By Nelson                                             S.B. No. 1232
         76R9030 MCK-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the regulation of birthing centers; providing an
 1-3     administrative penalty.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 244.006, Health and Safety Code, is
 1-6     amended to read as follows:
 1-7           Sec. 244.006.  INSPECTIONS.  (a) The department may inspect a
 1-8     birthing center at reasonable times as necessary to assure
 1-9     compliance with this chapter.
1-10           (b)  If a birthing center is not complying with this chapter,
1-11     the department may appoint a monitor for the center to ensure
1-12     compliance with this chapter.  The birthing center shall be liable
1-13     for the cost of the monitor.
1-14           SECTION 2.  Section 244.011(a), Health and Safety Code, is
1-15     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 noncompliance with this chapter or
1-21     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.  The complaint must be accompanied by a sworn affidavit
 2-4     stating the facts of the complaint.  A person who files a false
 2-5     affidavit may be prosecuted under the Penal Code.
 2-6           Sec. 244.0115.  EMERGENCY SUSPENSION.  The department may
 2-7     issue an emergency order to suspend a license issued under this
 2-8     chapter if the department has reasonable cause to believe that the
 2-9     conduct of a license holder creates an immediate danger to the
2-10     public health and safety.  On written request of the license
2-11     holder, the department shall conduct a hearing not earlier than the
2-12     7th day or later than the 10th day after the date the notice of the
2-13     emergency suspension is sent to the license holder to determine if
2-14     the emergency suspension is to take effect, to be modified, or to
2-15     be rescinded.  The hearing and any appeal are governed by the
2-16     department's rules for a contested case hearing and Chapter 2001,
2-17     Government Code.
2-18           Sec. 244.015.  ADMINISTRATIVE PENALTY.  (a)  The department
2-19     may assess an administrative penalty against a person who violates
2-20     this chapter or a rule adopted under this chapter.
2-21           (b)  The penalty may not exceed $1,000 for each violation.
2-22     Each day of a continuing violation constitutes a separate
2-23     violation.
2-24           (c)  In determining the amount of an administrative penalty
2-25     assessed under this section, the department shall consider:
2-26                 (1)  the seriousness of the violation;
2-27                 (2)  the history of previous violations;
 3-1                 (3)  the amount necessary to deter future violations;
 3-2                 (4)  efforts made to correct the violation; and
 3-3                 (5)  any other matters that justice may require.
 3-4           (d)  All proceedings for the assessment of an administrative
 3-5     penalty under this chapter are considered to be contested cases
 3-6     under Chapter 2001, Government Code.
 3-7           Sec. 244.016.  NOTICE; REQUEST FOR HEARING.  (a)  If, after
 3-8     investigation of a possible violation and the facts surrounding
 3-9     that possible violation, the department determines that a violation
3-10     has occurred, the department shall give written notice of the
3-11     violation to the person alleged to have committed the violation.
3-12     The notice shall include:
3-13                 (1)  a brief summary of the alleged violation;
3-14                 (2)  a statement of the amount of the proposed penalty
3-15     based on the factors set forth in Section  244.015(c); and
3-16                 (3)  a statement of the person's right to a hearing on
3-17     the occurrence of the violation, the amount of the penalty, or both
3-18     the occurrence of the violation and the amount of the penalty.
3-19           (b)  Not later than the 20th day after the date on which the
3-20     notice is received, the person notified may accept the
3-21     determination of the department made under this section, including
3-22     the proposed penalty, or make a written request for a hearing on
3-23     that determination.
3-24           (c)  If the person notified of the violation accepts the
3-25     determination of the department, the commissioner or the
3-26     commissioner's designee shall issue an order approving the
3-27     determination and ordering that the person pay the proposed
 4-1     penalty.
 4-2           Sec. 244.017.  HEARING; ORDER.  (a)  If the person notified
 4-3     fails to respond in a timely manner to the notice under Section
 4-4     244.016(b) or if the person requests a  hearing, the department
 4-5     shall:
 4-6                 (1)  set a hearing;
 4-7                 (2)  give written notice of the hearing to the person;
 4-8     and
 4-9                 (3)  designate a hearings examiner to conduct the
4-10     hearing.
4-11           (b)  The hearings examiner shall make findings of fact and
4-12     conclusions of law and shall promptly issue to the commissioner or
4-13     the commissioner's designee a proposal for decision as to the
4-14     occurrence of the violation and a recommendation as to the amount
4-15     of the proposed penalty if a penalty is determined to be warranted.
4-16           (c)  Based on the findings of fact and conclusions of law and
4-17     the recommendations of the hearings examiner, the commissioner or
4-18     the commissioner's designee by order may find that a violation has
4-19     occurred and may assess a penalty, or may find that no violation
4-20     has occurred.
4-21           Sec. 244.018.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;
4-22     JUDICIAL REVIEW; REFUND.  (a)  The department shall give notice of
4-23     the order under Section 244.017(c) to the person notified.  The
4-24     notice must include:
4-25                 (1)  separate statements of the findings of fact and
4-26     conclusions of law;
4-27                 (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
5-27     amount of the penalty and is financially unable to give the
 6-1     supersedeas bond; and
 6-2                       (B)  giving a copy of the affidavit to the
 6-3     department by certified mail.
 6-4           (d)  If the department receives a copy of an affidavit under
 6-5     Subsection (c)(2), the department may file with the court, within
 6-6     five days after the date the copy is received, a contest to the
 6-7     affidavit.  The court shall hold a hearing on the facts alleged in
 6-8     the affidavit as soon as practicable and shall stay the enforcement
 6-9     of the penalty on finding that the alleged facts are true.  The
6-10     person who files an affidavit has the burden of proving that the
6-11     person is financially unable to pay the penalty and to give a
6-12     supersedeas bond.
6-13           (e)  If the person does not pay the penalty and the
6-14     enforcement of the penalty is not stayed, the department may refer
6-15     the matter to the attorney general for collection of the penalty.
6-16           (f)  Judicial review of the order:
6-17                 (1)  is instituted by filing a petition as provided by
6-18     Subchapter G, Chapter 2001, Government Code; and
6-19                 (2)  is under the substantial evidence rule.
6-20           (g)  If the court sustains the occurrence of the violation,
6-21     the court may uphold or reduce the amount of the penalty and order
6-22     the person to pay the full or reduced amount of the penalty.  If
6-23     the court does not sustain the occurrence of the violation, the
6-24     court shall order that no penalty is owed.
6-25           (h)  When the judgment of the court becomes final, the court
6-26     shall proceed under this subsection.  If the person paid the amount
6-27     of the penalty under Subsection (b)(2) and if that amount is
 7-1     reduced or is not upheld by the court, the court shall order that
 7-2     the department pay the appropriate amount plus accrued interest to
 7-3     the person.  The rate of the interest is the rate charged on loans
 7-4     to depository institutions by the New York Federal Reserve Bank,
 7-5     and the interest shall be paid for the period beginning on the date
 7-6     the penalty was paid and ending on the date the penalty is
 7-7     remitted.  If the person paid the penalty under Subsection
 7-8     (c)(1)(A), or gave a supersedeas bond and if the amount of the
 7-9     penalty is not upheld by the court, the court shall order the
7-10     release of the escrow account or bond.  If the person paid the
7-11     penalty under Subsection (c)(1)(A) and the amount of the penalty is
7-12     reduced, the court shall order that the amount of the penalty be
7-13     paid to the department from the escrow account and that the
7-14     remainder of the account be released.  If the person gave a
7-15     supersedeas bond and if the amount of the penalty is reduced, the
7-16     court shall order the release of the bond after the person pays the
7-17     amount.
7-18           Sec. 244.019.  PENALTY DEPOSITED TO STATE TREASURY.  A civil
7-19     or administrative penalty collected under this chapter shall be
7-20     deposited in the state treasury to the credit of the general
7-21     revenue fund.
7-22           Sec. 244.020.  RECOVERY OF COSTS.  (a)  The department may
7-23     assess reasonable expenses and costs against a person in an
7-24     administrative hearing if, as a result of the hearing, the person's
7-25     license is denied, suspended, or revoked or if administrative
7-26     penalties are assessed against the person.  The person shall pay
7-27     expenses and costs assessed under this subsection not later than
 8-1     the 30th day after the date of the order of the commissioner or the
 8-2     commissioner's designee requiring the payment of expenses and costs
 8-3     is final.  The department may refer the matter to the attorney
 8-4     general for collection of the expenses and costs.
 8-5           (b)  If the attorney general brings an action against a
 8-6     person under Section 244.012 or 244.014 or to enforce an
 8-7     administrative penalty assessed under Section 244.015, and an
 8-8     injunction is granted against the person or the person is found
 8-9     liable for a civil or administrative penalty, the attorney general
8-10     may recover, on behalf of the attorney general and the department,
8-11     reasonable expenses and costs.
8-12           (c)  For purposes of this section, "reasonable expenses and
8-13     costs" include expenses incurred by the department and the attorney
8-14     general in the investigation, initiation, or prosecution of an
8-15     action, including reasonable investigative costs, court costs,
8-16     attorney's fees, witness fees, and deposition expenses.
8-17           (d)  Costs and expenses collected under this section shall be
8-18     deposited in the general revenue fund to the credit of the birthing
8-19     center penalty account.  Money in the account may be appropriated
8-20     only to the department to administer this chapter.  Section
8-21     403.095, Government Code, does not apply to the account.
8-22           SECTION 4.  This Act takes effect September 1, 1999.
8-23           SECTION 5.  The importance of this legislation and the
8-24     crowded condition of the calendars in both houses create an
8-25     emergency and an imperative public necessity that the
8-26     constitutional rule requiring bills to be read on three several
8-27     days in each house be suspended, and this rule is hereby suspended.