H.B. No. 2938 aims to enhance attendant care services under Medicaid and other programs managed by the Health and Human Services Commission in Texas. The bill introduces a new section that allows family members, including parents and spouses, to serve as personal attendants for consumers receiving these services, provided it aligns with federal law. Additionally, the bill establishes a minimum base wage for personal attendants, mandating that they be compensated at least $20 per hour or the federal minimum wage, whichever is higher. This wage requirement applies specifically to programs under Medicaid and other related services.

The bill also includes definitions for "attendant care services" and "personal attendant," clarifying the scope of services that can be provided, such as assistance with daily living activities and health management. The executive commissioner is tasked with adopting necessary rules to implement these changes. The provisions regarding the minimum wage for personal attendants will take effect starting in the 2026 calendar year, and the overall act is set to become effective on September 1, 2025. If any federal waivers or authorizations are needed for implementation, state agencies may delay the rollout of those provisions until such approvals are obtained.