1 | 1 | | 81R11580 UM-D |
---|
2 | 2 | | By: Olivo H.B. No. 4696 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to the investigation and prevention of abuse, neglect, or |
---|
8 | 8 | | exploitation at certain facilities and homes in which individuals |
---|
9 | 9 | | with mental retardation reside and the collection and use of |
---|
10 | 10 | | information related to those investigations in an electronic |
---|
11 | 11 | | database. |
---|
12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
13 | 13 | | SECTION 1. Subchapter D, Chapter 161, Human Resources Code, |
---|
14 | 14 | | is amended by adding Sections 161.076, 161.077, and 161.078 to read |
---|
15 | 15 | | as follows: |
---|
16 | 16 | | Sec. 161.076. ON-SITE SURVEYS OF CERTAIN PROVIDERS. At |
---|
17 | 17 | | least every 12 months, the department shall conduct an unannounced |
---|
18 | 18 | | on-site survey in each group or foster home at which a Home and |
---|
19 | 19 | | Community-based Services (HCS) provider provides services. The |
---|
20 | 20 | | department shall ensure that the home and provider comply with the |
---|
21 | 21 | | requirements of the Home and Community-based Services waiver |
---|
22 | 22 | | program as determined by the department. |
---|
23 | 23 | | Sec. 161.077. INTENSIVE OVERSIGHT OF CERTAIN FACILITIES. |
---|
24 | 24 | | (a) At least two times every 12 months, the department shall conduct |
---|
25 | 25 | | an unannounced investigation or on-site survey in a facility |
---|
26 | 26 | | licensed under Chapter 252, Health and Safety Code, or a group or |
---|
27 | 27 | | foster home at which a Home and Community-based Services (HCS) |
---|
28 | 28 | | provider provides services if the facility or home meets the |
---|
29 | 29 | | intensive oversight criteria listed in Subsection (b). The |
---|
30 | 30 | | department may use the abuse, neglect, and exploitation prevention |
---|
31 | 31 | | database established under Section 161.078 to determine whether a |
---|
32 | 32 | | facility or home meets the intensive oversight criteria. |
---|
33 | 33 | | (b) A facility licensed under Chapter 252, Health and Safety |
---|
34 | 34 | | Code, or group or foster home at which a Home and Community-based |
---|
35 | 35 | | Services (HCS) provider provides services requires intensive |
---|
36 | 36 | | oversight if the facility or home: |
---|
37 | 37 | | (1) has failed to comply with regulatory requirements |
---|
38 | 38 | | related to the prevention of abuse, neglect, or exploitation of |
---|
39 | 39 | | individuals with mental retardation; |
---|
40 | 40 | | (2) has had multiple allegations of abuse, neglect, |
---|
41 | 41 | | and exploitation reported regarding the facility or home within the |
---|
42 | 42 | | previous 12 months; |
---|
43 | 43 | | (3) is the residence of an individual with mental |
---|
44 | 44 | | retardation who was transferred to the facility or home within the |
---|
45 | 45 | | previous 12 months; or |
---|
46 | 46 | | (4) in accordance with department rules, is the |
---|
47 | 47 | | residence of one or more individuals with mental retardation who |
---|
48 | 48 | | have an extraordinarily high level of need and care that |
---|
49 | 49 | | necessitates additional monitoring or attention. |
---|
50 | 50 | | Sec. 161.078. ABUSE, NEGLECT, AND EXPLOITATION PREVENTION |
---|
51 | 51 | | DATABASE. (a) The department and the Department of Family and |
---|
52 | 52 | | Protective Services jointly shall develop and maintain an |
---|
53 | 53 | | electronic database to collect and analyze information regarding |
---|
54 | 54 | | the investigation and prevention of abuse, neglect, and |
---|
55 | 55 | | exploitation of individuals with mental retardation who reside in a |
---|
56 | 56 | | facility licensed under Chapter 252, Health and Safety Code, or in a |
---|
57 | 57 | | group or foster home at which a Home and Community-based Services |
---|
58 | 58 | | (HCS) provider provides services. |
---|
59 | 59 | | (b) The information collected in the database regarding |
---|
60 | 60 | | investigations must be detailed, easily retrievable, and include |
---|
61 | 61 | | information relating to abuse, neglect, and exploitation |
---|
62 | 62 | | investigations performed by either department and regulatory |
---|
63 | 63 | | investigations performed by the department that may be sorted by |
---|
64 | 64 | | home, provider, and facility. The database must allow the |
---|
65 | 65 | | department, in performing the department's regulatory functions, |
---|
66 | 66 | | to identify a home, provider, or facility that needs intensive |
---|
67 | 67 | | oversight as provided by Section 161.077. |
---|
68 | 68 | | (c) The database must facilitate the entry of required |
---|
69 | 69 | | information and the sharing of information between the department |
---|
70 | 70 | | and the Department of Family and Protective Services. At a minimum, |
---|
71 | 71 | | the database must include the following information regarding |
---|
72 | 72 | | investigations of abuse, neglect, or exploitation: |
---|
73 | 73 | | (1) the number of allegations of abuse, neglect, or |
---|
74 | 74 | | exploitation received relating to a facility or home; and |
---|
75 | 75 | | (2) the number of allegations relating to a facility |
---|
76 | 76 | | or home substantiated through an investigation. |
---|
77 | 77 | | (d) Each allegation involving a unique individual in a |
---|
78 | 78 | | facility or home is considered a separate allegation for purposes |
---|
79 | 79 | | of Subsection (c). |
---|
80 | 80 | | (e) The department shall ensure that information related to |
---|
81 | 81 | | findings concerning failure to comply with regulatory standards |
---|
82 | 82 | | directly related to the prevention of abuse, neglect, or |
---|
83 | 83 | | exploitation in a facility or home is collected and stored in the |
---|
84 | 84 | | database and may be disaggregated by home, provider, and facility. |
---|
85 | 85 | | (f) The department shall maintain information in the |
---|
86 | 86 | | database regarding the placement of individuals in a facility or |
---|
87 | 87 | | home who were transferred from a state school during the previous 12 |
---|
88 | 88 | | months. At a minimum, this information must include the |
---|
89 | 89 | | individual's: |
---|
90 | 90 | | (1) severity of mental retardation; |
---|
91 | 91 | | (2) medical diagnosis and needs; and |
---|
92 | 92 | | (3) need for monitoring or attention to ensure the |
---|
93 | 93 | | individual receives sufficient care. |
---|
94 | 94 | | (g) The department and the Department of Family and |
---|
95 | 95 | | Protective Services may not release or distribute information in |
---|
96 | 96 | | the database in a form that contains personally identifiable |
---|
97 | 97 | | information related to an individual in a facility or home or to a |
---|
98 | 98 | | victim of abuse, neglect, or exploitation. |
---|
99 | 99 | | SECTION 2. As soon as practicable after the effective date |
---|
100 | 100 | | of this Act, the Department of Aging and Disability Services and the |
---|
101 | 101 | | Department of Family and Protective Services shall develop the |
---|
102 | 102 | | database required by Section 161.078, Human Resources Code, as |
---|
103 | 103 | | added by this Act. |
---|
104 | 104 | | SECTION 3. This Act takes effect immediately if it receives |
---|
105 | 105 | | a vote of two-thirds of all the members elected to each house, as |
---|
106 | 106 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
107 | 107 | | Act does not receive the vote necessary for immediate effect, this |
---|
108 | 108 | | Act takes effect September 1, 2009. |
---|