1-1  By:  Moncrief                                           S.B. No. 29
    1-2        (In the Senate - Filed November 12, 1992; January 13, 1993,
    1-3  read first time and referred to Committee on Finance;
    1-4  April 15, 1993, reported adversely, with favorable Committee
    1-5  Substitute by the following vote:  Yeas 9, Nays 2; April 15, 1993,
    1-6  sent to printer.)
    1-7                            COMMITTEE VOTE
    1-8                          Yea     Nay      PNV      Absent 
    1-9        Montford           x                               
   1-10        Turner             x                               
   1-11        Armbrister         x                               
   1-12        Barrientos         x                               
   1-13        Bivins             x                               
   1-14        Ellis              x                               
   1-15        Haley                      x                       
   1-16        Moncrief                                      x    
   1-17        Parker             x                               
   1-18        Ratliff                    x                       
   1-19        Sims                                          x    
   1-20        Truan              x                               
   1-21        Zaffirini          x                               
   1-22  COMMITTEE SUBSTITUTE FOR S.B. No. 29                  By:  Moncrief
   1-23                         A BILL TO BE ENTITLED
   1-24                                AN ACT
   1-25  relating to complaint investigations and data collection on quality
   1-26  improvement of convalescent and nursing homes and related
   1-27  institutions.
   1-28        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-29        SECTION 1.  Subchapter B, Chapter 242, Health and Safety
   1-30  Code, is amended by adding Section 242.049 to read as follows:
   1-31        Sec. 242.049.  QUALITY IMPROVEMENT.  (a)  The department may
   1-32  evaluate data for quality of care in nursing homes.
   1-33        (b)  The department may gather data on a form or forms to be
   1-34  provided by the department to improve the quality of care in
   1-35  nursing homes and may provide information to nursing homes which
   1-36  will allow them to improve and maintain the quality of care which
   1-37  they provide.
   1-38        (c)  All licensed nursing homes in the state may be required
   1-39  to submit information designated by the department as necessary to
   1-40  improve the quality of care in nursing homes.
   1-41        (d)  The collection, compilation, and analysis of the
   1-42  information and any reports produced from these sources shall be
   1-43  done in a manner that protects the privacy of any individual about
   1-44  whom information is given and is explicitly confidential.  The
   1-45  department shall protect and maintain the confidentiality of the
   1-46  information.  The information received by the department, any
   1-47  information compiled as a result of review of internal agency
   1-48  documents, and any reports, compilations, and analyses produced
   1-49  from these sources shall not be available for public inspection or
   1-50  disclosure to any governmental agency except to the department for
   1-51  the purposes of this section, nor are these sources public records
   1-52  within the meaning of the open records law, Chapter 424, Acts of
   1-53  the 63rd Legislature, Regular Session, 1973 (Article 6252-17a,
   1-54  Vernon's Texas Civil Statutes).  The information and any
   1-55  compilations, reports, or analyses produced from the information
   1-56  shall not be subject to discovery, subpoena, or other means of
   1-57  legal compulsion for release to any person or entity except as
   1-58  provided in this section and shall not be admissible in any civil,
   1-59  administrative, or criminal proceeding.  This privilege shall be
   1-60  recognized by Rules 501 and 502 of the Texas Rules of Civil
   1-61  Evidence and the Texas Rules of Criminal Evidence.
   1-62        (e)  The information and reports, compilations, and analyses
   1-63  developed by the department for quality improvement shall be used
   1-64  only for the evaluation and improvement of quality care in nursing
   1-65  homes.  No department proceeding or record shall be subject to
   1-66  discovery, subpoena, or other means of legal compulsion for release
   1-67  to any person or entity, including any governmental agency other
   1-68  than the department, and shall not be admissible in any civil,
    2-1  administrative, or criminal proceeding.  This privilege shall be
    2-2  recognized by Rules 501 and 502 of the Texas Rules of Civil
    2-3  Evidence and the Texas Rules of Criminal Evidence.
    2-4        (f)  Notwithstanding Subsection (d), the department shall
    2-5  transmit reports, compilations, and analyses of the information
    2-6  provided by a nursing home to that nursing home, and such
    2-7  disclosure shall not be violative of this section nor shall it
    2-8  constitute a waiver of confidentiality.
    2-9        (g)  A member, agent, or employee of the department may not
   2-10  disclose or be required to disclose a communication made to the
   2-11  department or a record or proceeding of the department required to
   2-12  be submitted under this section except to the nursing home in
   2-13  question or its agents or employees.
   2-14        (h)  Nothing in this section is intended to abridge the
   2-15  department's enforcement responsibilities under this chapter or
   2-16  under any other law.
   2-17        (i)  The designation of information collected under this
   2-18  section as confidential does not affect the status of other
   2-19  information or the application of the open records law, Chapter
   2-20  424, Acts of the 63rd Legislature, Regular Session, 1973 (Article
   2-21  6252-17a, Vernon's Texas Civil Statutes), to that other
   2-22  information.
   2-23        SECTION 2.  Section 242.094, Health and Safety Code, is
   2-24  amended by adding Subsection (e) to read as follows:
   2-25        (e)  Venue for actions brought under this section shall be in
   2-26  Travis County.
   2-27        SECTION 3.  Subsections (d) and (e), Section 242.126, Health
   2-28  and Safety Code, are amended to read as follows:
   2-29        (d)  The investigation may <shall> include a visit to the
   2-30  resident's institution and an interview with the resident if these
   2-31  actions are determined by the department to be appropriate.
   2-32        (e)  If the department attempts to carry out an on-site
   2-33  investigation and it is shown that admission to the institution, or
   2-34  any place where the resident is located, cannot be obtained, a
   2-35  probate or county court shall order the person responsible for the
   2-36  care of the resident or the person in charge of a place where the
   2-37  resident is located to allow entrance for the interview and
   2-38  investigation.
   2-39        SECTION 4.  This Act takes effect September 1, 1993.
   2-40        SECTION 5.  The importance of this legislation and the
   2-41  crowded condition of the calendars in both houses create an
   2-42  emergency and an imperative public necessity that the
   2-43  constitutional rule requiring bills to be read on three several
   2-44  days in each house be suspended, and this rule is hereby suspended.
   2-45                               * * * * *
   2-46                                                         Austin,
   2-47  Texas
   2-48                                                         April 15, 1993
   2-49  Hon. Bob Bullock
   2-50  President of the Senate
   2-51  Sir:
   2-52  We, your Committee on Finance to which was referred S.B. No. 29,
   2-53  have had the same under consideration, and I am instructed to
   2-54  report it back to the Senate with the recommendation that it do not
   2-55  pass, but that the Committee Substitute adopted in lieu thereof do
   2-56  pass and be printed.
   2-57                                                         Montford,
   2-58  Chairman
   2-59                               * * * * *
   2-60                               WITNESSES
   2-61                                                  FOR   AGAINST  ON
   2-62  ___________________________________________________________________
   2-63  Name:  Sara L. Speights                          x
   2-64  Representing:  Texas Health Care Assoc.
   2-65  City:  Austin
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   2-67  Name:  Rose Davis                                              x
   2-68  Representing:  Tx. Dept. of Health
   2-69  City:  Austin
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