1 | 1 | | By: Menendez (Senate Sponsor - Uresti) H.B. No. 33 |
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2 | 2 | | (In the Senate - Received from the House April 22, 2013; |
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3 | 3 | | April 24, 2013, read first time and referred to Committee on Health |
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4 | 4 | | and Human Services; May 13, 2013, reported favorably by the |
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5 | 5 | | following vote: Yeas 8, Nays 0; May 13, 2013, sent to printer.) |
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6 | 6 | | |
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7 | 7 | | |
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8 | 8 | | A BILL TO BE ENTITLED |
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9 | 9 | | AN ACT |
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10 | 10 | | relating to alternative methods of dispute resolution in certain |
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11 | 11 | | disputes between the Department of Aging and Disability Services |
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12 | 12 | | and an assisted living facility licensed by the department. |
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13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 14 | | SECTION 1. Section 247.051, Health and Safety Code, is |
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15 | 15 | | amended to read as follows: |
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16 | 16 | | Sec. 247.051. INFORMAL DISPUTE RESOLUTION. (a) The Health |
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17 | 17 | | and Human Services Commission by rule shall establish an informal |
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18 | 18 | | dispute resolution process to address disputes between a facility |
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19 | 19 | | and the department concerning a statement of violations prepared by |
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20 | 20 | | the department in accordance with this section. The process must |
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21 | 21 | | provide for adjudication by an appropriate disinterested person of |
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22 | 22 | | disputes relating to a statement of violations [a proposed |
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23 | 23 | | enforcement action or related proceeding under this chapter]. The |
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24 | 24 | | informal dispute resolution process must require: |
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25 | 25 | | (1) the assisted living facility to request informal |
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26 | 26 | | dispute resolution not later than the 10th day after the date of |
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27 | 27 | | notification by the department of the violation of a standard or |
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28 | 28 | | standards; |
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29 | 29 | | (2) the Health and Human Services Commission to |
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30 | 30 | | complete the process not later than the 90th [30th] day after the |
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31 | 31 | | date of receipt of a request from the assisted living facility for |
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32 | 32 | | informal dispute resolution; [and] |
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33 | 33 | | (3) that, not later than the 10th business day after |
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34 | 34 | | the date an assisted living facility requests an informal dispute |
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35 | 35 | | resolution, the department forward to the assisted living facility |
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36 | 36 | | a copy of all information that is referred to in the disputed |
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37 | 37 | | statement of violations or on which a citation is based in |
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38 | 38 | | connection with the survey, inspection, investigation, or other |
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39 | 39 | | visit, excluding: |
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40 | 40 | | (A) the name of any complainant, witness, or |
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41 | 41 | | informant; |
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42 | 42 | | (B) any information that would reasonably lead to |
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43 | 43 | | the identification of a complainant, witness, or informant; |
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44 | 44 | | (C) information obtained from or contained in the |
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45 | 45 | | records of the facility; |
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46 | 46 | | (D) information that is publicly available; or |
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47 | 47 | | (E) information that is confidential by law; |
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48 | 48 | | (4) the Health and Human Services Commission to give |
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49 | 49 | | full consideration to all factual arguments raised during the |
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50 | 50 | | informal dispute resolution process that: |
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51 | 51 | | (A) are supported by references to specific |
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52 | 52 | | information that the facility or department relies on to dispute or |
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53 | 53 | | support findings in the statement of violations; and |
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54 | 54 | | (B) are provided by the proponent of the argument |
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55 | 55 | | to the Health and Human Services Commission and the opposing party; |
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56 | 56 | | (5) that informal dispute resolution staff give full |
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57 | 57 | | consideration to the information provided by the assisted living |
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58 | 58 | | facility and the department; |
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59 | 59 | | (6) that ex parte communications concerning the |
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60 | 60 | | substance of any argument relating to a survey, inspection, |
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61 | 61 | | investigation, visit, or statement of violations under |
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62 | 62 | | consideration not occur between the informal dispute resolution |
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63 | 63 | | staff and the assisted living facility or the department; and |
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64 | 64 | | (7) that the assisted living facility and the |
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65 | 65 | | department be given a reasonable opportunity to submit arguments |
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66 | 66 | | and information supporting the position of the assisted living |
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67 | 67 | | facility or the department and to respond to arguments and |
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68 | 68 | | information presented against them. |
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69 | 69 | | (b) [any individual representing an assisted living |
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70 | 70 | | facility in an informal dispute resolution process to register with |
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71 | 71 | | the Health and Human Services Commission and disclose the |
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72 | 72 | | following: |
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73 | 73 | | [(A) the individual's employment history during |
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74 | 74 | | the preceding five years, including employment in regulatory |
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75 | 75 | | agencies of this state and other states; |
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76 | 76 | | [(B) ownership, including the identity of the |
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77 | 77 | | controlling person or persons, of the assisted living facility the |
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78 | 78 | | individual is representing before the Health and Human Services |
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79 | 79 | | Commission; and |
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80 | 80 | | [(C) the identity of other entities the |
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81 | 81 | | individual represents or has represented before the Health and |
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82 | 82 | | Human Services Commission during the preceding 24 months. |
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83 | 83 | | [(b) The Health and Human Services Commission shall adopt |
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84 | 84 | | rules to adjudicate claims in contested cases. |
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85 | 85 | | [(c)] The Health and Human Services Commission may not |
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86 | 86 | | delegate its responsibility to administer the informal dispute |
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87 | 87 | | resolution process established by this section to another state |
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88 | 88 | | agency. |
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89 | 89 | | (c) An assisted living facility requesting an informal |
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90 | 90 | | dispute resolution under this section must reimburse the department |
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91 | 91 | | for any costs associated with the department's preparation, |
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92 | 92 | | copying, and delivery of information requested by the facility. |
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93 | 93 | | (d) A statement of violations prepared by the department |
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94 | 94 | | following a survey, inspection, investigation, or visit is |
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95 | 95 | | confidential pending the outcome of the informal dispute resolution |
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96 | 96 | | process. Information concerning the outcome of a survey, |
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97 | 97 | | inspection, investigation, or visit may be posted on any website |
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98 | 98 | | maintained by the department while the dispute is pending if the |
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99 | 99 | | posting clearly notes each finding that is in dispute. |
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100 | 100 | | SECTION 2. Chapter 247, Health and Safety Code, is amended |
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101 | 101 | | by adding Subchapter E to read as follows: |
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102 | 102 | | SUBCHAPTER E. ARBITRATION |
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103 | 103 | | Sec. 247.081. SCOPE OF SUBCHAPTER. This subchapter applies |
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104 | 104 | | to any dispute between a facility licensed under this chapter and |
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105 | 105 | | the department relating to: |
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106 | 106 | | (1) renewal of a license under Section 247.023; |
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107 | 107 | | (2) suspension, revocation, or denial of a license |
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108 | 108 | | under Section 247.041; |
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109 | 109 | | (3) assessment of a civil penalty under Section |
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110 | 110 | | 247.045; or |
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111 | 111 | | (4) assessment of an administrative penalty under |
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112 | 112 | | Section 247.0451. |
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113 | 113 | | Sec. 247.082. ELECTION OF ARBITRATION. (a) Except as |
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114 | 114 | | provided by Subsection (d), an affected facility may elect binding |
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115 | 115 | | arbitration of any dispute to which this subchapter applies. |
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116 | 116 | | Arbitration under this subchapter is an alternative to a contested |
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117 | 117 | | case hearing or to a judicial proceeding relating to the assessment |
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118 | 118 | | of a civil penalty. |
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119 | 119 | | (b) An affected facility may elect arbitration under this |
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120 | 120 | | subchapter by filing the election with the court in which the |
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121 | 121 | | lawsuit is pending and sending notice of the election to the |
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122 | 122 | | department and the office of the attorney general. The election |
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123 | 123 | | must be filed not later than the 10th day after the date on which the |
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124 | 124 | | answer is due or the date on which the answer is filed, whichever is |
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125 | 125 | | earlier. If a civil penalty is requested after the initial filing of |
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126 | 126 | | a Section 242.094 action through the filing of an amended or |
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127 | 127 | | supplemental pleading, an affected facility must elect arbitration |
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128 | 128 | | not later than the 10th day after the date on which the amended or |
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129 | 129 | | supplemental pleading is served on the affected facility or the |
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130 | 130 | | facility's counsel. |
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131 | 131 | | (c) The department may elect arbitration under this |
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132 | 132 | | subchapter by filing the election with the court in which the |
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133 | 133 | | lawsuit is pending and by notifying the facility of the election not |
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134 | 134 | | later than the date on which the facility may elect arbitration |
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135 | 135 | | under Subsection (b). |
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136 | 136 | | (d) Arbitration may not be used to resolve a dispute related |
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137 | 137 | | to an affected facility that has had an arbitration award levied |
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138 | 138 | | against it in the previous five years. |
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139 | 139 | | (e) If arbitration is not permitted under this subchapter or |
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140 | 140 | | the election of arbitration is not timely filed: |
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141 | 141 | | (1) the court shall dismiss the arbitration election |
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142 | 142 | | and retain jurisdiction of the lawsuit; and |
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143 | 143 | | (2) the State Office of Administrative Hearings shall |
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144 | 144 | | dismiss the arbitration and does not have jurisdiction over the |
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145 | 145 | | lawsuit. |
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146 | 146 | | (f) An election to engage in arbitration under this |
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147 | 147 | | subchapter is irrevocable and binding on the facility and the |
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148 | 148 | | department. |
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149 | 149 | | Sec. 247.083. ARBITRATION PROCEDURES. (a) The arbitration |
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150 | 150 | | shall be conducted by an arbitrator. |
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151 | 151 | | (b) The arbitration and the appointment of the arbitrator |
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152 | 152 | | shall be conducted in accordance with rules adopted by the chief |
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153 | 153 | | administrative law judge of the State Office of Administrative |
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154 | 154 | | Hearings. Before adopting rules under this subsection, the chief |
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155 | 155 | | administrative law judge shall consult with the department and |
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156 | 156 | | shall consider appropriate rules developed by any nationally |
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157 | 157 | | recognized association that performs arbitration services. |
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158 | 158 | | (c) The party that elects arbitration shall pay the cost of |
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159 | 159 | | the arbitration. The total fees and expenses paid for an arbitrator |
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160 | 160 | | for a day may not exceed $1,000. |
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161 | 161 | | (d) The State Office of Administrative Hearings may |
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162 | 162 | | designate a nationally recognized association that performs |
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163 | 163 | | arbitration services to conduct arbitrations under this subchapter |
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164 | 164 | | and may, after consultation with the department, contract with that |
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165 | 165 | | association for the arbitrations. |
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166 | 166 | | (e) On request by the department, the attorney general may |
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167 | 167 | | represent the department in the arbitration. |
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168 | 168 | | Sec. 247.084. ARBITRATOR QUALIFICATIONS. Each arbitrator |
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169 | 169 | | must be on an approved list of a nationally recognized association |
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170 | 170 | | that performs arbitration services or be otherwise qualified as |
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171 | 171 | | provided in the rules adopted under Section 247.083(b). |
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172 | 172 | | Sec. 247.085. ARBITRATOR SELECTION. The arbitrator shall |
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173 | 173 | | be appointed in accordance with the rules adopted under Section |
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174 | 174 | | 247.083(b). |
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175 | 175 | | Sec. 247.086. ARBITRATOR DUTIES. The arbitrator shall: |
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176 | 176 | | (1) protect the interests of the department and the |
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177 | 177 | | facility; |
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178 | 178 | | (2) ensure that all relevant evidence has been |
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179 | 179 | | disclosed to the arbitrator, department, and facility; and |
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180 | 180 | | (3) render an order consistent with this chapter and |
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181 | 181 | | the rules adopted under this chapter. |
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182 | 182 | | Sec. 247.087. SCHEDULING OF ARBITRATION. (a) The |
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183 | 183 | | arbitrator conducting the arbitration shall schedule arbitration |
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184 | 184 | | to be held not later than the 90th day after the date the arbitrator |
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185 | 185 | | is selected and shall notify the department and the facility of the |
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186 | 186 | | scheduled date. |
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187 | 187 | | (b) The arbitrator may grant a continuance of the |
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188 | 188 | | arbitration at the request of the department or facility. The |
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189 | 189 | | arbitrator may not unreasonably deny a request for a continuance. |
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190 | 190 | | Sec. 247.088. EXCHANGE AND FILING OF INFORMATION. Not |
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191 | 191 | | later than the seventh day before the first day of arbitration, the |
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192 | 192 | | department and the facility shall exchange and file with the |
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193 | 193 | | arbitrator: |
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194 | 194 | | (1) all documentary evidence not previously exchanged |
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195 | 195 | | and filed that is relevant to the dispute; and |
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196 | 196 | | (2) information relating to a proposed resolution of |
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197 | 197 | | the dispute. |
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198 | 198 | | Sec. 247.089. ATTENDANCE. (a) The arbitrator may proceed |
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199 | 199 | | in the absence of any party or representative of a party who, after |
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200 | 200 | | notice of the proceeding, fails to be present or to obtain a |
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201 | 201 | | postponement. |
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202 | 202 | | (b) An arbitrator may not make an order solely on the |
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203 | 203 | | default of a party and shall require the party who is present to |
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204 | 204 | | submit evidence, as required by the arbitrator, before making an |
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205 | 205 | | award. |
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206 | 206 | | Sec. 247.090. TESTIMONY; RECORD. (a) The arbitrator may |
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207 | 207 | | require witnesses to testify under oath and shall require testimony |
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208 | 208 | | under oath if requested by the department or the facility. |
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209 | 209 | | (b) The department shall make an electronic recording of the |
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210 | 210 | | proceeding. |
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211 | 211 | | (c) An official stenographic record of the proceeding is not |
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212 | 212 | | required, but the department or the facility may make a |
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213 | 213 | | stenographic record. The party that makes the stenographic record |
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214 | 214 | | shall pay the expense of having the record made. |
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215 | 215 | | Sec. 247.091. EVIDENCE. (a) The department or the facility |
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216 | 216 | | may offer evidence and shall produce additional evidence as the |
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217 | 217 | | arbitrator considers necessary to understand and resolve the |
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218 | 218 | | dispute. |
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219 | 219 | | (b) The arbitrator is the judge of the relevance and |
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220 | 220 | | materiality of the evidence offered. Strict conformity to rules |
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221 | 221 | | applicable to judicial proceedings is not required. |
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222 | 222 | | Sec. 247.092. CLOSING STATEMENTS; BRIEFS. The department |
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223 | 223 | | and the facility may present closing statements, but the record |
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224 | 224 | | does not remain open for written briefs unless required by the |
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225 | 225 | | arbitrator. |
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226 | 226 | | Sec. 247.093. EX PARTE CONTACTS PROHIBITED. (a) Except as |
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227 | 227 | | provided by Subsection (b), the department and the facility may not |
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228 | 228 | | communicate with an arbitrator other than at an oral hearing unless |
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229 | 229 | | the parties and the arbitrator agree otherwise. |
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230 | 230 | | (b) Any oral or written communication, other than a |
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231 | 231 | | communication authorized under Subsection (a), from the parties to |
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232 | 232 | | an arbitrator shall be directed to the association that is |
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233 | 233 | | conducting the arbitration or, if there is no association |
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234 | 234 | | conducting the arbitration, to the State Office of Administrative |
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235 | 235 | | Hearings for transmittal to the arbitrator. |
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236 | 236 | | Sec. 247.094. ORDER. (a) The arbitrator may enter any |
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237 | 237 | | order that may be entered by the department, board, commissioner, |
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238 | 238 | | or court under this chapter in relation to a dispute described by |
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239 | 239 | | Section 247.081. |
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240 | 240 | | (b) The arbitrator shall enter the order not later than the |
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241 | 241 | | 60th day after the last day of the arbitration. |
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242 | 242 | | (c) The arbitrator shall base the order on the facts |
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243 | 243 | | established at arbitration, including stipulations of the parties, |
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244 | 244 | | and on the law as properly applied to those facts. |
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245 | 245 | | (d) The order must: |
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246 | 246 | | (1) be in writing; |
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247 | 247 | | (2) be signed and dated by the arbitrator; and |
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248 | 248 | | (3) include a statement of the arbitrator's decision |
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249 | 249 | | on the contested issues and the department's and facility's |
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250 | 250 | | stipulations on uncontested issues. |
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251 | 251 | | (e) The arbitrator shall file a copy of the order with the |
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252 | 252 | | department and shall notify the department and the facility in |
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253 | 253 | | writing of the decision. |
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254 | 254 | | Sec. 247.095. EFFECT OF ORDER. An order of an arbitrator |
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255 | 255 | | under this subchapter is final and binding on all parties. Except |
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256 | 256 | | as provided by Section 247.097, there is no right to appeal. |
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257 | 257 | | Sec. 247.096. CLERICAL ERROR. For the purpose of |
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258 | 258 | | correcting a clerical error, an arbitrator retains jurisdiction of |
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259 | 259 | | the award until the 20th day after the date of the award. |
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260 | 260 | | Sec. 247.097. COURT VACATING ORDER. (a) On a finding |
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261 | 261 | | described by Subsection (b), a court shall: |
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262 | 262 | | (1) on application of a facility, vacate an |
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263 | 263 | | arbitrator's order with respect to an arbitration conducted at the |
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264 | 264 | | election of the department; or |
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265 | 265 | | (2) on application of the department, vacate an |
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266 | 266 | | arbitrator's order with respect to an arbitration conducted at the |
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267 | 267 | | election of a facility. |
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268 | 268 | | (b) A court shall vacate an arbitrator's order under |
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269 | 269 | | Subsection (a) only on a finding that: |
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270 | 270 | | (1) the order was procured by corruption, fraud, or |
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271 | 271 | | misrepresentation; |
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272 | 272 | | (2) the decision of the arbitrator was arbitrary or |
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273 | 273 | | capricious and against the weight of the evidence; or |
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274 | 274 | | (3) the order exceeded the jurisdiction of the |
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275 | 275 | | arbitrator under Section 247.094(a). |
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276 | 276 | | (c) If the order is vacated, the dispute shall be remanded |
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277 | 277 | | to the department for another arbitration proceeding. |
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278 | 278 | | (d) A suit to vacate an arbitrator's order must be filed not |
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279 | 279 | | later than the 30th day after: |
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280 | 280 | | (1) the date of the award; or |
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281 | 281 | | (2) the date the facility or department knew or should |
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282 | 282 | | have known of a basis for suit under this section, but in no event |
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283 | 283 | | later than the first anniversary of the date of the order. |
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284 | 284 | | (e) Venue for a suit to vacate an arbitrator's order is in |
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285 | 285 | | the county in which the arbitration was conducted. |
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286 | 286 | | Sec. 247.098. ENFORCEMENT OF CERTAIN ARBITRATION ORDERS FOR |
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287 | 287 | | CIVIL PENALTIES. (a) This section applies only to a suit for the |
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288 | 288 | | assessment of a civil penalty under Section 247.045 in which |
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289 | 289 | | binding arbitration has been elected under this subchapter as an |
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290 | 290 | | alternative to the judicial proceeding. |
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291 | 291 | | (b) On application of a party to the suit, the district |
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292 | 292 | | court in which the underlying suit has been filed shall enter a |
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293 | 293 | | judgment in accordance with the arbitrator's order unless, within |
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294 | 294 | | the time limit prescribed by Section 247.097(d)(2), a motion is |
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295 | 295 | | made to the court to vacate the arbitrator's order in accordance |
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296 | 296 | | with Section 247.097. |
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297 | 297 | | (c) A judgment filed under Subsection (b) is enforceable in |
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298 | 298 | | the same manner as any other judgment of the court. The court may |
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299 | 299 | | award costs for an application made under Subsection (b) and for any |
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300 | 300 | | proceedings held after the application is made. |
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301 | 301 | | (d) Subsection (b) does not affect the right of a party, in |
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302 | 302 | | accordance with Section 247.097 and within the time limit |
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303 | 303 | | prescribed by Section 247.097(d)(2), if applicable, to make a |
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304 | 304 | | motion to the court or initiate a proceeding in court as provided by |
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305 | 305 | | law to vacate the arbitrator's order or to vacate a judgment of the |
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306 | 306 | | court entered in accordance with the arbitrator's order. |
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307 | 307 | | SECTION 3. Section 531.058, Government Code, is amended by |
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308 | 308 | | amending Subsection (a) and adding Subsection (d) to read as |
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309 | 309 | | follows: |
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310 | 310 | | (a) The commission by rule shall establish an informal |
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311 | 311 | | dispute resolution process in accordance with this section. The |
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312 | 312 | | process must provide for adjudication by an appropriate |
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313 | 313 | | disinterested person of disputes relating to a proposed enforcement |
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314 | 314 | | action or related proceeding of the Texas Department of Human |
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315 | 315 | | Services under Section 32.021(d), Human Resources Code, or Chapter |
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316 | 316 | | 242, 247, or 252, Health and Safety Code. The informal dispute |
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317 | 317 | | resolution process must require: |
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318 | 318 | | (1) an [the] institution or facility to request |
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319 | 319 | | informal dispute resolution not later than the 10th calendar day |
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320 | 320 | | after notification by the department of the violation of a standard |
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321 | 321 | | or standards; and |
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322 | 322 | | (2) the commission to complete the process not later |
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323 | 323 | | than: |
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324 | 324 | | (A) the 30th calendar day after receipt of a |
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325 | 325 | | request from an [the] institution or facility, other than an |
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326 | 326 | | assisted living facility, for informal dispute resolution; or |
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327 | 327 | | (B) the 90th calendar day after receipt of a |
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328 | 328 | | request from an assisted living facility for informal dispute |
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329 | 329 | | resolution[; and |
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330 | 330 | | [(3) any individual representing an institution or |
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331 | 331 | | facility in an informal dispute resolution process to register with |
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332 | 332 | | the commission and disclose the following: |
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333 | 333 | | [(A) the individual's employment history during |
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334 | 334 | | the preceding five years, including employment in regulatory |
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335 | 335 | | agencies of this state and other states; |
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336 | 336 | | [(B) ownership, including the identity of the |
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337 | 337 | | controlling person or persons, of the institution or facility the |
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338 | 338 | | individual is representing before the commission; and |
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339 | 339 | | [(C) the identity of other entities the |
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340 | 340 | | individual represents or has represented before the commission |
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341 | 341 | | during the previous 24 months]. |
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342 | 342 | | (d) The commission shall use a negotiated rulemaking |
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343 | 343 | | process and engage a qualified impartial third party as provided by |
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344 | 344 | | Section 2009.053, with the goal of adopting rules that are fair and |
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345 | 345 | | impartial to all parties not later than January 1, 2015. This |
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346 | 346 | | subsection expires September 1, 2015. |
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347 | 347 | | SECTION 4. Section 247.051, Health and Safety Code, as |
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348 | 348 | | amended by this Act, and Section 247.081, Health and Safety Code, as |
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349 | 349 | | added by this Act, apply only to disputes described by those |
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350 | 350 | | sections, as amended or added, that occur on or after the effective |
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351 | 351 | | date of this Act. A dispute that occurs before the effective date |
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352 | 352 | | of this Act is governed by the law applicable to the dispute |
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353 | 353 | | immediately before the effective date of this Act, and that law is |
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354 | 354 | | continued in effect for that purpose. |
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355 | 355 | | SECTION 5. This Act takes effect September 1, 2013. |
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356 | 356 | | * * * * * |
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