Relating to the composition of the Health and Human Services Commission Executive Council.

SB 1046 amends Texas law to require the Health and Human Services Commission Executive Council to include at least one parent or guardian of a child with a disability who is a Medicaid recipient (including waiver program users), appointed by the executive commissioner. This change directly affects families of children receiving Medicaid services by mandating their representation on the council. The bill specifies that appointed members under this provision serve at the commissioner's pleasure and receive no salary but may be reimbursed for travel expenses related to council duties. The changes take effect September 1, 2025, requiring the commissioner to make this appointment as soon as practicable after that date.