Sec. 531.02241. PILOT PROGRAM FOR SELF-SUFFICIENCY OF CERTAIN PERSONS RECEIVING FINANCIAL ASSISTANCE OR SUPPLEMENTAL NUTRITION ASSISTANCE BENEFITS. (a) In this section:
(1) "Financial assistance benefits" means money payments under the federal Temporary Assistance for Needy Families program operated under Chapter 31, Human Resources Code, or under the state temporary assistance and support services program operated under Chapter 34, Human Resources Code.
(2) "Self-sufficiency" means being employed in a position that pays a sufficient wage, having financial savings in an amount that is equal to at least $1,000 per member of a family's household, and maintaining a debt-to-income ratio that does not exceed 43 percent.
(3) "Slow reduction scale" means a graduated plan for reducing financial assistance or supplemental nutrition assistance benefits that correlates with a phase of the pilot program's progressive stages toward self-sufficiency.
(4) "Sufficient wage" means an amount of money, determined by a market-based calculation that uses geographically specific expenditure data, that is sufficient to meet a family's minimum necessary spending on basic needs, including food, child care, health insurance, housing, and transportation.
(5) "Supplemental nutrition assistance benefits" means money payments under the supplemental nutrition assistance program operated under Chapter 33, Human Resources Code.
(b) The commission shall develop and implement a pilot program for assisting not more than 500 eligible families to gain permanent self-sufficiency and no longer require financial assistance, supplemental nutrition assistance, or other means-tested public benefits, notwithstanding the limitations and requirements of Section 31.043, Human Resources Code. If the number of families participating in the program during a year reaches capacity for that year as determined by the commission, the number of families that may be served under the program in the following year may be increased by 20 percent.
(c) The pilot program will test extending, for at least 24 months but not more than 60 months, financial assistance and supplemental nutrition assistance benefits by waiving the application of income and asset limit eligibility requirements for those benefits and the time limits under Section 31.0065, Human Resources Code, for financial assistance benefits to allow for continuation of financial assistance and supplemental nutrition assistance benefits and reduction of the benefits using a slow reduction scale. The commission shall freeze a participating family's eligibility status for the benefits beginning on the date the participating family enters the pilot program and ending on the date the family ceases participating in the program. The waiver of the application of any asset limit requirement must allow the family to have assets in an amount that is at least $1,000 per member of the family's household.
(d) The pilot program must be designed to allow social services providers, public benefit offices, and other community partners to refer potential participating families to the program.
(e) A family is eligible to participate in the pilot program established under this section if the family:
(1) includes one or more members who are recipients of financial assistance or supplemental nutrition assistance benefits, at least one of whom is:
(A) at least 18 but not more than 62 years of age; and
(B) willing, and physically and legally able, to be employed; and
(2) has a total household income that is less than a sufficient wage based on the family's makeup and geographical area of residence.
(f) The pilot program must be designed to assist eligible participating families in attaining self-sufficiency by:
(1) identifying eligibility requirements for the continuation of financial assistance or supplemental nutrition assistance benefits and time limits for the benefits, the application of which may be waived for a limited period and that, if applied, would impede self-sufficiency;
(2) implementing strategies, including waiving the application of the eligibility requirements and time limits identified in Subdivision (1), to remove barriers to self-sufficiency; and
(3) moving eligible participating families through progressive stages toward self-sufficiency that include the following phases:
(A) an initial phase in which a family moves out of an emergent crisis by securing housing, medical care, and financial assistance and supplemental nutrition assistance benefits, as necessary;
(B) a second phase in which:
(i) the family moves toward stability by securing employment and, if necessary, child care and by participating in services that build the financial management skills necessary to meet financial goals; and
(ii) the family's financial assistance and supplemental nutrition assistance benefits are reduced according to the following scale:
(a) on reaching 25 percent of the family's sufficient wage, the amount of benefits is reduced by 10 percent;
(b) on reaching 50 percent of the family's sufficient wage, the amount of benefits is reduced by 25 percent; and
(c) on reaching 75 percent of the family's sufficient wage, the amount of benefits is reduced by 50 percent;
(C) a third phase in which the family:
(i) transitions to self-sufficiency by securing employment that pays a sufficient wage, reducing debt, and building savings; and
(ii) becomes ineligible for financial assistance and supplemental nutrition assistance benefits on reaching 100 percent of the family's sufficient wage; and
(D) a final phase in which the family attains self-sufficiency by retaining employment that pays a sufficient wage, amassing at least $1,000 per member of the family's household, and having manageable debt so that the family will no longer be dependent on financial assistance, supplemental nutrition assistance, or other means-tested public benefits for at least six months following the date the family stops participating in the program.
(g) A person from a family that wishes to participate in the pilot program must attend an in-person intake meeting with a program case manager. During the intake meeting the case manager shall:
(1) determine whether:
(A) the person's family meets the eligibility requirements under Subsection (e); and
(B) the application of income or asset limit eligibility requirements for continuation of financial assistance and supplemental nutrition assistance benefits and the time limits under Section 31.0065, Human Resources Code, for financial assistance benefits may be waived under the program;
(2) review the family's demographic information and household financial budget;
(3) assess the family members' current financial and career situations;
(4) collaborate with the person to develop and implement strategies for removing barriers to the family attaining self-sufficiency, including waiving the application of income and asset limit eligibility requirements and time limits described by Subdivision (1)(B) to allow for continuation of financial assistance and supplemental nutrition assistance benefits; and
(5) if the person's family is determined to be eligible for and chooses to participate in the program, schedule a follow-up meeting to further assess the family's crisis, review available referral services, and create a service plan.
(h) A participating family must be assigned a program case manager who shall:
(1) if the family is determined to be eligible, provide the family with a verification of the waived application of asset, income, and time limits described by Subsection (c), allowing the family to continue receiving financial assistance and supplemental nutrition assistance benefits on a slow reduction scale;
(2) assess, at the follow-up meeting scheduled under Subsection (g)(5), the family's crisis, review available referral services, and create a service plan; and
(3) during the initial phase of the program, create medium- and long-term goals consistent with the strategies developed under Subsection (g)(4).
(i) The pilot program must provide each participating family placed in the research group described by Subsection (j)(3)(C) with holistic, wraparound case management services that meet all applicable program requirements under 7 C.F.R. Section 273.7(e) or 45 C.F.R. Section 261.10, as applicable. Case management services provided under this subsection must include the strategic use of financial assistance and supplemental nutrition assistance benefits to ensure that the goals included in the family's service plan are achieved. The wraparound case management services must be provided through a community-based provider.
(j) The pilot program must operate for at least 24 months. The program shall also include 16 additional months for:
(1) planning and designing the program before the program begins operation;
(2) recruiting eligible families to participate in the program;
(3) randomly placing each participating family in one of at least three research groups, including:
(A) a control group;
(B) a group consisting of families for whom the application of income, asset, and time limits described by Subsection (c) is waived; and
(C) a group consisting of families for whom the application of income, asset, and time limits described by Subsection (c) is waived and who receive wraparound case management services under the program; and
(4) after the program begins operation, collecting and sharing data that allows for:
(A) obtaining participating families' eligibility and identification data before a family is randomly placed in a research group under Subdivision (3);
(B) conducting surveys or interviews of participating families to obtain information that is not contained in records related to a family's eligibility for financial assistance, supplemental nutrition assistance, or other means-tested public benefits;
(C) providing quarterly reports for not more than 60 months after a participating family is enrolled in the pilot program regarding the program's effect on the family's labor market participation and income and need for means-tested public benefits;
(D) assessing the interaction of the program's components with the desired outcomes of the program using data collected during the program and data obtained from state agencies concerning means-tested public benefits; and
(E) a third party to conduct a rigorous experimental impact evaluation of the pilot program.
(k) The commission shall develop and implement the pilot program with the assistance of the Texas Workforce Commission, local workforce development boards, faith-based and other relevant public or private organizations, and any other entity or person the commission determines appropriate.
(l) The commission shall monitor and evaluate the pilot program in a manner that allows for promoting research-informed results of the program.
(m) On the conclusion of the pilot program but not later than 48 months following the date the last participating family is enrolled in the program, the commission shall report to the legislature on the results of the program. The report must include:
(1) an evaluation of the program's effect on participating families in achieving self-sufficiency and no longer requiring means-tested public benefits;
(2) the impact to this state on the costs of the financial assistance and supplemental nutrition assistance programs and of the child-care services program operated by the Texas Workforce Commission;
(3) a cost-benefit analysis of the program; and
(4) recommendations on the feasibility and continuation of the program.
(n) During the operation of the pilot program, the commission shall provide to the legislature additional reports concerning the program that the commission determines to be appropriate.
(o) The executive commissioner and the Texas Workforce Commission may adopt rules to implement this section.
(p) This section expires September 1, 2026.
Added by Acts 2019, 86th Leg., R.S., Ch. 242 (H.B. 1483), Sec. 1, eff. May 27, 2019.
Structure Texas Statutes
Subtitle I - Health and Human Services
Chapter 531 - Health and Human Services Commission
Subchapter B. Powers and Duties
Section 531.021. Administration of Medicaid
Section 531.0211. Managed Care Medicaid Program: Rules; Education Programs
Section 531.02111. Biennial Medicaid Financial Report
Section 531.02113. Optimization of Medicaid Financing
Section 531.02114. Dental Director
Section 531.02118. Streamlining Medicaid Provider Enrollment and Credentialing Processes
Section 531.021182. Use of National Provider Identifier Number
Section 531.021191. Medicaid Enrollment of Certain Eye Health Care Providers
Section 531.0212. Medicaid Bill of Rights and Bill of Responsibilities
Section 531.0213. Support Services for Medicaid Recipients
Section 531.02131. Grievances Related to Medicaid
Section 531.0214. Medicaid Data Collection System
Section 531.02141. Medicaid Information Collection and Analysis
Section 531.02142. Public Access to Certain Medicaid Data
Section 531.02143. Data Regarding Postnatal Alcohol and Controlled Substance Treatment
Section 531.0215. Compilation of Statistics Relating to Fraud
Section 531.02164. Medicaid Services Provided Through Home Telemonitoring Services
Section 531.0217. Reimbursement for Certain Medical Consultations
Section 531.02171. Reimbursement for Certain Telehealth Services
Section 531.02172. Reimbursement for Teledentistry Dental Services
Section 531.02174. Additional Authority Regarding Telemedicine Medical Services
Section 531.02175. Reimbursement for Online Medical Consultations
Section 531.0218. Long-Term Care Medicaid Programs
Section 531.02191. Public Input
Section 531.02192. Federally Qualified Health Center and Rural Health Clinic Services
Section 531.02193. Certain Conditions on Medicaid Reimbursement of Rural Health Clinics Prohibited
Section 531.02194. Reimbursement Methodology for Rural Hospitals
Section 531.022. Coordinated Strategic Plan for Health and Human Services
Section 531.0222. Local Mental Health Authority Group Regional Planning
Section 531.0224. Planning and Policy Direction of Temporary Assistance for Needy Families Program
Section 531.0225. Mental Health and Substance Abuse Services
Section 531.02251. Ombudsman for Behavioral Health Access to Care
Section 531.02253. Telehealth Treatment for Substance Use Disorders
Section 531.0226. Chronic Health Conditions Services Medicaid Waiver Program
Section 531.0227. Person First Respectful Language Promotion
Section 531.023. Submission of Plans and Updates by Agencies
Section 531.024. Planning and Delivery of Health and Human Services; Data Sharing
Section 531.0241. Streamlining Delivery of Services
Section 531.02411. Streamlining Administrative Processes
Section 531.024115. Service Delivery Area Alignment
Section 531.02412. Service Delivery Audit Mechanisms
Section 531.02413. Billing Coordination System
Section 531.024131. Expansion of Billing Coordination and Information Collection Activities
Section 531.02414. Nonemergency Transportation Services Under Medical Transportation Program
Section 531.02415. Electronic Eligibility Information Pilot Project
Section 531.024163. Accessibility of Information Regarding Medicaid Prior Authorization Requirements
Section 531.024164. External Medical Review
Section 531.024165. Medical Review of Medicaid Service Denials for Foster Care Youth
Section 531.02417. Medicaid Nursing Services Assessments
Section 531.024171. Therapy Services Assessments
Section 531.024172. Electronic Visit Verification System
Section 531.0242. Use of Agency Staff
Section 531.0244. Ensuring Appropriate Care Setting for Persons With Disabilities
Section 531.02444. Medicaid Buy-in Programs for Certain Persons With Disabilities
Section 531.02445. Transition Services for Youth With Disabilities
Section 531.02447. Employment-First Policy
Section 531.02448. Competitive and Integrated Employment Initiative for Certain Medicaid Recipients
Section 531.0245. Permanency Planning for Certain Children
Section 531.0246. Regional Management of Health and Human Services Agencies
Section 531.0247. Annual Business Plan
Section 531.0248. Community-Based Support Systems
Section 531.02481. Community-Based Support and Service Delivery Systems for Long-Term Care Services
Section 531.02491. Joint Training for Certain Caseworkers
Section 531.02492. Delivery of Health and Human Services to Young Texans
Section 531.025. Statewide Needs Appraisal Project
Section 531.027. Appropriations Request by Agencies
Section 531.0271. Health and Human Services Agencies Operating Budgets
Section 531.0273. Information Resources Planning and Management
Section 531.02731. Report of Information Resources Manager to Commission
Section 531.0274. Coordination and Approval of Caseload Estimates
Section 531.028. Monitoring and Effective Management of Funds
Section 531.031. Management Information and Cost Accounting System
Section 531.0312. Texas Information and Referral Network
Section 531.0313. Electronic Access to Health and Human Services Referral Information
Section 531.03131. Electronic Access to Child-Care and Education Services Referral Information
Section 531.0317. Health and Human Services Information Made Available Through the Internet
Section 531.0318. Long-Term Care Consumer Information Made Available Through the Internet
Section 531.0319. Outreach Campaigns for Aging Adults With Visual Impairments
Section 531.032. Application of Other Laws
Section 531.0335. Prohibition on Punitive Action for Failure to Immunize
Section 531.035. Dispute Arbitration
Section 531.036. Public Hearings
Section 531.037. Notice of Public Hearings
Section 531.038. Gifts and Grants
Section 531.0381. Certain Gifts and Grants to Health and Human Services Agencies
Section 531.0391. Subrogation and Third-Party Reimbursement Collection Contract
Section 531.0392. Recovery of Certain Third-Party Reimbursements Under Medicaid
Section 531.040. Reference Guide; Dictionary
Section 531.041. General Powers and Duties
Section 531.0411. Rules Regarding Refugee Resettlement
Section 531.042. Information and Assistance Regarding Care and Support Options
Section 531.043. Long-Term Care Vision
Section 531.044. Financial Assistance Recipients Eligible for Federal Programs
Section 531.047. Substitute Care Provider Outcome Standards
Section 531.048. Caseload Standards
Section 531.050. Minimum Collection Goal
Section 531.0501. Medicaid Waiver Programs: Interest List Management
Section 531.0511. Medically Dependent Children Waiver Program: Consumer Direction of Services
Section 531.0512. Notification Regarding Consumer Direction Model
Section 531.0515. Risk Management Criteria for Certain Waiver Programs
Section 531.053. Leases and Subleases of Certain Office Space
Section 531.055. Memorandum of Understanding on Services for Persons Needing Multiagency Services
Section 531.056. Review of Survey Process in Certain Institutions and Facilities
Section 531.057. Volunteer Advocate Program for the Elderly
Section 531.058. Informal Dispute Resolution for Certain Long-Term Care Facilities
Section 531.0581. Long-Term Care Facilities Council
Section 531.0585. Issuance of Materials to Certain Long-Term Care Facilities
Section 531.059. Voucher Program for Transitional Living Assistance for Persons With Disabilities
Section 531.060. Family-Based Alternatives for Children
Section 531.0601. Long-Term Care Services Waiver Program Interest Lists
Section 531.06011. Certain Medicaid Waiver Programs: Interest List Management
Section 531.0602. Medically Dependent Children (Mdcp) Waiver Program Assessments and Reassessments
Section 531.06021. Medically Dependent Children (Mdcp) Waiver Program Quality Monitoring; Report
Section 531.0605. Advancing Care for Exceptional Kids Pilot Program
Section 531.061. Participation by Fathers
Section 531.062. Pilot Projects Relating to Technology Applications
Section 531.066. Participation of Diagnostic Laboratory Service Providers in Certain Programs
Section 531.069. Periodic Review of Vendor Drug Program
Section 531.0693. Prescription Drug Use and Expenditure Patterns
Section 531.0694. Period of Validity for Prescription
Section 531.0696. Considerations in Awarding Certain Contracts
Section 531.070. Supplemental Rebates
Section 531.0701. Value-Based Arrangements
Section 531.071. Confidentiality of Information Regarding Drug Rebates, Pricing, and Negotiations
Section 531.072. Preferred Drug Lists
Section 531.073. Prior Authorization for Certain Prescription Drugs
Section 531.0735. Medicaid Drug Utilization Review Program: Drug Use Reviews and Annual Report
Section 531.0736. Drug Utilization Review Board
Section 531.0737. Drug Utilization Review Board: Conflicts of Interest
Section 531.075. Prior Authorization for High-Cost Medical Services
Section 531.076. Review of Prior Authorization and Utilization Review Processes
Section 531.077. Recovery of Certain Assistance
Section 531.078. Quality Assurance Fees on Certain Waiver Program Services
Section 531.079. Waiver Program Quality Assurance Fee Account
Section 531.080. Reimbursement of Waiver Programs
Section 531.081. Invalidity; Federal Funds
Section 531.082. Expiration of Quality Assurance Fee on Waiver Programs
Section 531.083. Medicaid Long-Term Care System
Section 531.084. Medicaid Long-Term Care Cost Containment Strategies
Section 531.0841. Long-Term Care Insurance Awareness and Education Campaign
Section 531.0843. Durable Medical Equipment Reuse Program
Section 531.085. Hospital Emergency Room Use Reduction Initiatives
Section 531.087. Distribution of Earned Income Tax Credit Information
Section 531.088. Pooled Funding for Foster Care Preventive Services
Section 531.089. Certain Medication for Sex Offenders Prohibited
Section 531.090. Joint Purchasing of Prescription Drugs and Other Medications
Section 531.091. Integrated Benefits Issuance
Section 531.092. Transfer of Money for Community-Based Services
Section 531.0925. Veteran Suicide Prevention Action Plan
Section 531.093. Services for Military Personnel
Section 531.0941. Medicaid Health Savings Account Pilot Program
Section 531.097. Tailored Benefit Packages for Certain Categories of the Medicaid Population
Section 531.0971. Tailored Benefit Packages for Non-Medicaid Populations
Section 531.0972. Pilot Program to Prevent the Spread of Certain Infectious or Communicable Diseases
Section 531.0981. Wellness Screening Program
Section 531.0991. Grant Program for Mental Health Services
Section 531.0992. Grant Program for Mental Health Services for Veterans and Their Families
Section 531.0994. Study; Annual Report
Section 531.0995. Information for Certain Enrollees in the Healthy Texas Women Program