74R9674 KLL-D
          By Naishtat                                           H.B. No. 2704
          Substitute the following for H.B. No. 2704:
          By Maxey                                          C.S.H.B. No. 2704
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to criminal history checks of employees and applicants for
    1-3  employment in certain facilities serving the elderly or persons
    1-4  with disabilities.
    1-5        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-6        SECTION 1.  Chapter 250, Health and Safety Code, is amended
    1-7  to read as follows:
    1-8        CHAPTER 250.  NURSE AIDE REGISTRY AND CRIMINAL HISTORY
    1-9         CHECKS OF EMPLOYEES AND APPLICANTS FOR EMPLOYMENT IN
   1-10           CERTAIN FACILITIES SERVING THE ELDERLY OR PERSONS
   1-11                           WITH DISABILITIES
   1-12        Sec. 250.001.  Definitions.  In this chapter:
   1-13              (1)  "Nurse aide registry" means a list maintained by
   1-14  the Texas Department of Human Services <department> of nurse aides
   1-15  under the Omnibus Budget Reconciliation Act of 1987 (Pub. L. No.
   1-16  100-203).
   1-17              (2)  <"Board" means the Texas Board of Health.>
   1-18              <(3)  "Department" means the Texas Department of
   1-19  Health.>
   1-20              <(4)>  "Direct contact with a consumer" means any
   1-21  contact with a resident or client <or a family member or visitor of
   1-22  a resident or client> in a facility covered by this chapter.
   1-23              (3) <(5)>  "Facility" means:
   1-24                    (A)  a nursing home, custodial care home, or
    2-1  other institution licensed by the Texas Department of Human
    2-2  Services <department> under Chapter 242;
    2-3                    (B)  a personal care facility licensed by the
    2-4  Texas Department of Human Services <department> under Chapter 247;
    2-5                    (C)  a home health agency licensed by the Texas
    2-6  Department of Health <department> under Chapter 142;
    2-7                    (D)  an adult day care facility or adult day
    2-8  health care facility licensed by the Texas Department of Human
    2-9  Services <department> under Chapter 103, Human Resources Code;
   2-10                    (E)  a facility for persons with mental
   2-11  retardation licensed or certified by the Texas Department of Human
   2-12  Services <department>;
   2-13                    (F)  an unlicensed attendant care agency that
   2-14  contracts with the Texas Department of Human Services;
   2-15                    (G)  an intermediate care facility for persons
   2-16  with mental retardation that is certified by the Texas Department
   2-17  of Human Services to participate in the Medicaid program under
   2-18  Title XIX of the Social Security Act (42 U.S.C. Section 1396 et
   2-19  seq.); <or>
   2-20                    (H)  an adult foster care provider that contracts
   2-21  with the Texas Department of Human Services; or
   2-22                    (I)  a facility that provides mental health
   2-23  services and that is operated by or contracts with the Texas
   2-24  Department of Mental Health and Mental Retardation.
   2-25              (4)  "Private agency" means a person engaged in the
   2-26  business of obtaining criminal history checks on behalf of a
   2-27  facility.
    3-1              (5)  "Regulatory agency" means a state agency referred
    3-2  to in Subdivision (3).
    3-3        Sec. 250.002.  INFORMATION OBTAINED BY REGULATORY AGENCY OR
    3-4  PRIVATE AGENCY.  (a)  A regulatory agency or a private agency on
    3-5  behalf of a facility is entitled to obtain from the Department of
    3-6  Public Safety of the State of Texas criminal history record
    3-7  information maintained by the Department of Public Safety that
    3-8  relates to a person who is an applicant for employment at a
    3-9  facility licensed, certified, or under contract with the agency, as
   3-10  specified by Section 250.001(3), or who is an employee of that
   3-11  facility, and whose employment duties would or do involve direct
   3-12  contact with a consumer in a facility.
   3-13        (b)  A facility may pay a private agency to obtain criminal
   3-14  history record information for an applicant or employee described
   3-15  by Subsection (a) directly from the Department of Public Safety of
   3-16  the State of Texas or from the regulatory agency that obtains the
   3-17  information from the Department of Public Safety of the State of
   3-18  Texas regarding that facility.
   3-19        (c)  The regulatory agency or private agency, as appropriate,
   3-20  shall forward criminal history record information received under
   3-21  this section to the facility requesting the information.
   3-22        (d)  A regulatory agency may adopt rules relating to the
   3-23  processing of information requested or obtained under this chapter.
   3-24        Sec. 250.003 <250.002>.  Verification of Employability;
   3-25  Discharge.  (a)  A facility may not employ a person in a position
   3-26  the duties of which involve direct contact with a consumer in the
   3-27  facility if the facility determines, as a result <results> of a
    4-1  criminal history check, <reveal> that a person has been convicted
    4-2  of an offense listed in this chapter that bars employment or that a
    4-3  conviction is a contraindication to employment with the consumers
    4-4  the facility serves, and if the applicant is a nurse aide, until
    4-5  the facility further verifies that the applicant is listed in the
    4-6  nurse aide registry and verifies that the applicant is not
    4-7  designated in the registry as having a finding entered into the
    4-8  registry concerning abuse, neglect, or mistreatment of a consumer
    4-9  of a facility, or misappropriation of a consumer's property.  A
   4-10  person licensed under another law of this state is exempt from the
   4-11  requirements of this chapter.
   4-12        (b)  The facility may not employ an applicant covered by
   4-13  Subsection (a) <the applicant if it is notified by the department
   4-14  that a conviction bars employment>, except that in an emergency
   4-15  requiring immediate employment, a facility may hire on a temporary
   4-16  or interim basis a person not listed in the registry pending the
   4-17  results of a criminal conviction check, which must be requested
   4-18  <submitted> within 72 hours of employment.  The request shall be
   4-19  mailed, sent by telephonic facsimile machine, sent by electronic
   4-20  means, or otherwise forwarded to the facility's regulatory agency
   4-21  by the facility or a private agency working with the facility, or
   4-22  to the Department of Public Safety of the State of Texas by a
   4-23  private agency working with the facility.
   4-24        (c)  A facility shall immediately discharge any employee in a
   4-25  position the duties of which involve direct contact with a consumer
   4-26  in the facility who is designated in the nurse aide registry as
   4-27  having committed an act of abuse, neglect, or mistreatment of a
    5-1  consumer of a facility, or misappropriation of a consumer's
    5-2  property, or whose criminal history check reveals conviction of a
    5-3  crime that bars employment or that the facility determines is a
    5-4  contraindication to employment as provided by this chapter.
    5-5        Sec. 250.004 <250.003>.  Criminal History Record of
    5-6  Employees.  (a)  Identifying information, including mailing
    5-7  addresses, of employees in direct contact with consumers in covered
    5-8  facilities shall be submitted to the Department of Public Safety to
    5-9  obtain the person's criminal conviction record when the person
   5-10  applies for employment and at other times as the <department or
   5-11  the> facility may determine appropriate.
   5-12        (b)  If the Department of Public Safety reports <to the
   5-13  department> that a person has a criminal conviction of any kind,
   5-14  the conviction shall be reviewed by the facility <department> to
   5-15  determine if the conviction may bar the person from employment in a
   5-16  facility under Section <250.005 or> 250.006 or if the conviction
   5-17  may be a contraindication to employment.
   5-18        Sec. 250.005 <250.004>.  Notice and Opportunity TO BE HEARD
   5-19  CONCERNING ACCURACY OF INFORMATION <FOR ADMINISTRATIVE REVIEW>.
   5-20  (a)  If a facility <the department> believes that a conviction may
   5-21  bar a person from employment in a facility under Section <250.005
   5-22  or> 250.006 or may be a contraindication to employment, the
   5-23  <department shall notify the> facility shall notify the <and>
   5-24  applicant or employee.
   5-25        (b)  The Department of Public Safety of the State of Texas
   5-26  shall give a person notified under Subsection (a) the opportunity
   5-27  to be heard concerning the accuracy of the criminal history record
    6-1  information and shall notify the facility if inaccurate information
    6-2  is discovered.  <The notification shall state that the finding of a
    6-3  criminal conviction that may bar employment is a preliminary
    6-4  finding and that the person has the right to object to the accuracy
    6-5  of the report and to object to the finding that the crime is one
    6-6  that bars employment under Section 250.005 or 250.006.  If a crime
    6-7  is one that requires the consideration of mitigating factors under
    6-8  Section 250.006, the notification shall also state that the person
    6-9  has the right to submit documentation concerning the misdemeanor
   6-10  classification of the offense, the age of the person when the
   6-11  offense was committed, rehabilitation including employment history
   6-12  in a facility, or mitigating circumstances when the offense was
   6-13  committed.  The right to request removal of the bar to employment
   6-14  does not extend to any finding by a court involving abuse, neglect,
   6-15  or mistreatment of a consumer of a facility.>
   6-16        <(c)  The notification shall state:>
   6-17              <(1)  that the person may submit a written request, not
   6-18  later than the 20th day after the date the notification is
   6-19  received, for an administrative review of the criminal history
   6-20  report;>
   6-21              <(2)  the name of the office, including its address, to
   6-22  which the request must be submitted; and>
   6-23              <(3)  that the failure to request an administrative
   6-24  review will cause the department to designate the person as
   6-25  "unemployable" in the registry, if the person is an applicant for a
   6-26  nurse aide position, and to bar the person from employment in any
   6-27  facility.>
    7-1        <(d)  On receipt of a timely request, an administrative
    7-2  review shall be provided in accordance with board rules.  The
    7-3  review is not subject to the Administrative Procedure and Texas
    7-4  Register Act (Article 6252-13a, Vernon's Texas Civil Statutes). The
    7-5  review shall be conducted by an administrative review panel
    7-6  consisting of five members and at least two alternates appointed by
    7-7  the board.  The panel shall be composed of representatives of the
    7-8  facilities covered by this chapter, a representative of employees
    7-9  of those facilities, and representatives of consumers.  The review
   7-10  panel shall consider each application submitted in writing by an
   7-11  applicant to determine if mitigating circumstances existed at the
   7-12  time the crime was committed or whether the applicant has been
   7-13  substantially rehabilitated since that time.  The panel's decision
   7-14  shall be made solely from the documentation and other information
   7-15  submitted by the applicant.  The department may not be required to
   7-16  make an independent investigation of the applicant's allegations.
   7-17  If the panel finds the documentation submitted by the applicant is
   7-18  insufficient to remove the bar to employment, the panel shall
   7-19  provide the applicant an opportunity to appear personally before
   7-20  the panel and offer further information.>
   7-21        <(e)  A designation of "unemployable" may not be entered in
   7-22  the registry or a facility may not be notified of unemployability
   7-23  until the person affected has exhausted all appeals available under
   7-24  board rules.>
   7-25        <(f)  A nurse aide for whom there is a finding of abuse,
   7-26  neglect, or mistreatment of a consumer of a facility, or
   7-27  misappropriation of a consumer's property, and who is listed in the
    8-1  nurse aide registry as "unemployable" as a result of those
    8-2  findings, shall be offered the opportunity of a hearing under board
    8-3  rules.  The hearing is not subject to the Administrative Procedure
    8-4  and Texas Register Act (Article 6252-13a, Vernon's Texas Civil
    8-5  Statutes).  The hearing may be conducted and decided by a hearing
    8-6  officer designated by the department.>
    8-7        Sec. 250.006 <250.005>.  Convictions Barring Employment.
    8-8  <(a)>  A person convicted of an offense listed in this section may
    8-9  not be employed in a position the duties of which involve direct
   8-10  contact with a consumer in a facility:
   8-11              (1)  an offense under Chapter 19, Penal Code (criminal
   8-12  homicide);
   8-13              (2)  an offense under Chapter 20, Penal Code
   8-14  (kidnapping and false imprisonment);
   8-15              (3)  an offense under Section 21.11, Penal Code
   8-16  (indecency with a child);
   8-17              (4)  an offense under Section 25.031, Penal Code
   8-18  (agreement to abduct from custody);
   8-19              (5)  <an offense under Section 25.06, Penal Code
   8-20  (solicitation of a child);>
   8-21              <(6)>  an offense under Section 25.08 <25.11>, Penal
   8-22  Code (sale or purchase of a child);
   8-23              (6) <(7)>  an offense under Section 28.02, Penal Code
   8-24  (arson);
   8-25              (7) <(8)>  an offense under Section 29.02, Penal Code
   8-26  (robbery); or
   8-27              (8) <(9)>  an offense under Section 29.03, Penal Code
    9-1  (aggravated robbery).
    9-2        <(b)  When the proceedings under Section 250.004 are
    9-3  complete, the department shall enter in the nurse aide registry, if
    9-4  the person is an applicant for a nurse aide position, the
    9-5  designation "unemployable" under the name of a person convicted of
    9-6  an offense listed in this section and shall notify the facility
    9-7  that employs the person of the designation.>
    9-8        <Sec. 250.006.  ><Convictions Potentially Barring Employment><.
    9-9  (a)  A person convicted of an offense listed in this section may
   9-10  not be employed in a position the duties of which involve direct
   9-11  contact with a consumer in a facility unless:>
   9-12              <(1)  the offense for which the person was convicted is
   9-13  punishable as a Class C misdemeanor; or>
   9-14              <(2)  the department finds through its administrative
   9-15  review process that the person is unlikely to be a threat to the
   9-16  consumers or property of the consumers in a facility.>
   9-17        <(b)  In making a finding under Subsection (a)(2), the
   9-18  department shall consider the misdemeanor classification of the
   9-19  offense, the age of the person at the time the offense was
   9-20  committed, the length of time since the offense was committed,
   9-21  evidence of rehabilitation including employment history in a
   9-22  facility, or mitigating circumstances when the offense was
   9-23  committed.>
   9-24        <(c)  A conviction for any of the following offenses may bar
   9-25  employment under this section:>
   9-26              <(1)  an offense under Chapter 22, Penal Code
   9-27  (assaultive offenses);>
   10-1              <(2)  an offense under Chapter 30, Penal Code (burglary
   10-2  and criminal trespass);>
   10-3              <(3)  an offense under Chapter 31, Penal Code (theft);>
   10-4              <(4)  an offense under Chapter 46, Penal Code
   10-5  (weapons);>
   10-6              <(5)  a felony violation of a statute intended to
   10-7  control the possession or distribution of a substance included in
   10-8  Chapter 481, Government Code (Texas Controlled Substances Act);>
   10-9              <(6)  an offense under Chapter 32, Penal Code (fraud);>
  10-10              <(7)  an offense under Section 21.07, Penal Code
  10-11  (public lewdness);>
  10-12              <(8)  an offense under Section 21.08, Penal Code
  10-13  (indecent exposure); or>
  10-14              <(9)  an offense under Chapter 43, Penal Code (public
  10-15  indecency).>
  10-16        <(d)  Except as provided by Subsection (a), and when the
  10-17  proceedings under Section 250.004 are completed, the department
  10-18  shall enter in the nurse aide registry, if the person is an
  10-19  applicant for a nurse aide position, the designation "unemployable"
  10-20  under the name of a person found to have been convicted of an
  10-21  offense listed in this section and shall notify the facility that
  10-22  employs the person of the designation.>
  10-23        <(e)  If the department finds that a person is unlikely to be
  10-24  a threat as provided by Subsection (a)(2), the department shall
  10-25  note in the nurse aide registry that the person's conviction has
  10-26  been reviewed and excepted from the bar to employment.>
  10-27        Sec. 250.007.  Records Privileged.  (a)  The criminal history
   11-1  records are for the exclusive use of the regulatory agency,
   11-2  <department and> the requesting facility, the private agency on
   11-3  behalf of the requesting facility, and the applicant or employee
   11-4  who is the subject of the records.
   11-5        (b)  All criminal records and reports and the information
   11-6  they contain that are received by the regulatory agency or private
   11-7  agency for the purpose of being forwarded to the requesting
   11-8  facility <department> are privileged information <and are for the
   11-9  exclusive use of the department>.
  11-10        (c)  The criminal records and reports and the information
  11-11  they contain may not be released or otherwise disclosed to any
  11-12  person or agency except on court order or with the written consent
  11-13  of the person being investigated.
  11-14        Sec. 250.008.  Criminal Penalty.  (a)  A person commits an
  11-15  offense if the person releases or otherwise discloses any
  11-16  information received under this chapter except as prescribed by
  11-17  Section 250.007(b) or (c).
  11-18        (b)  An offense under this section is a Class A misdemeanor.
  11-19        Sec. 250.009.  CIVIL LIABILITY.  (a)  A facility or an
  11-20  officer or employee of a facility is not civilly liable for failure
  11-21  to comply with this chapter if the facility makes a good faith
  11-22  effort to comply.
  11-23        (b)  A regulatory agency is not civilly liable to a person
  11-24  for criminal history record information forwarded to a requesting
  11-25  facility in accordance with this chapter.
  11-26        SECTION 2.  The importance of this legislation and the
  11-27  crowded condition of the calendars in both houses create an
   12-1  emergency and an imperative public necessity that the
   12-2  constitutional rule requiring bills to be read on three several
   12-3  days in each house be suspended, and this rule is hereby suspended,
   12-4  and that this Act take effect and be in force from and after its
   12-5  passage, and it is so enacted.