89R27927 MPF-F
 
  By: Hinojosa of Hidalgo S.B. No. 437
 
  (Cunningham)
 
  Substitute the following for S.B. No. 437:  No.
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of inservice training on identifying
  abuse, neglect, and illegal, unprofessional, and unethical conduct
  in certain health care facilities and to civil and administrative
  penalties assessed for violations of statutes or rules governing
  chemical dependency treatment facilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 161.133, Health and Safety Code, is
  amended by adding Subsection (a-1) to read as follows:
         (a-1)  The training required under Subsection (a) may be
  provided:
               (1)  in person; or
               (2)  through a live, interactive, instructor-led, and
  electronic method that uses synchronous audiovisual interaction
  between the instructor and employees.
         SECTION 2.  Section 464.017(a), Health and Safety Code, is
  amended to read as follows:
         (a)  A person or facility is subject to a civil penalty of not
  more than $25,000 for each day of violation and for each act of
  violation of this subchapter or a rule adopted under this
  subchapter.  In determining the amount of the civil penalty, the
  court shall consider:
               (1)  the person's or facility's previous violations;
               (2)  the seriousness of the violation, including the
  nature, circumstances, extent, and gravity of the violation;
               (3)  whether the health and safety of the public was
  threatened by the violation;
               (4)  the demonstrated good faith of the person or
  facility; [and]
               (5)  the amount necessary to deter future violations;
               (6)  the person's or facility's ability to pay the
  penalty; and
               (7)  if the person's or facility's license is not
  revoked under Section 464.014 because of the violation, the ability
  of the person or facility to continue providing services under this
  chapter after paying the penalty.
         SECTION 3.  Sections 464.019(c) and (s), Health and Safety
  Code, are amended to read as follows:
         (c)  The amount of the penalty shall be based on:
               (1)  the seriousness of the violation, including the
  nature, circumstances, extent, and gravity of any prohibited acts,
  and the hazard or potential hazard created to the health, safety, or
  economic welfare of the public;
               (2)  enforcement costs relating to the violation;
               (3)  the history of previous violations;
               (4)  the amount necessary to deter future violations;
               (5)  efforts to correct the violation; [and]
               (6)  the person's ability to pay the penalty; 
               (7)  if the person's license is not revoked under
  Section 464.014 because of the violation, the person's ability to
  continue providing services under this chapter after paying the
  penalty; 
               (8)  the degree of the person's culpability in causing
  the violation; and
               (9)  any other matter that justice may require.
         (s)  The commission shall post on the commission's Internet
  website current administrative penalty schedules applicable to a
  person licensed or regulated under this chapter.  The commission
  shall ensure that the administrative penalties listed in the posted
  schedules are accurate.  The administrative penalty schedules must
  consider the economic impact of an assessed penalty on a person
  licensed or regulated under this chapter and the factors described
  by Subsection (c). 
         SECTION 4.  The changes in law made by this Act to Chapter
  464, Health and Safety Code, apply only to a violation that occurs
  on or after the effective date of this Act.  A violation that
  occurred before the effective date of this Act is governed by the
  law in effect when the violation occurred, and the former law is
  continued in effect for that purpose.
         SECTION 5.  This Act takes effect September 1, 2025.