By:  Davis of Harris                                              H.B. No. 3354


A BILL TO BE ENTITLED
AN ACT
Relating to nursing home facilities licensed under Chapter 242 of the Health and Safety Code, and assisted living facilities licensed under Chapter 247 of the Health and Safety Code. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 242.653, Health and Safety Code, is amended by adding subsection (a)(4) and subsection (c) to read as follows: (a) The Committee shall: (1)-(3) (No change) (4) at the written request of a duly constituted 501 (c) non-profit trade association, convene a public hearing for the purpose of receiving testimony with regard to a rule proposed or adopted by the department relating to the nursing facilities and to assisted living facilities, when it is alleged that the rule is in conflict with the intent of the legislature as set forth in this Chapter and in Chapter 247 (Assisted Living Facilities). (b) (No change) (c) The committee may, on a vote of a majority of the members, send the Texas Department of Human Services and the Health and Human Services Commission a statement that the committee has determined a rule proposed or adopted by the department or commission to be in conflict with legislative intent. Such statement may set forth: (1) the nature of the conflict identified by the committee; (2) a request that the Health and Human Services Commission review the rule pursuant to Chapter 531.034 of the Texas Government Code. [(c)] (d) (No change) [(d)] (e) (No change) [(e)] (f) (No change) SECTION 2. Section 247, Health and Safety Code, is amended by amending subsection (a) and by adding subsection (c) to read as follows: (a) Except as provided by Subsection (b) and (c), Chapter 242 does not apply to an assisted living facility licensed under this chapter. (b) (No change) (c) Subsection O. Chapter 242, applies to legislative oversight of department action relating to the assisted living facility regulatory system of this state in the same manner it applies to legislative oversight of department action relating to the nursing facility regulatory system of the state.. SECTION 3. Section 531.034, Government Code, is amended by adding subsection (b)(3) to read as follows: (a) (No change) (b) The commission shall review agency rules: (1) (No change) (2) (No change) (3) at the request of the Long-Term Care Legislative Oversight Committee SECTION 4. Section 242.852, of the Health and Safety Code, is amended by adding subsection (c) as follows: Sec. 242.852. CRIMINAL OFFENSE. (a) A person who intentionally hampers, obstructs, tampers with, or destroys an electronic monitoring device installed in a resident's room in accordance with this subchapter or a tape or recording made by the device commits an offense. An offense under this section is a Class B misdemeanor. (b) It is a defense to prosecution under Subsection (a) that the person took the action with the effective consent of the resident on whose behalf the electronic monitoring device was installed or the resident's guardian or legal representative. (c) A person who covertly uses an electronic monitoring devise, as defined in Section 242.843 of the Health and Safety Code, in the room of a resident of an institution or who authorizes the covert use of an electronic monitoring devise in the room of a resident of an institution commits an offense. An offense under this section is a Class B misdemeanor. SECTION 5. Section 242.0372, of the Health and Safety Code, enacted by Section 6.01, Chapter 1284, Acts of the 77th Legislature, Regular Session, 2001, to be effective September 1, 2003, is amended by adding subsection (f) to read as follows: (f) An institution is not required to comply with this section before September 1, 2005. Sec. 242.0445. REPORTING OF VIOLATIONS. (a) The department or the department's representative conducting an inspection, survey, or investigation under Section 242.043 or 242.044 shall: (1) list each violation of the law or rule on a form designated by the department for inspections; and (2) identify the specific law or rule the facility violated. (b) At the conclusion of an inspection, survey, or investigation under Section 242.043 or 242.044, the department or the department's representative conducting the inspection, survey, or investigation shall discuss the violations with the facility's management at the exit conference. The department or the department's representative shall leave a written list of the violations with the facility at the time of the exit conference. If the department or the department's representative discovers any additional violations during the review of field notes or preparation of the official final list, the department or the department's representative shall give the facility an additional exit conference regarding the additional violations. A telephone conference between the department or the department's representative and the facility, regarding additional violations, shall not be sufficient to transcend the department's responsibility for an additional exit conference in person. (c) Following an additional exit conference, if applicable, the facility shall submit a plan to correct the violations to the regional director not later than the 10th working day after the date the facility receives the final official statement of violations. SECTION 7. Section 247.0275, Health and Safety Code, is amended in section (c) and (d) as follows: Sec. 247.0275. INSPECTION EXIT CONFERENCE. (a) At the conclusion of an inspection under Section 247.023 (a) or Section 247.027, the inspector shall perform an exit conference to advise the assisted living facility of the findings resulting from the inspection. (b) At the exit conference, the inspector shall provide a copy of the inspection checklist to the assisted living facility and list each violation discovered during the inspection, with specific reference to the standard violated. (c) If, after the initial exit conference, additional violations are cited, the inspector shall conduct an additional exit conference regarding the newly identified violations. A telephone conference between the department or the department's representative and the facility, regarding additional violations, shall not be sufficient to transcend the department's responsibility for an additional exit conference in person. (d) Following an additional exit conference, if applicable, the assisted living facility shall submit an acceptable plan of correction to the regional director with supervisory authority over the inspector not later than the 10th working day after the date [of completion of the final exit conference] the facility receives the final official statement of violations. SECTION 8. This Act takes effect September 1, 2003.