By:  Nelson                                           S.B. No. 1232
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to the regulation of birthing centers; providing an
 1-2     administrative penalty.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Section 244.006, Health and Safety Code, is
 1-5     amended to read as follows:
 1-6           Sec. 244.006.  INSPECTIONS.  (a)  The department may inspect
 1-7     a birthing center at reasonable times as necessary to assure
 1-8     compliance with this chapter.
 1-9           (b)  If a birthing center's failure to comply with this
1-10     chapter creates a serious threat to the health and safety of the
1-11     public, the department may appoint a monitor for the center to
1-12     ensure compliance with this chapter.  The birthing center shall be
1-13     liable for the cost of the monitor.
1-14           SECTION 2.  Subsection (a), Section 244.011, Health and
1-15     Safety Code, is amended to read as follows:
1-16           (a)  The department may deny, suspend, or revoke a license
1-17     for:
1-18                 (1)  a violation of this chapter or a rule adopted
1-19     under this chapter; or
1-20                 (2)  a history of continuing noncompliance with this
1-21     chapter or the rules adopted under this chapter.
1-22           SECTION 3.  Chapter 244, Health and Safety Code, is amended
1-23     by adding Sections 244.0105, 244.0115, 244.015, 244.016, 244.017,
1-24     244.018, 244.019, and 244.020 to read as follows:
 2-1           Sec. 244.0105.  COMPLAINTS.  A person may file a complaint
 2-2     with the department against a birthing center licensed under this
 2-3     chapter.  A person who files a false complaint may be prosecuted
 2-4     under the Penal Code.
 2-5           Sec. 244.0115.  EMERGENCY SUSPENSION.  The department may
 2-6     issue an emergency order to suspend a license issued under this
 2-7     chapter if the department has reasonable cause to believe that the
 2-8     conduct of a license holder creates an immediate danger to the
 2-9     public health and safety.  On written request of the license
2-10     holder, the department shall conduct a hearing not earlier than the
2-11     seventh day or later than the 10th day after the date the notice of
2-12     the emergency suspension is sent to the license holder to determine
2-13     if the emergency suspension is to take effect, to be modified, or
2-14     to be rescinded.  The hearing and any appeal are governed by the
2-15     department's rules for a contested case hearing and Chapter 2001,
2-16     Government Code.
2-17           Sec. 244.015.  ADMINISTRATIVE PENALTY.  (a)  The department
2-18     may assess an administrative penalty against a person who violates
2-19     this chapter or a rule adopted under this chapter.
2-20           (b)  The penalty may not exceed $1,000 for each violation.
2-21           (c)  In determining the amount of an administrative penalty
2-22     assessed under this section, the department shall consider:
2-23                 (1)  the seriousness of the violation;
2-24                 (2)  the history of previous violations;
2-25                 (3)  the amount necessary to deter future violations;
2-26                 (4)  efforts made to correct the violation; and
 3-1                 (5)  any other matters that justice may require.
 3-2           (d)  All proceedings for the assessment of an administrative
 3-3     penalty under this chapter are considered to be contested cases
 3-4     under Chapter 2001, Government Code.
 3-5           Sec. 244.016.  NOTICE; REQUEST FOR HEARING.  (a)  If, after
 3-6     investigation of a possible violation and the facts surrounding
 3-7     that possible violation, the department determines that a violation
 3-8     has occurred, the department shall give written notice of the
 3-9     violation to the person alleged to have committed the violation.
3-10     The notice shall include:
3-11                 (1)  a brief summary of the alleged violation;
3-12                 (2)  a statement of the amount of the proposed penalty
3-13     based on the factors set forth in Section 244.015(c); and
3-14                 (3)  a statement of the person's right to a hearing on
3-15     the occurrence of the violation, the amount of the penalty, or both
3-16     the occurrence of the violation and the amount of the penalty.
3-17           (b)  Not later than the 20th day after the date on which the
3-18     notice is received, the person notified may accept the
3-19     determination of the department made under this section, including
3-20     the proposed penalty, or make a written request for a hearing on
3-21     that determination.
3-22           (c)  If the person notified of the violation accepts the
3-23     determination of the department, the commissioner or the
3-24     commissioner's designee shall issue an order approving the
3-25     determination and ordering that the person pay the proposed
3-26     penalty.
 4-1           Sec. 244.017.  HEARING; ORDER.  (a)  If the person notified
 4-2     fails to respond in a timely manner to the notice under Section
 4-3     244.016(b) or if the person requests a hearing, the department
 4-4     shall:
 4-5                 (1)  set a hearing;
 4-6                 (2)  give written notice of the hearing to the person;
 4-7     and
 4-8                 (3)  designate a hearings examiner to conduct the
 4-9     hearing.
4-10           (b)  The hearings examiner shall make findings of fact and
4-11     conclusions of law and shall promptly issue to the commissioner or
4-12     the commissioner's designee a proposal for decision as to the
4-13     occurrence of the violation and a recommendation as to the amount
4-14     of the proposed penalty if a penalty is determined to be warranted.
4-15           (c)  Based on the findings of fact and conclusions of law and
4-16     the recommendations of the hearings examiner, the commissioner or
4-17     the commissioner's designee by order may find that a violation has
4-18     occurred and may assess a penalty or may find that no violation has
4-19     occurred.
4-20           Sec. 244.018.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;
4-21     JUDICIAL REVIEW; REFUND.  (a)  The department shall give notice of
4-22     the order under Section 244.017(c) to the person notified.  The
4-23     notice must include:
4-24                 (1)  separate statements of the findings of fact and
4-25     conclusions of law;
4-26                 (2)  the amount of any penalty assessed; and
 5-1                 (3)  a statement of the right of the person to judicial
 5-2     review of the order.
 5-3           (b)  Not later than the 30th day after the date on which the
 5-4     decision is final as provided by Chapter 2001, Government Code, the
 5-5     person shall:
 5-6                 (1)  pay the penalty;
 5-7                 (2)  pay the penalty and file a petition for judicial
 5-8     review contesting the occurrence of the violation, the amount of
 5-9     the penalty, or both the occurrence of the violation and the amount
5-10     of the penalty; or
5-11                 (3)  without paying the penalty, file a petition for
5-12     judicial review contesting the occurrence of the violation, the
5-13     amount of the penalty, or both the occurrence of the violation and
5-14     the amount of the penalty.
5-15           (c)  Within the 30-day period, a person who acts under
5-16     Subsection (b)(3) may:
5-17                 (1)  stay enforcement of the penalty by:
5-18                       (A)  paying the penalty to the court for
5-19     placement in an escrow account; or
5-20                       (B)  giving to the court a supersedeas bond that
5-21     is approved by the court for the amount of the penalty and that is
5-22     effective until all judicial review of the order is final; or
5-23                 (2)  request the court to stay enforcement of the
5-24     penalty by:
5-25                       (A)  filing with the court a sworn affidavit of
5-26     the person stating that the person is financially unable to pay the
 6-1     amount of the penalty and is financially unable to give the
 6-2     supersedeas bond; and
 6-3                       (B)  giving a copy of the affidavit to the
 6-4     department by certified mail.
 6-5           (d)  If the department receives a copy of an affidavit under
 6-6     Subsection (c)(2), the department may file with the court, within
 6-7     five days after the date the copy is received, a contest to the
 6-8     affidavit.  The court shall hold a hearing on the facts alleged in
 6-9     the affidavit as soon as practicable and shall stay the enforcement
6-10     of the penalty on finding that the alleged facts are true.  The
6-11     person who files an affidavit has the burden of proving that the
6-12     person is financially unable to pay the penalty and to give a
6-13     supersedeas bond.
6-14           (e)  If the person does not pay the penalty and the
6-15     enforcement of the penalty is not stayed, the department may refer
6-16     the matter to the attorney general for collection of the penalty.
6-17           (f)  Judicial review of the order:
6-18                 (1)  is instituted by filing a petition as provided by
6-19     Subchapter G, Chapter 2001, Government Code; and
6-20                 (2)  is under the substantial evidence rule.
6-21           (g)  If the court sustains the occurrence of the violation,
6-22     the court may uphold or reduce the amount of the penalty and order
6-23     the person to pay the full or reduced amount of the penalty.  If
6-24     the court does not sustain the occurrence of the violation, the
6-25     court shall order that no penalty is owed.
6-26           (h)  When the judgment of the court becomes final, the court
 7-1     shall proceed under this subsection.  If the person paid the amount
 7-2     of the penalty under Subsection (b)(2) and if that amount is
 7-3     reduced or is not upheld by the court, the court shall order that
 7-4     the department pay the appropriate amount plus accrued interest to
 7-5     the person.  The rate of the interest is the rate charged on loans
 7-6     to depository institutions by the New York Federal Reserve Bank,
 7-7     and the interest shall be paid for the period beginning on the date
 7-8     the penalty was paid and ending on the date the penalty is
 7-9     remitted.  If the person paid the penalty under Subsection
7-10     (c)(1)(A) or gave a supersedeas bond and if the amount of the
7-11     penalty is not upheld by the court, the court shall order the
7-12     release of the escrow account or bond.  If the person paid the
7-13     penalty under Subsection (c)(1)(A) and the amount of the penalty is
7-14     reduced, the court shall order that the amount of the penalty be
7-15     paid to the department from the escrow account and that the
7-16     remainder of the account be released.  If the person gave a
7-17     supersedeas bond and if the amount of the penalty is reduced, the
7-18     court shall order the release of the bond after the person pays the
7-19     amount.
7-20           Sec. 244.019.  PENALTY DEPOSITED TO STATE TREASURY.  A civil
7-21     or administrative penalty collected under this chapter shall be
7-22     deposited in the state treasury to the credit of the general
7-23     revenue fund.
7-24           Sec. 244.020.  RECOVERY OF COSTS.  (a)  The department may
7-25     assess reasonable expenses and costs against a person in an
7-26     administrative hearing if, as a result of the hearing, the person's
 8-1     license is denied, suspended, or revoked or if administrative
 8-2     penalties are assessed against the person.  The person shall pay
 8-3     expenses and costs assessed under this subsection not later than
 8-4     the 30th day after the date of the order of the commissioner or the
 8-5     commissioner's designee requiring the payment of expenses and costs
 8-6     is final.  The department may refer the matter to the attorney
 8-7     general for collection of the expenses and costs.
 8-8           (b)  If the attorney general brings an action against a
 8-9     person under Section 244.012 or 244.014 or to enforce an
8-10     administrative penalty assessed under Section 244.015, and an
8-11     injunction is granted against the person or the person is found
8-12     liable for a civil or administrative penalty, the attorney general
8-13     may recover, on behalf of the attorney general and the department,
8-14     reasonable expenses and costs.
8-15           (c)  For purposes of this section, "reasonable expenses and
8-16     costs" include expenses incurred by the department and the attorney
8-17     general in the investigation, initiation, or prosecution of an
8-18     action, including reasonable investigative costs, court costs,
8-19     attorney's fees, witness fees, and deposition expenses.
8-20           (d)  Costs and expenses collected under this section shall be
8-21     deposited in the general revenue fund to the credit of the birthing
8-22     center penalty account.   Money in the account may be appropriated
8-23     only to the department to administer this chapter.  Section
8-24     403.095, Government Code, does not apply to the account.
8-25           SECTION 4.  This Act takes effect September 1, 1999.
8-26           SECTION 5.  The importance of this legislation and the
 9-1     crowded condition of the calendars in both houses create an
 9-2     emergency and an imperative public necessity that the
 9-3     constitutional rule requiring bills to be read on three several
 9-4     days in each house be suspended, and this rule is hereby suspended.