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          AN ACT
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        relating to the informal dispute resolution process for certain  | 
      
      
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        disputes between the Health and Human Services Commission and  | 
      
      
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        long-term care facilities. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 531.058(a-1), Government Code, as added  | 
      
      
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        by Chapter 590 (S.B. 924), Acts of the 85th Legislature, Regular  | 
      
      
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        Session, 2017, is amended to read as follows: | 
      
      
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               (a-1)  As part of the informal dispute resolution process  | 
      
      
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        established under this section, the commission shall contract with  | 
      
      
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        an appropriate disinterested person to adjudicate disputes between  | 
      
      
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        an institution or facility licensed under Chapter 242, Health and  | 
      
      
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        Safety Code, or a facility licensed under Chapter 247, Health and  | 
      
      
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        Safety Code, and the commission concerning a statement of  | 
      
      
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        violations prepared by the commission in connection with a survey  | 
      
      
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        conducted by the commission of the institution or facility.   | 
      
      
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        Section 2009.053 does not apply to the selection of an appropriate  | 
      
      
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        disinterested person under this subsection.  The person with whom  | 
      
      
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        the commission contracts shall adjudicate all disputes described by  | 
      
      
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        this subsection.  The informal dispute resolution process for the  | 
      
      
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        statement of violations must require: | 
      
      
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                     (1)  the surveyor who conducted the survey for which  | 
      
      
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        the statement was prepared to be available to clarify or answer  | 
      
      
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        questions related to the facility or the statement that are asked by  | 
      
      
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        the person reviewing the dispute or by the facility; and | 
      
      
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                     (2)  the commission's review of the institution's or  | 
      
      
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        facility's informal dispute resolution request to be conducted by a  | 
      
      
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        registered nurse with long-term care experience for a standard of  | 
      
      
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        care violation. | 
      
      
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               SECTION 2.  Section 242.0445, Health and Safety Code, is  | 
      
      
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        amended by adding Subsection (a-1) to read as follows: | 
      
      
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               (a-1)  If the commission or the commission's representative  | 
      
      
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        conducting an inspection, survey, or investigation under Section  | 
      
      
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        242.043 or 242.044 identifies a violation that constitutes  | 
      
      
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        immediate jeopardy to the health or safety of a resident: | 
      
      
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                     (1)  the commission shall immediately notify the  | 
      
      
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        facility's management of the violation; and | 
      
      
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                     (2)  a commission representative shall remain in or be  | 
      
      
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        accessible to the facility until the commission has received the  | 
      
      
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        facility's plan of removal related to the violation. | 
      
      
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               SECTION 3.  Section 531.058(a-1), Government Code, as added  | 
      
      
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        by Chapter 836 (H.B. 2025), Acts of the 85th Legislature, Regular  | 
      
      
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        Session, 2017, is repealed. | 
      
      
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               SECTION 4.  If before implementing any provision of this Act  | 
      
      
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        a state agency determines that a waiver or authorization from a  | 
      
      
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        federal agency is necessary for implementation of that provision,  | 
      
      
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        the agency affected by the provision shall request the waiver or  | 
      
      
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        authorization and may delay implementing that provision until the  | 
      
      
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        waiver or authorization is granted. | 
      
      
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               SECTION 5.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2019. | 
      
      
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        ______________________________ | 
        ______________________________ | 
      
      
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           President of the Senate | 
        Speaker of the House      | 
      
      
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               I certify that H.B. No. 2205 was passed by the House on May  | 
      
      
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        10, 2019, by the following vote:  Yeas 140, Nays 0, 1 present, not  | 
      
      
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        voting. | 
      
      
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        ______________________________ | 
      
      
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        Chief Clerk of the House    | 
      
      
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               I certify that H.B. No. 2205 was passed by the Senate on May  | 
      
      
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        22, 2019, by the following vote:  Yeas 31, Nays 0. | 
      
      
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        ______________________________ | 
      
      
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        Secretary of the Senate     | 
      
      
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        APPROVED:  _____________________ | 
      
      
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                           Date           | 
      
      
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                  _____________________ | 
      
      
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                         Governor        |