1-1     By:  Zaffirini                                         S.B. No. 967
 1-2           (In the Senate - Filed March 8, 1999; March 9, 1999, read
 1-3     first time and referred to Committee on Human Services;
 1-4     April 8, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 4, Nays 0; April 8, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 967                By:  Zaffirini
                                A BILL TO BE ENTITLED
 1-8                                   AN ACT
 1-9     relating to creating a registry for acts of misconduct of certain
1-10     employees of facilities licensed by, or certain entities that
1-11     contract with, the Texas Department of Human Services.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Subtitle B, Title 4, Health and Safety Code, is
1-14     amended by adding Chapter 253 to read as follows:
1-15                 CHAPTER 253.  EMPLOYEE MISCONDUCT REGISTRY
1-16           Sec. 253.001.  DEFINITIONS.  In this chapter:
1-17                 (1)  "Commissioner" means the commissioner of human
1-18     services.
1-19                 (2)  "Department" means the Texas Department of Human
1-20     Services.
1-21                 (3)  "Employee" means a person who:
1-22                       (A)  works at a facility;
1-23                       (B)  is an individual who provides personal care
1-24     services, active treatment, or any other personal services to a
1-25     resident or consumer of the facility;
1-26                       (C)  is not licensed by an agency of the state to
1-27     perform the services the employee performs at the facility; and
1-28                       (D)  is not a nurse aide employed by a nursing
1-29     facility.
1-30                 (4)  "Facility" means:
1-31                       (A)  a facility licensed by the department; or
1-32                       (B)  an adult foster care provider that contracts
1-33     with the department.
1-34           Sec. 253.002.  INVESTIGATION BY DEPARTMENT.  If the
1-35     department receives a report that an employee of a facility has
1-36     abused, neglected, or exploited a resident or consumer of a
1-37     facility or misappropriated a resident's or consumer's property,
1-38     the department shall investigate the report to determine whether
1-39     the employee has committed the act of abuse, neglect, exploitation,
1-40     or misappropriation.
1-41           Sec. 253.003.  DETERMINATION; NOTICE.  (a)  If, after an
1-42     investigation, the department determines that the employee abused,
1-43     neglected, or exploited a resident or consumer of the facility or
1-44     misappropriated a resident's or consumer's property, the department
1-45     shall give written notice of the department's findings.  The notice
1-46     must include:
1-47                 (1)  a brief summary of the department's findings; and
1-48                 (2)  a statement of the person's right to a hearing on
1-49     the occurrence of the misconduct.
1-50           (b)  Not later than the 30th day after the date on which the
1-51     notice is received, the employee notified may accept the
1-52     determination of the department made under this section or may make
1-53     a written request for a hearing on that determination.
1-54           (c)  If the employee notified of the violation accepts the
1-55     determination of the department or fails to timely respond to the
1-56     notice, the commissioner or the commissioner's designee shall issue
1-57     an order approving the determination and ordering that the incident
1-58     of misconduct be recorded in the registry under Section 253.007.
1-59           Sec. 253.004.  HEARING; ORDER.  (a)  If the employee requests
1-60     a hearing, the department shall:
1-61                 (1)  set a hearing;
1-62                 (2)  give written notice of the hearing to the
1-63     employee; and
1-64                 (3)  designate a hearings examiner to conduct the
 2-1     hearing.
 2-2           (b)  The hearings examiner shall make findings of fact and
 2-3     conclusions of law and shall promptly issue to the commissioner or
 2-4     the commissioner's designee a proposal for decision as to the
 2-5     occurrence of the violation.
 2-6           (c)  Based on the findings of fact and conclusions of law and
 2-7     the recommendations of the hearings examiner, the commissioner or
 2-8     the commissioner's designee by order may find that an act of
 2-9     misconduct has occurred.  If the commissioner or the commissioner's
2-10     designee finds that an act of misconduct has occurred, the
2-11     commissioner or the commissioner's designee shall issue an order
2-12     approving the determination and ordering that the incident of
2-13     misconduct be recorded in the registry under Section 253.007.
2-14           Sec. 253.005.  NOTICE; JUDICIAL REVIEW.  (a)  The department
2-15     shall give notice of the order under Section 253.004 to the
2-16     employee alleged to have committed the act of misconduct.  The
2-17     notice must include:
2-18                 (1)  separate statements of the findings of fact and
2-19     conclusions of law; and
2-20                 (2)  a statement of the right of the employee to
2-21     judicial review of the order.
2-22           (b)  Not later than the 30th day after the date on which the
2-23     decision becomes final as provided by Chapter 2001, Government
2-24     Code, the employee may file a petition for judicial review
2-25     contesting the finding of an act of misconduct.
2-26           (c)  Judicial review of the order:
2-27                 (1)  is instituted by filing a petition as provided by
2-28     Subchapter G, Chapter 2001, Government Code; and
2-29                 (2)  is under the substantial evidence rule.
2-30           (d)  If the court sustains the finding of the occurrence of
2-31     an act of misconduct, the department shall keep the incident listed
2-32     in the registry.  If the court does not sustain the finding of the
2-33     occurrence of an act of misconduct, the court shall order the
2-34     department to remove the incident from the registry.
2-35           Sec. 253.006.  INFORMAL PROCEEDINGS.  The department by rule
2-36     shall adopt procedures governing informal proceedings held in
2-37     compliance with Section 2001.056, Government Code.
2-38           Sec. 253.007.  EMPLOYEE MISCONDUCT REGISTRY.  (a)  If an
2-39     employee abuses, neglects, or exploits a resident or consumer of a
2-40     facility or misappropriates a resident's or consumer's property,
2-41     the department shall make a record of the employee's name, the
2-42     employee's address, the employee's social security number, the name
2-43     of the facility, the address of the facility, the date of the act
2-44     of misconduct, and a description of the act of misconduct.
2-45           (b)  If an agency of another state or the federal government
2-46     finds that an employee has abused, neglected, or exploited a
2-47     resident or consumer of a facility or misappropriated a resident's
2-48     or consumer's property, the department may make a record in the
2-49     employee misconduct registry of the employee's name, the employee's
2-50     address, the employee's social security number, the name of the
2-51     facility, the address of the facility, the date of the act of
2-52     misconduct, and a description of the act of misconduct.
2-53           (c)  The department shall make the registry available to the
2-54     public.
2-55           Sec. 253.008.  VERIFICATION OF EMPLOYABILITY.  (a)  Before a
2-56     facility may hire an employee, the facility shall search the
2-57     employee misconduct registry under this chapter and the nurse aide
2-58     registry maintained under the Omnibus Budget Reconciliation Act of
2-59     1987 (Pub. L. No. 100-203) to determine whether the person is
2-60     designated in either registry as having abused, neglected, or
2-61     exploited a resident or consumer of a facility.
2-62           (b)  A facility may not employ a person who is listed in
2-63     either registry as having abused, neglected, or exploited a
2-64     resident or consumer of a facility.
2-65           SECTION 2.  This Act takes effect September 1, 1999, and
2-66     applies only to an act of misconduct that occurs on or after that
2-67     date.
2-68           SECTION 3.  The importance of this legislation and the
2-69     crowded condition of the calendars in both houses create an
 3-1     emergency and an imperative public necessity that the
 3-2     constitutional rule requiring bills to be read on three several
 3-3     days in each house be suspended, and this rule is hereby suspended.
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