SRC-AXB S.B. 196 76(R)BILL ANALYSIS Senate Research CenterS.B. 196 By: Madla Health Services 6/22/1999 Enrolled DIGEST Currently, there is an established system for regulating intermediate care facilities for the mentally retarded (ICF-MR) which addresses ICF-MR regulation, governance, and use of administrative penalties. However, the specific provisions for penalties do not address many due process provisions offered in parallel licensing statutes for similar programs. This bill clarifies and creates provisions regarding violations and penalties affecting ICF-MR facilities. PURPOSE As enrolled, S.B. 196 sets forth provisions and administrative penalties for intermediate care facilities for the mentally retarded. RULEMAKING AUTHORITY Rulemaking authority is granted to the Texas Department of Human Services in SECTION 1 (Sections 252.033(h), and 252.065(c)-(e), Health and Safety Code) of this bill. SECTION BY SECTION ANALYSIS SECTION 1. Amends Section 252.033, Health and Safety Code, by adding Subsection (h), to require the Texas Department of Human Services (department), by rule, to define criteria for denial or revocation of licenses. SECTION 2. Amends Chapter 252B, Health and Safety Code, by adding Section 252.044, as follows: Sec. 252.044. REPORTING VIOLATIONS. Requires the department to perform certain actions while conducting an inspection, survey, or investigation. Requires the department to discuss violations with the facility's management, and to provide a list of violations to certain entities. Requires the department to conduct another discussion with the facility if further violations are found. Requires the facility to submit a violation correction plan by the 10th day after receipt of the final statement of violations. SECTION 3. Amends Section 252.065, Health and Safety Code, to require the penalty for a facility with fewer than 60 beds to be between $100 and $1, 000 for each violation, and the penalty for a facility with 60 or more beds to not exceed $5,000 for each violation. Provides further specifications regarding the allowable assessed penalties. Sets forth requirements concerning the administrative penalty value and clarifies what is considered a violation. Authorizes the department, by rule, to specify violations warranting an administrative penalty and sets forth a list of items the department is required to consider. Authorizes the department, by rule, to establish a specific and detailed schedule of penalties for violations based on specifics of the violation. Requires the department, by rule, to provide the facility with at least 45 days to correct the violation before assessing a penalty, if a plan of correction has been implemented. Provides that this subsection does not apply to a violation that constitutes a serious threat to the health and safety of a resident. Prohibits a penalty from being assessed for minor violations prior to 46 days after the violator receives notice of the violation. Requires the department to establish a system ensuring consistent application of penalties. Provides that all penalty proceedings under this chapter are subject to Chapter 2001, Government Code. Prohibits the department from assessing a penalty against a state agency. Provides that a penalty ceases to accrue when the violation is corrected. Provides that the penalty ceases to be incurred if the facility takes certain actions. Sets forth requirements for the rules adopted under this subsection. Deletes the department's rulemaking authority to establish gradations and amounts of penalties. Deletes certain departmental considerations in determining the amount of a penalty. Deletes text prohibiting the department from assessing certain penalties. Makes conforming and nonsubstantive changes. SECTION 4. Amends Chapter 252C, Health and Safety Code, by adding Section 252.0651, as follows: Sec. 252.0651. APPLICATION OF OTHER LAW. Limits the authority of the department to assess multiple penalties for violations arising out of the same failure to act. SECTION 5. Amends Section 252.066, Health and Safety Code, as follows: Sec. 252.066. New heading: NOTICE; REQUEST FOR HEARING. Requires the department to give written notice to a certain person, and sets forth the required information to be included in the notice. Authorizes the person notified to accept the department's determination, or to make a written request for a hearing, not later than the 20th day after violation notification is received. Authorizes the commissioner of human services or a designee to order the person to pay the proposed penalty, if the person notified under this section accepts the determination or fails to respond to the notification. Deletes Texas Board of Human Services rulemaking authority concerning the assessment of administrative penalties. Deletes text requiring certain criteria for rules in this section, including the requirement that a penalty be appropriate to the violation. Deletes text authorizing the department to assess a per diem penalty. Deletes text defining "immediate and serious threat." SECTION 6. Amends Chapter 252C, Health and Safety Code, by adding Sections 252.067 through 252.071, as follows: Sec. 252.067. HEARING; ORDER. Sets forth requirements for the department if the person notified requests a hearing. Sets forth required actions of the hearings examiner. Authorizes the commissioner of human services or a designee to find that a violation has occurred and to assess a penalty or to find that no violation has occurred, based on the results of the hearing. Sec. 252.068. NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY; JUDICIAL REVIEW; REFUND. Requires the department to notify the alleged violator and the person designated by the facility to receive notice under Section 252.066, and sets forth the required information to be included in the notification. Sets forth actions required of the alleged violator. Authorizes the alleged violator to take certain actions within the 30-day period after the final decision concerning the alleged violation. Authorizes the department to contest a sworn affidavit stating that the alleged violator is unable to pay the penalty, under certain conditions. Sets forth procedures regarding the contested affidavit. Authorizes the department to refer the matter of an alleged violator who does not pay the penalty to the attorney general. Sets forth provisions regarding the judicial review of the order. Authorizes the court sustaining the violation to reduce the amount of the penalty and order the violator to pay. Authorizes the court to order that no penalty is owed if it does not sustain the violation. Sets forth court procedures following a final judgment. Sec. 252.069. PENALTY DEPOSITED TO STATE TREASURY. Requires a collected administrative penalty to be credited to the general revenue fund. Sec. 252.070. EXPENSES AND COSTS FOR COLLECTION OF CIVIL OR ADMINISTRATIVE PENALTY. Authorizes the attorney general to recover reasonable costs and expenses from a person found liable for a civil or administrative penalty. Describes reasonable expenses and costs. Sec. 252.071. AMELIORATION OF VIOLATION. Authorizes the department to require a person subject to a penalty to use the penalty funds to improve the facility affected by the violation, in lieu of ordering the penalty's payment. SECTION 7.Effective date: September 1, 1999. Makes application of this Act prospective. SECTION 8.Emergency clause.