H.B. No. 4117 aims to enhance home and community-based services under Medicaid and the child health plan program in Texas by establishing a strategic plan and an advisory committee. The bill introduces a new Subchapter R to Chapter 526 of the Government Code, which defines "home and community-based services" and "home and community support services agency." It mandates the commission to develop a strategic plan that ensures access to these services, including proposals for rate methodologies, assessments of unmet needs, and standards for access to care. The plan must be submitted to the Legislative Budget Board for approval by January 1, 2026, and the commission is required to report on its development and implementation every even-numbered year.

Additionally, the bill establishes an advisory committee to provide guidance on developing payment methodologies and addressing issues related to home and community-based services. The committee will consist of various stakeholders, including representatives from managed care organizations, home and community support services agencies, and Medicaid recipients. Members will serve without compensation, and the committee is set to be abolished on September 1, 2029. The act is set to take effect on September 1, 2025.