In this subchapter:

1. (1) "Child" means an individual younger than 22 years of age who:

   1. (A) has a physical or developmental disability; or
   2. (B) is medically fragile.
2. (2) "Family-based alternative" means a family setting in which the family provider or providers are specially trained to provide support and in-home care to children with disabilities or children who are medically fragile.
3. (3) "Family-based alternatives system" means the system of family-based alternatives required under this subchapter.

4. (4) "Institution" means any congregate care facility, including:

   1. (A) a nursing facility;
   2. (B) an ICF-IID;
   3. (C) a group home operated by the commission; and
   4. (D) a general residential operation for children with an intellectual disability that the commission licenses.

5. (5) "Waiver services" means services provided under:

   1. (A) the medically dependent children (MDCP) waiver program;
   2. (B) the community living assistance and support services (CLASS) waiver program;
   3. (C) the home and community-based services (HCS) waiver program;
   4. (D) the deaf-blind with multiple disabilities (DBMD) waiver program; and
   5. (E) any other Section 1915(c) waiver program that provides long-term care services to children.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.