Relating to certain reports required to be prepared or submitted by or in collaboration with the Health and Human Services Commission or submitted to the governor or a member of the legislature under the Health and Safet, the official text

H.B. No. 4666

AN ACT

relating to certain reports required to be prepared or submitted by

or in collaboration with the Health and Human Services Commission

or submitted to the governor or a member of the legislature under

the Health and Safety Code.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. The heading to Section 523.0154, Government

Code, is amended to read as follows:

Sec. 523.0154. DATA ANALYSIS UNIT; ANNUAL REPORTS

[QUARTERLY UPDATE].

SECTION 2. Section 523.0154(d), Government Code, is amended

to read as follows:

(d) Not later than December 1 of each year [the 30th day

following the end of each calendar quarter], the data analysis unit

shall provide:

(1) a report [an update] on the unit's activities and

findings to the governor, the lieutenant governor, the Legislative

Budget Board, the speaker of the house of representatives, the

chair of the Senate Finance Committee, the chair of the House

Appropriations Committee, and the chairs of the standing committees

of the senate and house of representatives having jurisdiction over

Medicaid; and

(2) a report of any anomalies identified by the unit

under Subsection (a)(3) to the commission's office of the inspector

general.

SECTION 3. The heading to Section 532.0453, Government

Code, is amended to read as follows:

Sec. 532.0453. CONTINUED IMPLEMENTATION OF CERTAIN

INTERVENTIONS AND BEST PRACTICES BY PROVIDERS; BIENNIAL

[SEMIANNUAL] REPORT.

SECTION 4. Section 532.0453(b), Government Code, is amended

to read as follows:

(b) Each even-numbered year, the [The] commission shall

[semiannually] prepare and submit to the legislature a report that

contains a summary of the commission's efforts under this section

and Section 532.0451(b).

SECTION 5. Section 542.0054, Government Code, is amended to

read as follows:

Sec. 542.0054. BIENNIAL [ANNUAL] REPORT ON IMPLEMENTATION.

(a) Not later than September 30 of each even-numbered year, the

commission, in collaboration with the advisory committee, shall

prepare and submit to the legislature a report that includes:

(1) an assessment of the implementation of the system

required by this chapter, including appropriate information

regarding the provision of acute care services and long-term

services and supports to individuals with an intellectual or

developmental disability under Medicaid;

(2) recommendations regarding implementation of and

improvements to the system redesign, including recommendations

regarding appropriate statutory changes to facilitate the

implementation; and

(3) an assessment of the effect of the system on:

(A) access to long-term services and supports;

(B) the quality of acute care services and

long-term services and supports;

(C) meaningful outcomes for Medicaid recipients

using person-centered planning, individualized budgeting, and

self-determination, including an individual's inclusion in the

community;

(D) the integration of service coordination of

acute care services and long-term services and supports;

(E) the efficiency and use of funding;

(F) the placement of individuals in housing that

is the least restrictive setting appropriate to an individual's

needs;

(G) employment assistance and customized,

integrated, competitive employment options; and

(H) the number and types of fair hearing and

appeals processes in accordance with federal law.

(b) This section expires on the second anniversary of the

date the commission completes implementation of the transition

required under Section 542.0201.

SECTION 6. Sections 542.0119(a) and (b), Government Code,

are amended to read as follows:

(a) The commission, in collaboration with the advisory

committee and pilot program work group, shall review and evaluate

the progress and outcomes of the pilot program and submit, as part

of the [annual] report required under Section 542.0054, a report on

the pilot program's status that includes recommendations for

improving the pilot program.

(b) Not later than September 1, 2026, the commission, in

collaboration with the advisory committee and pilot program work

group, shall prepare and submit to the legislature a written report

that evaluates the pilot program based on a comprehensive

analysis. The analysis must:

(1) assess the effect of the pilot program on:

(A) access to and quality of long-term services

and supports;

(B) informed choice and meaningful outcomes

using person-centered planning, flexible consumer-directed

services, individualized budgeting, and self-determination,

including a pilot program participant's inclusion in the community;

(C) the integration of service coordination of

acute care services and long-term services and supports;

(D) employment assistance and customized,

integrated, competitive employment options;

(E) the number, types, and dispositions of fair

hearings and appeals in accordance with federal and state law;

(F) increasing the use and flexibility of the

consumer direction model;

(G) increasing the use of alternatives to

guardianship, including supported decision-making agreements as

defined by Section 1357.002, Estates Code;

(H) achieving the best and most cost-effective

funding use based on a pilot program participant's needs and

preferences; and

(I) attendant recruitment and retention;

(2) analyze the experiences and outcomes of the

following systems changes:

(A) the comprehensive assessment instrument

described by Section 533A.0335, Health and Safety Code;

(B) the 21st Century Cures Act (Pub. L.

No. 114-255);

(C) implementation of the federal rule adopted by

the Centers for Medicare and Medicaid Services and published at 79

Fed. Reg. 2948 (January 16, 2014) related to the provision of

long-term services and supports through a home and community-based

services (HCS) waiver program under Section 1915(c), 1915(i), or

1915(k) of the Social Security Act (42 U.S.C. Section 1396n(c),

(i), or (k));

(D) the provision of basic attendant and

habilitation services under Section 542.0152; and

(E) the benefits of providing STAR+PLUS Medicaid

managed care services to individuals based on functional needs;

(3) include feedback on the pilot program based on the

personal experiences of:

(A) individuals with an intellectual or

developmental disability and individuals with similar functional

needs who were pilot program participants;

(B) families of and other persons actively

involved in the lives of individuals described by Paragraph (A);

and

(C) comprehensive long-term services and

supports providers who delivered services under the pilot program;

(4) be incorporated in the [annual] report required

under Section 542.0054; and

(5) include recommendations on:

(A) a system of programs and services for the

legislature's consideration;

(B) necessary statutory changes; and

(C) whether to implement the pilot program

statewide under the STAR+PLUS Medicaid managed care program for

eligible individuals.

SECTION 7. Section 542.0151(b), Government Code, is amended

to read as follows:

(b) The commission, in collaboration with the advisory

committee, shall analyze the outcomes of providing acute care

Medicaid benefits to individuals with an intellectual or

developmental disability under a model described by Subsection

(a). The analysis must:

(1) include an assessment of the effects of the

delivery model on:

(A) access to and quality of acute care services;

and

(B) the number and types of fair hearing and

appeals processes in accordance with federal law;

(2) be incorporated into the [annual] report to the

legislature required under Section 542.0054; and

(3) include recommendations for delivery model

improvements and implementation for the legislature's

consideration, including recommendations for needed statutory

changes.

SECTION 8. Section 543A.0003(a), Government Code, is

amended to read as follows:

(a) The commission shall include aggregate, nonidentifying

data collected using the quality-based outcome measure described by

Section 543A.0002(b) in the [annual] report required by Section

543A.0008. The commission may include the data in any other report

required by this chapter.

SECTION 9. The heading of Section 543A.0008, Government

Code, is amended to read as follows:

Sec. 543A.0008. BIENNIAL [ANNUAL] REPORT.

SECTION 10. Section 543A.0008(a), Government Code, is

amended to read as follows:

(a) The commission shall submit to the legislature and make

available to the public in each even-numbered year a [an annual]

report on:

(1) the quality-based outcome and process measures

developed under Sections [Section] 543A.0002 and 543A.0003,

including measures based on each potentially preventable event; and

(2) the progress of implementing quality-based

payment systems under Section 543A.0004 and other payment

initiatives under this chapter.

SECTION 11. Chapter 1, Health and Safety Code, is amended by

adding Section 1.006 to read as follows:

Sec. 1.006. REPORTS. Notwithstanding any other law, each

report that is required by this code to be submitted to the governor

or a member of the legislature must be submitted not later than

December 1 of the year that the report is due.

SECTION 12. 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 13. This Act takes effect immediately if it

receives a vote of two-thirds of all the members elected to each

house, as provided by Section 39, Article III, Texas Constitution.

If this Act does not receive the vote necessary for immediate

effect, this Act takes effect September 1, 2025.

______________________________
______________________________

President of the Senate
Speaker of the House

I certify that H.B. No. 4666 was passed by the House on May 7,

2025, by the following vote: Yeas 148, Nays 0, 2 present, not

voting.

______________________________

Chief Clerk of the House

I certify that H.B. No. 4666 was passed by the Senate on May

26, 2025, by the following vote: Yeas 31, Nays 0.

______________________________

Secretary of the Senate

APPROVED: _____________________

Date

_____________________

Governor