CS/HB 1121: Aging and Disability Services
GENERAL BILL by Human Services Subcommittee ; Rizo ; Basabe ; (CO-INTRODUCERS) López, J. ; Mooney ; Valdés
Aging and Disability Services ; Revising requirements for Medicaid recipients to receive an offer for enrollment for long-term care services; requiring the Department of Elderly Affairs to maintain a statewide pre-enrollment list for certain services; providing that the initial assessment of an enrollee shall be reviewed or performed by the Comprehensive Assessment and Review for Long-term Care Services program; revising provisions relating to intermediate measures taken against an area agency on aging; providing requirements for the procurement of commodities or contractual services by area agencies on aging; limiting the salary of the chief executive officer and executive director of an area agency on aging; requiring the department to impose certain penalties; authorizing an area agency on aging to directly provide core services under certain circumstances; authorizing aging and disability resource centers to place certain clients on and release certain clients from pre-enrollment lists; requiring the clerk to disclose confidential information to the department under certain circumstances; requiring the department to provide specified records to the Legislature by a specified date, etc.
Senate Committee References:
- Rules (RC)
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Bill History
Date Chamber Action 1/7/2026 House • Filed
1/12/2026 House • Referred to Human Services Subcommittee
• Referred to Health Care Budget Subcommittee
• Referred to Health & Human Services Committee
• Now in Human Services Subcommittee
1/13/2026 House • 1st Reading (Original Filed Version)
1/26/2026 House • PCS added to Human Services Subcommittee agenda
1/28/2026 House • Favorable with CS by Human Services Subcommittee
1/30/2026 House • Reported out of Human Services Subcommittee
• Laid on Table under Rule 7.18(a)
• CS Filed
2/2/2026 House • Referred to Health Care Budget Subcommittee
• Referred to Health & Human Services Committee
• Now in Health Care Budget Subcommittee
• 1st Reading (Committee Substitute 1)
2/3/2026 House • Added to Health Care Budget Subcommittee agenda
2/5/2026 House • Favorable by Health Care Budget Subcommittee
• Reported out of Health Care Budget Subcommittee
• Now in Health & Human Services Committee
2/16/2026 House • Added to Health & Human Services Committee agenda
2/18/2026 House • Favorable by Health & Human Services Committee
• Reported out of Health & Human Services Committee
• Bill released to House Calendar
• Added to Second Reading Calendar
2/19/2026 House • Bill added to Special Order Calendar (2/25/2026)
2/25/2026 House • Read 2nd time
• Added to Third Reading Calendar
• Read 3rd time
• CS passed; YEAS 113, NAYS 2
2/25/2026 Senate • In Messages
2/26/2026 Senate • Referred to Rules
• Received
3/11/2026 Senate • Withdrawn from Rules
• Placed on Calendar, on 2nd reading
• Substituted for CS/SB 1630
• Read 2nd time
• Read 3rd time
• CS passed; YEAS 35 NAYS 0
3/11/2026 House • In Messages
• Ordered enrolled
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CS/HB 1121, Enrolled (Current Bill Version) Posted 3/11/2026 at 4:47 PM
Bill Text: PDF Analyses: None Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1630 (c1) Aging and Disability Services Grall Compare Last Action: 3/11/2026 S Laid on Table, refer to CS/HB 1121 
Citations - Statutes (16)
Citation Catchline Location in Bill Location In Bill Help 409.979 Eligibility. Page 3 (pdf) 409.983 Long-term care managed care plan payment. Page 9 (pdf) 430.04 Duties and responsibilities of the Department of Elderly Affairs. Page 10 (pdf) 430.09 Page 12 (pdf) 430.203 Community care for the elderly; definitions. Page 14 (pdf) 430.204 Community-care-for-the-elderly core services; departmental powers and duties. Page 15 (pdf) 430.205 Community care service system. Page 15 (pdf) 430.2053 Aging resource centers. Page 17 (pdf) 430.605 Subsidy payments. Page 27 (pdf) 430.901 Multiservice senior center; definition; purpose. Page 28 (pdf) 744.2001 Office of Public and Professional Guardians. Page 28 (pdf) 744.2003 Regulation of professional guardians; application; bond required; educational requirements. Page 29 (pdf) 744.2004 Complaints; disciplinary proceedings; penalties; enforcement. Page 30 (pdf) 744.20041 Grounds for discipline; penalties; enforcement. Page 31 (pdf) 744.2104 Access to records by the Office of Public and Professional Guardians; confidentiality. Page 31 (pdf) 744.3701 Confidentiality. Page 32 (pdf) -
CS/HB 1121, Committee Substitute 1 Posted 1/30/2026 at 5:09 PM
Bill Text: PDF Analyses: Health Care Budget Subcommittee (Post-Meeting) 2/5/2026 (pdf)
Health & Human Services Committee (Post-Meeting) 2/18/2026 (pdf)
Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1630 (c1) Aging and Disability Services Grall Compare Last Action: 3/11/2026 S Laid on Table, refer to CS/HB 1121
Floor Votes (2)
Date Chamber Result 2/25/2026 1:53 PM House 113 Yeas - 2 Nays 3/11/2026 2:04 PM Senate 35 Yeas - 0 Nays Citations - Statutes (16)
Citation Catchline Location in Bill Location In Bill Help 409.979 Eligibility. Page 3 (pdf) 409.983 Long-term care managed care plan payment. Page 9 (pdf) 430.04 Duties and responsibilities of the Department of Elderly Affairs. Page 10 (pdf) 430.09 Page 12 (pdf) 430.203 Community care for the elderly; definitions. Page 14 (pdf) 430.204 Community-care-for-the-elderly core services; departmental powers and duties. Page 15 (pdf) 430.205 Community care service system. Page 15 (pdf) 430.2053 Aging resource centers. Page 17 (pdf) 430.605 Subsidy payments. Page 27 (pdf) 430.901 Multiservice senior center; definition; purpose. Page 28 (pdf) 744.2001 Office of Public and Professional Guardians. Page 28 (pdf) 744.2003 Regulation of professional guardians; application; bond required; educational requirements. Page 29 (pdf) 744.2004 Complaints; disciplinary proceedings; penalties; enforcement. Page 30 (pdf) 744.20041 Grounds for discipline; penalties; enforcement. Page 31 (pdf) 744.2104 Access to records by the Office of Public and Professional Guardians; confidentiality. Page 31 (pdf) 744.3701 Confidentiality. Page 32 (pdf) -
HB 1121, Original Filed Version Posted 1/7/2026 at 11:43 AM
Bill Text: PDF Analyses: Human Services Subcommittee (Post-Meeting) 1/30/2026 (pdf)
Related Bills (3)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1630 (c1) Aging and Disability Services Grall Similar Last Action: 3/11/2026 S Laid on Table, refer to CS/HB 1121
H 1295 Memory Care Health Care Facilities & Systems Subcommittee Compare Last Action: 3/10/2026 H Laid on Table, refer to CS/CS/SB 1404
S 1404 Memory Care Burton Compare Last Action: 3/17/2026 S Ordered enrolled
Citations - Statutes (27)
Citation Catchline Location in Bill Location In Bill Help 400.0060 Definitions. Page 43 (pdf) 400.0065 State Long-Term Care Ombudsman Program; duties and responsibilities. Page 43 (pdf) 400.0067 State Long-Term Care Ombudsman Council; duties; membership. Page 4 (pdf) 400.0073 State and local ombudsman council investigations. Page 45 (pdf) 400.0075 Complaint notification and resolution procedures. Page 45 (pdf) 400.0087 Department oversight; funding. Page 46 (pdf) 409.979 Eligibility. Page 4 (pdf) 409.983 Long-term care managed care plan payment. Page 10 (pdf) 430.03 Purposes. Page 11 (pdf) 430.04 Duties and responsibilities of the Department of Elderly Affairs. Page 11 (pdf) 430.071 Respite for elders living in everyday families. Page 13 (pdf) 430.09 Page 16 (pdf) 430.203 Community care for the elderly; definitions. Page 17 (pdf) 430.204 Community-care-for-the-elderly core services; departmental powers and duties. Page 19 (pdf) 430.205 Community care service system. Page 21 (pdf) 430.2053 Aging resource centers. Page 23 (pdf) 430.503 Alzheimer’s Disease Initiative; fees and administrative expense. Page 34 (pdf) 430.504 Confidentiality of information. Page 46 (pdf) 430.602 Home care for the elderly; definitions. Page 35 (pdf) 430.605 Subsidy payments. Page 35 (pdf) 430.71 Page 36 (pdf) 430.901 Multiservice senior center; definition; purpose. Page 39 (pdf) 744.2001 Office of Public and Professional Guardians. Page 39 (pdf) 744.2003 Regulation of professional guardians; application; bond required; educational requirements. Page 40 (pdf) 744.2004 Complaints; disciplinary proceedings; penalties; enforcement. Page 41 (pdf) 744.20041 Grounds for discipline; penalties; enforcement. Page 42 (pdf) 744.2104 Access to records by the Office of Public and Professional Guardians; confidentiality. Page 42 (pdf)