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79R1826 YDB-D

By:  Nelson                                                       S.B. No. 195


A BILL TO BE ENTITLED
AN ACT
relating to a nurse or nurse aide employed by a temporary nursing service agency to provide hospice services to patients; providing a penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle B, Title 4, Health and Safety Code, is amended by adding Chapter 254 to read as follows:
CHAPTER 254. TEMPORARY NURSING SERVICE AGENCY
Sec. 254.001. DEFINITIONS. In this chapter: (1) "Hospice services" means palliative care provided to a terminally ill patient or a patient's family as part of a coordinated program of medical and other services available 24 hours a day, seven days a week, during the last stages of illness, death, and bereavement, and provided according to need in a home, nursing home, residential facility, or inpatient facility. The term does not include inpatient care normally provided in a licensed hospital to a terminally ill patient who has not elected to receive hospice services. (2) "Nurse" has the meaning assigned by Section 301.002(3), Occupations Code. (3) "Nurse aide" means a person who is practicing under the delegated authority of a registered nurse and is authorized by state or federal law to use the title "nurse aide" or is required to be listed in the nurse aide registry under Chapter 250. (4) "Private agency" means a person engaged in the business of obtaining criminal history record information on behalf of a temporary nursing service agency. (5) "Temporary nursing service agency" means a person that employs a nurse or nurse aide and assigns the nurse or nurse aide to temporarily provide hospice services to patients or their families either directly or through an institution, facility, or other agency. The term includes a temporary employment service, nursing pool, private duty nurse service, or sitter service. Sec. 254.002. APPLICANT AND EMPLOYEE INFORMATION; EMPLOYEE TRAINING. (a) A temporary nursing service agency may not employ a person as a nurse or nurse aide to temporarily provide hospice services unless the temporary nursing service agency: (1) obtains criminal history record information on the person in accordance with this chapter; (2) obtains references on the person; and (3) verifies that: (A) for a person applying for a position with the agency as a nurse, the person is licensed under Chapter 301, Occupations Code; or (B) for a person applying for a position as a nurse aide, the person is registered under Chapter 250 unless the applicant is exempt from the registration requirements under that chapter. (b) On employment of a person as a nurse or nurse aide to provide hospice services, a temporary nursing service agency shall provide and require the person to successfully complete as a condition of employment a training program of not less than five hours on the proper provision of hospice services. Sec. 254.003. INFORMATION OBTAINED BY TEMPORARY NURSING SERVICE AGENCY OR PRIVATE AGENCY. (a) A temporary nursing service agency or private agency is entitled to obtain from the Department of Public Safety criminal history record information maintained by the department that relates to a person who is: (1) an applicant for employment as a nurse or nurse aide to temporarily provide hospice services for a temporary nursing service agency; or (2) a nurse or nurse aide employed by a temporary nursing service agency to temporarily provide hospice services. (b) A temporary nursing service agency may: (1) pay a private agency to obtain criminal history record information for an applicant or employee described by Subsection (a) directly from the Department of Public Safety; or (2) obtain the information directly from the department. (c) A private agency shall forward criminal history record information received under this section to the temporary nursing service agency requesting the information. Sec. 254.004. VERIFICATION OF EMPLOYABILITY; DISCHARGE. (a) A temporary nursing service agency may not employ a person as a nurse or nurse aide to temporarily provide hospice services if the agency determines, as a result of obtaining criminal history record information, that the person has been convicted of an offense listed in this chapter that: (1) bars employment; or (2) is a contraindication to employment with the persons the agency serves. (b) A temporary nursing service agency may not employ an applicant as a nurse aide to temporarily provide hospice services if the agency determines: (1) the applicant is not listed in the nurse aide registry established under Chapter 250, unless the applicant is exempt from the registration requirements under that chapter; or (2) the applicant is designated in the registry as having a finding entered into the registry concerning abuse, neglect, or mistreatment of a consumer or misappropriation of a consumer's property. (c) A temporary nursing service agency shall immediately discharge a person whom the agency determines may not be employed under Subsection (a) or (b). Sec. 254.005. CRIMINAL HISTORY RECORD OF APPLICANTS AND EMPLOYEES. (a) In this section, "identifying information" includes: (1) the complete name, race, and sex of an applicant or employee; (2) any known identifying number of the applicant or employee, including social security number, driver's license number, or state identification number; and (3) the applicant's or employee's date of birth. (b) A temporary nursing service agency shall submit electronically, on disk, or on a typewritten form to the Department of Public Safety identifying information for an applicant or employee to obtain the person's criminal history record information: (1) at the time the person applies for employment as a nurse or nurse aide to temporarily provide hospice services; and (2) at other times as the agency may determine appropriate. (c) The temporary nursing service agency shall review a criminal conviction of any kind reported by the Department of Public Safety to determine whether the conviction bars the person from employment in the agency under Section 254.007 or is a contraindication to employment. Sec. 254.006. NOTICE AND OPPORTUNITY TO BE HEARD CONCERNING ACCURACY OF INFORMATION. (a) If a temporary nursing service agency believes a conviction bars a person from employment in the agency under Section 254.007 or is a contraindication to employment, the agency shall notify the applicant or employee. (b) The Department of Public Safety shall: (1) give a person notified under Subsection (a) the opportunity to be heard concerning the accuracy of the criminal history record information; and (2) notify the temporary nursing service agency if inaccurate information is discovered. Sec. 254.007. CONVICTIONS BARRING EMPLOYMENT. (a) A person regarding whom a temporary nursing service agency is entitled to obtain criminal history record information under this chapter may not be employed by the agency if the person has been convicted of an offense under: (1) Chapter 19, Penal Code (criminal homicide); (2) Chapter 20, Penal Code (kidnapping and unlawful restraint); (3) Section 21.11, Penal Code (indecency with a child); (4) Section 22.011, Penal Code (sexual assault); (5) Section 22.02, Penal Code (aggravated assault); (6) Section 22.04, Penal Code (injury to a child, elderly individual, or disabled individual); (7) Section 22.041, Penal Code (abandoning or endangering child); (8) Section 22.08, Penal Code (aiding suicide); (9) Section 25.031, Penal Code (agreement to abduct from custody); (10) Section 25.08, Penal Code (sale or purchase of a child); (11) Section 28.02, Penal Code (arson); (12) Section 29.02, Penal Code (robbery); (13) Section 29.03, Penal Code (aggravated robbery); or (14) the laws of another state, federal law, or the Uniform Code of Military Justice for an offense containing elements that are substantially similar to the elements of an offense listed under Subdivisions (1)-(13). (b) A person may not be employed in a position the duties of which involve direct contact with a patient as a nurse or nurse aide temporarily providing hospice services for a temporary nursing service agency before the fifth anniversary of the date on which the person is convicted of an offense under: (1) Section 22.01, Penal Code (assault), that is punishable as a Class A misdemeanor or as a felony; (2) Section 30.02, Penal Code (burglary); (3) Chapter 31, Penal Code (theft), that is punishable as a felony; (4) Section 32.45, Penal Code (misapplication of fiduciary property or property of a financial institution), that is punishable as a Class A misdemeanor or a felony; or (5) Section 32.46, Penal Code (securing execution of a document by deception), that is punishable as a Class A misdemeanor or a felony. Sec. 254.008. RECORDS PRIVILEGED. (a) The criminal history records are for the exclusive use of the temporary nursing service agency, the private agency that obtained the records on behalf of the requesting temporary nursing service agency, and the applicant or employee who is the subject of the records. (b) All criminal history records and reports and the information contained in the records and reports received by the temporary nursing service agency, or by the private agency for the purpose of being forwarded to the requesting agency, are privileged and confidential information. (c) The criminal history records and reports and the information contained in the records and reports may not be released or otherwise disclosed to any person except on court order or with the written consent of the person being investigated. Sec. 254.009. CRIMINAL PENALTY. (a) A person commits an offense if the person releases or otherwise discloses any information received under this chapter except as prescribed by Section 254.008. (b) An offense under this section is a Class A misdemeanor. SECTION 2. Subchapter F, Chapter 411, Government Code, is amended by adding section 411.1161 to read as follows: Sec. 411.1161. ACCESS TO CRIMINAL HISTORY RECORD INFORMATION: TEMPORARY NURSING SERVICE AGENCY PROVIDING CERTAIN NURSES AND NURSE AIDES. (a) In this section, "hospice services," "nurse," "nurse aide," and "temporary nursing service agency" have the meanings assigned by Section 254.001, Health and Safety Code. (b) A temporary nursing service agency that employs nurses and nurse aides to temporarily provide hospice services is entitled to obtain from the department criminal history record information maintained by the department that relates to a person who is: (1) an applicant for employment by the temporary nursing service agency as a nurse or nurse aide to temporarily provide hospice services; or (2) a nurse or nurse aide employed by the temporary nursing service agency to temporarily provide hospice services. SECTION 3. The change in law made by this Act does not require a temporary nursing service agency to comply with Section 254.002, Health and Safety Code, as added by this Act, for a person who: (1) is employed by a facility on the effective date of this Act; and (2) remains continuously employed by that facility. SECTION 4. This Act takes effect September 1, 2005.