By:  Zaffirini                                         S.B. No. 967
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to creating a registry for acts of misconduct of certain
 1-2     employees of facilities licensed by, or certain entities that
 1-3     contract with, the Texas Department of Human Services.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Subtitle B, Title 4, Health and Safety Code, is
 1-6     amended by adding Chapter 253 to read as follows:
 1-7                 CHAPTER 253.  EMPLOYEE MISCONDUCT REGISTRY
 1-8           Sec. 253.001.  DEFINITIONS.  In this chapter:
 1-9                 (1)  "Commissioner" means the commissioner of human
1-10     services.
1-11                 (2)  "Department" means the Texas Department of Human
1-12     Services.
1-13                 (3)  "Employee" means a person who:
1-14                       (A)  works at a facility;
1-15                       (B)  is an individual who provides personal care
1-16     services, active treatment, or any other personal services to a
1-17     resident or consumer of the facility;
1-18                       (C)  is not licensed by an agency of the state to
1-19     perform the services the employee performs at the facility; and
1-20                       (D)  is not a nurse aide employed by a nursing
1-21     facility.
1-22                 (4)  "Facility" means:
1-23                       (A)  a facility licensed by the department; or
1-24                       (B)  an adult foster care provider that contracts
 2-1     with the department.
 2-2           Sec. 253.002.  INVESTIGATION BY DEPARTMENT.  If the
 2-3     department receives a report that an employee of a facility has
 2-4     abused, neglected, or exploited a resident or consumer of a
 2-5     facility or misappropriated a resident's or consumer's property,
 2-6     the department shall investigate the report to determine whether
 2-7     the employee has committed the act of abuse, neglect, exploitation,
 2-8     or misappropriation.
 2-9           Sec. 253.003.  DETERMINATION; NOTICE.  (a)  If, after an
2-10     investigation, the department determines that the employee abused,
2-11     neglected, or exploited a resident or consumer of the facility or
2-12     misappropriated a resident's or consumer's property, the department
2-13     shall give written notice of the department's findings.  The notice
2-14     must include:
2-15                 (1)  a brief summary of the department's findings; and
2-16                 (2)  a statement of the person's right to a hearing on
2-17     the occurrence of the misconduct.
2-18           (b)  Not later than the 30th day after the date on which the
2-19     notice is received, the employee notified may accept the
2-20     determination of the department made under this section or may make
2-21     a written request for a hearing on that determination.
2-22           (c)  If the employee notified of the violation accepts the
2-23     determination of the department or fails to timely respond to the
2-24     notice, the commissioner or the commissioner's designee shall issue
2-25     an order approving the determination and ordering that the incident
2-26     of misconduct be recorded in the registry under Section 253.007.
 3-1           Sec. 253.004.  HEARING; ORDER.  (a)  If the employee requests
 3-2     a hearing, the department shall:
 3-3                 (1)  set a hearing;
 3-4                 (2)  give written notice of the hearing to the
 3-5     employee; and
 3-6                 (3)  designate a hearings examiner to conduct the
 3-7     hearing.
 3-8           (b)  The hearings examiner shall make findings of fact and
 3-9     conclusions of law and shall promptly issue to the commissioner or
3-10     the commissioner's designee a proposal for decision as to the
3-11     occurrence of the violation.
3-12           (c)  Based on the findings of fact and conclusions of law and
3-13     the recommendations of the hearings examiner, the commissioner or
3-14     the commissioner's designee by order may find that an act of
3-15     misconduct has occurred.  If the commissioner or the commissioner's
3-16     designee finds that an act of misconduct has occurred, the
3-17     commissioner or the commissioner's designee shall issue an order
3-18     approving the determination and ordering that the incident of
3-19     misconduct be recorded in the registry under Section 253.007.
3-20           Sec. 253.005.  NOTICE; JUDICIAL REVIEW.  (a)  The department
3-21     shall give notice of the order under Section 253.004 to the
3-22     employee alleged to have committed the act of misconduct.  The
3-23     notice must include:
3-24                 (1)  separate statements of the findings of fact and
3-25     conclusions of law; and
3-26                 (2)  a statement of the right of the employee to
 4-1     judicial review of the order.
 4-2           (b)  Not later than the 30th day after the date on which the
 4-3     decision becomes final as provided by Chapter 2001, Government
 4-4     Code, the employee may file a petition for judicial review
 4-5     contesting the finding of an act of misconduct.
 4-6           (c)  Judicial review of the order:
 4-7                 (1)  is instituted by filing a petition as provided by
 4-8     Subchapter G, Chapter 2001, Government Code; and
 4-9                 (2)  is under the substantial evidence rule.
4-10           (d)  If the court sustains the finding of the occurrence of
4-11     an act of misconduct, the department shall keep the incident listed
4-12     in the registry.  If the court does not sustain the finding of the
4-13     occurrence of an act of misconduct, the court shall order the
4-14     department to remove the incident from the registry.
4-15           Sec. 253.006.  INFORMAL PROCEEDINGS.  The department by rule
4-16     shall adopt procedures governing informal proceedings held in
4-17     compliance with Section 2001.056, Government Code.
4-18           Sec. 253.007.  EMPLOYEE MISCONDUCT REGISTRY.  (a)  If an
4-19     employee abuses, neglects, or exploits a resident or consumer of a
4-20     facility or misappropriates a resident's or consumer's property,
4-21     the department shall make a record of the employee's name, the
4-22     employee's address, the employee's social security number, the name
4-23     of the facility, the address of the facility, the date of the act
4-24     of misconduct, and a description of the act of misconduct.
4-25           (b)  If an agency of another state or the federal government
4-26     finds that an employee has abused, neglected, or exploited a
 5-1     resident or consumer of a facility or misappropriated a resident's
 5-2     or consumer's property, the department may make a record in the
 5-3     employee misconduct registry of the employee's name, the employee's
 5-4     address, the employee's social security number, the name of the
 5-5     facility, the address of the facility, the date of the act of
 5-6     misconduct, and a description of the act of misconduct.
 5-7           (c)  The department shall make the registry available to the
 5-8     public.
 5-9           Sec. 253.008.  VERIFICATION OF EMPLOYABILITY.  (a)  Before a
5-10     facility may hire an employee, the facility shall search the
5-11     employee misconduct registry under this chapter and the nurse aide
5-12     registry maintained under the Omnibus Budget Reconciliation Act of
5-13     1987 (Pub. L. No. 100-203) to determine whether the person is
5-14     designated in either registry as having abused, neglected, or
5-15     exploited a resident or consumer of a facility.
5-16           (b)  A facility may not employ a person who is listed in
5-17     either registry as having abused, neglected, or exploited a
5-18     resident or consumer of a facility.
5-19           SECTION 2.  This Act takes effect September 1, 1999, and
5-20     applies only to an act of misconduct that occurs on or after that
5-21     date.
5-22           SECTION 3.  The importance of this legislation and the
5-23     crowded condition of the calendars in both houses create an
5-24     emergency and an imperative public necessity that the
5-25     constitutional rule requiring bills to be read on three several
5-26     days in each house be suspended, and this rule is hereby suspended.