1-1  By:  Montford                                          S.B. No. 436
    1-2        (In the Senate - Filed February 3, 1995; February 6, 1995,
    1-3  read first time and referred to Committee on Health and Human
    1-4  Services; February 16, 1995, reported adversely, with favorable
    1-5  Committee Substitute by the following vote:  Yeas 8, Nays 0;
    1-6  February 16, 1995, sent to printer.)
    1-7  COMMITTEE SUBSTITUTE FOR S.B. No. 436                 By:  Montford
    1-8                         A BILL TO BE ENTITLED
    1-9                                AN ACT
   1-10  relating to the regulation of certain facilities that advertise the
   1-11  provision of special care for residents with Alzheimer's disease
   1-12  and related disorders.
   1-13        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-14        SECTION 1. Chapter 242, Health and Safety Code, is amended by
   1-15  adding Subchapter H to read as follows:
   1-16      SUBCHAPTER H.  CARE FOR RESIDENTS WITH ALZHEIMER'S DISEASE
   1-17                         AND RELATED DISORDERS
   1-18        Sec. 242.201.  SCOPE OF SUBCHAPTER.  This subchapter applies
   1-19  only to an institution that advertises, markets, or otherwise
   1-20  promotes that the institution provides services to residents with
   1-21  Alzheimer's disease and related disorders.
   1-22        Sec. 242.202.  DISCLOSURE REQUIRED.  (a)  An institution
   1-23  covered by this subchapter shall provide a disclosure statement
   1-24  disclosing the nature of its care or treatment of residents with
   1-25  Alzheimer's disease and related disorders to:
   1-26              (1)  an individual seeking placement as a resident with
   1-27  Alzheimer's disease or a related disorder;
   1-28              (2)  an individual attempting to place another
   1-29  individual as a resident with Alzheimer's disease or a related
   1-30  disorder; or
   1-31              (3)  a person seeking information about the
   1-32  institution's care or treatment of residents with Alzheimer's
   1-33  disease and related disorders.
   1-34        (b)  The disclosure statement must be displayed with the
   1-35  institution's license as it is posted under Section 242.042.
   1-36        (c)  The institution must file the disclosure statement with
   1-37  the department as part of the report filed under Section
   1-38  242.033(d).  The department shall verify contents of the disclosure
   1-39  statement as part of the license renewal process.
   1-40        (d)  The disclosure statement must contain the following
   1-41  categories of information:
   1-42              (1)  the institution's philosophy of care;
   1-43              (2)  the preadmission, admission, and discharge
   1-44  process;
   1-45              (3)  resident assessment, care planning, and
   1-46  implementation of the care plan;
   1-47              (4)  staffing patterns, such as resident-to-staff
   1-48  ratios, and staff training;
   1-49              (5)  the physical environment of the institution;
   1-50              (6)  resident activities;
   1-51              (7)  program costs;
   1-52              (8)  systems for evaluation of the institution's
   1-53  programs for residents; and
   1-54              (9)  family involvement in resident care.
   1-55        (e)  The institution must update the disclosure statement as
   1-56  needed to reflect changes in the operation of the institution.
   1-57        Sec. 242.203.  VIOLATION.  (a)  An institution that violates
   1-58  this subchapter is subject to an administrative penalty under
   1-59  Subchapter C.
   1-60        (b)  The department may not revoke or suspend the license of
   1-61  an institution for a violation of this subchapter.
   1-62        Sec. 242.204.  RULES.  The board shall adopt rules governing:
   1-63              (1)  the content of the disclosure statement required
   1-64  by this subchapter, consistent with the information categories
   1-65  required by Section 242.202(d); and
   1-66              (2)  the amount of an administrative penalty to be
   1-67  assessed for a violation of this subchapter.
   1-68        SECTION 2.  (a)  Not later than the 90th day after the
    2-1  effective date of this Act, the chairman of the Texas Council on
    2-2  Alzheimer's Disease and Related Disorders authorized by Chapter
    2-3  101, Health and Safety Code, shall appoint a task force composed
    2-4  of:
    2-5              (1)  two members from the Texas Council on Alzheimer's
    2-6  Disease and Related Disorders;
    2-7              (2)  two members of the Alzheimer's Association
    2-8  Coalition of Texas;
    2-9              (3)  two representatives of institutions that provide
   2-10  services to residents with Alzheimer's disease;
   2-11              (4)  two representatives of the professional
   2-12  gerontology community with expertise in Alzheimer's disease; and
   2-13              (5)  one professional staff person from the Texas
   2-14  Department of Human Services with expertise in Alzheimer's disease.
   2-15        (b)  The chairman of the Texas Council on Alzheimer's Disease
   2-16  and Related Disorders shall designate the task force's chairman.
   2-17        (c)  The task force shall meet at the call of its chairman.
   2-18        (d)  Not later than the 180th day after the date the task
   2-19  force is appointed, the task force shall deliver a report to the
   2-20  Texas Department of Human Services recommending the nature and type
   2-21  of information, consistent with the information categories required
   2-22  by Subsection (d), Section 242.202, Health and Safety Code, as
   2-23  added by this Act, that should be included in the disclosure
   2-24  statement required under Subchapter H, Chapter 242, Health and
   2-25  Safety Code, as added by this Act.
   2-26        (e)  Members of the task force are not entitled to
   2-27  compensation, per diem, or expense reimbursement for their service
   2-28  on the task force.
   2-29        (f)  Not later than the 120th day after the date the Texas
   2-30  Department of Human Services receives the task force's report, and
   2-31  after consideration of the task force's recommendations, the Texas
   2-32  Board of Human Services shall adopt rules governing:
   2-33              (1)  the content of the disclosure statement required
   2-34  under Subchapter H, Chapter 242, Health and Safety Code, as added
   2-35  by this Act; and
   2-36              (2)  administrative penalties for institutions that
   2-37  violate Subchapter H, Chapter 242, Health and Safety Code, as added
   2-38  by this Act.
   2-39        (g)  An institution is not required to provide a disclosure
   2-40  statement under Subchapter H, Chapter 242, Health and Safety Code,
   2-41  as added by this Act, before the 30th day after rules are adopted
   2-42  under Subsection (f) of this section.
   2-43        SECTION 3.  The importance of this legislation and the
   2-44  crowded condition of the calendars in both houses create an
   2-45  emergency and an imperative public necessity that the
   2-46  constitutional rule requiring bills to be read on three several
   2-47  days in each house be suspended, and this rule is hereby suspended,
   2-48  and that this Act take effect and be in force from and after its
   2-49  passage, and it is so enacted.
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