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By:  Van de Putte                                                 S.B. No. 1825

A BILL TO BE ENTITLED
AN ACT
relating to the regulation of certain assisted living facilities, convalescent and nursing homes, and related institutions; providing a penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 242.653, Health and Safety Code, is amended to read as follows: Sec. 242.653. COMMITTEE POWERS AND DUTIES. (a) The committee shall: (1) meet at the call of the presiding officer; (2) receive information about rules proposed or adopted by the department; [and] (3) review specific recommendations for legislation proposed by the department or the attorney general relating to nursing facility rules and regulations and other long-term care issues; and (4) at the written request of a duly constituted Section 501(c) nonprofit association, convene a public hearing for the purpose of receiving testimony with regard to a rule proposed or adopted by the department relating to nursing facilities and to assisted living facilities when it is alleged that the rule is in conflict with the intent of the legislature as expressed forth in this chapter and Chapter 247. (b) The committee may issue process, in accordance with Section 301.024, Government Code, to compel the attendance of witnesses and the production of books, records, documents, and instruments required by the committee. (c) The committee may, on a vote of a majority of the members, send to the department and the Health and Human Services Commission a statement that the committee has determined that a rule proposed or adopted by the department or the commission is in conflict with legislative intent. The statement may: (1) indicate the nature of the conflict identified by the committee; and (2) request that the Health and Human Services Commission review the rule under Section 531.034, Government Code. (d) The committee shall monitor the effectiveness and efficiency of the nursing facility regulatory system of this state. (e) [(d)] The committee may request reports and other information from the department and the attorney general relating to the nursing facility regulatory system of this state and other long-term care issues. (f) [(e)] The committee shall use the existing staff resources of the senate and the house of representatives to assist the committee in performing its duties under this section. (g) [(f)] The committee shall monitor the implementation of Subchapter R and study the impact of that law on the department, institutions, and residents. SECTION 2. Section 247.003, Health and Safety Code, is amended by amending Subsection (a) and adding Subsection (c) to read as follows: (a) Except as provided by Subsections [Subsection] (b) and (c), Chapter 242 does not apply to an assisted living facility licensed under this chapter. (c) Subchapter O, Chapter 242, applies to legislative oversight of department actions relating to the assisted living facility regulatory system of this state in the same manner that it applies to legislative oversight of department action relating to the nursing facility regulatory system of this state. SECTION 3. Subsection (b), Section 531.034, Government Code, is amended to read as follows: (b) The commission shall review agency rules: (1) for compliance with: (A) the coordinated strategic plan; (B) existing statutory authority; (C) rules of other health and human services agencies; and (D) budgetary implications; [and] (2) to ensure that the rules do not: (A) discourage marriage; or (B) encourage divorce; and (3) at the request of the long-term care legislative oversight committee. SECTION 4. Section 242.852, Health and Safety Code, is amended by adding Subsection (c) to read as follows: (c) A person who covertly uses or who authorizes the covert use of an electronic monitoring device, as described in Section 242.843, 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, Health and Safety Code, is amended by adding Subsection (f) to read as follows: (f) This section takes effect September 1, 2005. SECTION 6. Subsections (b) and (c), Section 242.0445, Health and Safety Code, are amended to read as follows: (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 in an 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 satisfy the department's responsibility for an additional exit conference in person. (c) Following an additional exit conference, if applicable, the [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 247.0271, Health and Safety Code, is amended by amending Subsection (c) and adding Subsection (d) to read as follows: (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 satisfy 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 the facility receives the final official statement of violations. SECTION 8. Section 6.02, Chapter 1284, Acts of the 77th Legislature, Regular Session, 2001, is repealed. SECTION 9. This Act takes effect September 1, 2003.