
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               (c)  The executive commissioner shall increase the number of  | 
      
      
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        persons receiving home-based and community-based services under  | 
      
      
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        the deaf-blind with multiple disabilities waiver program by: | 
      
      
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                     (1)  50 for each of the state fiscal years ending August  | 
      
      
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        31, 2020, and August 31, 2021; and | 
      
      
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                     (2)  for each subsequent state fiscal year beginning  | 
      
      
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        with the state fiscal year ending August 31, 2022, 10 percent of the  | 
      
      
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        number of recipients on the interest list for home-based and  | 
      
      
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        community-based services under the deaf-blind with multiple  | 
      
      
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        disabilities waiver program as determined on the first day of the  | 
      
      
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        applicable state fiscal year and rounded to the nearest whole  | 
      
      
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        number. | 
      
      
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               SECTION 3.  As soon as practicable after the effective date  | 
      
      
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        of this Act, the executive commissioner of the Health and Human  | 
      
      
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        Services Commission shall adopt the rules required under Section  | 
      
      
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        531.09731, Government Code, as added by this Act, and ensure that  | 
      
      
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        the minimum reimbursement rates established for interveners and  | 
      
      
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        orientation and mobility specialists under the deaf-blind with  | 
      
      
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        multiple disabilities waiver program are based on the most recent  | 
      
      
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        full rate analysis conducted by the commission. | 
      
      
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               SECTION 4.  If before implementing any provision of this Act  | 
      
      
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        a state agency determines that a waiver or authorization from a  | 
      
      
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        federal agency is necessary for implementation of that provision,  | 
      
      
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        the agency affected by the provision shall request the waiver or  | 
      
      
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        authorization and may delay implementing that provision until the  | 
      
      
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        waiver or authorization is granted. | 
      
      
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               SECTION 5.  This Act takes effect September 1, 2019. |