87R12476 KKR-D
 
  By: Bucy H.B. No. 4310
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to establishing a nutritional support grant program for
  certain medically fragile children.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 33, Human Resources Code, is amended by
  adding Subchapter C to read as follows:
  SUBCHAPTER C. NUTRITIONAL SUPPORT GRANT PROGRAM FOR CERTAIN
  MEDICALLY FRAGILE CHILDREN
         Sec. 33.101.  DEFINITIONS. In this subchapter:
               (1)  "Grant program" means the nutritional support
  grant program for medically fragile children established under this
  subchapter.
               (2)  "Medically fragile child" means a person younger
  than 18 years of age who is:
                     (A)  chronically ill or disabled and requires
  indefinite skilled nursing care to maintain the person's existence
  in the person's home;
                     (B)  temporarily ill or disabled because of
  premature birth, accident, or trauma and has experienced a
  temporary lifestyle change requiring skilled nursing care;
                     (C)  suffering from uncontrollable seizures or
  other chronic illness; or
                     (D)  chronically dependent on medical devices to
  perform vital bodily functions.
         Sec. 33.102.  ESTABLISHMENT OF GRANT PROGRAM. The executive
  commissioner by rule shall develop and implement a grant program to
  provide financial assistance to the families of medically fragile
  children who have been diagnosed with a rare or unique disease or
  medical condition for the purpose of assisting families in paying
  the costs associated with providing specialized nutritional
  support for that child. 
         Sec. 33.103.  ELIGIBILITY. (a) The executive commissioner
  by rule shall establish eligibility criteria for awarding grants
  under the grant program. The criteria must provide that for a person
  to be eligible for a grant, the person must:
               (1)  be the parent and primary caregiver of a medically
  fragile child with a rare or unique disease or medical condition
  that requires specialized nutritional support, including enteral
  nutrition; and
               (2)  lack or have inadequate health benefit plan
  coverage to pay the costs associated with providing that support.
         (b)  The executive commissioner by rule shall identify the
  diagnoses considered rare and unique for purposes of Subsection
  (a)(1).
         (c)  The executive commissioner may not impose income
  eligibility requirements under the grant program.
         Sec. 33.104.  AWARD OF GRANTS. (a) The commission may
  approve grants according to commission rules.
         (b)  A grant awarded under this subchapter is governed by
  Chapter 783, Government Code, and rules adopted under that chapter.
         Sec. 33.105.  FUNDING. The commission shall award grants as
  provided by this subchapter from available money and any additional
  money appropriated for this purpose.
         Sec. 33.106.  GIFTS, GRANTS, AND DONATIONS. The commission
  may accept gifts, grants, and donations from any source that are
  made for the purposes of the grant program.
         SECTION 2.  Not later than January 1, 2022, the executive
  commissioner of the Health and Human Services Commission shall
  adopt rules necessary to implement Subchapter C, Chapter 33, Human
  Resources Code, as added by this Act.
         SECTION 3.  This Act takes effect September 1, 2021.