By:  Madla                                             S.B. No. 196
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to administrative penalties for intermediate care
 1-2     facilities for the mentally retarded.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Section 252.033, Health and Safety Code, is
 1-5     amended by adding Subsection (h) to read as follows:
 1-6           (h)  The department by rule shall define specific,
 1-7     appropriate, and objective criteria on which it may deny an initial
 1-8     license application or license renewal or revoke a license.
 1-9           SECTION 2.  Subchapter B, Chapter 252, Health and Safety
1-10     Code, is amended by adding Section 252.044 to read as follows:
1-11           Sec. 252.044.  REPORTING VIOLATIONS.  (a)  The department or
1-12     the department's representative conducting an inspection, survey,
1-13     or investigation under this chapter shall:
1-14                 (1)  list each violation of a law or rule on a form
1-15     designed by the department for inspections; and
1-16                 (2)  identify the specific law or rule the facility
1-17     violates.
1-18           (b)  At the conclusion of an inspection, survey, or
1-19     investigation under this chapter, the department or the
1-20     department's representative conducting the inspection, survey, or
1-21     investigation shall discuss the violations with the facility's
1-22     management in an exit conference.  The department or the
1-23     department's representative shall leave a written list of the
1-24     violations with the facility and the person designated by the
 2-1     facility to receive notice, under Section 252.066 at the time of
 2-2     the exit conference.  If the department or the department's
 2-3     representative discovers any additional violations during the
 2-4     review of field notes or preparation of the official final list,
 2-5     the department or the department's representative shall give the
 2-6     facility an additional exit conference regarding the additional
 2-7     violations.
 2-8           (c)  The facility shall submit a plan to correct the
 2-9     violations to the regional director not later than the 10th day
2-10     after the date the facility receives the final statement of
2-11     violations.
2-12           SECTION 3.  Section 252.065, Health and Safety Code, is
2-13     amended to read as follows:
2-14           Sec. 252.065.  ADMINISTRATIVE PENALTY.  (a)  The department
2-15     may assess an administrative penalty against a facility that
2-16     violates this chapter or a rule adopted under this chapter [as
2-17     specified by this section].
2-18           (b)  The penalty shall be not less than $100 or more than
2-19     $1,000 for each violation.  Each day of a violation that occurs
2-20     before the day on which the person receives written notice of the
2-21     violation from the department does not constitute a separate
2-22     violation and shall be considered to be one violation.  Each day of
2-23     a continuing violation that occurs after the day on which the
2-24     person receives written notice of the violation from the department
2-25     constitutes a separate violation.  [The department by rule shall
2-26     establish gradations and amounts of penalties.]
 3-1           (c)  The department by rule shall specify each violation for
 3-2     which an administrative penalty may be assessed.  In determining
 3-3     which violations warrant penalties, the department shall consider:
 3-4                 (1)  the seriousness of the violation, including the
 3-5     nature, circumstances, extent, and gravity of the violation and the
 3-6     hazard of the violation to the health or safety of clients; and
 3-7                 (2)  whether the affected facility had identified the
 3-8     violation as a part of its internal quality assurance process and
 3-9     had made appropriate progress on correction.  [In determining the
3-10     amount of a penalty, the department shall consider:]
3-11                 [(1)  the gradations of penalties established under
3-12     Subsection (b);]
3-13                 [(2)  the seriousness of the violation, including the
3-14     nature, circumstances, extent, and gravity of the violation;]
3-15                 [(3)  the hazard or potential hazard created by the
3-16     violation to the public health and safety;]
3-17                 [(4)  any previous violations;]
3-18                 [(5)  the amount necessary to deter future violations;]
3-19                 [(6)  efforts made to correct the violation;]
3-20                 [(7)  the size of the facility; and]
3-21                 [(8)  any other matter justice may require.]
3-22           (d)  The department by rule shall establish a specific and
3-23     detailed schedule of appropriate and graduated penalties for each
3-24     violation based on:
3-25                 (1)  the seriousness of the violation, including the
3-26     nature, circumstances, extent, and gravity of the violation and the
 4-1     hazard of the violation to the health or safety of clients;
 4-2                 (2)  the history of previous violations;
 4-3                 (3)  whether the affected facility  had identified the
 4-4     violation as a part of its internal quality assurance process and
 4-5     had made appropriate progress on correction;
 4-6                 (4)  the amount necessary to deter future violations;
 4-7                 (5)  efforts made to correct the violation;
 4-8                 (6)  the size of the facility; and
 4-9                 (7)  any other matters that justice may require.  [The
4-10     penalty may not exceed $5,000 for each violation.  Each day of a
4-11     continuing violation constitutes a separate violation.]
4-12           (e)  The department by rule shall provide the facility with a
4-13     reasonable period of time, not less than 45 days,  following the
4-14     first day of a violation to correct the violation before assessing
4-15     an administrative penalty if a plan of correction has been
4-16     implemented [may not assess a penalty under both this subchapter
4-17     and Section 32.021, Human Resources Code, for a violation arising
4-18     out of the same act or failure to act].
4-19           (f)  The department may not assess an administrative penalty
4-20     for a minor violation if the person corrects the violation not
4-21     later than the 46th day after the date the person receives notice
4-22     of the violation.
4-23           (g)  The department shall establish a system to ensure
4-24     standard and consistent application of penalties regardless of the
4-25     facility location.
4-26           (h)  All proceedings for the assessment of an administrative
 5-1     penalty under this chapter are subject to Chapter 2001, Government
 5-2     Code.
 5-3           (i)  The department may not assess an administrative penalty
 5-4     against a state agency.
 5-5           (j)  Notwithstanding any other provision of this section, an
 5-6     administrative penalty ceases to be incurred on the date a
 5-7     violation is corrected.  The administrative penalty ceases to be
 5-8     incurred only if the facility:
 5-9                 (1)  notifies the department in writing of the
5-10     correction of the violation and of the date the violation was
5-11     corrected; and
5-12                 (2)  shows later that the violation was corrected.
5-13           SECTION 4.  Section 252.066, Health and Safety Code, is
5-14     amended to read as follows:
5-15           Sec. 252.066.  NOTICE; REQUEST FOR HEARING [RULES REGARDING
5-16     ADMINISTRATIVE PENALTY].  (a)  If, after investigation of a
5-17     possible violation and the facts surrounding that possible
5-18     violation, the department determines that a violation has occurred,
5-19     the department shall give written notice of the violation to the
5-20     person designated by the facility to receive notice.  The notice
5-21     shall include:
5-22                 (1)  a brief summary of the alleged violation;
5-23                 (2)  a statement of the amount of the proposed penalty
5-24     based on the factors listed in Section 252.065(d); and
5-25                 (3)  a statement of the person's right to a hearing on
5-26     the occurrence of the violation, the amount of the penalty, or both
 6-1     the occurrence of the violation and the amount of the penalty. [The
 6-2     board shall adopt rules governing the assessment of administrative
 6-3     penalties under this chapter, including rules providing procedures
 6-4     for:]
 6-5                 [(1)  giving notice of a violation to a facility;]
 6-6                 [(2)  payment and refund of a penalty; and]
 6-7                 [(3)  hearings and appeals.]
 6-8           (b)  Not later than the 20th day after the date on which the
 6-9     notice is received, the person notified may accept the
6-10     determination of the department made under this section, including
6-11     the proposed penalty, or may make a written request for a hearing
6-12     on that determination.  [Rules adopted under this section shall
6-13     include specific and objective criteria that describe the scope and
6-14     severity of a violation that results in a recommendation for each
6-15     specific penalty.  A penalty must be appropriate to the violation.]
6-16           (c)  If the person notified under this section of the
6-17     violation accepts the determination of the department or if the
6-18     person fails to respond in a timely manner to the notice, the
6-19     commissioner of human services or the commissioner's designee shall
6-20     issue an order approving the determination and ordering that the
6-21     person pay the proposed penalty.  [The rules must establish a
6-22     system to ensure standard and consistent application of penalties
6-23     by local surveyors and across different areas of the state.]
6-24           [(d)  The department may prescribe a per diem penalty.  The
6-25     per diem penalty ceases on the date a violation is corrected.  The
6-26     per diem penalty ceases only if the facility notifies the
 7-1     department in writing that the violation has been corrected and of
 7-2     the date of the correction and shows later that the violation was
 7-3     corrected.]
 7-4           [(e)  For purposes of this section, "immediate and serious
 7-5     threat" means a situation in which there is a high probability that
 7-6     serious harm or injury to residents could occur at any time or has
 7-7     already occurred and may occur again if residents are not protected
 7-8     effectively from the harm or if the threat is not removed.]
 7-9           SECTION 5.  Subchapter C, Chapter 252, Health and Safety
7-10     Code, is amended by adding Sections 252.067 through 252.071 to read
7-11     as follows:
7-12           Sec. 252.067.  HEARING; ORDER.  (a)  If the person notified
7-13     requests a hearing, the department shall:
7-14                 (1)  set a hearing;
7-15                 (2)  give written notice of the hearing to the person;
7-16     and
7-17                 (3)  designate a hearings examiner to conduct the
7-18     hearing.
7-19           (b)  The hearings examiner shall make findings of fact and
7-20     conclusions of law and shall promptly issue to the commissioner of
7-21     human services or the commissioner's designee a proposal for
7-22     decision as to the occurrence of the violation and a recommendation
7-23     as to the amount of the proposed penalty if a penalty is determined
7-24     to be warranted.
7-25           (c)  Based on the findings of fact and conclusions of law and
7-26     the recommendations of the hearings examiner, the commissioner of
 8-1     human services or the commissioner's designee by order may find
 8-2     that a violation has occurred and may assess a penalty or may find
 8-3     that no violation has occurred.
 8-4           Sec. 252.068.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;
 8-5     JUDICIAL REVIEW; REFUND.  (a)  The department shall give notice of
 8-6     the order under Section 252.067(c) to the person alleged to have
 8-7     committed the violation and the person designated by the facility
 8-8     to receive notice under Section 252.066.  The notice must include:
 8-9                 (1)  separate statements of the findings of fact and
8-10     conclusions of law;
8-11                 (2)  the amount of any penalty assessed; and
8-12                 (3)  a statement of the right of the person to judicial
8-13     review of the order.
8-14           (b)  Not later than the 30th day after the date on which the
8-15     decision becomes final as provided by Chapter 2001, Government
8-16     Code, the person shall:
8-17                 (1)  pay the penalty; or
8-18                 (2)  file a petition for judicial review contesting the
8-19     occurrence of the violation, the amount of the penalty, or both the
8-20     occurrence of the violation and the amount of the penalty.
8-21           (c)  Within the 30-day period, a person who acts under
8-22     Subsection (b)(2) may:
8-23                 (1)  stay enforcement of the penalty by:
8-24                       (A)  paying the penalty to the court for
8-25     placement in an escrow account; or
8-26                       (B)  giving to the court a supersedeas bond that
 9-1     is approved by the court for the amount of the penalty and that is
 9-2     effective until all judicial review of the order becomes final; or
 9-3                 (2)  request the court to stay enforcement of the
 9-4     penalty by:
 9-5                       (A)  filing with the court a sworn affidavit of
 9-6     the person stating that the person is financially unable to pay the
 9-7     amount of the penalty and is financially unable to give the
 9-8     supersedeas bond; and
 9-9                       (B)  giving a copy of the affidavit to the
9-10     department by certified mail.
9-11           (d)  If the department receives a copy of an affidavit under
9-12     Subsection (c)(2), the department may file with the court, within
9-13     10 days after the date the copy is received, a contest to the
9-14     affidavit.  The court shall hold a hearing on the facts alleged in
9-15     the affidavit as soon as practicable and shall stay the enforcement
9-16     of the penalty on finding that the alleged facts are true.  The
9-17     person who files an affidavit has the burden of proving that the
9-18     person is financially unable to pay the penalty and to give a
9-19     supersedeas bond.
9-20           (e)  If the person does not pay the penalty and the
9-21     enforcement of the penalty is not stayed, the department may refer
9-22     the matter to the attorney general for collection of the penalty.
9-23           (f)  Judicial review of the order:
9-24                 (1)  is instituted by filing a petition as provided by
9-25     Subchapter G, Chapter 2001, Government Code; and
9-26                 (2)  is under the substantial evidence rule.
 10-1          (g)  If the court sustains the occurrence of the violation,
 10-2    the court may uphold or reduce the amount of the penalty and order
 10-3    the person to pay the full or reduced amount of the penalty.  If
 10-4    the court does not sustain the occurrence of the violation, the
 10-5    court shall order that no penalty is owed.
 10-6          (h)  When the judgment of the court becomes final, the court
 10-7    shall proceed under this subsection.  If the person paid the amount
 10-8    of the penalty under Subsection (c)(1)(A) and if that amount is
 10-9    reduced or is not upheld by the court, the court shall order that
10-10    the appropriate amount plus accrued interest be remitted to the
10-11    person.  The rate of the interest is the rate charged on loans to
10-12    depository institutions by the New York Federal Reserve Bank, and
10-13    the interest shall be paid for the period beginning on the date the
10-14    penalty was paid and ending on the date the penalty is remitted.
10-15    If the person gave a supersedeas bond and if the penalty is not
10-16    upheld by the court, the court shall order the release of the
10-17    escrow account or bond.  If the person gave a supersedeas bond and
10-18    if the amount of the penalty is reduced, the court shall order the
10-19    release of the bond after the person pays the amount.
10-20          Sec. 252.069.  PENALTY DEPOSITED TO STATE TREASURY.  An
10-21    administrative penalty collected under this subchapter shall be
10-22    deposited in the state treasury to the credit of the general
10-23    revenue fund.
10-24          Sec. 252.070.  EXPENSES AND COSTS FOR COLLECTION OF CIVIL OR
10-25    ADMINISTRATIVE PENALTY.  (a)  If the attorney general brings an
10-26    action against a person under Section 252.062 or 252.064 or to
 11-1    enforce an administrative penalty assessed under Section 252.065
 11-2    and an injunction is granted against the person or the person is
 11-3    found liable for a civil or administrative penalty, the attorney
 11-4    general may recover, on behalf of the attorney general and the
 11-5    department, reasonable expenses and costs.
 11-6          (b)  For purposes of this section, reasonable expenses and
 11-7    costs include expenses incurred by the department and the attorney
 11-8    general in the investigation, initiation, and prosecution of an
 11-9    action, including reasonable investigative costs, attorney's fees,
11-10    witness fees, and deposition expenses.
11-11          Sec. 252.071.  AMELIORATION OF VIOLATION.  In lieu of
11-12    ordering payment of an administrative penalty authorized by this
11-13    subchapter, the department may require a person subject to the
11-14    penalty to use, under the supervision of the department, all or
11-15    part of the amount of the penalty to ameliorate the violation or to
11-16    improve services, other than administrative services, in the
11-17    facility affected by the violation.
11-18          SECTION 6.  (a)  This Act takes effect September 1, 1999.
11-19          (b)  The changes in law made by this Act relating to an
11-20    administrative penalty apply only to a violation that occurs on or
11-21    after the effective date of this Act.  For the purpose of this
11-22    section, an offense is committed before the effective date of this
11-23    Act if any element of the offense occurs before that date.  A
11-24    violation that occurred before the effective date of this Act is
11-25    covered by the law in effect when the violation occurred, and the
11-26    former law is continued in effect for that purpose.
 12-1          SECTION 7.  The importance of this legislation and the
 12-2    crowded condition of the calendars in both houses create an
 12-3    emergency and an imperative public necessity that the
 12-4    constitutional rule requiring bills to be read on three several
 12-5    days in each house be suspended, and this rule is hereby suspended.