By Zaffirini                                            S.B. No. 39
         77R507 MI-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to imposition of administrative penalties against assisted
 1-3     living facilities.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1. Section 247.002, Health and Safety Code, is
 1-6     amended by adding Subdivision (7) to read as follows:
 1-7                 (7)  "Commissioner" means the commissioner of human
 1-8     services.
 1-9           SECTION 2. Section 247.0455, Health and Safety Code, is
1-10     redesignated as Section 247.0459, Health and Safety Code, to read
1-11     as follows:
1-12           Sec. 247.0459 [247.0455].  VIOLATION OF LAW RELATING TO
1-13     ADVANCE DIRECTIVES. (a)  The department shall assess an
1-14     administrative penalty against a personal care facility that
1-15     violates Section 166.004.
1-16           (b)  A penalty assessed under this section shall be $500.
1-17           (c)  The penalty shall be assessed in accordance with
1-18     department rules.  The rules must provide for notice and an
1-19     opportunity for a hearing.
1-20           SECTION 3. Subchapter C, Chapter 247, Health and Safety Code,
1-21     is amended by adding Sections 247.0451 through 247.0457 to read as
1-22     follows:
1-23           Sec. 247.0451.  ADMINISTRATIVE PENALTY. (a)  The department
1-24     may assess an administrative penalty against a person who:
 2-1                 (1)  violates this chapter or a rule, standard, or
 2-2     order adopted or license issued under this chapter;
 2-3                 (2)  makes a false statement, that the person knows or
 2-4     should know is false, of a material fact:
 2-5                       (A)  on an application for issuance or renewal of
 2-6     a license or in an attachment to the application; or
 2-7                       (B)  with respect to a matter under investigation
 2-8     by the department;
 2-9                 (3)  refuses to allow a representative of the
2-10     department to inspect:
2-11                       (A)  a book, record, or file required to be
2-12     maintained by an assisted living facility; or
2-13                       (B)  any portion of the premises of an assisted
2-14     living facility;
2-15                 (4)  wilfully interferes with the work of a
2-16     representative of the department or the enforcement of this
2-17     chapter;
2-18                 (5)  wilfully interferes with a representative of the
2-19     department preserving evidence of a violation of this chapter or a
2-20     rule, standard, or order adopted or license issued under this
2-21     chapter; or
2-22                 (6)  fails to pay a penalty assessed under this chapter
2-23     not later than the 30th day after the date the assessment of the
2-24     penalty becomes final.
2-25           (b)  Except as provided by Subsection (d), the penalty may
2-26     not exceed $5,000 for each violation.
2-27           (c)  Notice of any violation observed by a representative of
 3-1     the department during an inspection that results in a
 3-2     recommendation of an administrative penalty shall be provided in
 3-3     writing to the assisted living facility.  The written notice must
 3-4     identify the specific law or regulation that has been violated and
 3-5     include the name of the department representative recommending the
 3-6     penalty.
 3-7           (d)  The penalty for a violation of a right of a resident
 3-8     under Section 247.064 may not exceed $1,000 for each violation.
 3-9     This subsection does not apply to conduct that also violates
3-10     another provision of this chapter or a rule, standard, or order
3-11     adopted or license issued under this chapter.
3-12           (e)  The board shall establish gradations of penalties in
3-13     accordance with the relative seriousness of the violation.
3-14           (f)  In determining the amount of a penalty, the department
3-15     shall consider any matter that justice may require, including:
3-16                 (1)  the size of the assisted living facility;
3-17                 (2)  the gradations of penalties established under
3-18     Subsection (e);
3-19                 (3)  the seriousness of the violation, including the
3-20     nature, circumstances, extent, and gravity of the prohibited act
3-21     and the hazard or potential hazard created by the act to the health
3-22     or safety of the public;
3-23                 (4)  the history of previous violations;
3-24                 (5)  deterrence of future violations; and
3-25                 (6)  efforts to correct the violation.
3-26           (g)  A penalty assessed under Subsection (a)(6) is in
3-27     addition to the penalty previously assessed and not timely paid.
 4-1           Sec. 247.0452.  RIGHT TO CORRECT. (a)  The department may not
 4-2     collect an administrative penalty from an assisted living facility
 4-3     under Section 247.0451 if, not later than the 45th day after the
 4-4     date the facility receives notice under Section 247.0453(c), the
 4-5     facility corrects the violation.
 4-6           (b)  Subsection (a)  does not apply:
 4-7                 (1)  to a violation that the department determines:
 4-8                       (A)  resulted in serious harm to or death of a
 4-9     resident;
4-10                       (B)  constitutes a serious threat to the health
4-11     or safety of a resident; or
4-12                       (C)  substantially limits the assisted living
4-13     facility's capacity to provide care;
4-14                 (2)  to a violation described by Sections
4-15     247.0451(a)(2)-(6); or
4-16                 (3)  to a violation of a right of a resident under
4-17     Section 247.064.
4-18           Sec. 247.0453.  REPORT RECOMMENDING ADMINISTRATIVE PENALTY.
4-19     (a)  The department may issue a preliminary report stating the
4-20     facts on which the department concludes that a violation of this
4-21     chapter or a rule, standard, or order adopted or license issued
4-22     under this chapter has occurred if the department has:
4-23                 (1)  examined the possible violation and facts
4-24     surrounding the possible violation; and
4-25                 (2)  concluded that a violation has occurred.
4-26           (b)  The report may recommend a penalty under Section
4-27     247.0451 and the amount of the penalty.
 5-1           (c)  The department shall give written notice of the report
 5-2     to the person charged with the violation not later than the 10th
 5-3     day after the date the report is issued.  The notice must include:
 5-4                 (1)  a brief summary of the charges;
 5-5                 (2)  a statement of the amount of penalty recommended;
 5-6                 (3)  a statement of whether the violation is subject to
 5-7     correction under Section 247.0452 and, if the violation is subject
 5-8     to correction under that section, a statement of:
 5-9                       (A)  the date on which the assisted living
5-10     facility must file with the department a plan of correction to be
5-11     approved by the department; and
5-12                       (B)  the date on which the plan of correction
5-13     must be completed to avoid assessment of the penalty; and
5-14                 (4)  a statement that the person charged has a right to
5-15     a hearing on the occurrence of the violation, the amount of the
5-16     penalty, or both.
5-17           (d)  Not later than the 20th day after the date the notice
5-18     under Subsection (c) is sent, the person charged may:
5-19                 (1)  give to the department written consent to the
5-20     department's report, including the recommended penalty;
5-21                 (2)  make a written request for a hearing; or
5-22                 (3)  if the violation is subject to correction under
5-23     Section 247.0452, submit a plan of correction to the department for
5-24     approval.
5-25           (e)  If the violation is subject to correction under Section
5-26     247.0452 and the person reports to the department that the
5-27     violation has been corrected, the department shall inspect the
 6-1     correction or take any other step necessary to confirm the
 6-2     correction and shall notify the person that:
 6-3                 (1)  the correction is satisfactory and a penalty will
 6-4     not be assessed; or
 6-5                 (2)  the correction is not satisfactory and a penalty
 6-6     is recommended.
 6-7           (f)  Not later than the 20th day after the date a notice
 6-8     under Subsection (e)(2) is sent, the person charged may:
 6-9                 (1)  give to the department written consent to the
6-10     department's report, including the recommended penalty; or
6-11                 (2)  make a written request for a hearing.
6-12           (g)  If the person charged with the violation consents to the
6-13     penalty recommended by the department or does not timely respond to
6-14     a notice sent under Subsection (c) or (e)(2), the commissioner or
6-15     the commissioner's designee shall assess the penalty recommended by
6-16     the department.
6-17           (h)  If the commissioner or the commissioner's designee
6-18     assesses the recommended penalty, the department shall give written
6-19     notice to the person charged of the decision and the person shall
6-20     pay the penalty.
6-21           Sec. 247.0454.  HEARING ON ADMINISTRATIVE PENALTY. (a)  An
6-22     administrative law judge shall order a hearing and give notice of
6-23     the hearing if a person charged with a violation under Section
6-24     247.0451 timely requests a hearing.
6-25           (b)  The hearing shall be held before an administrative law
6-26     judge.
6-27           (c)  The administrative law judge shall make findings of fact
 7-1     and conclusions of law and promptly issue to the commissioner a
 7-2     written decision regarding the occurrence of a violation of this
 7-3     chapter or a rule, standard, or order adopted or license issued
 7-4     under this chapter and a recommendation regarding the amount of the
 7-5     proposed penalty if a penalty is warranted.
 7-6           (d)  Based on the findings of fact and conclusions of law and
 7-7     the recommendation of the administrative law judge, the
 7-8     commissioner by order may:
 7-9                 (1)  find that a violation has occurred and assess an
7-10     administrative penalty; or
7-11                 (2)  find that a violation has not occurred.
7-12           (e)  Proceedings under this section are subject to Chapter
7-13     2001, Government Code.
7-14           Sec. 247.0455.  NOTICE AND PAYMENT OF ADMINISTRATIVE PENALTY;
7-15     INTEREST; REFUND. (a)  The commissioner shall give notice of the
7-16     findings made under Section 247.0454(d) to the person charged.  If
7-17     the commissioner finds that a violation has occurred, the
7-18     commissioner shall give to the person charged written notice of:
7-19                 (1)  the findings;
7-20                 (2)  the amount of the administrative penalty;
7-21                 (3)  the rate of interest payable with respect to the
7-22     penalty and the date on which interest begins to accrue;
7-23                 (4)  whether action under Section 247.0457 is required
7-24     instead of payment of all or part of the penalty; and
7-25                 (5)  the person's right to judicial review of the
7-26     commissioner's order.
7-27           (b)  Not later than the 30th day after the date the
 8-1     commissioner's order is final, the person charged with the penalty
 8-2     shall:
 8-3                 (1)  pay the full amount of the penalty; or
 8-4                 (2)  file a petition for judicial review contesting the
 8-5     occurrence of the violation, the amount of the penalty, the failure
 8-6     to correct the violation to the department's satisfaction, or any
 8-7     combination of those issues.
 8-8           (c)  Notwithstanding Subsection (b), the department may
 8-9     permit the person to pay a penalty in installments or may require
8-10     the person to use all or part of the amount of the penalty in
8-11     accordance with Section 247.0457.
8-12           (d)  If the person does not pay the penalty within the period
8-13     provided by Subsection (b) or in accordance with Subsection (c), if
8-14     applicable:
8-15                 (1)  the penalty is subject to interest; and
8-16                 (2)  the department may refer the matter to the
8-17     attorney general for collection of the penalty and interest.
8-18           (e)  Interest under Subsection (d)(1) accrues:
8-19                 (1)  at a rate equal to the rate charged on loans to
8-20     depository institutions by the New York Federal Reserve Bank; and
8-21                 (2)  for the period beginning on the date after the
8-22     date the penalty becomes due and ending on the date the penalty is
8-23     paid.
8-24           (f)  If a penalty is reduced or not assessed as a result of
8-25     judicial review, the commissioner shall:
8-26                 (1)  remit to the person charged the appropriate amount
8-27     of any penalty payment plus accrued interest; or
 9-1                 (2)  execute a release of the supersedeas bond if one
 9-2     has been posted.
 9-3           (g)  Accrued interest on amounts remitted by the commissioner
 9-4     under Subsection (f)(1) shall be paid:
 9-5                 (1)  at a rate equal to the rate charged on loans to
 9-6     depository institutions by the New York Federal Reserve Bank; and
 9-7                 (2)  for the period beginning on the date the penalty
 9-8     is paid and ending on the date the penalty is remitted to the
 9-9     person charged.
9-10           Sec. 247.0456.  APPLICATION OF OTHER LAW.  Except as provided
9-11     by Section 247.0451(a)(6), the department may not assess more than
9-12     one monetary penalty under this chapter for a violation arising out
9-13     of the same act or failure to act.
9-14           Sec. 247.0457.  AMELIORATION OF VIOLATION. Instead of
9-15     ordering payment of an administrative penalty authorized by this
9-16     subchapter, the commissioner may require a person subject to the
9-17     penalty to use, under the supervision of the department, all or
9-18     part of the amount of the penalty to ameliorate the violation or to
9-19     improve services, other than administrative services, in the
9-20     assisted living facility affected by the violation.
9-21           SECTION 4. Section 247.049(b), Health and Safety Code, is
9-22     amended to read as follows:
9-23           (b)  Subsection (a) does not:
9-24                 (1)  bar the admission into evidence of department
9-25     reports or other documents in an enforcement action in which the
9-26     state or an agency or political subdivision of the state is a
9-27     party, including:
 10-1                      (A)  an action seeking injunctive relief under
 10-2    Section 247.044;
 10-3                      (B)  an action seeking imposition of a civil
 10-4    penalty under Section 247.045;
 10-5                      (C)  a contested case hearing on the imposition
 10-6    of an administrative penalty under Section 247.0451;  and
 10-7                      (D) [(C)]  a contested case hearing involving
 10-8    denial, suspension, or revocation of a license issued under this
 10-9    chapter;
10-10                (2)  bar the admission into evidence of department
10-11    reports or other documents that are offered:
10-12                      (A)  to establish warning or notice to an
10-13    assisted living facility of a relevant department determination; or
10-14                      (B)  under any rule or evidentiary predicate of
10-15    the Texas Rules of Evidence;
10-16                (3)  prohibit or limit the testimony of a department
10-17    employee, in accordance with the Texas Rules of Evidence, as to
10-18    observations, factual findings, conclusions, or determinations that
10-19    an assisted living facility violated a standard prescribed under
10-20    this chapter if the observations, factual findings, conclusions, or
10-21    determinations were made in the discharge of the employee's
10-22    official duties for the department; or
10-23                (4)  prohibit or limit the use of department reports or
10-24    other documents in depositions or other forms of discovery
10-25    conducted in connection with a civil action if use of the reports
10-26    or other documents appears reasonably calculated to lead to the
10-27    discovery of admissible evidence.
 11-1          SECTION 5. This Act takes effect September 1, 2001.