H.B. No. 4371 introduces a new subchapter, Subchapter T, to Chapter 531 of the Government Code, establishing the role of "certified complex care aides" within the private duty nursing program. This legislation defines a certified complex care aide as a parent, legal guardian, or family member of a recipient enrolled in the STAR Kids Medicaid managed care program who is certified to assist in providing private duty nursing services. The bill outlines the eligibility criteria for these aides, including the requirement for training and certification, and mandates that they be employed by a licensed home and community support services agency.

Additionally, the bill stipulates that the commission will develop policies to facilitate the certification of complex care aides and will implement a training program that meets federal standards. It also includes provisions for reimbursement rates for services provided by certified aides, ensuring that they are compensated at a rate no less than ninety percent of the licensed vocational nurse rate for private duty nursing services. The act is set to take effect on September 1, 2025, with services by certified complex care aides expected to be available by September 1, 2026.

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