Relating to the development of a strategic plan for home and community-based services provided under Medicaid and the child health plan program and the establishment of an advisory committee on home and community-based services.

HB 4117 requires Texas to create a strategic plan ensuring Medicaid and child health program participants have access to home and community-based services (like in-home care for people with disabilities or seniors). The plan must establish fair payment rates for service providers, assess current service gaps, and set measurable access standards - such as agency availability, geographic coverage, and service types - based on actual needs. It also mandates a cost analysis of current service shortages, including potential long-term savings from timely access. The bill directly affects Medicaid recipients, child health program enrollees, and licensed home care agencies operating under Texas health regulations.