81R3463 GCB-D By: Zaffirini S.B. No. 751 A BILL TO BE ENTITLED AN ACT relating to the use of restraints in state schools. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 592, Health and Safety Code, is amended by adding Subchapter E to read as follows: SUBCHAPTER E. USE OF RESTRAINTS IN STATE SCHOOLS Sec. 592.101. DEFINITION. In this subchapter, "executive commissioner" means the executive commissioner of the Health and Human Services Commission. Sec. 592.102. USE OF RESTRAINTS. (a) The executive commissioner shall adopt rules to ensure that: (1) a mechanical or physical restraint is not administered to a resident of a state school unless the restraint is: (A) necessary to prevent imminent physical injury to the resident or another; and (B) the least restrictive restraint effective to prevent imminent physical injury; (2) the administration of a mechanical or physical restraint to a resident of a state school ends immediately once the imminent risk of physical injury abates; and (3) a mechanical or physical restraint is not administered to a resident of a state school as punishment or as part of a behavior plan. (b) The executive commissioner shall adopt rules to prohibit the use of prone and supine holds on a resident of a state school except as transitional holds. Sec. 592.103. STANDING ORDERS FOR RESTRAINTS PROHIBITED. (a) A person may not issue a standing order to administer on an as-needed basis mechanical or physical restraints to a resident of a state school. (b) A person may not administer mechanical or physical restraints to a resident of a state school pursuant to a standing order to administer restraints on an as-needed basis. Sec. 592.104. STRAITJACKETS PROHIBITED. A person may not use a straitjacket to restrain a resident of a state school. Sec. 592.105. DUTY TO REPORT. A state school shall report to the executive commissioner each incident in which a physical or mechanical restraint is administered to a resident of a state school. The report must contain information and be in the form required by rules of the executive commissioner. Sec. 592.106. CONFLICT WITH OTHER LAW. To the extent of a conflict between this subchapter and Chapter 322, this subchapter controls. SECTION 2. Not later than January 1, 2010, the executive commissioner of the Health and Human Services Commission shall adopt rules required under Sections 592.102 and 592.105, Health and Safety Code, as added by this Act. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2009.