SRC-CTC S.B. 1594 77(R)   BILL ANALYSIS


Senate Research Center   S.B. 1594
2001S0783/1By: Moncrief
Health & Human Services
3/27/2001
As Filed


DIGEST AND PURPOSE 

Currently, there is only one insurance carrier writing new policies in the
long-term care industry. Premiums for the liability policies have increased
exponentially over the past year, causing many facilities to go without
insurance.  As proposed, S.B. 1594 creates the long-term care facility
liability insurance fund (fund) to write long-term care facility liability
insurance and authorizes the issuance of bonds to capitalize the fund. 

RULEMAKING AUTHORITY

Rulemaking authority is expressly granted to the board of directors of the
long-term care facility liability insurance fund in SECTION 1 (Section 5,
Article 5.151, Insurance Code) and to the long-term care facility liability
insurance fund in SECTION 1 (Sections 8 and 11, Article 5.151, Insurance
Code) of this bill. 

SECTION BY SECTION ANALYSIS

SECTION 1.  Amends Chapter 5, Insurance Code, by adding Subchapter P, as
follows: 

SUBCHAPTER P.  LONG-TERM CARE FACILITY LIABILITY INSURANCE

 Art. 5.151.  LONG-TERM CARE FACILITY LIABILITY INSURANCE FUND.

Sec. 1.  DEFINITIONS.  Defines "board," "facility," "fund," "long-term care
facility," and "long-term care facility liability insurance." 

Sec. 2.  CREATION; OPERATION.  (a) Creates the long-term care facility
liability insurance fund (fund) as a corporate body with the powers
provided by this subchapter and with all general corporate powers incident
to its operation as a corporate body.  Requires the fund to perform certain
functions. 

(b)  Provides that the fund is subject to Chapter 551 (Open Meetings) and
552 (Public Information), Government Code, except as otherwise provided by
this subsection. Authorizes the board of directors of the fund (board) to
hold closed meetings to consider and refuse to release information relating
to claims, rates, the fund's underwriting guidelines, and other information
that would give advantage to competitors or bidders. 

(c)  Provides that a decision by the fund to deny, cancel, or refuse to
renew a policy or risk insured under Article 5.151-1 of this code is
appealable to the board not later than the 30th day after the date on which
the affected party received actual notice that the act occurred or that the
decision was made.  Requires the board to hear the appeal not later than
the 30th day after the date on which the request for hearing is made and to
notify the fund and the appellant in writing of the time and place of the
hearing not later than the 10th day before the date of the hearing.
Requires the board to affirm, reverse,  or modify the act appealed to the
board not later than the 30th day after the last day of the hearing.
Provides that a hearing under this subsection does not suspend the
operation of the act, ruling, decision, or order of the fund unless the
board specifically so orders. 

(d) Provides that a decision of the board under this section is subject to
review by the commissioner of insurance (commissioner) in the manner
provided by Chapter 2001 (Administrative Procedure), Government Code.
Provides that the commissioner's review of a decision by the board does not
suspend the operation of any act, ruling, decision, or order of the fund
unless the commissioner specifically so orders under certain circumstances. 

(e)  Authorizes a person aggrieved by the decision of the commissioner to
appeal that decision to the district court.  Provides that judicial review
under this section is governed by the substantial evidence rule. 

(f) Provides that the fund is subject to Chapter 325 (Sunset Law),
Government Code. Provides that unless continued in effect as provided by
that chapter, the fund is abolished September 1, 2005. 

(g)  Provides that the fund has the legal rights of a private person in
this state and the power to sue in its own name, in addition to other
rights of the fund under this article. Provides that no procedure
established under this article is a prerequisite to the exercise of the
power by the fund to sue. 

(h)  Requires the fund to annually prepare a complete and detailed written
report accounting for all funds received and disbursed by the fund during
the preceding fiscal year.  Requires the annual report to meet the
reporting requirements applicable to financial reporting provided by the
General Appropriations Act. 

Sec. 3.  BOARD OF DIRECTORS.  (a) Provides that the board is governed by a
board of directors composed of nine members, all of whom are required to be
citizens of this state. Requires the members to be appointed by the
governor with the advice and consent of the senate, and requires vacancies
to be filled in the same manner. 

(b) Provides that the members of the board serve staggered six-year terms,
with the terms of three members expiring February 1 of each odd-numbered
year.  Requires a member of the board whose term has expired to continue to
serve until the member's replacement is appointed by the governor. 

(c)  Requires the governor, in making appointments to the board, to attempt
to reflect the social, geographic, and economic diversity of the state.
Authorizes the governor, to ensure balanced representation, to consider the
geographic location of a prospective appointee's domicile and the
prospective appointee's experience in business and insurance matters,
including experience in the business of providing long-term care. Requires
the governor to consider those factor in appointing members to fill
vacancies on the board.  Requires appointments to the board to be made
without regard to the race, color, disability, sex, religion, age, or
national origin of the appointees. 

(d)  Prohibits a person from serving as a member of the board if the
person, an individual related to the person within the second degree by
consanguinity or affinity, or an individual residing in the same household
with the person meets certain requirements. 

  (e) Sets forth the conditions for a ground for removal of a member from
the board. 

 (f)  Provides that the validity of an action of the board is not affected
by the fact that it is taken when a ground for removal of a board member
exists. 

(g) Requires the fund's president, if the president has knowledge that a
potential ground for removal exists, to notify the chairman of the board of
the potential ground.  Requires the chairman to notify the governor and the
attorney general that a potential ground for removal exists.  Requires the
president, if the potential ground for removal involves the chairman, to
notify the next highest officer of the board, who is required to notify the
governor and the attorney general that a potential ground for removal
exists. 

(h) Provides that Subsection (d) of this section does not prohibit a person
who is only a consumer of insurance or insurance products from serving as a
member of the board. 

(i) Prohibits a person who is ineligible to serve on the board under
Subsection (d) of this section from serving as a member of the board for
one year after the date on which the condition that makes the person
ineligible ends. 

(j)  Requires each member to receive actual and necessary travel expenses
and expenses incurred in the performance of the member's duties as a
member. 

(k) Requires the governor to designate a member of the board as the
chairman of the board to serve in that capacity at the pleasure of the
governor.  Requires the members of the board to elect annually from their
number a vice-chair and a secretary. 

(l) Requires the board to hold meetings at least once each calendar quarter
and at other times at the call of the chairman and at times established by
board rule.  Authorizes special meetings to be called by any two members of
the board on two days notice. 

  (m) Provides that a majority of the board members constitutes a quorum.

(n)  Requires the board to maintain the principal office of the fund in
Austin, Texas. 
 
(o) Requires as many functions as possible to be performed by the fund, for
cost control purposes and as is determined to be cost-effective. 

(p) Prohibits a person from serving as a member of the board or acting as
the general counsel to the board or the fund if the person is required to
register as a lobbyist under Chapter 305 (Registration of Lobbyists),
Government Code, because of the person's activities for compensation on
behalf of any person or entity other than the fund. 

(q) Requires the board to develop and implement policies that clearly
separate the policymaking responsibilities of the board and the management
responsibilities of the president and the staff of the fund. 

Sec. 4A.  TRAINING PROGRAM FOR BOARD MEMBER.  Requires a member of the
board to complete the training program established under this section
before the member may assume the member's duties.  Requires a training
program established under this section to provide certain information to
the member. 

Sec. 5.  AUTHORITY AND PURPOSE.  (a) Requires the board, on behalf of the
fund and according to this article and the plan of operation, to perform
certain functions, including the adoption of necessary bylaws and rules for
the operation of the fund. 

(b) Prohibits the fund from having affiliates, interlocking boards of
directors, spinoffs, or subsidiaries that write lines of insurance other
than long-term care facility liability  insurance. 

(c) Requires the board to appoint an internal auditor in compliance with
Chapter 2102 (Internal Auditing), Government Code.  Provides that an
internal auditor serves at the pleasure of the board. 

(d) Requires the attorney general, if the fund obtains legal services
through the use of outside counsel, to review annually the use of outside
counsel by the fund to ensure that the use of outside counsel meets certain
conditions. 

(e) Requires the board to provide requested information to appropriate
legislative committees in the manner requested by those committees. 

Sec. 6.  PLAN OF OPERATION.  Requires the initial board to prepare and
adopt a plan of operation that is consistent with this article.  Requires
the plan to provide for certain items. Provides that the initial plan is
subject to approval by the Texas Department of Insurance (TDI).  Authorizes
the board, with consent of TDI, to amend the plan of operation to provide
for operation of the fund in a manner consistent with this article. 

Sec. 7.  PRESIDENT AND CHIEF EXECUTIVE OFFICER.  (a) Requires the board to
appoint a person to serve as president and chief executive officer of the
fund who serves at the pleasure of the board.  Requires the board to
appoint other officers as necessary to manage the fund prudently. 

(b) Requires an individual to have had at least 10 years of administrative
or professional experience and training and experience in the field of
insurance to be eligible for appointment as president. 

(c) Requires the president to manage and conduct the affairs of the fund
under the general supervision of the board and to perform duties as
provided by this article and as directed by the board. 

(d) Requires the president, in addition to any other duties provided by
this article or by the board, to perform certain duties. 

(e) Requires the president, in addition to any other authority  provided by
this article or by the board, to have full power and authority, in the name
of the fund, to perform certain functions. 

(f) Requires the president to develop a career ladder program that
addresses opportunities for mobility and advancement for employees within
the fund.  Requires the program to require internal posting of all
positions concurrently with any public posting. 

(g) Requires the president to develop a system of annual performance
evalutions that are based on documented employee performance.  Requires all
merit pay for fund employees to be based on the system established under
this subsection. 

(h) Requires the president to prepare and maintain a written policy
statement to assure implementation of a program of equal employment
opportunity under which all personnel transactions are made without regard
to race, color, disability, sex, religion, age, or national origin.
Requires the policy statement to include certain items. 

(i) Requires a policy statement prepared under Subsection (h) of this
section to comply with certain requirements. 

 (j) Requires the governor's office to deliver a biennial report to the
legislature based on the information received under Subsection (i) of this
section.  Authorizes the report to be made separately or as a part of other
biennial reports made to the legislature. 

(k) Requires the president to provide to members of the board and to fund
employees, as often as necessary, information regarding their
qualifications for office or employment under this article and their
responsibilities under applicable laws relating to standards of conduct for
board members or employees. 

(l) Requires the president, in hiring employees for the fund under this
article, to ensure that the fund complies with the minority hiring
practices guidelines adopted for state agencies and institutions by the
General Appropriations Act. 

Sec. 8.  APPLICATIONS.  (a) Requires applications for the fund to be
submitted on forms prescribed by the board and be made in a certain manner. 

(b) Requires the fund to adopt such rules as required to provide for the
financing of all or part of the premiums by the fund or a person licensed
under Chapter 24 of this code. Requires those rules to require that the
fund receive a minimum initial premium sufficient to cover the
administrative costs of issuing and booking the policy in the event of
cancellation.  Requires those rules to not unfairly discriminate against
applicants based on the amount of premium to be paid by the applicant for
long-term care facility liability coverage.  Authorizes the premium
financing rules adopted by the fund, notwithstanding the foregoing, to
provide that premium financing shall not be offered to any applicant who
appears to present an unacceptable credit risk. 

(c) Provides that a deferred payment earns interest payable to the fund at
an annual rate determined by the board if the premium is financed by the
fund as provided by Subsection (b) of this section. 

(d) Authorizes the fund to refuse to write insurance coverage if an
applicant is identified as a credit risk and does not perform certain
actions. 

(e) Requires the fund, if the policy is written through a licensed agent,
to pay the agent a reasonable commission.  Requires the commission to be
paid at the time of the initial deposit, based on the annual estimated
premium, and to be adjusted at the final audit. 

(f) Provides that the fund, notwithstanding any other provision of this
code or another insurance law of this state, is not required to appoint a
local recording agent to act as an agent for the fund.  Provides that an
agent transacting business with the fund does so as an agent for the
applicant and not as an agent for the fund. 

(g) Provides that information submitted to the fund by a licensed agent on
behalf of a facility, including a policy expiration date, is the work
product of that agent and prohibits the fund from using that information in
any marketing or direct sales activity. Prohibits the fund, except as
required or permitted by Chapter 552, Government Code, from providing
information obtained from a licensed agent to any other licensed agent.
Provides that this subsection does not prevent a facility from designing
another licensed agent or the fund as the agent of record and does not
prevent the fund from using the information submitted to the fund under
this subsection for the purpose of underwriting or fraud investigation.
Requires the fund to adopt reasonable guidelines in the plan of operation
to implement this subsection. 

Sec. 9.  LIABILITY.  Provides that neither a member of the board nor the
president or any officer or employee of the fund is personally liable in
the person's private capacity for any act  performed or for any contract or
other obligation entered into or undertaken in an offical capacity in good
faith and without intent to defraud in connection with the administration,
management, or conduct of the fund, its business, or other related affairs. 

Sec. 10.  RATES.  (a) Requires the board, except as otherwise provided by
this subsection, to have full power and authority to propose rates to be
charged by the fund for insurance. Requires the board to engage the
services of an independent actuary who is a member in good standing with
the Casualty Actuarial Society or the American Academy of Actuaries to
develop and recommend actuarially sound rates. 

(b) Requires rates to be set in amounts sufficient, when invested, to
perform certain functions. 

(c) Authorizes the fund, notwithstanding any other provision of this code
or other insurance law of this state, to establish multitiered premium
systems to price long-term care facility liability insurance policies to
insureds in the fund's competitive programs as well as to insureds to whom
policies are offered by the fund under Article 5.151-1 of this code.
Authorizes the systems to provide for higher or lower premium payments by
insureds based on the fund's evaluation of the underwriting characteristics
of the individual risk and the appropriate premium to be charged for the
policy coverages. 

Sec. 11.  ACCIDENT PREVENTION.  (a) Authorizes the fund to make and enforce
rules for the prevention of injuries to residents of its policyholders or
applicants for insurance under this article.  Requires certain individuals,
for this purpose, to be granted free access to the premises of each
policyholder or applicant during regular working hours. 

(b) Provides that failure or refusal by any policyholder or applicant to
comply with any rule prescribed by the fund for the prevention of injuries
or failure or refusal to make full disclosure of all information pertinent
to the insuring or servicing of the policyholder or applicant constitutes
sufficient grounds for the fund to cancel a policy or deny an applicant for
insurance. 

(c) Requires a policyholder in the fund who is insured under Article
5.151-1 of this code to obtain a safety consultation under certain
circumstances. 

(d) Requires a policyholder in the fund who is insured under Article
5.151-1 of this code to obtain a safety consultation as required by the
fund under certain conditions. 

(e) Requires the policyholder to obtain a safety consultation not later
than the 30th day after the effective date of the policy and obtain the
safety consultation from certain entities.  Requires the safety consultant
to file a written report with the Texas Department of Human Services (TDHS)
and with the policyholder setting out any hazardous conditions or practices
identified by the safety consultation. 

(f) Requires the policyholder and the consultant to develop a specific
injury prevention plan that addresses the hazards identified by the
consultant.  Authorizes the safety consultant to approve an existing injury
prevention plan.  Requires the policyholder to comply with the injury
prevention plan. 

(g) Authorizes the department to investigate injuries occurring at the
facilities of a policyholder for whom a plan has been developed under
Subsection (f) of this section and monitor the implementation of the injury
prevention plan as it finds necessary. 

(h) Requires TDHS, in accordance with TDHS rules, not earlier than 90 days
or later than six months after the development of an injury prevention plan
under Subsection (f)  of this section, to conduct a follow-up inspection of
the policyholder's premises. Authorizes TDHS to require the participation
of the safety consultant who performed the initial consultation and
developed the safety plan.  Requires TDHS to certify, if it so determines,
that the policyholder has complied with the terms of the injury prevention
plan or has implemented other accepted corrective measures.  Authorizes a
policyholder to elect to cancel coverage not later than the 30th day after
the date of determination of TDHS if the policyholder fails or refuses to
implement the injury prevention plan or other suitable hazard abatement
measures.  Authorizes the fund, if the policyholder does not elect to
cancel, to cancel the coverage.  Authorizes TDHS, if the policyholder does
not elect to cancel, to assess an administrative penalty not to exceed
$5,000.  Provides that each day of noncompliance constitutes a separate
violation.  Requires penalties collected under this section to be deposited
in the general revenue fund to the credit of TDHS or reappropriated to TDHS
to offset the costs of implementing and administering this section. 

(i) Authorizes TDHS, in assessing an administrative penalty, to consider
any matter that justice may require.  Requires the TDHS, in assessing an
administrative penalty, to consider certain items. 

(j) Requires that the procedures established under this section be followed
each year the policyholder meets the qualifications established under
Subsection (c) of this section and is insured through Article 5.151-1 of
this code. 

(k) Requires TDHS to charge the policyholder for the reasonable cost of
services provided under Subsection (e), (f), and (h) of this section.
Requires the fees for those services to be set at a cost-reimbursement
level including a reasonable allocation of TDHS' administrative costs. 

Sec. 12.  CONTROL OF FRAUD.  (a) Requires the fund to develop and implement
a program to identify and investigate fraud and violations of this code
relating to long-term care facility liability insurance by an applicant,
policyholder, claimant, agent, insurer, health care provider, or other
person.  Requires the fund to contract with the department to compile and
maintain information necessary to detect practices or patterns of conduct
that violate this code relating to the long-term care facility liability
insurance. 

(b) Authorizes the fund to conduct investigations of cases of suspected
fraud and violations of this code relating to long-term care facility
liability insurance.  Requires the fund to take certain actions. 

(c) Authorizes the fund to enter into interdepartmental funding agreements
with local prosecutors for the prosecution of offenses against the fund. 

(d) Requires restitution collected under Subsection (b) to be deposited to
the fund. 

(e) Requires penalties collected under Subsection (b) to be deposited in
the general revenue fund to the credit of TDHS and be appropriated to TDHS
to offset the costs of this program. 

(f) Provides that the board, fund, and employees of the fund are not liable
in a civil action for any action made in good faith in the execution of
duties under this section, including the identification and referral of a
person for investigation and prosecution for a possible administrative
violation or criminal offense. 

Sec.  13.  INVESTIGATION FILES CONFIDENTIAL.  Provides that information
maintained in the investigation files of the fund is confidential and
prohibits the information from  being disclosed except under certain
circumstances.  Provides that fund investigation files are not open records
for purposes of Chapter 552, Government Code.  Provides that information in
an investigation file that is information in or derived from a claim file,
or an employer injury report is governed by the confidentiality provisions
relating to that information.  Defines "investigation file." 

Sec. 14.  PAYMENT OF TAXES AND FEES; GUARANTY ASSOCIATION.  Requires the
fund to pay premium taxes, maintenance taxes, and the maintenance tax
surcharge established under Article 5.151-2 of this code in the same manner
as an insurance carrier authorized by the department to write commercial
liability insurance in this state.  Requires the fund to pay taxes and fees
or any payments due in lieu of taxes in the same manner as an insurance
carrier authorized and admitted by the department to do insurance business
in this state.  Provides that the fund is a member of and is protected by
the Texas Property and Casualty Insurance Guaranty Association.  Provides
that the fund is subject to assessment under the Texas Property and
Casualty Insurance Guaranty Act (Article 21.28-C, Insurance Code). 

Sec. 15.  FINANCIAL ADMINISTRATION.  (a) Sets forth the revenues of the
fund.   

(b) Requires administrative expenses of the fund to be paid from the fund
at the direction of the board.   

(c) Requires money in the fund to be paid from the fund, without
legislative appropriation, on vouchers approved by the board.  Requires the
money to be held exclusively for the purposes stated in this article and
prohibits the money from being used or appropriated for any other purpose.

(d) Requires money in the fund to be invested, subject to a policy
developed by the board and approved by TDHS, in the types of investments
authorized by law or an insurer authorized to write commercial liability
insurance in this state. 

(e) Requires the fund to establish and maintain reserves for losses on an
actuarially sound basis. 

(f) Requires the fund to maintain a ratio of net written premiums on
policies written after reinsurance to surplus of not more than 3.0 to one. 

(g) Authorizes the board, not more than once in any calendar year, to use
up to 20 percent of any surplus that exceeds the ratio specified in
Subsection (f) to assist in prepaying or retiring the bonds issued under
Article 5.151-2 before maturity. 

(h) Authorizes the fund to pay cash dividends or allow credit on renewal
premium for each policyholder insured with the fund other than a
policyholder insured under Article 5.151-1.  Provides that a dividend or
credit requires prior approval of TDI. 

(i) Requires the fund to file annual statements with the TDI and TDHS.

(j) Provides that, if the fund incurs a deficit for any reason, no other
insurer is liable for or subject to an assessment for that deficit. 

Sec. 16.  REPORT TO BOARD.  Requires the president to make periodic reports
to the board with regard to the status of the fund and its investments. 

Sec. 17.  POLICY FORMS.  Requires the fund to use the uniform policy and
standard policy forms prescribed by TDI. 
 
Sec. 18.  CANCELLATION AND RENEWAL.  Authorizes the fund to cancel or
refuse to renew coverage on a policyholder.  Requires the fund, if it
cancels a policy of long-term care facility insurance or does not renew a
policy by the anniversary date of the policy, to deliver notice of the
cancellation or nonrenewal by certified mail or in person to the facility
and TDHS not later than certain dates.  Provides that failure of the fund
to give notice as required by this section extends the policy until the
date on which the required notice is provided to the facility and TDHS.   

Sec. 19.  ANNUAL REPORT; OTHER REPORTS.  Requires the board to publish an
independently audited report analyzing the fund's activities and fiscal
condition during the preceding fiscal year and file the report with TDI.
Requires the board to file the audited report with TDI for submission
simultaneously with its annual financial report.  Requires the board's
annual financial report to be submitted by TDI by the date provided for in
the General Appropriations Act.  Requires the fund to file with TDI and
TDHS all reports required of other long-term care facility liability
insurers. 

Sec. 20.  ADDITIONAL AUDIT REQUIREMENTS; INTERNAL AUDIT REPORT. Requires
the state auditor to periodically identify issues related to the
operational efficiency, effectiveness, and statutory compliance of the
fund.  Requires the fund to include all issues identified by the state
auditor in the fund's annual independent and internal audit plans. Requires
each person who conducts an independent audit or internal audit of the fund
to send a copy of the audit report prepared by the person to the office of
the state auditor.  Requires the state auditor to summarize the audit
reports presented under this section in an annual memorandum to the
Legislative Audit Committee.  Requires the internal auditor appointed under
Section 5 of this article to submit the internal audit report directly to
the board and to provide a summary of the report to certain individuals. 

Sec. 21.  EXAMINATION OF FUND.  Requires TDI to conduct an examination of
the fund in the manner and under the conditions provided by Articles 1.15
through 1.19 of this code for the examination of insurance carriers.
Requires the board to pay the costs of the examination of the fund.
Provides that the fund is subject to all provisions of this code and to the
jurisdiction of TDI in the same manner as private insurers. 

Sec. 22.  ASSISTANCE FROM INSURANCE DEPARTMENT.  Requires TDI, on the
request of the board, to provide technical assistance to the board and the
president as reasonably necessary to implement this article. 

Sec. 23.  PUBLIC INFORMATION; ACCESSIBILITY.  Requires the fund to prepare
information of public interest describing the functions of the fund and the
procedures by which complaints are filed with and resolved by the fund.
Requires the fund to make the information available to the public and
appropriate state agencies.  Requires the board to establish methods by
which consumers and service recipients are notified of the name, mailing
address, and telephone number of the fund for the purpose of directing
complaints to the fund.  Authorizes the board to provide for that
notification in a certain manner.  Requires the fund to comply with federal
and state laws related to program and facility accessibility.  Requires the
president to also prepare and maintain a written plan that describes how a
person who does not speak English can be provided reasonable access to the
fund's programs and services.  Requires the board to develop and implement
policies that provide the public with a reasonable opportunity to appear
before the board and to speak on any issue under the jurisdiction of the
fund. 

Sec. 24.  COMPLAINT RESOLUTION.  Requires the fund to keep information
about each written complaint submitted to the fund.  Requires the
information to include certain items. Requires the fund, for each written
complaint that the fund has the authority to resolve, to provide to the
person filing the complaint and the persons or entities complained about
the fund's policies and procedures pertaining to complaint investigation
and resolution.  Requires  the fund, at least quarterly and until final
disposition of the complaint, to notify the person filing the complaint and
the person or entities complained about of the status of the complaint
unless the notice would jeopardize an undercover investigation. 

Sec. 25.  FUND SOLVENCY.  Requires the commissioner, in addition to other
regulatory authority granted the commissioner, to perform certain duties if
the commissioner finds that the fund does not own assets at least equal to
all liabilities and required reserves, together with the minimum basic
surplus required under this article, or that the condition of the fund is
such that continuing operation of the fund is hazardous to the public or to
the policyholders of the fund. Requires the commissioner, if the fund fails
to comply with the recommendations of the commissioner not later than the
60th day after the date of the recommendations, to notify the governor, the
lieutenant governor, and the speaker of the house of representatives of the
recommendations with which the fund is not in compliance, together with
solutions and estimations of all fiscal implications. 

Sec. 26.  APPLICABILITY OF OTHER STATUTES.  Provides that all regulatory
authority granted the commissioner relating to a stock or mutual insurance
company is applicable to the fund.  Provides that the fund is not a state
agency unless specifically defined as a state agency in a specific statute. 

Art. 5.151-1.  FUND AS INSURER OF LAST RESORT.  (a) Prohibits the fund,
except as otherwise provided by this article and by Section 18, Article
5.151 of this code, from refusing to insure any risk that tenders the
necessary premium and any applicable injury prevention service fees. 

(b) Prohibits the rejection of a risk if the applicant would be rejected
for long-term care facility liability insurance under the fund's
underwriting standards.  Requires such an applicant to be insured at a
higher premium as provided by the fund's rules.  Authorizes the risk to be
required to meet other conditions considered necessary to protect the
fund's interests. 

(c) Requires the fund to develop statistical and other information as
necessary to allow the fund to distinguish between its writings in the
voluntary market and its writings as the insurer of last resort. 

(d) Requires the fund to decline to insure any risk if insuring that risk
would cause the fund to exceed the premium-to-surplus ratios established by
Article 5.151 of this code or if the risk is not in good faith entitled to
insurance through the fund.  Defines "good faith." 

(e) Requires TDI to develop and publish classification relativities
specifically designed for the risks insured under this article. 

(f) Authorizes the fund, if the fund suspects fraud or identifies
conditions that may result in acts of fraud, to require an applicant for
long-term care facility liability insurance coverage who is identified as a
risk for purposes of Subsection (b) to insure all business entities that
are commonly owned or commonly controlled by the applicant. 

 Art. 5.151-2.  REVENUE BOND PROGRAM AND PROCEDURES.

Sec. 1.  LEGISLATIVE FINDING; PURPOSE.  Sets forth the legislative finding
regarding long-term care facility liability insurance coverage and the
purpose of this section. 

 Sec. 2.  DEFINITIONS.  Defines "bond resolution," "board," and "fund."

 Sec. 3.  BONDS AUTHORIZED; APPLICATION OF TEXAS PUBLIC FINANCE AUTHORITY
ACT.  Requires the Texas Public Finance Authority (authority), on behalf of
the fund, to issue revenue bonds for certain purposes.  Provides that, to
the extent that it is not inconsistent with this article, Chapter 1232
(Texas Public Finance Authority), Government Code, applies to bonds issued
under this article, and that in the event of a conflict, this article
controls. 

Sec. 4.  APPLICABILITY OF OTHER STATUTES.  Provides that Chapters 1201
(Public Security Procedures Act), 1202 (Examination and Registration of
Public Securities), 1204 (Interest Rate), 1205 (Public Security Declaratory
Judgement Actions), 1231 (Bond Review Board), and 1371 (Obligations for
Certain Public Improvements), Government Code, apply to bonds issued under
this article to the extent consistent with this article. 

Sec. 5.  LIMITS.  Authorizes the authority to issue, on behalf of the fund,
bonds in a total amount not to exceed $300 million. 

Sec. 6.  CONDITIONS.  Authorizes bonds to be issued at public or private
sale.  Requires bonds to mature not more than 20 years after the date
issued.  Requires bonds to be issued on the name of the fund. 

Sec. 7.  ADDITIONAL COVENANTS.  Authorizes the board, in a bond resolution,
to make additional covenants with respect to the bonds and the designated
income and receipts of the fund pledged to their payment and to provide for
the flow of funds and the establishment, maintenance, and investment of
funds and accounts with respect to the bonds. 

Sec. 8.  SPECIAL ACCOUNTS.  Authorizes a bond resolution to establish
special accounts including an interest and sinking fund account, reserve
account, and other accounts.  Requires the president of the fund, or the
president's designee, to administer the accounts in accordance with Article
5.151 of this code. 

Sec. 9.  SECURITY.  Provides that bonds are payable only from sources the
fund is authorized to levy, charge, and collect in connection with paying
any portion of the bonds.  Provides that bonds are obligations solely of
the fund.  Provides that bonds do not create a pledging, giving, or lending
of the faith, credit, or taxing authority of this state.  Requires each
bond to include a statement that the state is not obligated to pay any
amount on the bond and that the faith, credit, and taxing authority of this
state are not pledged, given, or lent to those payments.  Requires each
bond issued under this article to state on its face that the bond is
payable solely from the revenues pledged for that purpose and that the bond
does not and may not constitute a legal or moral obligation of the state. 

Sec. 10.  TAX EXEMPT.  Provides that the bonds issued under this article,
and any interest from the bonds, and all assets pledged to secure the
payment of the bonds are free from taxation by the state or a political
subdivision of the state. 

Sec. 11.  AUTHORIZED INVESTMENTS.  Provides that the bonds issued under
this article constitute authorized investments under Article 2.10 and Part
IA, Article 3.39 of this code. 

Sec. 12.  STATE PLEDGE.  Provides that the state pledges to and agrees with
the owners of any bonds issued in accordance with this article that the
state will not limit or alter the rights vested in the fund to fulfill the
terms of any agreements made with the owners of the bonds or in any way
impair the rights and remedies of those owners until the bonds, any premium
or interest, and all costs and expenses in connection with any action or
proceeding by or on behalf of those owners are fully met and discharged.
Authorizes the fund to include this pledge and agreement of the state in
any agreement with the owners of the bonds. 

 Sec. 13.  ENFORCEMENT BY MANDAMUS.  Provides that a writ of mandamus and
all other legal and equitable remedies are available to any party at
interest to require the fund and any other party to carry out agreements
and to perform functions and duties under this article, the Texas
Constitution, or a bond resolution. 

SECTION 2.  Effective date: January 1, 2002.