By:  Moncrief                                          S.B. No. 569
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the provision of hospice services to inmates and
    1-2  defendants confined in facilities operated by the Texas Department
    1-3  of Criminal Justice.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Chapter 493, Government Code, is amended by
    1-6  adding Section 493.014 to read as follows:
    1-7        Sec. 493.014.  CARE OF TERMINALLY ILL INMATES.  (a)  The
    1-8  department may provide direct hospice services for terminally ill
    1-9  inmates and defendants confined in facilities operated by the
   1-10  department or may contract with a licensed hospice for the
   1-11  provision of those services.
   1-12        (b)  In this section, "hospice" and "hospice services" have
   1-13  the meanings assigned to those terms by Section 142.001, Health and
   1-14  Safety Code.
   1-15        SECTION 2.  Subsection (a), Section 142.003, Health and
   1-16  Safety Code, is amended to read as follows:
   1-17        (a)  The following persons need not be licensed under this
   1-18  chapter:
   1-19              (1)  a physician, dentist, registered nurse, or
   1-20  physical therapist licensed under the laws of this state who
   1-21  provides home health services to a client only as a part of and
   1-22  incidental to that person's private office practice;
   1-23              (2)  a registered nurse, licensed vocational nurse,
   1-24  physical therapist, occupational therapist, speech therapist,
    2-1  medical social worker, or any other health care professional as
    2-2  determined by the department who provides home health services as a
    2-3  sole practitioner;
    2-4              (3)  a registry that operates solely as a clearinghouse
    2-5  to put consumers in contact with persons who provide home health,
    2-6  hospice, or personal assistance services and that does not maintain
    2-7  official client records, direct client services, or compensate the
    2-8  person who is providing the service;
    2-9              (4)  an individual whose permanent residence is in the
   2-10  client's residence;
   2-11              (5)  an employee of a person licensed under this
   2-12  chapter who provides home health, hospice, or personal assistance
   2-13  services only as an employee of the license holder and who receives
   2-14  no benefit for providing the services, other than wages from the
   2-15  license holder;
   2-16              (6)  a home, nursing home, convalescent home, personal
   2-17  care facility, special care facility, or other institution for
   2-18  individuals who are elderly or who have disabilities that provides
   2-19  home health or personal assistance services only to residents of
   2-20  the home or institution;
   2-21              (7)  a person who provides one health service through a
   2-22  contract with a person licensed under this chapter;
   2-23              (8)  a durable medical equipment supply company;
   2-24              (9)  a pharmacy or wholesale medical supply company
   2-25  that does not furnish services, other than supplies, to a person at
   2-26  the person's house;
   2-27              (10)  a hospital or other licensed health care facility
    3-1  that provides home health or personal assistance services only to
    3-2  inpatient residents of the hospital or facility;
    3-3              (11)  a person providing home health or personal
    3-4  assistance services to an injured employee under the Texas Workers'
    3-5  Compensation Act (Article 8308-1.01 et seq., Vernon's Texas Civil
    3-6  Statutes);
    3-7              (12)  a visiting nurse service that:
    3-8                    (A)  is conducted by and for the adherents of a
    3-9  well-recognized church or religious denomination; and
   3-10                    (B)  provides nursing services by a person exempt
   3-11  from licensing by Article 4528, Revised Statutes, because the
   3-12  person furnishes nursing care in which treatment is only by prayer
   3-13  or spiritual means;
   3-14              (13)  an individual hired and paid directly by the
   3-15  client or the client's family or legal guardian to provide home
   3-16  health or personal assistance services;
   3-17              (14)  a business, school, camp, or other organization
   3-18  that provides home health or personal assistance services,
   3-19  incidental to the organization's primary purpose, to individuals
   3-20  employed by or participating in programs offered by the business,
   3-21  school, or camp that enable the individual to participate fully in
   3-22  the business's, school's, or camp's programs;
   3-23              (15)  a person or organization providing
   3-24  sitter-companion services or chore or household services that do
   3-25  not involve personal care, health, or health-related services;
   3-26              (16)  a licensed health care facility that provides
   3-27  hospice services under a contract with a hospice;
    4-1              (17)  a person delivering residential acquired immune
    4-2  deficiency syndrome hospice care who is licensed and designated as
    4-3  a residential AIDS hospice under Chapter 248; or
    4-4              (18)  the Texas Department of Criminal Justice <until
    4-5  August 31, 1995, a state agency, mental retardation authority, or
    4-6  mental health authority providing the direct delivery of home
    4-7  health, hospice, or personal assistance services>.
    4-8        SECTION 3.  This Act takes effect September 1, 1995.
    4-9        SECTION 4.  The importance of this legislation and the
   4-10  crowded condition of the calendars in both houses create an
   4-11  emergency and an imperative public necessity that the
   4-12  constitutional rule requiring bills to be read on three several
   4-13  days in each house be suspended, and this rule is hereby suspended.