1 | 1 | | By: Deuell S.B. No. 1842 |
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2 | 2 | | (Naishtat) |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to restraint and seclusion procedures and reporting at |
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8 | 8 | | certain facilities. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 322.052, Health and Safety Code, is |
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11 | 11 | | amended by adding Subsection (b-1) to read as follows: |
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12 | 12 | | (b-1) The rules must: |
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13 | 13 | | (1) authorize a registered nurse, other than the nurse |
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14 | 14 | | who initiated the use of restraint or seclusion, who is trained to |
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15 | 15 | | assess medical and psychiatric stability with demonstrated |
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16 | 16 | | competence as required by rule to conduct a face-to-face evaluation |
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17 | 17 | | of a patient in a hospital or facility licensed under Chapter 241 or |
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18 | 18 | | 577 or in a state mental hospital, as defined by Section 571.003, |
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19 | 19 | | not later than one hour after the time the use of restraint or |
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20 | 20 | | seclusion is initiated; and |
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21 | 21 | | (2) require a physician to conduct a face-to-face |
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22 | 22 | | evaluation of a patient in a hospital or facility licensed under |
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23 | 23 | | Chapter 241 or 577 or in a state mental hospital, as defined by |
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24 | 24 | | Section 571.003, and document clinical justification for |
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25 | 25 | | continuing the restraint or seclusion before issuing or renewing an |
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26 | 26 | | order that continues the use of the restraint or seclusion. |
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27 | 27 | | SECTION 2. Subchapter B, Chapter 322, Health and Safety |
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28 | 28 | | Code, is amended by adding Section 322.056 to read as follows: |
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29 | 29 | | Sec. 322.056. REPORTING REQUIREMENT. A facility shall file |
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30 | 30 | | with the Department of State Health Services a quarterly report |
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31 | 31 | | regarding hospital-based inpatient psychiatric services measures |
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32 | 32 | | related to the use of restraint and seclusion that is required by |
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33 | 33 | | the federal Centers for Medicare and Medicaid Services. |
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34 | 34 | | SECTION 3. Not later than January 1, 2014, the executive |
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35 | 35 | | commissioner of the Health and Human Services Commission shall |
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36 | 36 | | adopt rules as required by Subsection (b-1), Section 322.052, |
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37 | 37 | | Health and Safety Code, as added by this Act. |
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38 | 38 | | SECTION 4. A facility is not required to comply with the |
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39 | 39 | | reporting requirements under Section 322.056, Health and Safety |
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40 | 40 | | Code, as added by this Act, before January 1, 2014. |
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41 | 41 | | SECTION 5. This Act takes effect immediately if it receives |
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42 | 42 | | a vote of two-thirds of all the members elected to each house, as |
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43 | 43 | | provided by Section 39, Article III, Texas Constitution. If this |
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44 | 44 | | Act does not receive the vote necessary for immediate effect, this |
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45 | 45 | | Act takes effect September 1, 2013. |
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