Relating to the prohibited provision of certain residential caregiver services by individuals with certain criminal convictions; creating a criminal offense.

HB 4947 prohibits individuals convicted of certain offenses (as defined in Health and Safety Code § 250.006) from working as residential caregivers for Medicaid recipients with intellectual or developmental disabilities. It requires Medicaid providers to review criminal history records for all caregivers and immediately terminate employment if a caregiver is convicted of a prohibited offense. The bill creates a Class A misdemeanor for violating this restriction and mandates disciplinary action against providers who fail to comply. This directly affects small-group residential caregivers (serving ≤4 people in non-home settings) and Medicaid providers operating under state licensing.