89R21642 LRM-D
 
  By: Barry H.B. No. 3595
 
  Substitute the following for H.B. No. 3595:
 
  By:  Hull C.S.H.B. No. 3595
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to an emergency preparedness and contingency operations
  plan, including temperature regulation, for assisted living
  facility residents during an emergency; providing penalties.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter D, Chapter 247, Health and Safety
  Code, is amended by adding Section 247.073 to read as follows:
         Sec. 247.073.  EMERGENCY PREPAREDNESS AND CONTINGENCY
  OPERATIONS PLAN; TEMPERATURE REGULATION. (a) In this section:
               (1)  "Area of refuge" means a climate-controlled area
  in an assisted living facility that is designated for use during a
  power outage, or other emergency that does not require the
  evacuation of the entire facility, to provide safety, care, and
  other resources to residents.
               (2)  "Bedfast resident" means an assisted living
  facility resident who:
                     (A)  is unable to transfer out of bed and unable to
  turn and position themselves in bed; and
                     (B)  is unable to be transported by another person
  during an emergency.
         (b)  An assisted living facility shall adopt and implement an
  emergency preparedness and contingency operations plan that
  requires the facility to provide in the event of a power outage:
               (1)  for each assisted living facility resident other
  than a bedfast resident, a climate-controlled area of refuge with
  at least 15 square feet per resident;
               (2)  for each bedfast resident, a climate-controlled
  room; and
               (3)  notice to the commission of an unplanned
  interruption or loss for more than 12 hours of electric utility
  service.
         (c)  An emergency preparedness and contingency operations
  plan adopted in accordance with this section must require an
  assisted living facility to maintain a temperature between 68 and
  82 degrees Fahrenheit for:
               (1)  each area of refuge designated for assisted living
  facility residents; and
               (2)  each climate-controlled room for bedfast
  residents.
         (d)  The executive commissioner shall adopt rules to enforce
  this section.
         (e)  The commission shall establish construction and
  licensure standards for assisted living facilities, including
  standards for:
               (1)  backup power systems, such as the integration of
  multiple backup power sources or the use of a generator connection
  box to connect a building of the facility to a backup power source;
  and
               (2)  the evacuation of assisted living facility
  residents to an area of refuge or climate-controlled room, as
  applicable, in emergencies.
         (f)  An assisted living facility shall submit the emergency
  preparedness and contingency operations plan required by this
  section to the commission in the form and manner prescribed by the
  commission.
         (g)  An assisted living facility shall include in the
  emergency preparedness and contingency operations plan adopted in
  accordance with this section its policies and information on:
               (1)  building equipment, if any, including the location
  of and type of on-site generator equipment or backup power source;
  and
               (2)  assisted living facility residents, including
  bedfast residents and residents who are dependent on electrically
  powered medical equipment.
         (h)  On request, an assisted living facility shall provide a
  summary of the facility's emergency preparedness and contingency
  operations plan adopted in accordance with this section to a
  facility resident or a resident's family member.
         (i)  The commission may assess a penalty in accordance with
  Subchapter C against an assisted living facility found in violation
  of this section.
         SECTION 2.  (a) Not later than January 1, 2026, each assisted
  living facility shall adopt and implement an emergency preparedness
  and contingency operations plan as required by Section 247.073,
  Health and Safety Code, as added by this Act.
         (b)  Notwithstanding Section 247.073(e), Health and Safety
  Code, as added by this Act, an assisted living facility is not
  required to comply with the construction and licensure standards
  established under that subsection before the later of:
               (1)  the first date that the assisted living facility
  is issued a new or renewal license under Chapter 247, Health and
  Safety Code, on or after September 1, 2026; or
               (2)  January 1, 2027.
         SECTION 3.  This Act takes effect September 1, 2025.