By Van de Putte                                        H.B. No. 971
         76R3334 MCK-F                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to regulation of nursing homes.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Section 242.002(6), Health and Safety Code, as
 1-5     amended by Chapter 693, Acts of the 75th Legislature, Regular
 1-6     Session, 1997, and renumbered by Chapter 1159, Acts of the 75th
 1-7     Legislature, Regular Session, 1997, is designated as Section
 1-8     242.002(10) and reenacted to read as follows:
 1-9                 (10)  "Institution" means an establishment that:
1-10                       (A)  furnishes, in one or more facilities, food
1-11     and shelter to four or more persons who are unrelated to the
1-12     proprietor of the establishment; and
1-13                       (B)  provides minor treatment under the direction
1-14     and supervision of a physician licensed by the Texas State Board of
1-15     Medical Examiners, or other services that meet some need beyond the
1-16     basic provision of food, shelter, and laundry.
1-17           SECTION 2.  Subchapter B, Chapter 242, Health and Safety
1-18     Code, is amended by adding Section 242.0445 to read as follows:
1-19           Sec. 242.0445.  REPORTING OF VIOLATIONS.  (a)  The department
1-20     or the department's representative conducting an inspection,
1-21     survey, or investigation under Section 242.043 or 242.044 shall:
1-22                 (1)  list each violation of a law or rule on a form
1-23     designed by the department for inspections; and
1-24                 (2)  identify the specific law or rule the facility
 2-1     violated.
 2-2           (b)  At the conclusion of an inspection, survey, or
 2-3     investigation under Section 242.043 or 242.044, the department or
 2-4     the department's representative conducting the inspection, survey,
 2-5     or investigation shall discuss the violations with the facility's
 2-6     management in an exit conference.  The department or the
 2-7     department's representative shall leave a written list of the
 2-8     violations with the facility at the time of the exit conference.
 2-9     If the department or the department's representative discovers any
2-10     additional violations during the review of field notes or
2-11     preparation of the official final list, the department or the
2-12     department's representative shall give the facility an additional
2-13     exit conference regarding the additional violations.
2-14           (c)  The facility shall submit a plan to correct the
2-15     violations to the regional director not later than the 10th day
2-16     after the date the facility receives the final statement of
2-17     violations.
2-18           SECTION 3.  Section 242.062(c), Health and Safety Code, is
2-19     amended to read as follows:
2-20           (c)  An order suspending a license or closing a part of an
2-21     institution under this section is immediately effective on the date
2-22     on which the license holder receives written, hand-delivered notice
2-23     or a later date specified in the order.
2-24           SECTION 4.  Section 242.122(b), Health and Safety Code, is
2-25     amended to read as follows:
2-26           (b)  Each institution shall require each employee of the
2-27     institution, as a condition of employment with the institution, to
 3-1     sign a statement that the employee realizes that the employee may
 3-2     be criminally liable for failure to report those abuses and that
 3-3     the employee must follow the facility's internal policies regarding
 3-4     abuse,  neglect, or exploitation.
 3-5           SECTION 5.  This Act takes effect September 1, 1999.
 3-6           SECTION 6.  The importance of this legislation and the
 3-7     crowded condition of the calendars in both houses create an
 3-8     emergency and an imperative public necessity that the
 3-9     constitutional rule requiring bills to be read on three several
3-10     days in each house be suspended, and this rule is hereby suspended.