By:  Harris                                   S.B. No. 407

         97S0243/1                           

                                A BILL TO BE ENTITLED

                                       AN ACT

 1-1     relating to minimum standards, records, suspension or revocation of

 1-2     a license, and administrative penalties for abortion facilities.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  Subsection (c), Section 245.010, Health and

 1-5     Safety Code, is amended to read as follows:

 1-6           (c)  The standards may not be more stringent than Medicare

 1-7     certification standards, if any, for:

 1-8                 (1)  qualifications for professional and

 1-9     nonprofessional personnel;

1-10                 (2)  supervision of professional and nonprofessional

1-11     personnel;

1-12                 (3)  medical treatment and medical services provided by

1-13     an abortion facility and the coordination of treatment and

1-14     services, including quality assurance;

1-15                 (4)  sanitary and hygienic conditions within an

1-16     abortion facility;

1-17                 (5)  the equipment essential to the health and welfare

1-18     of the patients; [and]

1-19                 (6)  clinical records kept by an abortion facility; and

1-20                 (7)  management, ownership, and control of the

1-21     facility.

1-22           SECTION 2.  Subsection (d), Section 245.011, Health and

1-23     Safety Code, is amended to read as follows:

 2-1           (d)  All information and records held by the department under

 2-2     this chapter are confidential and are not open records for the

 2-3     purposes of Chapter 552, Government Code.  That information may not

 2-4     be released or made public on subpoena or otherwise, except that

 2-5     release may be made:

 2-6                 (1)  for statistical purposes, but only if a person,

 2-7     patient, or abortion facility is not identified;

 2-8                 (2)  with the consent of each person, patient, and

 2-9     abortion facility identified in the information released; [or]

2-10                 (3)  to medical personnel, appropriate state agencies,

2-11     or county and district courts to enforce this chapter; or

2-12                 (4)  to appropriate state licensing boards to enforce

2-13     state licensing laws.

2-14           SECTION 3.  Subsection (c), Section 245.012, Health and

2-15     Safety Code, is amended to read as follows:

2-16           (c)  The department may immediately suspend or revoke a

2-17     license when the health and safety of persons are threatened.  If

2-18     the department issues an order of immediate suspension or

2-19     revocation, the department shall immediately give the chief

2-20     executive officer of the abortion facility adequate notice of the

2-21     action and the procedure governing appeal of the action.  A person

2-22     whose license is suspended or revoked under this subsection is

2-23     entitled to a hearing not later than the 14th day after the

2-24     effective date of the suspension or revocation.

2-25           SECTION 4.  Chapter 245, Health and Safety Code, is amended

97S0243/1                                                          

 3-1     by adding Sections 245.017 through 245.022 to read as follows:

 3-2           Sec. 245.017.  ADMINISTRATIVE PENALTY.  (a)  The department

 3-3     may assess an administrative penalty against a person who violates

 3-4     this chapter or a rule adopted under this chapter.

 3-5           (b)  The penalty may not exceed $1,000 for each violation.

 3-6     Each day of a continuing violation constitutes a separate

 3-7     violation.

 3-8           (c)  In determining the amount of an administrative penalty

 3-9     assessed under this section, the department shall consider:

3-10                 (1)  the seriousness of the violation;

3-11                 (2)  the history of previous violations;

3-12                 (3)  the amount necessary to deter future violations;

3-13                 (4)  efforts made to correct the violation; and

3-14                 (5)  any other matters that justice may require.

3-15           (d)  All proceedings for the assessment of an administrative

3-16     penalty under this chapter are subject to Chapter 2001, Government

3-17     Code.

3-18           Sec. 245.018.  REPORT RECOMMENDING ADMINISTRATIVE PENALTY.

3-19     (a)  If, after investigation of a possible violation and the facts

3-20     surrounding that possible violation, the department determines that

3-21     a violation has occurred, the department shall give written notice

3-22     of the violation to the person alleged to have committed the

3-23     violation.  The notice shall include:

3-24                 (1)  a brief summary of the alleged violation;

3-25                 (2)  a statement of the amount of the proposed penalty,

97S0243/1                                                          

 4-1     based on the factors listed in Section 245.017(c); and

 4-2                 (3)  a statement of the person's right to a hearing on

 4-3     the occurrence of the violation, the amount of the penalty, or both

 4-4     the occurrence of the violation and the amount of the penalty.

 4-5           (b)  Not later than the 20th day after the date the notice is

 4-6     received, the person notified may accept the determination of the

 4-7     department made under this section, including the recommended

 4-8     penalty, or make a written request for a hearing on that

 4-9     determination.

4-10           (c)  If the person notified of the violation accepts the

4-11     determination of the department, the commissioner of public health

4-12     or the commissioner's designee shall issue an order approving the

4-13     determination and ordering the person to pay the recommended

4-14     penalty.

4-15           Sec. 245.019.  HEARING; ORDER.  (a)  If the person requests a

4-16     hearing, the commissioner of public health or the commissioner's

4-17     designee shall:

4-18                 (1)  set a hearing;

4-19                 (2)  give written notice of the hearing to the person;

4-20     and

4-21                 (3)  designate a hearings examiner to conduct the

4-22     hearing.

4-23           (b)  The hearings examiner shall make findings of fact and

4-24     conclusions of law and shall promptly issue to the commissioner a

4-25     proposal for decision as to the occurrence of the violation and a

97S0243/1                                                          

 5-1     recommendation as to the amount of the proposed penalty, if a

 5-2     penalty is determined to be warranted.

 5-3           (c)  Based on the findings of fact and conclusions of law and

 5-4     the recommendations of the hearings examiner, the commissioner by

 5-5     order may find that a violation has occurred and may assess a

 5-6     penalty or may find that no violation has occurred.

 5-7           Sec. 245.020.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;

 5-8     JUDICIAL REVIEW; REFUND.  (a)  The commissioner of public health or

 5-9     the commissioner's designee shall give notice of the commissioner's

5-10     order under Section 245.019(c) to the person alleged to have

5-11     committed the violation.  The notice must include:

5-12                 (1)  separate statements of the findings of fact and

5-13     conclusions of law;

5-14                 (2)  the amount of any penalty assessed; and

5-15                 (3)  a statement of the right of the person to judicial

5-16     review of the commissioner's order.

5-17           (b)  Not later than the 30th day after the date the decision

5-18     is final as provided by Chapter 2001, Government Code, the person

5-19     shall:

5-20                 (1)  pay the penalty in full;

5-21                 (2)  pay the amount of the penalty and file a petition

5-22     for judicial review contesting the occurrence of the violation, the

5-23     amount of the penalty, or both the occurrence of the violation and

5-24     the amount of the penalty; or

5-25                 (3)  without paying the amount of the penalty, file a

97S0243/1                                                          

 6-1     petition for judicial review contesting the occurrence of the

 6-2     violation, the amount of the penalty, or both the occurrence of the

 6-3     violation and the amount of the penalty.

 6-4           (c)  Within the 30-day period, a person who acts under

 6-5     Subsection (b)(3) may:

 6-6                 (1)  stay enforcement of the penalty by:

 6-7                       (A)  paying the amount of the penalty to the

 6-8     court for placement in an escrow account; or

 6-9                       (B)  giving to the court a supersedeas bond that

6-10     is approved by the court for the amount of the penalty and that is

6-11     effective until all judicial review of the commissioner's order is

6-12     final; or

6-13                 (2)  request the court to stay enforcement of the

6-14     penalty by:

6-15                       (A)  filing with the court a sworn affidavit of

6-16     the person stating that the person is financially unable to pay the

6-17     amount of the penalty and is financially unable to give the

6-18     supersedeas bond; and

6-19                       (B)  giving a copy of the affidavit to the

6-20     department by certified mail.

6-21           (d)  If the department receives a copy of an affidavit under

6-22     Subsection (c)(2), the department may file with the court, within

6-23     five days after the date the copy is received, a contest to the

6-24     affidavit.  The court shall hold a hearing on the facts alleged in

6-25     the affidavit as soon as practicable and shall stay the enforcement

97S0243/1                                                          

 7-1     of the penalty on finding that the alleged facts are true.  The

 7-2     person who files an affidavit has the burden of proving that the

 7-3     person is financially unable to pay the amount of the penalty and

 7-4     to give a supersedeas bond.

 7-5           (e)  If the person does not pay the amount of the penalty and

 7-6     the enforcement of the penalty is not stayed, the department may

 7-7     refer the matter to the attorney general for collection of the

 7-8     amount of the penalty.

 7-9           (f)  Judicial review of the order of the commissioner of

7-10     public health:

7-11                 (1)  is instituted by filing a petition as provided by

7-12     Subchapter G, Chapter 2001, Government Code; and

7-13                 (2)  is under the substantial evidence rule.

7-14           (g)  If the court sustains the occurrence of the violation,

7-15     the court may uphold or reduce the amount of the penalty and order

7-16     the person to pay the full or reduced amount of the penalty.  If

7-17     the court does not sustain the occurrence of the violation, the

7-18     court shall order that no penalty is owed.

7-19           (h)  When the judgment of the court becomes final, the court

7-20     shall proceed under this subsection.  If the person paid the amount

7-21     of the penalty and if that amount is reduced or is not upheld by

7-22     the court, the court shall order that the appropriate amount plus

7-23     accrued interest be remitted to the person. The rate of the

7-24     interest is the rate charged on loans to depository institutions by

7-25     the New York Federal Reserve Bank, and the interest shall be paid

97S0243/1                                                          

 8-1     for the period beginning on the date the penalty was paid and

 8-2     ending on the date the penalty is remitted.  If the person gave a

 8-3     supersedeas bond and if the amount of the penalty is not upheld by

 8-4     the court, the court shall order the release of the bond.  If the

 8-5     person gave a supersedeas bond and if the amount of the penalty is

 8-6     reduced, the court shall order the release of the bond after the

 8-7     person pays the amount.

 8-8           Sec. 245.021.  PENALTY DEPOSITED TO STATE TREASURY.  A civil

 8-9     or administrative penalty collected under this chapter shall be

8-10     deposited in the state treasury to the credit of the general

8-11     revenue fund.

8-12           Sec. 245.022.  RECOVERY OF COSTS.  (a)  The department may

8-13     assess reasonable expenses and costs against a person in an

8-14     administrative hearing if, as a result of the hearing, the person's

8-15     license is denied, suspended, or revoked or if administrative

8-16     penalties are assessed against the person.  The person shall pay

8-17     expenses and costs assessed under this subsection not later than

8-18     the 30th day after the date a board order requiring the payment of

8-19     expenses and costs is final.  The department may refer the matter

8-20     to the attorney general for collection of the expenses and costs.

8-21           (b)   If the attorney general brings an action against a

8-22     person under Section 245.013 or 245.015 or an action to enforce an

8-23     administrative penalty assessed under Section 245.017 and an

8-24     injunction is granted against the person or the person is found

8-25     liable for a civil or administrative penalty, the attorney general

97S0243/1                                                          

 9-1     may recover, on behalf of the attorney general and the department,

 9-2     reasonable expenses and costs.

 9-3           (c)  For purposes of this section, "reasonable expenses and

 9-4     costs" include expenses incurred by the department and the attorney

 9-5     general in the investigation, initiation, or prosecution of an

 9-6     action, including reasonable investigative costs, attorney's fees,

 9-7     witness fees, and deposition expenses.

 9-8           SECTION 5.  This Act takes effect September 1, 1997.

 9-9           SECTION 6.  The importance of this legislation and the

9-10     crowded condition of the calendars in both houses create an

9-11     emergency and an imperative public necessity that the

9-12     constitutional rule requiring bills to be read on three several

9-13     days in each house be suspended, and this rule is hereby suspended.

97S0243/1