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  S.B. No. 1484
 
 
 
 
AN ACT
  relating to delivery of certain services through consumer direction
  to elderly persons and persons with disabilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 531.051, Government Code, is amended by
  adding Subsections (e) and (f) to read as follows:
         (e)  Section 301.251(a), Occupations Code, does not apply to
  delivery of a service for which payment is provided under the
  consumer-directed service option developed under this section if:
               (1)  the person who delivers the service:
                     (A)  has not been denied a license under Chapter
  301, Occupations Code;
                     (B)  has not been issued a license under Chapter
  301, Occupations Code, that is revoked or suspended; and
                     (C)  performs a service that is not expressly
  prohibited from delegation by the Texas Board of Nursing; and
               (2)  the consumer who receives the service:
                     (A)  has a disability and the service would have
  been performed by the consumer or the consumer's legally authorized
  representative except for that disability; and
                     (B)  if:
                           (i)  the consumer is capable of training the
  person in the proper performance of the service, the consumer
  directs the person to deliver the service; or
                           (ii)  the consumer is not capable of
  training the person in the proper performance of the service, the
  consumer's legally authorized representative is capable of
  training the person in the proper performance of the service and
  directs the person to deliver the service.
         (f)  If the person delivers the service under Subsection
  (e)(2)(B)(ii), the legally authorized representative must be
  present when the service is performed or be immediately accessible
  to the person who delivers the service. If the person will perform
  the service when the representative is not present, the
  representative must observe the person performing the service at
  least once to assure the representative that the person performing
  the service can competently perform that service.
         SECTION 2.  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, 2009.
 
 
 
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
         I hereby certify that S.B. No. 1484 passed the Senate on
  April 30, 2009, by the following vote:  Yeas 31, Nays 0.
 
 
  ______________________________
  Secretary of the Senate    
 
         I hereby certify that S.B. No. 1484 passed the House on
  May 15, 2009, by the following vote:  Yeas 144, Nays 0, one present
  not voting.
 
 
  ______________________________
  Chief Clerk of the House   
 
 
 
  Approved:
 
  ______________________________ 
              Date
 
 
  ______________________________ 
            Governor