88R8484 MM-D
 
  By: Blanco S.B. No. 2254
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a report regarding certain residential and
  nonresidential services provided to individuals with an
  intellectual or developmental disability.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  In this Act, "commission" means the Health and
  Human Services Commission.
         SECTION 2.  (a) Not later than December 1, 2024, the
  commission shall prepare and submit to the legislature a written
  report regarding state and federally-funded residential and
  nonresidential services provided:
               (1)  under the home and community-based services (HCS)
  waiver program;
               (2)  under the Texas home living (TxHmL) waiver
  program; and
               (3)  by intermediate care facilities licensed under
  Chapter 252, Health and Safety Code.
         (b)  The report required under this section must:
               (1)  analyze the average monthly cost to the state per
  person disaggregated by level of need for services provided to
  individuals:
                     (A)  residing in state-operated and privately
  operated intermediate care facilities licensed under Chapter 252,
  Health and Safety Code, disaggregated by facility size for
  privately operated facilities;
                     (B)  under the home and community-based services
  (HCS) waiver program; and
                     (C)  under the Texas home living (TxHmL) waiver
  program;
               (2)  compare the severity of need for individuals
  across settings; and
               (3)  include, based on data from the previous biennium:
                     (A)  the total number of individuals,
  disaggregated by level of need, who transitioned from
  state-operated intermediate care facilities licensed under Chapter
  252, Health and Safety Code, to receiving services under the home
  and community-based services (HCS) waiver program; and
                     (B)  the average monthly cost of services under
  the home and community-based services (HCS) waiver program for
  individuals described by Paragraph (A).
         SECTION 3.  This Act expires September 1, 2025.
         SECTION 4.  This Act takes effect September 1, 2023.