By Naishtat                                           H.B. No. 2704
       74R6576 KLL-D
                                 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.
   2-22              (4)  "Regulatory agency" means a state agency referred
   2-23  to in Subdivision (3).
   2-24        Sec. 250.002.  INFORMATION OBTAINED BY REGULATORY AGENCY.
   2-25  (a)  A regulatory agency is entitled to obtain from the Department
   2-26  of Public Safety of the State of Texas criminal history record
   2-27  information maintained by the Department of Public Safety that
    3-1  relates to a person who is an applicant for employment at a
    3-2  facility licensed, certified, or under contract with the agency, as
    3-3  specified by Section 250.001(3), or who is an employee of that
    3-4  facility, and whose employment duties would or do involve direct
    3-5  contact with a consumer in a facility.
    3-6        (b)  A facility may pay a private agency to obtain criminal
    3-7  history record information for an applicant or employee described
    3-8  by Subsection (a) if the information obtained by the private agency
    3-9  is as reliable as the information obtained by the regulatory
   3-10  agency.
   3-11        (c)  The regulatory agency or private agency, as appropriate,
   3-12  shall forward criminal history record information received under
   3-13  this section to the facility requesting the information.
   3-14        Sec. 250.003 <250.002>.  Verification of Employability;
   3-15  Discharge.  (a)  A facility may not employ a person in a position
   3-16  the duties of which involve direct contact with a consumer in the
   3-17  facility if the facility determines, as a result <results> of a
   3-18  criminal history check, <reveal> that a person has been convicted
   3-19  of an offense listed in this chapter that bars employment, and if
   3-20  the applicant is a nurse aide, until the facility further verifies
   3-21  that the applicant is listed in the nurse aide registry and
   3-22  verifies that the applicant is not designated in the registry as
   3-23  having a finding entered into the registry concerning abuse,
   3-24  neglect, or mistreatment of a consumer of a facility, or
   3-25  misappropriation of a consumer's property.  A person licensed under
   3-26  another law of this state is exempt from the requirements of this
   3-27  chapter.
    4-1        (b)  The facility may not employ an applicant covered by
    4-2  Subsection (a) <the applicant if it is notified by the department
    4-3  that a conviction bars employment>, except that in an emergency
    4-4  requiring immediate employment, a facility may hire on a temporary
    4-5  or interim basis a person not listed in the registry pending the
    4-6  results of a criminal conviction check, which must be submitted
    4-7  within 72 hours of employment.
    4-8        (c)  A facility shall immediately discharge any employee in a
    4-9  position the duties of which involve direct contact with a consumer
   4-10  in the facility who is designated in the nurse aide registry as
   4-11  having committed an act of abuse, neglect, or mistreatment of a
   4-12  consumer of a facility, or misappropriation of a consumer's
   4-13  property, or whose criminal history check reveals conviction of a
   4-14  crime that bars employment as provided by this chapter.
   4-15        Sec. 250.004 <250.003>.  Criminal History Record of
   4-16  Employees.  (a)  Identifying information, including mailing
   4-17  addresses, of employees in direct contact with consumers in covered
   4-18  facilities shall be submitted to the Department of Public Safety to
   4-19  obtain the person's criminal conviction record when the person
   4-20  applies for employment and at other times as the <department or
   4-21  the> facility may determine appropriate.
   4-22        (b)  If the Department of Public Safety reports <to the
   4-23  department> that a person has a criminal conviction of any kind,
   4-24  the conviction shall be reviewed by the facility <department> to
   4-25  determine if the conviction may bar the person from employment in a
   4-26  facility under Section <250.005 or> 250.006.
   4-27        Sec. 250.005 <250.004>.  Notice and Opportunity TO BE HEARD
    5-1  CONCERNING ACCURACY OF INFORMATION <FOR ADMINISTRATIVE REVIEW>.
    5-2  (a)  If a facility <the department> believes that a conviction may
    5-3  bar a person from employment in a facility under Section <250.005
    5-4  or> 250.006, the <department shall notify the> facility shall
    5-5  notify the <and> applicant or employee.
    5-6        (b)  The Department of Public Safety of the State of Texas
    5-7  shall give a person notified under Subsection (a) the opportunity
    5-8  to be heard concerning the accuracy of the criminal history record
    5-9  information and shall notify the facility if inaccurate information
   5-10  is discovered.  <The notification shall state that the finding of a
   5-11  criminal conviction that may bar employment is a preliminary
   5-12  finding and that the person has the right to object to the accuracy
   5-13  of the report and to object to the finding that the crime is one
   5-14  that bars employment under Section 250.005 or 250.006.  If a crime
   5-15  is one that requires the consideration of mitigating factors under
   5-16  Section 250.006, the notification shall also state that the person
   5-17  has the right to submit documentation concerning the misdemeanor
   5-18  classification of the offense, the age of the person when the
   5-19  offense was committed, rehabilitation including employment history
   5-20  in a facility, or mitigating circumstances when the offense was
   5-21  committed.  The right to request removal of the bar to employment
   5-22  does not extend to any finding by a court involving abuse, neglect,
   5-23  or mistreatment of a consumer of a facility.>
   5-24        <(c)  The notification shall state:>
   5-25              <(1)  that the person may submit a written request, not
   5-26  later than the 20th day after the date the notification is
   5-27  received, for an administrative review of the criminal history
    6-1  report;>
    6-2              <(2)  the name of the office, including its address, to
    6-3  which the request must be submitted; and>
    6-4              <(3)  that the failure to request an administrative
    6-5  review will cause the department to designate the person as
    6-6  "unemployable" in the registry, if the person is an applicant for a
    6-7  nurse aide position, and to bar the person from employment in any
    6-8  facility.>
    6-9        <(d)  On receipt of a timely request, an administrative
   6-10  review shall be provided in accordance with board rules.  The
   6-11  review is not subject to the Administrative Procedure and Texas
   6-12  Register Act (Article 6252-13a, Vernon's Texas Civil Statutes). The
   6-13  review shall be conducted by an administrative review panel
   6-14  consisting of five members and at least two alternates appointed by
   6-15  the board.  The panel shall be composed of representatives of the
   6-16  facilities covered by this chapter, a representative of employees
   6-17  of those facilities, and representatives of consumers.  The review
   6-18  panel shall consider each application submitted in writing by an
   6-19  applicant to determine if mitigating circumstances existed at the
   6-20  time the crime was committed or whether the applicant has been
   6-21  substantially rehabilitated since that time.  The panel's decision
   6-22  shall be made solely from the documentation and other information
   6-23  submitted by the applicant.  The department may not be required to
   6-24  make an independent investigation of the applicant's allegations.
   6-25  If the panel finds the documentation submitted by the applicant is
   6-26  insufficient to remove the bar to employment, the panel shall
   6-27  provide the applicant an opportunity to appear personally before
    7-1  the panel and offer further information.>
    7-2        <(e)  A designation of "unemployable" may not be entered in
    7-3  the registry or a facility may not be notified of unemployability
    7-4  until the person affected has exhausted all appeals available under
    7-5  board rules.>
    7-6        <(f)  A nurse aide for whom there is a finding of abuse,
    7-7  neglect, or mistreatment of a consumer of a facility, or
    7-8  misappropriation of a consumer's property, and who is listed in the
    7-9  nurse aide registry as "unemployable" as a result of those
   7-10  findings, shall be offered the opportunity of a hearing under board
   7-11  rules.  The hearing is not subject to the Administrative Procedure
   7-12  and Texas Register Act (Article 6252-13a, Vernon's Texas Civil
   7-13  Statutes).  The hearing may be conducted and decided by a hearing
   7-14  officer designated by the department.>
   7-15        Sec. 250.006 <250.005>.  Convictions Barring Employment.
   7-16  <(a)>  A person convicted of an offense listed in this section may
   7-17  not be employed in a position the duties of which involve direct
   7-18  contact with a consumer in a facility:
   7-19              (1)  an offense under Chapter 19, Penal Code (criminal
   7-20  homicide);
   7-21              (2)  an offense under Chapter 20, Penal Code
   7-22  (kidnapping and false imprisonment);
   7-23              (3)  an offense under Section 21.11, Penal Code
   7-24  (indecency with a child);
   7-25              (4)  an offense under Section 25.031, Penal Code
   7-26  (agreement to abduct from custody);
   7-27              (5)  <an offense under Section 25.06, Penal Code
    8-1  (solicitation of a child);>
    8-2              <(6)>  an offense under Section 25.08 <25.11>, Penal
    8-3  Code (sale or purchase of a child);
    8-4              (6) <(7)>  an offense under Section 28.02, Penal Code
    8-5  (arson);
    8-6              (7) <(8)>  an offense under Section 29.02, Penal Code
    8-7  (robbery); or
    8-8              (8) <(9)>  an offense under Section 29.03, Penal Code
    8-9  (aggravated robbery).
   8-10        <(b)  When the proceedings under Section 250.004 are
   8-11  complete, the department shall enter in the nurse aide registry, if
   8-12  the person is an applicant for a nurse aide position, the
   8-13  designation "unemployable" under the name of a person convicted of
   8-14  an offense listed in this section and shall notify the facility
   8-15  that employs the person of the designation.>
   8-16        <Sec. 250.006.  ><Convictions Potentially Barring Employment><.
   8-17  (a)  A person convicted of an offense listed in this section may
   8-18  not be employed in a position the duties of which involve direct
   8-19  contact with a consumer in a facility unless:>
   8-20              <(1)  the offense for which the person was convicted is
   8-21  punishable as a Class C misdemeanor; or>
   8-22              <(2)  the department finds through its administrative
   8-23  review process that the person is unlikely to be a threat to the
   8-24  consumers or property of the consumers in a facility.>
   8-25        <(b)  In making a finding under Subsection (a)(2), the
   8-26  department shall consider the misdemeanor classification of the
   8-27  offense, the age of the person at the time the offense was
    9-1  committed, the length of time since the offense was committed,
    9-2  evidence of rehabilitation including employment history in a
    9-3  facility, or mitigating circumstances when the offense was
    9-4  committed.>
    9-5        <(c)  A conviction for any of the following offenses may bar
    9-6  employment under this section:>
    9-7              <(1)  an offense under Chapter 22, Penal Code
    9-8  (assaultive offenses);>
    9-9              <(2)  an offense under Chapter 30, Penal Code (burglary
   9-10  and criminal trespass);>
   9-11              <(3)  an offense under Chapter 31, Penal Code (theft);>
   9-12              <(4)  an offense under Chapter 46, Penal Code
   9-13  (weapons);>
   9-14              <(5)  a felony violation of a statute intended to
   9-15  control the possession or distribution of a substance included in
   9-16  Chapter 481, Government Code (Texas Controlled Substances Act);>
   9-17              <(6)  an offense under Chapter 32, Penal Code (fraud);>
   9-18              <(7)  an offense under Section 21.07, Penal Code
   9-19  (public lewdness);>
   9-20              <(8)  an offense under Section 21.08, Penal Code
   9-21  (indecent exposure); or>
   9-22              <(9)  an offense under Chapter 43, Penal Code (public
   9-23  indecency).>
   9-24        <(d)  Except as provided by Subsection (a), and when the
   9-25  proceedings under Section 250.004 are completed, the department
   9-26  shall enter in the nurse aide registry, if the person is an
   9-27  applicant for a nurse aide position, the designation "unemployable"
   10-1  under the name of a person found to have been convicted of an
   10-2  offense listed in this section and shall notify the facility that
   10-3  employs the person of the designation.>
   10-4        <(e)  If the department finds that a person is unlikely to be
   10-5  a threat as provided by Subsection (a)(2), the department shall
   10-6  note in the nurse aide registry that the person's conviction has
   10-7  been reviewed and excepted from the bar to employment.>
   10-8        Sec. 250.007.  Records Privileged.  (a)  The criminal history
   10-9  records are for the exclusive use of the regulatory agency
  10-10  <department> and the requesting facility.
  10-11        (b)  All criminal records and reports and the information
  10-12  they contain that are received by the regulatory agency for the
  10-13  purpose of being forwarded to the requesting facility <department>
  10-14  are privileged information and are for the exclusive use of the
  10-15  regulatory agency and the requesting facility <department>.
  10-16        (c)  The criminal records and reports and the information
  10-17  they contain may not be released or otherwise disclosed to any
  10-18  person or agency except on court order or with the written consent
  10-19  of the person being investigated.
  10-20        Sec. 250.008.  Criminal Penalty.  (a)  A person commits an
  10-21  offense if the person releases or otherwise discloses any
  10-22  information received under this chapter except as prescribed by
  10-23  Section 250.007(b) or (c).
  10-24        (b)  An offense under this section is a Class A misdemeanor.
  10-25        Sec. 250.009.  CIVIL LIABILITY.  (a)  A facility or an
  10-26  officer or employee of a facility is not civilly liable for failure
  10-27  to comply with this chapter if the facility makes a good faith
   11-1  effort to comply.
   11-2        (b)  A regulatory agency is not civilly liable to a person
   11-3  for criminal history record information forwarded to a requesting
   11-4  facility in accordance with this chapter.
   11-5        SECTION 2.  The importance of this legislation and the
   11-6  crowded condition of the calendars in both houses create an
   11-7  emergency and an imperative public necessity that the
   11-8  constitutional rule requiring bills to be read on three several
   11-9  days in each house be suspended, and this rule is hereby suspended,
  11-10  and that this Act take effect and be in force from and after its
  11-11  passage, and it is so enacted.