By Eiland                                             H.B. No. 3476
         Line and page numbers may not match official copy.
         Bill not drafted by TLC or Senate E&E.
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to admissibility of nursing facility survey and license
 1-3     documents.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1. Section 32.021, Human Resources Code, is amended
 1-6     to read as follows:
 1-7           (i)  [Except as provided by Subsections (j) and (k),] a
 1-8     department survey, complaint investigation, incident investigation,
 1-9     [or] survey report or any other department generated document
1-10     containing findings (hereinafter collectively referred to as
1-11     findings) documenting [that documents] that an institution has
1-12     violated a standard for participation in the state Medicaid
1-13     program, or the assessment or payment of a monetary penalty [by the
1-14     department or the payment of a monetary penalty by the
1-15     institution,] under this section, is not admissible as evidence in
1-16     a civil action [to prove that the institution has committed a
1-17     violation] unless:
1-18                 (1)  within the two (2) years of the department's
1-19     notice of the findings, the findings have been affirmed by the
1-20     entry of a final, adjudicated and unappealable order of the
1-21     department after a formal appeal;
1-22                 (2)  the findings directly involve a resident whose
1-23     care is the subject of the civil action in which the information is
 2-1     sought to be admitted or involve substantially similar conduct that
 2-2     has occurred at the institution within the previous two (2) years;
 2-3     and
 2-4                 (3)  the findings are otherwise admissible under the
 2-5     Texas Rules of Civil Evidence.
 2-6           This subsection does not apply in an action or related
 2-7     proceeding in which the state or an agency or political subdivision
 2-8     of the state is a party.
 2-9           [(j)  Subsection (i) does not:]
2-10                 [(1)  apply to an enforcement action or related
2-11     proceeding in which the state or an agency or political subdivision
2-12     of the state is a party;]
2-13                 [(2)  prohibit or limit the testimony of a department
2-14     surveyor or investigator in a civil action; or]
2-15                 [(3)  bar the admission into evidence in a civil action
2-16     of a written finding, survey report, complaint investigation,
2-17     incident investigation, or inspection report of the department that
2-18     is offered:]
2-19                       [(A)  to establish warning or notice to an
2-20     institution of a relevant finding; or]
2-21                       [(B)  under any rule or evidentiary predicate of
2-22     the Texas Rules of Civil Evidence.]
2-23           [(k)  A department surveyor or investigator may testify in a
2-24     civil action as to observations, factual findings, conclusions, or
2-25     violations of requirements for licensure or for certification for
2-26     participation in the state Medicaid program that were made in the
 3-1     discharge of official duties for the department, in accordance with
 3-2     the Texas Rules of Civil Evidence.]
 3-3           SECTION 2.  Section 242.049, Health and Safety Code, is
 3-4     amended by adding subsection (j) to read as follows:
 3-5           (j)  A department survey, complaint investigation, incident
 3-6     investigation, survey report or any other department generated
 3-7     document containing findings (hereinafter collectively referred to
 3-8     as findings) documenting that an institution has violated this
 3-9     chapter or a rule adopted under this chapter, or the assessment or
3-10     payment of any penalty under this chapter, is not admissible as
3-11     evidence in a civil action unless:
3-12                 (1)  within the two (2) years of the department's
3-13     notice of the findings, the findings have been affirmed by the
3-14     entry of a final, adjudicated and unappealable order of the
3-15     department after a formal appeal;
3-16                 (2)  the findings directly involve a resident whose
3-17     care is the subject of the civil action in which the information is
3-18     sought to be admitted or involve substantially similar conduct that
3-19     has occurred at the institution within the previous two (2) years;
3-20     and
3-21                 (3)  the findings are otherwise admissible under the
3-22     Texas Rules of Civil Evidence.
3-23           This subsection does not apply in an action or related
3-24     proceeding in which the state or an agency or political subdivision
3-25     of the state is a party.
3-26           SECTION 3.  This Act takes effect September 1, 2001, and
 4-1     applies only to an action filed on or after that date.  An action
 4-2     filed before September 1, 2001, is governed by the law in effect
 4-3     immediately before that date, and that law is continued in effect
 4-4     for that purpose.