By: Zaffirini S.B. No. 1449
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to an alternative method of satisfying certain licensing
  and program participation requirements for chemical dependency
  treatment facilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subsection (b), Section 464.005, Health and
  Safety Code, is amended to read as follows:
         (b)  The Department of State Health Services [commission]
  may require an inspection before renewing a license, unless the
  applicant submits an accreditation review from the Commission on
  Accreditation of Rehabilitation Facilities or the Joint Commission
  in accordance with Section 464.0055.
         SECTION 2.  Subchapter A, Chapter 464, Health and Safety
  Code, is amended by adding Section 464.0055 to read as follows:
         Sec. 464.0055.  ACCREDITATION REVIEW TO SATISFY INSPECTION
  OR CERTIFICATION REQUIREMENTS. (a)  In this section:
               (1)  "Accreditation commission" means the Commission
  on Accreditation of Rehabilitation Facilities or the Joint
  Commission.
               (2)  "Department" means the Department of State Health
  Services.
         (b)  The department shall accept an annual accreditation
  review from an accreditation commission for a treatment facility
  instead of an inspection for renewal of a license under Section
  464.005 and in satisfaction of the requirements for certification
  by the department for participation in the medical assistance
  program under Chapter 32, Human Resources Code, and the federal
  Medicare program, but only if:
               (1)  the treatment facility is accredited by the
  Commission on Accreditation of Rehabilitation Facilities under its
  behavioral health standards or by the Joint Commission under its
  behavioral health care standards;
               (2)  the accreditation commission maintains an annual
  inspection or review program that, for each treatment facility,
  meets the department's applicable minimum standards;
               (3)  the accreditation commission conducts an annual
  on-site inspection or review of the treatment facility;
               (4)  the treatment facility submits to the department a
  copy of its annual accreditation review from the accreditation
  commission in addition to the application, fee, and any report
  required for renewal of a license or for certification, as
  applicable; and
               (5)  the department has:
                     (A)  determined whether a waiver or authorization
  from a federal agency is necessary under federal law, including for
  federal funding purposes, before the department accepts an annual
  accreditation review from the accreditation commission:
                           (i)  instead of an inspection for license
  renewal purposes;
                           (ii)  as satisfying the requirements for
  certification by the department for participation in the medical
  assistance program; or
                           (iii)  as satisfying the requirements for
  certification by the department for participation in the federal
  Medicare program; and
                     (B)  obtained any necessary federal waivers or
  authorizations.
         (c)  Except as specifically provided by this section, this
  section does not limit the department in performing any duties and
  inspections authorized by this chapter or under any contract
  relating to the medical assistance program under Chapter 32, Human
  Resources Code, and Titles XVIII and XIX of the Social Security Act
  (42 U.S.C. Sections 1395 et seq. and 1396 et seq.), including
  authority to take appropriate action relating to a treatment
  facility, such as closing the treatment facility.
         (d)  This section does not require a treatment facility to
  obtain accreditation from an accreditation commission.
         SECTION 3.  Section 464.005, Health and Safety Code, as
  amended by this Act, and Section 464.0055, Health and Safety Code,
  as added by this Act, apply only to the renewal of a license to
  operate a chemical dependency treatment facility that expires on or
  after the effective date of this Act.  A license that expires before
  that date is governed by the law in effect on the date the license
  expires, and the former law is continued in effect for that purpose.
         SECTION 4.  This Act takes effect September 1, 2011.