Relating to the provision of certain co-navigation services to individuals who are deaf-blind.

HB 645 creates a statewide program to provide co-navigation services for Texans who are deaf-blind. The Health and Human Services Commission will operate this program, reimbursing specially trained co-navigators for helping individuals safely move through environments and access information using their preferred communication methods (like American Sign Language or protactile language). The bill establishes tiered reimbursement rates based on co-navigators' training and skill level in communication modes and mobility techniques. It explicitly excludes personal care, decision-making, or formal interpreting services from the program's scope.