TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 4. TEXAS COMMISSION FOR THE BLIND

Chapter 169. BLIND CHILDREN'S VOCATIONAL DISCOVERY AND DEVELOPMENT PROGRAM

The Texas Commission for the Blind adopts on an emergency basis the amendment of §169.4, pertaining to Definitions, and §169.52, pertaining to Order of Selection Expenditure Categories. The Commission also adopts on an emergency basis the repeal of §169.33, pertaining to Respite Care Services. These rules are within Chapter 169, Blind Children's Vocational Discovery and Development Program.

The state's appropriation bill for fiscal year 2004-2005, House Bill 1 (78th Legislature), reflects a substantial reduction in general revenue appropriated to the Commission for providing services to children with visual impairments. The Commission must take immediate steps to reduce expenditures and to ensure that children who are blind receive priority during the expenditure of program funds. Therefore, the adoption on an emergency basis is being made under the authority of Government Code, §2001.034, which allows agencies to adopt an emergency rule without prior notice or hearing if a requirement of state or federal law requires adoption of a rule on fewer than 30 days' notice.

Section 169.4 as adopted has been amended to remove the definition of respite care services. Section 169.33, pertaining to respite care services, has been repealed. Respite care services will no longer be available to parents of severely disabled blind children. Section 169.52 as adopted has been amended to create eight priority categories rather than five within the Commission's order of selection criteria. The amended order of selection provides clearer notice to families where their children fall within the agency's priorities. Because funds will be inadequate to serve all eligible children with visual impairments, the Commission is implementing the order of selection immediately to ensure that blind children and children who are severely visually impaired receive a full range of services. The agency will be operating at category C, priority 4 within §169.52 effective September 1 on an emergency basis and will continue operating at this level for the foreseeable future upon adoption of permanent rules proposed in this same issue of the Texas Register . At this level, expenditure of case service funds will be limited to planned, necessary program services of children who meet the definition of being blind, children who are blind in one eye and who have a severe visual loss in the other eye, children who have a corrected visual acuity of 20/70 or worse in the better eye, and children who are certified as visually impaired by a local education agency.

Subchapter A. GENERAL INFORMATION

40 TAC §169.4

The amended rules are adopted on an emergency basis under the authority of the Human Resources Code, Chapter 91, §91.011 and §91.028 (relating to Services for Visually Handicapped Children), which authorize the Commission to adopt rules for the administration of its programs, and Government Code, §2001.034, which allows agencies to adopt an emergency rule.

The adoption affects no other statutes.

§169.4.Definitions.

The following words and terms, when used in this chapter, shall have the following meanings unless the context clearly indicates otherwise. The use of the singular or plural case is not meant to be limiting unless the context clearly indicates otherwise.

(1)-(12) (No change.)

[(13) Respite care services--Services provided to the parent of a child as a period of temporary relief from their responsibilities as primary caregiver.]

(13) [ (14) ] Restoration services--Services to eliminate or reduce limitations imposed by a visual impairment on the functioning of a child and cosmetic services necessary to improve the physical appearance of the child's eyes when the eyes are abnormal to the extent that they negatively impact the child's social and emotional well-being.

(14) [ (15) ] Severe visual loss--A loss of vision such that the best corrected visual acuity is between 20/70 and 20/200 in the better eye; or a visual loss such that the visual field is 30 degrees or less but greater than 20 degrees with best correction.

(15) [ (16) ] Severely visually impaired child--A child with a visual impairment that has resulted in a permanent condition of blindness or severe visual loss; or a child who has been certified as blind or severely visually impaired by a local education agency; or a child who has been determined to be functioning as a person who is blind or who has a severe visual loss.

(16) [ (17) ] Technology services--Services to provide a child access to an item, piece of equipment, or product system that maintains or improves the child's communication, independent living, social, or prevocational skills.

(17) [ (18) ] Visual impairment--An injury, disease, or other disorder that reduces, or if not treated will probably result in reducing, visual functioning; or a visual condition requiring cosmetic treatment, psychological assistance, counseling, or other assistance that the commission can render.

This agency hereby certifies that the emergency adoption has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on August 12, 2003.

TRD-200305080

Terrell I. Murphy

Executive Director

Texas Commission for the Blind

Effective Date: August 12, 2003

Expiration Date: December 10, 2003

For further information, please call: (512) 377-0611


Subchapter C. SERVICES

40 TAC §169.33

(Editor's note: The text of the following emergency adopted repeal will not be published. The section may be examined in the offices of the Texas Commission for the Blind or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeal is adopted on an emergency basis under the authority of the Human Resources Code, Chapter 91, §91.011 and §91.028 (relating to Services for Visually Handicapped Children), which authorize the Commission to adopt rules for the administration of its programs, and Government Code, §2001.034, which allows agencies to adopt an emergency rule.

The adoption affects no other statutes.

§169.33.Respite Care Services.

This agency hereby certifies that the emergency adoption has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on August 12, 2003.

TRD-200305081

Terrell I. Murphy

Executive Director

Texas Commission for the Blind

Effective Date: August 12, 2003

Expiration Date: December 10, 2003

For further information, please call: (512) 377-0611


Subchapter E. ORDER OF SELECTION FOR PAYMENT OF SERVICES

40 TAC §169.52

The amended rule is adopted on an emergency basis under the authority of the Human Resources Code, Chapter 91, §91.011 and §91.028 (relating to Services for Visually Handicapped Children), which authorize the Commission to adopt rules for the administration of its programs, and Government Code, §2001.034, which allows agencies to adopt an emergency rule.

The adoption affects no other statutes.

§169.52.Order of Selection Expenditure Categories.

Order of Selection expenditure categories, from most restrictive to least restrictive, are:

(1) Category A--No expenditure of case service funds.

(2) Category B--Expenditure of case service funds only for diagnostics.

(3) Category C--Expenditure of case service funds authorized for any planned, necessary BCVDD Program services according to the following priorities:

(A) Priority 1--Children who meet the definition of being blind.

(B) Priority 2--Children who are blind in one eye and who have a severe visual loss in the other eye.

(C) Priority 3--Children who have a corrected visual acuity of 20/70 or worse in the better eye.

(D) Priority 4--Children who are certified as visually impaired by a local education agency.

(E) Priority 5--Children who have a nonsevere visual loss and a degenerative eye condition that will result in further visual loss;

(F) Priority 6--Children who need a prosthesis.

(G) Priority 7--Children with nonsevere visual losses that affect visual acuity who are in need of services other than correction of a refractive error.

(H) Priority 8--Children with treatable visual impairments that may or may not affect visual acuity and children with an uncorrected visual acuity of 20/70 or worse in both eyes who need no services other than correction of a refractive error.

[ (C) Priority 3--Children who fall in one or more of the following categories:]

[ (i) Children who have a corrected visual acuity of 20/70 or worse in the better eye;]

[ (ii) Children who have a nonsevere visual loss and a degenerative eye condition that will result in further visual loss;]

[ (iii) Children who need a prosthesis; and]

[ (iv) Children who are certified as visually impaired by a local education agency.]

[ (D) Priority 4--Children with nonsevere visual losses that affect visual acuity who are in need of services other than correction of a refractive error.]

[ (E) Priority 5--Children with treatable visual impairments that may or may not affect visual acuity and children with an uncorrected visual acuity of 20/70 or worse in both eyes who need no services other than correction of a refractive error.]

This agency hereby certifies that the emergency adoption has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on August 12, 2003.

TRD-200305082

Terrell I. Murphy

Executive Director

Texas Commission for the Blind

Effective Date: August 12, 2003

Expiration Date: December 10, 2003

For further information, please call: (512) 377-0611