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. 2-50 * * * * *