By:  Moncrief                                 S.B. No. 618

         97S0365/1                           

                                A BILL TO BE ENTITLED

                                       AN ACT

 1-1     relating to the regulation of certain residential facilities;

 1-2     providing civil penalties.

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

 1-4           SECTION 1.  Title 6, Human Resources Code, is amended by

 1-5     adding Chapter 105 to read as follows:

 1-6            CHAPTER 105.  RESIDENTIAL FACILITIES FOR THE ELDERLY

 1-7           Sec. 105.001.  DEFINITIONS.  In this chapter:

 1-8                 (1)  "Establishment" means a facility providing

 1-9     sleeping accommodations to two or more qualifying adult residents

1-10     at least 80 percent of whom are 55 years of age or older or are

1-11     disabled and offering or providing, for a fee, one or more

1-12     supportive services, whether offered or provided directly by the

1-13     facility or by another entity arranged for by the facility.

1-14                 (2)  "Qualifying adult resident" means an adult

1-15     resident of a facility who is not related within the second degree

1-16     by consanguinity or affinity to:

1-17                       (A)  a person who has an ownership interest in

1-18     the facility; or

1-19                       (B)  at least one other resident of the facility.

1-20                 (3)  "Supportive services" means providing, directly or

1-21     indirectly, medical services, health-related services, social

1-22     services, transportation, or help with personal laundry or handling

1-23     or assisting with personal funds of residents, but does not include

 2-1     referral or information services, whether provided by a service

 2-2     coordinator or other employees of the establishment.

 2-3           Sec. 105.002.  EXEMPT FACILITIES.  The following facilities

 2-4     are exempt from the application of this chapter:

 2-5                 (1)  housing in which all supportive services are

 2-6     arranged directly by the residents themselves and are provided by

 2-7     outside entities;

 2-8                 (2)  nursing facilities licensed under Chapter 242,

 2-9     Health and Safety Code; and

2-10                 (3)  continuing care facilities regulated by the Texas

2-11     Department of Insurance under Chapter 246, Health and Safety Code.

2-12           Sec. 105.003.  DISCLOSURE REQUIRED IN CONTRACT.  An

2-13     establishment that is not licensed as a personal care facility

2-14     under Chapter 247, Health and Safety Code, shall execute a contract

2-15     with each of its residents that contains, in addition to other

2-16     required information, the following elements:

2-17                 (1)  the name, street address, and mailing address of

2-18     the establishment;

2-19                 (2)  the name and mailing address of at least one

2-20     person authorized to act on behalf of the owner or owners or

2-21     management agent of the establishment;

2-22                 (3)  a statement describing the licensure status of the

2-23     establishment;

2-24                 (4)  the name and mailing address of any provider,

2-25     including any individual or entity, whether licensed or not

 3-1     licensed, providing supportive services under an arrangement with

 3-2     the establishment;

 3-3                 (5)  the term of the contract;

 3-4                 (6)  a description of the services to be provided that

 3-5     are included in the base monthly rate to be paid by the resident;

 3-6                 (7)  a description of any additional services available

 3-7     for an additional fee from the establishment, directly or through

 3-8     arrangements with the establishment;

 3-9                 (8)  a provision requiring the establishment to provide

3-10     30 days' written notice of any change in fee schedules that outline

3-11     the cost of additional services;

3-12                 (9)  a description of the process by which the contract

3-13     may be modified, amended, or terminated;

3-14                 (10)  a description of the complaint resolution process

3-15     available to residents;

3-16                 (11)  the name, street address, mailing address, and

3-17     telephone number of the resident's designated representative, if

3-18     any;

3-19                 (12)  a list of the criteria used by the establishment

3-20     to determine who may not continue to reside in the building;

3-21                 (13)  a description of the billing and payment

3-22     procedures and requirements;

3-23                 (14)  a statement regarding the ability and right of

3-24     residents to receive services from service providers with whom the

3-25     establishment does not have an arrangement; and

 4-1                 (15)  a statement as to the life safety and fire codes

 4-2     met by the building and a statement as to whether the codes meet

 4-3     the requirements of residents who are not capable of

 4-4     self-evacuation.

 4-5           Sec. 105.004.  ADVERTISING DISCLOSURE.  Any advertisement and

 4-6     any promotional material distributed to the public for an

 4-7     establishment must disclose whether the establishment is licensed

 4-8     as a personal care facility under Chapter 247, Health and Safety

 4-9     Code.

4-10           Sec. 105.005.  REMEDIES.  A resident of an establishment that

4-11     has violated Section 105.003 or 105.004 may obtain or exercise one

4-12     or more of the remedies available to a tenant under Section 92.205,

4-13     Property Code.

4-14           SECTION 2.  Subdivision (3), Section 247.002, Health and

4-15     Safety Code, is amended to read as follows:

4-16                 (3)  "Personal care facility" means an establishment,

4-17     including a board and care home, that:

4-18                       (A)  furnishes[, in one or more facilities,] food

4-19     and shelter to four or more persons who are unrelated to the

4-20     proprietor of the establishment and who are residents in one or

4-21     more facilities that are related by the fact that the same person

4-22     has an ownership interest in each; and

4-23                       (B)  provides personal care services.

4-24           SECTION 3.  Section 247.021, Health and Safety Code, is

4-25     amended to read as follows:

 5-1           Sec. 247.021.  License Required.  A person may not establish

 5-2     or operate a personal care facility without possessing a license

 5-3     [issued] under this chapter for each such facility the person

 5-4     establishes or operates.

 5-5           SECTION 4.  Section 247.045, Health and Safety Code, is

 5-6     amended to read as follows:

 5-7           Sec. 247.045.  Civil Penalties.  (a)  Except as provided by

 5-8     Subsection (b), a [A] person who violates this chapter or who fails

 5-9     to comply with a rule adopted under this chapter and whose

5-10     violation is determined by the department to threaten the health

5-11     and safety of a resident of a personal care facility is subject to

5-12     a civil penalty of not less than $100 nor more than $10,000 for

5-13     each act of violation.  Each day of a continuing violation

5-14     constitutes a separate ground of recovery.

5-15           (b)  A person who does not possess a license for a personal

5-16     care facility as required by Section 247.021 is subject to a civil

5-17     penalty of not less than $1,000 nor more than $10,000 for each act

5-18     of violation.  Each day of a continuing violation constitutes a

5-19     separate ground for recovery.

5-20           SECTION 5.  Subchapter C, Chapter 247, Health and Safety

5-21     Code, is amended by adding Section 247.047 to read as follows:

5-22           Sec. 247.047.  AUTHORITY TO DEVELOP ALTERNATIVE REMEDIES.  In

5-23     addition to the enforcement provisions authorized by this chapter,

5-24     the department may by rule develop alternative remedies as

5-25     necessary to administer this chapter, including but not limited to

 6-1     the remedies authorized in Chapter 242.

 6-2           SECTION 6.  (a)  The change in law made by this Act applies

 6-3     only to a violation committed on or after the effective date of

 6-4     this Act.  For purposes of this section, a violation is committed

 6-5     before the effective date of this Act if any element of the

 6-6     violation occurs before that date.

 6-7           (b)  A violation committed before the effective date of this

 6-8     Act is covered by the law in effect when the violation was

 6-9     committed, and the former law is continued in effect for this

6-10     purpose.

6-11           SECTION 7.  This Act takes effect September 1, 1997.

6-12           SECTION 8.  The importance of this legislation and the

6-13     crowded condition of the calendars in both houses create an

6-14     emergency and an imperative public necessity that the

6-15     constitutional rule requiring bills to be read on three several

6-16     days in each house be suspended, and this rule is hereby suspended.