6 | 4 | | AN ACT |
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7 | 5 | | relating to the authority of the Department of Family and |
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8 | 6 | | Protective Services to investigate abuse, neglect, or exploitation |
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9 | 7 | | of individuals receiving services from certain providers. |
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10 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 9 | | SECTION 1. Section 48.002(a), Human Resources Code, is |
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12 | 10 | | amended by adding Subdivision (11) to read as follows: |
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13 | 11 | | (11) "Home and community-based services" has the |
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14 | 12 | | meaning assigned by Section 48.251. |
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15 | 13 | | SECTION 2. Section 48.002(b), Human Resources Code, as |
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16 | 14 | | amended by S.B. No. 219, Acts of the 84th Legislature, Regular |
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17 | 15 | | Session, 2015, is amended to read as follows: |
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18 | 16 | | (b) The definitions of "abuse," "neglect," [and] |
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19 | 17 | | "exploitation," and "an individual receiving services" adopted by |
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20 | 18 | | the executive commissioner as prescribed by Section 48.251(b) |
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21 | 19 | | [48.251] apply to an investigation of abuse, neglect, or |
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22 | 20 | | exploitation conducted under Subchapter F [or H]. |
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23 | 21 | | SECTION 3. Section 48.003, Human Resources Code, is amended |
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24 | 22 | | to read as follows: |
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25 | 23 | | Sec. 48.003. INVESTIGATIONS IN NURSING FACILITIES [HOMES], |
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26 | 24 | | ASSISTED LIVING FACILITIES, AND SIMILAR FACILITIES. (a) Except as |
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27 | 25 | | provided by Subsection (c), this [This] chapter does not apply if |
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28 | 26 | | the alleged or suspected abuse, neglect, or exploitation occurs in |
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29 | 27 | | a facility licensed under Chapter 242 or 247, Health and Safety |
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30 | 28 | | Code. |
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31 | 29 | | (b) Alleged or suspected abuse, neglect, or exploitation |
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32 | 30 | | that occurs in a facility licensed under Chapter 242 or 247, Health |
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33 | 31 | | and Safety Code, is governed by Chapter 260A, Health and Safety |
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34 | 32 | | Code, except as otherwise provided by Subsection (c). |
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35 | 33 | | (c) Subchapter F applies to an investigation of alleged or |
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36 | 34 | | suspected abuse, neglect, or exploitation in which a provider of |
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37 | 35 | | home and community-based services is or may be alleged to have |
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38 | 36 | | committed the abuse, neglect, or exploitation, regardless of |
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39 | 37 | | whether the facility in which those services were provided is |
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40 | 38 | | licensed under Chapter 242 or 247, Health and Safety Code. |
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41 | 39 | | SECTION 4. Sections 48.051(a) and (b), Human Resources |
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42 | 40 | | Code, as amended by S.B. No. 219, Acts of the 84th Legislature, |
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43 | 41 | | Regular Session, 2015, are amended to read as follows: |
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44 | 42 | | (a) Except as prescribed by Subsection (b), a person having |
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45 | 43 | | cause to believe that an elderly person, a [or] person with a |
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46 | 44 | | disability, or an individual receiving services from a provider as |
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47 | 45 | | described by Subchapter F is in the state of abuse, neglect, or |
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48 | 46 | | exploitation[, including a person with a disability who is |
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49 | 47 | | receiving services as described by Section 48.252,] shall report |
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50 | 48 | | the information required by Subsection (d) immediately to the |
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51 | 49 | | department. |
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52 | 50 | | (b) If a person has cause to believe that an elderly person |
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53 | 51 | | or a person with a disability, other than an individual [a person |
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54 | 52 | | with a disability] receiving services from a provider as described |
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55 | 53 | | by Subchapter F [Section 48.252], has been abused, neglected, or |
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56 | 54 | | exploited in a facility operated, licensed, certified, or |
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57 | 55 | | registered by a state agency, the person shall report the |
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58 | 56 | | information to the state agency that operates, licenses, certifies, |
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59 | 57 | | or registers the facility for investigation by that agency. |
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60 | 58 | | SECTION 5. Section 48.103, Human Resources Code, is amended |
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61 | 59 | | by amending Subsection (a), as amended by S.B. No. 219, Acts of the |
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62 | 60 | | 84th Legislature, Regular Session, 2015, and adding Subsection (c) |
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63 | 61 | | to read as follows: |
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64 | 62 | | (a) Except as otherwise provided by Subsection (c), on [On] |
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65 | 63 | | determining after an investigation that an elderly person or a |
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66 | 64 | | person with a disability has been abused, exploited, or neglected |
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67 | 65 | | by an employee of a home and community support services agency |
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68 | 66 | | licensed under Chapter 142, Health and Safety Code, the department |
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69 | 67 | | shall: |
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70 | 68 | | (1) notify the state agency responsible for licensing |
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71 | 69 | | the home and community support services agency of the department's |
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72 | 70 | | determination; |
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73 | 71 | | (2) notify any health and human services agency, as |
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74 | 72 | | defined by Section 531.001, Government Code, that contracts with |
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75 | 73 | | the home and community support services agency for the delivery of |
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76 | 74 | | health care services of the department's determination; and |
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77 | 75 | | (3) provide to the licensing state agency and any |
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78 | 76 | | contracting health and human services agency access to the |
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79 | 77 | | department's records or documents relating to the department's |
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80 | 78 | | investigation. |
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81 | 79 | | (c) This section does not apply to an investigation of |
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82 | 80 | | alleged or suspected abuse, neglect, or exploitation in which a |
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83 | 81 | | provider, as defined by Section 48.251, is or may be alleged to have |
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84 | 82 | | committed the abuse, neglect, or exploitation. An investigation |
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85 | 83 | | described by this subsection is governed by Subchapter F. |
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86 | 84 | | SECTION 6. Section 48.151(e), Human Resources Code, is |
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87 | 85 | | amended to read as follows: |
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88 | 86 | | (e) This section does not apply to investigations conducted |
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89 | 87 | | under Subchapter F [or H]. |
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90 | 88 | | SECTION 7. Section 48.201, Human Resources Code, as amended |
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91 | 89 | | by S.B. No. 219, Acts of the 84th Legislature, Regular Session, |
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92 | 90 | | 2015, is amended to read as follows: |
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93 | 91 | | Sec. 48.201. APPLICATION OF SUBCHAPTER. Except as |
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94 | 92 | | otherwise provided, this subchapter does not apply to an |
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95 | 93 | | investigation conducted under Subchapter F [or H]. |
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96 | 94 | | SECTION 8. Subchapter F, Chapter 48, Human Resources Code, |
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97 | 95 | | as amended by S.B. No. 219, Acts of the 84th Legislature, Regular |
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98 | 96 | | Session, 2015, is amended to read as follows: |
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99 | 97 | | SUBCHAPTER F. INVESTIGATIONS OF ABUSE, NEGLECT, OR EXPLOITATION |
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100 | 98 | | OF INDIVIDUALS RECEIVING SERVICES FROM CERTAIN PROVIDERS [IN |
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101 | 99 | | CERTAIN FACILITIES, COMMUNITY CENTERS, AND LOCAL MENTAL HEALTH AND |
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102 | 100 | | INTELLECTUAL AND DEVELOPMENTAL DISABILITY AUTHORITIES] |
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103 | 101 | | Sec. 48.251. DEFINITIONS. (a) In this subchapter: |
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104 | 102 | | (1) "Behavioral health services" means: |
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105 | 103 | | (A) mental health services, as defined by Section |
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106 | 104 | | 531.002, Health and Safety Code; and |
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107 | 105 | | (B) interventions provided to treat chemical |
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108 | 106 | | dependency, as defined by Section 461A.002, Health and Safety Code. |
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109 | 107 | | (2) "Community center" has the meaning assigned by |
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110 | 108 | | Section 531.002, Health and Safety Code. |
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111 | 109 | | (3) "Facility" means: |
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112 | 110 | | (A) a facility listed in Section 532.001(b) or |
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113 | 111 | | 532A.001(b), Health and Safety Code, including community services |
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114 | 112 | | operated by the Department of State Health Services or Department |
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115 | 113 | | of Aging and Disability Services, as described by those sections, |
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116 | 114 | | or a person contracting with a health and human services agency to |
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117 | 115 | | provide inpatient mental health services; and |
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118 | 116 | | (B) a facility licensed under Chapter 252, Health |
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119 | 117 | | and Safety Code. |
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120 | 118 | | (4) "Health and human services agency" has the meaning |
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121 | 119 | | assigned by Section 531.001, Government Code. |
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122 | 120 | | (5) "Home and community-based services" means |
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123 | 121 | | services provided in the home or community in accordance with 42 |
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124 | 122 | | U.S.C. Section 1315, 42 U.S.C. Section 1315a, 42 U.S.C. Section |
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125 | 123 | | 1396a, or 42 U.S.C. Section 1396n, and as otherwise provided by |
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126 | 124 | | department rule. |
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127 | 125 | | (6) "Local intellectual and developmental disability |
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128 | 126 | | authority" has the meaning assigned by Section 531.002, Health and |
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129 | 127 | | Safety Code. |
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130 | 128 | | (7) "Local mental health authority" has the meaning |
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131 | 129 | | assigned by Section 531.002, Health and Safety Code. |
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132 | 130 | | (8) "Managed care organization" has the meaning |
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133 | 131 | | assigned by Section 533.001, Government Code. |
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134 | 132 | | (9) "Provider" means: |
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135 | 133 | | (A) a facility; |
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136 | 134 | | (B) a community center, local mental health |
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137 | 135 | | authority, and local intellectual and developmental disability |
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138 | 136 | | authority; |
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139 | 137 | | (C) a person who contracts with a health and |
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140 | 138 | | human services agency or managed care organization to provide home |
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141 | 139 | | and community-based services; |
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142 | 140 | | (D) a person who contracts with a Medicaid |
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143 | 141 | | managed care organization to provide behavioral health services; |
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144 | 142 | | (E) a managed care organization; |
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145 | 143 | | (F) an officer, employee, agent, contractor, or |
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146 | 144 | | subcontractor of a person or entity listed in Paragraphs (A)-(E); |
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147 | 145 | | and |
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148 | 146 | | (G) an employee, fiscal agent, case manager, or |
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149 | 147 | | service coordinator of an individual employer participating in the |
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150 | 148 | | consumer-directed service option, as defined by Section 531.051, |
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151 | 149 | | Government Code. |
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152 | 150 | | (b) The executive commissioner by rule shall adopt |
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153 | 151 | | definitions of "abuse," "neglect," "exploitation," and "an |
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154 | 152 | | individual receiving services" for purposes of this subchapter and |
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155 | 153 | | ["exploitation" to govern] investigations conducted under this |
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156 | 154 | | subchapter [and Subchapter H]. |
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157 | 155 | | Sec. 48.252. INVESTIGATION OF REPORTS OF ABUSE, NEGLECT, OR |
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158 | 156 | | EXPLOITATION BY PROVIDER [IN CERTAIN FACILITIES AND IN COMMUNITY |
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159 | 157 | | CENTERS]. (a) The department shall receive and, except as |
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160 | 158 | | provided by Subsection (b), shall investigate under this subchapter |
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161 | 159 | | reports of the abuse, neglect, or exploitation of an individual |
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162 | 160 | | [with a disability] receiving services if the person alleged or |
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163 | 161 | | suspected to have committed the abuse, neglect, or exploitation is |
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164 | 162 | | a provider[: |
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165 | 163 | | [(1) in: |
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166 | 164 | | [(A) a mental health facility operated by the |
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167 | 165 | | Department of State Health Services; or |
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168 | 166 | | [(B) a facility licensed under Chapter 252, |
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169 | 167 | | Health and Safety Code; |
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170 | 168 | | [(2) in or from a community center, a local mental |
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171 | 169 | | health authority, or a local intellectual and developmental |
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172 | 170 | | disability authority; or |
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173 | 171 | | [(3) through a program providing services to that |
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174 | 172 | | person by contract with a mental health facility operated by the |
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175 | 173 | | Department of State Health Services, a community center, a local |
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176 | 174 | | mental health authority, or a local intellectual and developmental |
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177 | 175 | | disability authority]. |
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178 | 176 | | (b) The department may not [shall receive and shall] |
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179 | 177 | | investigate under this subchapter reports of [the] abuse, neglect, |
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180 | 178 | | or exploitation alleged or suspected to have been committed by a |
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181 | 179 | | provider that is operated, licensed, certified, or registered by a |
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182 | 180 | | state agency that has authority under this chapter or other law to |
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183 | 181 | | investigate reports of abuse, neglect, or exploitation of an |
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184 | 182 | | individual by the provider. The department shall forward any |
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185 | 183 | | report of abuse, neglect, or exploitation alleged or suspected to |
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186 | 184 | | have been committed by a provider described by this subsection to |
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187 | 185 | | the appropriate state agency for investigation [of an individual |
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188 | 186 | | with a disability receiving services: |
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189 | 187 | | [(1) in a state supported living center or the ICF-IID |
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190 | 188 | | component of the Rio Grande State Center; or |
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191 | 189 | | [(2) through a program providing services to that |
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192 | 190 | | person by contract with a state supported living center or the |
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193 | 191 | | ICF-IID component of the Rio Grande State Center]. |
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194 | 192 | | (c) The department shall receive and investigate under this |
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195 | 193 | | subchapter reports of abuse, neglect, or exploitation of an |
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196 | 194 | | individual who lives in a residence that is owned, operated, or |
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197 | 195 | | controlled by a provider who provides home and community-based |
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198 | 196 | | services under the home and community-based services waiver program |
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199 | 197 | | described by Section 534.001(11)(B), Government Code, regardless |
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200 | 198 | | of whether the individual is receiving services under that waiver |
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201 | 199 | | program from the provider. [The executive commissioner by rule |
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202 | 200 | | shall define who is "an individual with a disability receiving |
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203 | 201 | | services." |
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204 | 202 | | [(d) In this section, "community center," "local mental |
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205 | 203 | | health authority," and "local intellectual and developmental |
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206 | 204 | | disability authority" have the meanings assigned by Section |
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207 | 205 | | 531.002, Health and Safety Code.] |
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208 | 206 | | Sec. 48.253. ACTION ON REPORT. (a) On receipt by the |
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209 | 207 | | department of a report of alleged abuse, neglect, or exploitation |
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210 | 208 | | under this subchapter, the department shall initiate a prompt and |
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211 | 209 | | thorough investigation as needed to evaluate the accuracy of the |
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212 | 210 | | report and to assess the need for emergency protective services, |
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213 | 211 | | unless the department, in accordance with rules adopted under this |
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214 | 212 | | subchapter, determines that the report: |
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215 | 213 | | (1) is frivolous or patently without a factual basis; |
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216 | 214 | | or |
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217 | 215 | | (2) does not concern abuse, neglect, or exploitation. |
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218 | 216 | | (b) After receiving a report that alleges that a provider is |
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219 | 217 | | or may be the person who committed the alleged abuse, neglect, or |
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220 | 218 | | exploitation, the department shall notify the provider and the |
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221 | 219 | | appropriate health and human services agency in accordance with |
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222 | 220 | | rules adopted by the executive commissioner. |
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223 | 221 | | (c) The provider identified under Subsection (b) shall: |
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224 | 222 | | (1) cooperate completely with an investigation |
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225 | 223 | | conducted under this subchapter; and |
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226 | 224 | | (2) provide the department complete access during an |
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227 | 225 | | investigation to: |
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228 | 226 | | (A) all sites owned, operated, or controlled by |
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229 | 227 | | the provider; and |
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230 | 228 | | (B) clients and client records. |
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231 | 229 | | (d) The executive commissioner shall adopt rules governing |
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232 | 230 | | investigations conducted under this subchapter. |
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233 | 231 | | Sec. 48.254. FORWARDING OF CERTAIN REPORTS. (a) The |
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234 | 232 | | executive commissioner by rule shall establish procedures for the |
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235 | 233 | | department to use to [In accordance with department rules, the |
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236 | 234 | | department shall] forward a copy of the initial intake report and a |
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237 | 235 | | copy of the completed provider investigation report relating to |
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238 | 236 | | alleged or suspected abuse, neglect, or exploitation to the |
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239 | 237 | | appropriate provider and health and human services agency |
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240 | 238 | | [facility, community center, local mental health authority, local |
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241 | 239 | | intellectual and developmental disability authority, or program |
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242 | 240 | | providing mental health or intellectual disability services under |
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243 | 241 | | contract with the facility, community center, or authority]. |
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244 | 242 | | (b) The department shall redact from an initial intake |
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245 | 243 | | report and from the copy of the completed provider investigation |
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246 | 244 | | report any identifying information contained in the report relating |
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247 | 245 | | to the person who reported the alleged or suspected abuse, neglect, |
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248 | 246 | | or exploitation under Section 48.051. |
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249 | 247 | | (c) A provider that receives a completed investigation |
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250 | 248 | | report under Subsection (a) shall forward the report to the managed |
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251 | 249 | | care organization with which the provider contracts for services |
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252 | 250 | | for the alleged victim. |
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253 | 251 | | Sec. 48.255. RULES FOR INVESTIGATIONS UNDER THIS |
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254 | 252 | | SUBCHAPTER. (a) The executive commissioner [department, the |
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255 | 253 | | Department of Aging and Disability Services, and the Department of |
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256 | 254 | | State Health Services] shall adopt [develop] rules to: |
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257 | 255 | | (1) prioritize investigations conducted under this |
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258 | 256 | | subchapter with the primary criterion being whether there is a risk |
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259 | 257 | | that a delay in the investigation will impede the collection of |
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260 | 258 | | evidence in that investigation; |
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261 | 259 | | (2) [facilitate investigations in state mental health |
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262 | 260 | | facilities and state supported living centers. |
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263 | 261 | | [(b) The executive commissioner by rule shall] establish |
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264 | 262 | | procedures for resolving disagreements between the department and |
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265 | 263 | | health and human services agencies [the Department of Aging and |
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266 | 264 | | Disability Services or the Department of State Health Services] |
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267 | 265 | | concerning the department's investigation findings; and |
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268 | 266 | | (3) provide for an appeals process by the department |
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269 | 267 | | for the alleged victim of abuse, neglect, or exploitation. |
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270 | 268 | | (b) [(c) The department, the Department of Aging and |
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271 | 269 | | Disability Services, and the Department of State Health Services |
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272 | 270 | | shall develop and propose to the executive commissioner rules to |
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273 | 271 | | facilitate investigations in community centers, local mental |
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274 | 272 | | health authorities, and local intellectual and developmental |
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275 | 273 | | disability authorities. |
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276 | 274 | | [(c-1) The executive commissioner shall adopt rules |
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277 | 275 | | regarding investigations in a facility licensed under Chapter 252, |
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278 | 276 | | Health and Safety Code, to ensure that those investigations are as |
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279 | 277 | | consistent as practicable with other investigations conducted |
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280 | 278 | | under this subchapter. |
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281 | 279 | | [(d)] A confirmed investigation finding by the department |
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282 | 280 | | may not be changed by the administrator [a superintendent] of a |
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283 | 281 | | [state mental health] facility, [by a director of a state supported |
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284 | 282 | | living center, by a director of] a community center, [or by] a local |
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285 | 283 | | mental health authority, or a local intellectual and developmental |
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286 | 284 | | disability authority. |
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287 | 285 | | [(e) The executive commissioner shall provide by rule for an |
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288 | 286 | | appeals process by the alleged victim of abuse, neglect, or |
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289 | 287 | | exploitation under this section. |
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290 | 288 | | [(f) The executive commissioner by rule may assign |
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291 | 289 | | priorities to an investigation conducted by the department under |
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292 | 290 | | this section. The primary criterion used by the executive |
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293 | 291 | | commissioner in assigning a priority must be the risk that a delay |
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294 | 292 | | in the investigation will impede the collection of evidence.] |
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295 | 293 | | Sec. 48.256. SHARING PROVIDER INFORMATION. (a) The |
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296 | 294 | | executive commissioner shall adopt rules that prescribe the |
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297 | 295 | | appropriate manner in which health and human services agencies and |
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298 | 296 | | managed care organizations provide the department with information |
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299 | 297 | | necessary to facilitate identification of individuals receiving |
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300 | 298 | | services from providers and to facilitate notification of providers |
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301 | 299 | | by the department. |
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302 | 300 | | (b) The executive commissioner shall adopt rules requiring |
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303 | 301 | | a provider to provide information to the administering health and |
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304 | 302 | | human services agency necessary to facilitate identification by the |
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305 | 303 | | department of individuals receiving services from providers and to |
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306 | 304 | | facilitate notification of providers by the department. |
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307 | 305 | | (c) A provider of home and community-based services under |
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308 | 306 | | the home and community-based services waiver program described by |
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309 | 307 | | Section 534.001(11)(B), Government Code, shall post in a |
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310 | 308 | | conspicuous location inside any residence owned, operated, or |
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311 | 309 | | controlled by the provider in which home and community-based waiver |
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312 | 310 | | services are provided, a sign that states: |
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313 | 311 | | (1) the name, address, and telephone number of the |
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314 | 312 | | provider; |
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315 | 313 | | (2) the effective date of the provider's contract with |
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316 | 314 | | the applicable health and human services agency to provide home and |
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317 | 315 | | community-based services; and |
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318 | 316 | | (3) the name of the legal entity that contracted with |
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319 | 317 | | the applicable health and human services agency to provide those |
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320 | 318 | | services. |
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321 | 319 | | Sec. 48.257. RETALIATION PROHIBITED. (a) A provider of |
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322 | 320 | | home and community-based services may not retaliate against a |
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323 | 321 | | person for filing a report or providing information in good faith |
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324 | 322 | | relating to the possible abuse, neglect, or exploitation of an |
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325 | 323 | | individual receiving services. |
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326 | 324 | | (b) This section does not prohibit a provider of home and |
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327 | 325 | | community-based services from terminating an employee for a reason |
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328 | 326 | | other than retaliation. |
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329 | 327 | | Sec. 48.258. [SINGLE] TRACKING SYSTEM FOR REPORTS AND |
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330 | 328 | | INVESTIGATIONS. (a) The health and human services agencies |
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331 | 329 | | [department, the Department of Aging and Disability Services, and |
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332 | 330 | | the Department of State Health Services] shall, at the direction of |
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333 | 331 | | the executive commissioner, jointly develop and implement a |
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334 | 332 | | [single] system to track reports and investigations under this |
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335 | 333 | | subchapter. |
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336 | 334 | | (b) To facilitate implementation of the system, the health |
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337 | 335 | | and human services agencies [department, the Department of Aging |
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338 | 336 | | and Disability Services, and the Department of State Health |
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339 | 337 | | Services] shall use appropriate methods of measuring the number and |
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340 | 338 | | outcome of reports and investigations under this subchapter. |
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341 | 339 | | SECTION 9. Section 48.301, Human Resources Code, is amended |
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342 | 340 | | by amending Subsection (a), as amended by S.B. No. 219, Acts of the |
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343 | 341 | | 84th Legislature, Regular Session, 2015, and adding Subsection |
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344 | 342 | | (a-1) to read as follows: |
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345 | 343 | | (a) If the department receives a report of suspected abuse, |
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346 | 344 | | neglect, or exploitation of an elderly person or a person with a |
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347 | 345 | | disability[, other than a person with a disability who is] |
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348 | 346 | | receiving services [as described by Section 48.252,] in a facility |
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349 | 347 | | operated, licensed, certified, or registered by a state agency, the |
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350 | 348 | | department shall refer the report to that agency. |
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351 | 349 | | (a-1) This subchapter does not apply to a report of |
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352 | 350 | | suspected abuse, neglect, or exploitation of an individual |
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353 | 351 | | receiving services from a provider as described by Subchapter F. |
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354 | 352 | | SECTION 10. Sections 48.401(1) and (3), Human Resources |
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355 | 353 | | Code, are amended to read as follows: |
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356 | 354 | | (1) "Agency" means: |
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357 | 355 | | (A) an entity licensed under Chapter 142, Health |
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358 | 356 | | and Safety Code; |
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359 | 357 | | (B) a person exempt from licensing under Section |
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360 | 358 | | 142.003(a)(19), Health and Safety Code; |
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361 | 359 | | (C) a facility licensed under Chapter 252, Health |
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362 | 360 | | and Safety Code; or |
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363 | 361 | | (D) a provider [an entity] investigated by the |
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364 | 362 | | department under Subchapter F or under Section 261.404, Family |
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365 | 363 | | Code. |
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366 | 364 | | (3) "Employee" means a person who: |
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367 | 365 | | (A) works for: |
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368 | 366 | | (i) an agency; or |
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369 | 367 | | (ii) an individual employer participating |
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370 | 368 | | in the consumer-directed service option, as defined by Section |
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371 | 369 | | 531.051, Government Code; |
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372 | 370 | | (B) provides personal care services, active |
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373 | 371 | | treatment, or any other [personal] services to an individual |
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374 | 372 | | receiving agency services, an individual who is a child for whom an |
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375 | 373 | | investigation is authorized under Section 261.404, Family Code, or |
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376 | 374 | | an individual receiving services through the consumer-directed |
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377 | 375 | | service option, as defined by Section 531.051, Government Code; and |
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378 | 376 | | (C) is not licensed by the state to perform the |
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379 | 377 | | services the person performs for the agency or the individual |
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380 | 378 | | employer participating in the consumer-directed service option, as |
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381 | 379 | | defined by Section 531.051, Government Code. |
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382 | 380 | | SECTION 11. The heading to Section 261.404, Family Code, as |
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383 | 381 | | amended by S.B. No. 219, Acts of the 84th Legislature, Regular |
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384 | 382 | | Session, 2015, is amended to read as follows: |
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385 | 383 | | Sec. 261.404. INVESTIGATIONS REGARDING CERTAIN CHILDREN |
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386 | 384 | | RECEIVING SERVICES FROM CERTAIN PROVIDERS [WITH MENTAL ILLNESS OR |
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387 | 385 | | AN INTELLECTUAL DISABILITY]. |
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388 | 386 | | SECTION 12. Section 261.404, Family Code, as amended by |
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389 | 387 | | S.B. No. 219, Acts of the 84th Legislature, Regular Session, 2015, |
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390 | 388 | | is amended by amending Subsections (a) and (b) and adding |
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391 | 389 | | Subsections (a-1), (a-2), and (a-3) to read as follows: |
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392 | 390 | | (a) The department shall investigate a report of abuse, |
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393 | 391 | | neglect, or exploitation of a child receiving services from a |
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394 | 392 | | provider, as those terms are defined by Section 48.251, Human |
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395 | 393 | | Resources Code, or as otherwise defined by rule. The department |
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396 | 394 | | shall also investigate, under Subchapter F, Chapter 48, Human |
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397 | 395 | | Resources Code, a report of abuse, neglect, or exploitation of a |
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398 | 396 | | child receiving services from an officer, employee, agent, |
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399 | 397 | | contractor, or subcontractor of a home and community support |
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400 | 398 | | services agency licensed under Chapter 142, Health and Safety Code, |
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401 | 399 | | if the officer, employee, agent, contractor, or subcontractor is or |
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402 | 400 | | may be the person alleged to have committed the abuse, neglect, or |
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403 | 401 | | exploitation[: |
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404 | 402 | | [(1) in a facility operated by the Department of Aging |
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405 | 403 | | and Disability Services or a mental health facility operated by the |
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406 | 404 | | Department of State Health Services; |
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407 | 405 | | [(2) in or from a community center, a local mental |
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408 | 406 | | health authority, or a local intellectual and developmental |
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409 | 407 | | disability authority; |
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410 | 408 | | [(3) through a program providing services to that |
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411 | 409 | | child by contract with a facility operated by the Department of |
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412 | 410 | | Aging and Disability Services, a mental health facility operated by |
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413 | 411 | | the Department of State Health Services, a community center, a |
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414 | 412 | | local mental health authority, or a local intellectual and |
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415 | 413 | | developmental disability authority; |
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416 | 414 | | [(4) from a provider of home and community-based |
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417 | 415 | | services who contracts with the Department of Aging and Disability |
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418 | 416 | | Services; or |
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419 | 417 | | [(5) in a facility licensed under Chapter 252, Health |
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420 | 418 | | and Safety Code]. |
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421 | 419 | | (a-1) For an investigation of a child living in a residence |
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422 | 420 | | owned, operated, or controlled by a provider of services under the |
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423 | 421 | | home and community-based services waiver program described by |
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424 | 422 | | Section 534.001(11)(B), Government Code, the department, in |
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425 | 423 | | accordance with Subchapter E, Chapter 48, Human Resources Code, may |
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426 | 424 | | provide emergency protective services necessary to immediately |
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427 | 425 | | protect the child from serious physical harm or death and, if |
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428 | 426 | | necessary, obtain an emergency order for protective services under |
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429 | 427 | | Section 48.208, Human Resources Code. |
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430 | 428 | | (a-2) For an investigation of a child living in a residence |
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431 | 429 | | owned, operated, or controlled by a provider of services under the |
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432 | 430 | | home and community-based services waiver program described by |
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433 | 431 | | Section 534.001(11)(B), Government Code, regardless of whether the |
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434 | 432 | | child is receiving services under that waiver program from the |
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435 | 433 | | provider, the department shall provide protective services to the |
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436 | 434 | | child in accordance with Subchapter E, Chapter 48, Human Resources |
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437 | 435 | | Code. |
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438 | 436 | | (a-3) For purposes of this section, Subchapters E and F, |
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439 | 437 | | Chapter 48, Human Resources Code, apply to an investigation of a |
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440 | 438 | | child and to the provision of protective services to that child in |
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441 | 439 | | the same manner those subchapters apply to an investigation of an |
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442 | 440 | | elderly person or person with a disability and the provision of |
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443 | 441 | | protective services to that person. |
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444 | 442 | | (b) The department shall investigate the report under rules |
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445 | 443 | | developed by the executive commissioner [with the advice and |
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446 | 444 | | assistance of the department, the Department of Aging and |
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447 | 445 | | Disability Services, and the Department of State Health Services]. |
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448 | 446 | | SECTION 13. Section 142.009(c), Health and Safety Code, is |
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449 | 447 | | amended to read as follows: |
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450 | 448 | | (c) The department or its authorized representative shall |
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451 | 449 | | investigate each complaint received regarding the provision of home |
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452 | 450 | | health, hospice, or personal assistance services[, including any |
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453 | 451 | | allegation of abuse, neglect, or exploitation of a child under the |
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454 | 452 | | age of 18,] and may, as a part of the investigation: |
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455 | 453 | | (1) conduct an unannounced survey of a place of |
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456 | 454 | | business, including an inspection of medical and personnel records, |
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457 | 455 | | if the department has reasonable cause to believe that the place of |
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458 | 456 | | business is in violation of this chapter or a rule adopted under |
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459 | 457 | | this chapter; |
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460 | 458 | | (2) conduct an interview with a recipient of home |
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461 | 459 | | health, hospice, or personal assistance services, which may be |
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462 | 460 | | conducted in the recipient's home if the recipient consents; |
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463 | 461 | | (3) conduct an interview with a family member of a |
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464 | 462 | | recipient of home health, hospice, or personal assistance services |
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465 | 463 | | who is deceased or other person who may have knowledge of the care |
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466 | 464 | | received by the deceased recipient of the home health, hospice, or |
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467 | 465 | | personal assistance services; or |
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468 | 466 | | (4) interview a physician or other health care |
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469 | 467 | | practitioner, including a member of the personnel of a home and |
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470 | 468 | | community support services agency, who cares for a recipient of |
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471 | 469 | | home health, hospice, or personal assistance services. |
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472 | 470 | | SECTION 14. Section 260A.002, Health and Safety Code, is |
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473 | 471 | | amended by adding Subsection (a-1) to read as follows: |
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474 | 472 | | (a-1) Notwithstanding any other provision of this chapter, |
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475 | 473 | | a report made under this section that a provider is or may be |
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476 | 474 | | alleged to have committed abuse, neglect, or exploitation of a |
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477 | 475 | | resident of a facility other than a prescribed pediatric extended |
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478 | 476 | | care center shall be investigated by the Department of Family and |
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479 | 477 | | Protective Services in accordance with Subchapter F, Chapter 48, |
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480 | 478 | | Human Resources Code, and this chapter does not apply to that |
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481 | 479 | | investigation. In this subsection, "facility" and "provider" have |
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482 | 480 | | the meanings assigned by Section 48.251, Human Resources Code. |
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483 | 481 | | SECTION 15. The following are repealed: |
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484 | 482 | | (1) Section 261.404(f), Family Code, as amended by |
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485 | 483 | | S.B. No. 219, Acts of the 84th Legislature, Regular Session, 2015; |
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486 | 484 | | and |
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487 | 485 | | (2) Subchapter H, Chapter 48, Human Resources Code. |
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488 | 486 | | SECTION 16. This Act takes effect September 1, 2015. |
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