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.