By Hochberg                                            H.B. No. 299
       74R1683 DLF-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to assessment of administrative penalties for violations
    1-3  of rules or statutes applicable to personal care facilities.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Section 247.002, Health and Safety Code, is
    1-6  amended to read as follows:
    1-7        Sec. 247.002.  DEFINITIONS.  In this chapter:
    1-8              (1)  "Board" means the Texas Board of Health.
    1-9              (2)  "Department" means the Texas Department of Health.
   1-10              (3)  "Commissioner" means the commissioner of public
   1-11  health.
   1-12              (4)  "Personal care facility" means an establishment,
   1-13  including a board and care home, that:
   1-14                    (A)  furnishes, in one or more facilities, food
   1-15  and shelter to four or more persons who are unrelated to the
   1-16  proprietor of the establishment; and
   1-17                    (B)  provides personal care services.
   1-18              (5) <(4)>  "Personal care services" means:
   1-19                    (A)  assistance with meals, dressing, movement,
   1-20  bathing, or other personal needs or maintenance;
   1-21                    (B)  the administration of medication by a person
   1-22  licensed to administer medication or the assistance with or
   1-23  supervision of medication; or
   1-24                    (C)  general supervision or oversight of the
    2-1  physical and mental well-being of a person who needs assistance to
    2-2  maintain a private and independent residence in a personal care
    2-3  facility or who needs assistance to manage the person's personal
    2-4  life, regardless of whether a guardian has been appointed for the
    2-5  person.
    2-6              (6) <(5)>  "Qualified religious society" means a
    2-7  church, synagogue, or other organization or association that is
    2-8  organized primarily for religious purposes and that:
    2-9                    (A)  has been in existence in this state for at
   2-10  least 35 years; and
   2-11                    (B)  does not distribute any of its income to its
   2-12  members, officers, or governing body other than as reasonable
   2-13  compensation for services or reimbursement of expenses.
   2-14        SECTION 2.  Subchapter C, Chapter 247, Health and Safety
   2-15  Code, is amended by adding Sections 247.0451-245.0456 to read as
   2-16  follows:
   2-17        Sec. 247.0451.  ADMINISTRATIVE PENALTY.  (a)  The department
   2-18  may assess an administrative penalty against a person who violates
   2-19  this chapter or a rule adopted under this chapter for each
   2-20  violation.
   2-21        (b)  The penalty may not exceed $10,000 for each violation.
   2-22  Each day of a continuing violation constitutes a separate
   2-23  violation.
   2-24        (c)  In determining the amount of an administrative penalty
   2-25  assessed under this section, the board shall consider:
   2-26              (1)  the seriousness of the violation;
   2-27              (2)  the history of previous violations;
    3-1              (3)  the amount necessary to deter future violations;
    3-2              (4)  efforts made to correct the violation; and
    3-3              (5)  any other matters that justice may require.
    3-4        (d)  All proceedings for the assessment of an administrative
    3-5  penalty under this chapter are subject to Chapter 2001, Government
    3-6  Code.
    3-7        Sec. 247.0452.  REPORT RECOMMENDING ADMINISTRATIVE PENALTY.
    3-8  If, after investigation of a possible violation and the facts
    3-9  surrounding that possible violation, the department determines that
   3-10  a violation has occurred, the department shall issue a preliminary
   3-11  report stating the facts on which the conclusion that a violation
   3-12  occurred is based, recommending that an administrative penalty
   3-13  under Section 247.0451 be imposed on the person charged, and
   3-14  recommending the amount of that proposed penalty.  The department
   3-15  shall base the recommended amount of the proposed penalty on the
   3-16  factors set forth in Section 247.0451(c).
   3-17        Sec. 247.0453.  NOTICE; REQUEST FOR HEARING; ORDER.  (a)  Not
   3-18  later than the 14th day after the date on which the preliminary
   3-19  report under Section 247.0452 is issued, the department shall give
   3-20  written notice of the violation to the person charged.  The notice
   3-21  shall include:
   3-22              (1)  a brief summary of the charges;
   3-23              (2)  a statement of the amount of the penalty
   3-24  recommended; and
   3-25              (3)  a statement of the right of the person charged to
   3-26  a hearing on the occurrence of the violation, the amount of the
   3-27  penalty, or both the occurrence of the violation and the amount of
    4-1  the penalty.
    4-2        (b)  Not later than the 20th day after the date on which the
    4-3  notice is received, the person charged may accept the determination
    4-4  of the department made under Section 247.0452, including the
    4-5  recommended penalty, or make a written request for a hearing on
    4-6  that determination.
    4-7        (c)  If the person charged with the violation accepts the
    4-8  determination of the department, the commissioner or the
    4-9  commissioner's designee shall issue an order approving the
   4-10  determination and ordering that the person pay the recommended
   4-11  penalty.
   4-12        Sec. 247.0454.  HEARING; ORDER.  (a)  If the person charged
   4-13  fails to respond in a timely manner to the notice under Section
   4-14  247.0453(b) or if the person requests a hearing, the commissioner
   4-15  or the commissioner's designee shall:
   4-16              (1)  set a hearing;
   4-17              (2)  give written notice of the hearing to the person;
   4-18  and
   4-19              (3)  designate a hearings examiner to conduct the
   4-20  hearing.
   4-21        (b)  The hearings examiner shall make findings of fact and
   4-22  conclusions of law and shall promptly issue to the commissioner a
   4-23  proposal for decision as to the occurrence of the violation and a
   4-24  recommendation as to the amount of the proposed penalty if a
   4-25  penalty is determined to be warranted.
   4-26        (c)  Based on the findings of fact and conclusions of law and
   4-27  the recommendations of the hearings examiner, the commissioner by
    5-1  order may find that a violation has occurred and may assess a
    5-2  penalty, or may find that no violation has occurred.
    5-3        Sec. 247.0455.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;
    5-4  JUDICIAL REVIEW; REFUND.  (a)  The commissioner or the
    5-5  commissioner's designee shall give notice of the commissioner's
    5-6  order under Section 247.0454(c) to the person charged.  The notice
    5-7  must include:
    5-8              (1)  separate statements of the findings of fact and
    5-9  conclusions of law;
   5-10              (2)  the amount of any penalty assessed; and
   5-11              (3)  a statement of the right of the person charged to
   5-12  judicial review of the commissioner's order.
   5-13        (b)  Not later than the 30th day after the date on which the
   5-14  decision is final as provided by Chapter 2001, Government Code, the
   5-15  person charged shall:
   5-16              (1)  pay the penalty in full; or
   5-17              (2)  if the person files a petition for judicial review
   5-18  contesting the fact of the violation, the amount of the penalty, or
   5-19  both the fact of the violation and the amount of the penalty:
   5-20                    (A)  forward the amount assessed to the
   5-21  department for deposit in an escrow account; or
   5-22                    (B)  in lieu of payment into escrow, post with
   5-23  the department a supersedeas bond for the amount of the penalty in
   5-24  a form approved by the commissioner and effective until judicial
   5-25  review of the decision is final.
   5-26        (c)  A person charged with a penalty who is financially
   5-27  unable to comply with Subsection (b)(2) is entitled to judicial
    6-1  review if the person files with the court, as part of the person's
    6-2  petition for judicial review, a sworn statement that the person is
    6-3  unable to meet the requirements of that subsection.
    6-4        (d)  Except as provided by Subsection (c), failure to forward
    6-5  the amount assessed or post the bond with the department in the
    6-6  manner and within the period prescribed by Subsection (b) results
    6-7  in a waiver of legal rights to judicial review.  If the person
    6-8  charged fails to forward the amount assessed or post the bond as
    6-9  required by Subsection (b), the department or the attorney general
   6-10  may bring an action for the collection of the penalty.
   6-11        (e)  Judicial review of the commissioner's order assessing
   6-12  the penalty is subject to the substantial evidence rule and shall
   6-13  be instituted by filing a petition with a Travis County district
   6-14  court, as provided by Chapter 2001, Government Code.
   6-15        (f)  If, after judicial review, the penalty is reduced or not
   6-16  assessed, the commissioner or the commissioner's designee shall
   6-17  remit to the person charged the appropriate amount, plus accrued
   6-18  interest if the penalty has been paid, or shall execute a release
   6-19  of the bond if a supersedeas bond has been posted.  The accrued
   6-20  interest on amounts remitted by the commissioner under this
   6-21  subsection shall be paid at a rate equal to the rate charged on
   6-22  loans to depository institutions by the New York Federal Reserve
   6-23  Bank, and shall be paid for the period beginning on the date that
   6-24  the assessed penalty is paid to the commissioner and ending on the
   6-25  date the penalty is remitted.
   6-26        Sec. 247.0456.  PENALTY DEPOSITED TO STATE TREASURY.  A civil
   6-27  or administrative penalty collected under this chapter shall be
    7-1  deposited in the state treasury to the credit of the general
    7-2  revenue fund.
    7-3        SECTION 3.  (a)  This Act takes effect September 1, 1995.
    7-4        (b)  An administrative penalty assessed under Sections
    7-5  247.0451-245.0455, Health and Safety Code, as added by this Act,
    7-6  may be assessed only for a violation of Chapter 247, Health and
    7-7  Safety Code, or a rule adopted under that chapter that occurs on or
    7-8  after the effective date of this Act.  A violation that occurs
    7-9  before the effective date of this Act is governed by the law in
   7-10  effect at the time the violation occurred, and that law is
   7-11  continued in effect for that purpose.
   7-12        SECTION 4.  The importance of this legislation and the
   7-13  crowded condition of the calendars in both houses create an
   7-14  emergency and an imperative public necessity that the
   7-15  constitutional rule requiring bills to be read on three several
   7-16  days in each house be suspended, and this rule is hereby suspended.