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

SB 1653 creates a statewide program operated by Texas' Health and Human Services Commission to provide co-navigation services to individuals who are deaf-blind. The program reimburses specially trained co-navigators who assist with physical access to environments and communication using preferred methods (like sign language, tactile communication, or protactile language), but excludes personal care, decision-making, or formal interpreting. Reimbursement rates use a tiered wage scale based on the co-navigator's training level and skill in communication modes and mobility techniques. This bill directly affects deaf-blind Texans seeking independent mobility support and establishes clear service boundaries to avoid overlapping with personal care or professional interpretation.