By:  Montford                                          S.B. No. 436
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the regulation of certain facilities that advertise the
    1-2  provision of special care for residents with Alzheimer's disease
    1-3  and related disorders.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1. Chapter 242, Health and Safety Code, is amended by
    1-6  adding Subchapter H to read as follows:
    1-7      SUBCHAPTER H.  CARE FOR RESIDENTS WITH ALZHEIMER'S DISEASE
    1-8                         AND RELATED DISORDERS
    1-9        Sec. 242.201.  SCOPE OF SUBCHAPTER.  This subchapter applies
   1-10  only to an institution that advertises, markets, or otherwise
   1-11  promotes that the institution provides services to residents with
   1-12  Alzheimer's disease and related disorders.
   1-13        Sec. 242.202.  DISCLOSURE REQUIRED.  (a)  An institution
   1-14  covered by this subchapter shall provide a disclosure statement
   1-15  disclosing the nature of its care or treatment of residents with
   1-16  Alzheimer's disease and related disorders to:
   1-17              (1)  an individual seeking placement as a resident with
   1-18  Alzheimer's disease or a related disorder;
   1-19              (2)  an individual attempting to place another
   1-20  individual as a resident with Alzheimer's disease or a related
   1-21  disorder; or
   1-22              (3)  a person seeking information about the
   1-23  institution's care or treatment of residents with Alzheimer's
   1-24  disease and related disorders.
    2-1        (b)  The disclosure statement must be displayed with the
    2-2  institution's license as it is posted under Section 242.042.
    2-3        (c)  The institution must file the disclosure statement with
    2-4  the department as part of the report filed under Section
    2-5  242.033(d).  The department shall verify contents of the disclosure
    2-6  statement as part of the license renewal process.
    2-7        (d)  The disclosure statement must contain the following
    2-8  categories of information:
    2-9              (1)  the institution's philosophy of care;
   2-10              (2)  the preadmission, admission, and discharge
   2-11  process;
   2-12              (3)  resident assessment, care planning, and
   2-13  implementation of the care plan;
   2-14              (4)  staffing patterns, such as resident-to-staff
   2-15  ratios, and staff training;
   2-16              (5)  the physical environment of the institution;
   2-17              (6)  resident activities;
   2-18              (7)  program costs;
   2-19              (8)  systems for evaluation of the institution's
   2-20  programs for residents; and
   2-21              (9)  family involvement in resident care.
   2-22        (e)  The institution must update the disclosure statement as
   2-23  needed to reflect changes in the operation of the institution.
   2-24        Sec. 242.203.  VIOLATION.  (a)  An institution that violates
   2-25  this subchapter is subject to an administrative penalty under
   2-26  Subchapter C.
   2-27        (b)  The department may not revoke or suspend the license of
    3-1  an institution for a violation of this subchapter.
    3-2        Sec. 242.204.  RULES.  The board shall adopt rules governing:
    3-3              (1)  the content of the disclosure statement required
    3-4  by this subchapter, consistent with the information categories
    3-5  required by Section 242.202(d); and
    3-6              (2)  the amount of an administrative penalty to be
    3-7  assessed for a violation of this subchapter.
    3-8        SECTION 2.  (a)  Not later than the 90th day after the
    3-9  effective date of this Act, the chairman of the Texas Council on
   3-10  Alzheimer's Disease and Related Disorders authorized by Chapter
   3-11  101, Health and Safety Code, shall appoint a task force composed
   3-12  of:
   3-13              (1)  two members from the Texas Council on Alzheimer's
   3-14  Disease and Related Disorders;
   3-15              (2)  two members of the Alzheimer's Association
   3-16  Coalition of Texas;
   3-17              (3)  two representatives of institutions that provide
   3-18  services to residents with Alzheimer's disease;
   3-19              (4)  two representatives of the professional
   3-20  gerontology community with expertise in Alzheimer's disease; and
   3-21              (5)  one professional staff person from the Texas
   3-22  Department of Human Services with expertise in Alzheimer's disease.
   3-23        (b)  The chairman of the Texas Council on Alzheimer's Disease
   3-24  and Related Disorders shall designate the task force's chairman.
   3-25        (c)  The task force shall meet at the call of its chairman.
   3-26        (d)  Not later than the 180th day after the date the task
   3-27  force is appointed, the task force shall deliver a report to the
    4-1  Texas Department of Human Services recommending the nature and type
    4-2  of information, consistent with the information categories required
    4-3  by Subsection (d), Section 242.202, Health and Safety Code, as
    4-4  added by this Act, that should be included in the disclosure
    4-5  statement required under Subchapter H, Chapter 242, Health and
    4-6  Safety Code, as added by this Act.
    4-7        (e)  Members of the task force are not entitled to
    4-8  compensation, per diem, or expense reimbursement for their service
    4-9  on the task force.
   4-10        (f)  Not later than the 120th day after the date the Texas
   4-11  Department of Human Services receives the task force's report, and
   4-12  after consideration of the task force's recommendations, the Texas
   4-13  Board of Human Services shall adopt rules governing:
   4-14              (1)  the content of the disclosure statement required
   4-15  under Subchapter H, Chapter 242, Health and Safety Code, as added
   4-16  by this Act; and
   4-17              (2)  administrative penalties for institutions that
   4-18  violate Subchapter H, Chapter 242, Health and Safety Code, as added
   4-19  by this Act.
   4-20        (g)  An institution is not required to provide a disclosure
   4-21  statement under Subchapter H, Chapter 242, Health and Safety Code,
   4-22  as added by this Act, before the 30th day after rules are adopted
   4-23  under Subsection (f) of this section.
   4-24        SECTION 3.  The importance of this legislation and the
   4-25  crowded condition of the calendars in both houses create an
   4-26  emergency and an imperative public necessity that the
   4-27  constitutional rule requiring bills to be read on three several
    5-1  days in each house be suspended, and this rule is hereby suspended,
    5-2  and that this Act take effect and be in force from and after its
    5-3  passage, and it is so enacted.