SB 1653

relating to the provision of certain co-navigation services to
individuals who are deaf-blind.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 81.001, Human Resources Code, is amended
by adding Subdivision (1) to read as follows:
(1)  "Commission" means the Health and Human Services
SECTION 2.  Chapter 81, Human Resources Code, is amended by
adding Section 81.014 to read as follows:
Sec. 81.014.  CO-NAVIGATION SERVICES PROGRAM FOR
INDIVIDUALS WHO ARE DEAF-BLIND. (a)  In this section:
(1)  "Communication mode" includes communication
(A)  auditory amplification, such as through a
personal hearing aid or assistive listening device;
(B)  American Sign Language or Signed English by
both tactile and visual means; and
(2)  "Co-navigation services" means services provided
to an individual who is deaf-blind that assist the individual to
physically access the individual's environment and to make informed
decisions. The term includes providing visual and environmental
information or sighted guide services and assisting with
communication accessibility by communicating in the preferred
language and communication mode of the individual who is
deaf-blind. The term does not include performing any of the
(A)  providing personal care services to the
(B)  completing ordinary errands for the
(C)  making decisions for the individual;
(D)  teaching or otherwise instructing the
(E)  interpreting for the individual in a formal
setting, including a medical, legal, or business setting.
(3)  "Co-navigator" means a person who is specially
trained to provide co-navigation services.
(4)  "Program" means the deaf-blind co-navigation
(5)  "Protactile language" means a method of
communication based on touch that is used by individuals who are
(b)  The commission shall operate a statewide co-navigation
services program through which:
(1)  co-navigation services are provided by
(2)  the commission reimburses the co-navigators for
(c)  The executive commissioner by rule shall establish
reimbursement rates to be paid to a co-navigator under the program.
The reimbursement rates must use a tiered wage scale that is based
(1)  level of training in communication modes for
individuals who are deaf-blind and in sighted guide-mobility
(2)  fluency and skill in communication modes and
sighted guide-mobility for individuals who are deaf-blind.
(d)  The commission shall ensure that quality co-navigation
services are provided under the program by:
(1)  monitoring the compliance of co-navigators with
(2)  developing funding sources for the program that
are in addition to state sources and will reduce reliance on the
state sources for continuation of the program; and
(3)  providing funding and technical assistance for
(A)  co-navigators under the program; and
(B)  individuals who are deaf-blind to enable
those individuals to effectively use the services offered under the
(e)  The executive commissioner may establish an advisory
committee to advise the commission in developing and operating the
program, including operating the program in a manner that ensures
the efficient use of state money. Subject to Section 2110.002,
Government Code, the executive commissioner shall determine the
number of members serving on the advisory committee, which must
include individuals who are deaf-blind and other stakeholders.
(f)  The executive commissioner may adopt rules necessary
(1)  operate the program in a manner that is efficient
and maximizes the number of individuals served; and
(2)  ensure that co-navigators receiving reimbursement
under the program have adequate training to provide co-navigation
SECTION 3.  Not later than September 1, 2026:
(1)  the executive commissioner of the Health and Human
Services Commission shall adopt rules necessary to implement
Section 81.014, Human Resources Code, as added by this Act; and
(2)  the commission shall begin operating the program
SECTION 4.  This Act takes effect September 1, 2025.