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A BILL TO BE ENTITLED
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AN ACT
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relating to the issuance of a single license for a hospital and a |
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mobile stroke unit of the hospital. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 241.023, Health and Safety Code, is |
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amended by amending Subsections (c-1) and (c-2) and adding |
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Subsection (h) to read as follows: |
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(c-1) The department may issue: |
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(1) one license for multiple hospitals if: |
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(A) [(1)] all buildings in which inpatients |
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receive hospital services and inpatient services of each of the |
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hospitals to be included in the license are subject to the control |
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and direction of the same governing body; |
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(B) [(2)] all buildings in which inpatients |
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receive hospital services are within a 30-mile radius of the main |
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address of the applicant; |
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(C) [(3)] there is integration of the organized |
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medical staff of each of the hospitals to be included in the |
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license; |
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(D) [(4)] there is a single chief executive |
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officer for all of the hospitals who reports directly to the |
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governing body and through whom all administrative authority flows |
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and who exercises control and surveillance over all administrative |
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activities of the hospital; |
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(E) [(5)] there is a single chief medical officer |
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for all of the hospitals who reports directly to the governing body |
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and who is responsible for all medical staff activities of the |
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hospital; |
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(F) [(6)] each building of a hospital to be |
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included in the license that is geographically separate from other |
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buildings of the same hospital contains at least one nursing unit |
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for inpatients, unless providing only diagnostic or laboratory |
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services, or a combination of diagnostic or laboratory services, in |
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the building for hospital inpatients; and |
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(G) [(7)] each hospital that is to be included in |
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the license complies with the emergency services standards: |
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(i) [(A)] for a general hospital, if the |
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hospital provides surgery or obstetrical care or both; or |
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(ii) [(B)] for a special hospital, if the |
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hospital does not provide surgery or obstetrical care; and |
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(2) one license for a hospital and a mobile stroke unit |
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of the hospital if the mobile stroke unit is accredited by a health |
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care accreditation organization approved by the Centers for |
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Medicare and Medicaid Services. |
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(c-2) The department may recommend a waiver of the |
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requirement of Subsection (c-1)(1)(G) [(c-1)(7)] for a hospital if |
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another hospital that is to be included in the license: |
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(1) complies with the emergency services standards for |
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a general hospital; and |
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(2) is in close geographic proximity to the hospital. |
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(h) Subsection (g) does not apply to a license issued to a |
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mobile stroke unit of a hospital under Subsection (c-1)(2). |
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SECTION 2. As soon as practicable after the effective date |
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of this Act, the executive commissioner of the Health and Human |
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Services Commission shall adopt rules necessary to implement |
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Section 241.023(c-1), Health and Safety Code, as amended by this |
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Act. |
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SECTION 3. This Act takes effect September 1, 2025. |