H.B. No. 54
  relating to the personal needs allowance for certain Medicaid
  recipients who are residents of long-term care facilities.
         SECTION 1.  Section 32.024(w), Human Resources Code, is
  amended to read as follows:
         (w)  The executive commissioner shall set a personal needs
  allowance of not less than $75 [$60] a month for a resident of a
  convalescent or nursing facility or related institution licensed
  under Chapter 242, Health and Safety Code, assisted living
  facility, ICF-IID facility, or other similar long-term care
  facility who receives medical assistance. The commission may send
  the personal needs allowance directly to a resident who receives
  Supplemental Security Income (SSI) (42 U.S.C. Section 1381 et
  seq.). This subsection does not apply to a resident who is
  participating in a medical assistance waiver program administered
  by the commission.
         SECTION 2.  The change in law made by this Act to Section
  32.024(w), Human Resources Code, applies only to a personal needs
  allowance paid on or after the effective date of this Act.
         SECTION 3.  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 4.  This Act takes effect September 1, 2023.
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
         I certify that H.B. No. 54 was passed by the House on April
  18, 2023, by the following vote:  Yeas 117, Nays 29, 1 present, not
  voting; and that the House concurred in Senate amendments to H.B.
  No. 54 on May 24, 2023, by the following vote:  Yeas 126, Nays 15, 2
  present, not voting.
  Chief Clerk of the House   
         I certify that H.B. No. 54 was passed by the Senate, with
  amendments, on May 18, 2023, by the following vote:  Yeas 26, Nays
  Secretary of the Senate   
  APPROVED: __________________