Bill > HB4110

This bill establishes a minimum base wage for direct care workers providing services to individuals with intellectual or developmental disabilities under specific Medicaid programs. The bill defines "direct care services" as non-medical assistance with daily living activities, such as personal care, mobility support, household tasks, medication assistance, health monitoring, and respite services. A "direct care worker" is defined as an employee or subcontractor providing these services to eligible individuals under the 1915(c) waiver program or Community First Choice services program. The bill mandates that these workers must be paid a base wage of at least $15 per hour or the federal minimum wage, whichever is higher, beginning in the 2026 calendar year. The executive commissioner is required to adopt rules to implement this new requirement. The bill includes provisions allowing state agencies to seek federal waivers if necessary and will take effect on September 1, 2025. This legislation aims to ensure fair compensation for direct care workers who provide essential support services to individuals with disabilities.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4110