1 | 1 | | 85R3391 SMT-D |
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2 | 2 | | By: Zaffirini S.B. No. 2025 |
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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 the establishment of a peer support program for |
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8 | 8 | | residents of state supported living centers. |
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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. Chapter 555, Health and Safety Code, is amended |
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11 | 11 | | by adding Subchapter F to read as follows: |
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12 | 12 | | SUBCHAPTER F. PEER SUPPORT PROGRAM |
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13 | 13 | | Sec. 555.201. PEER SUPPORT PROGRAM ESTABLISHED. (a) The |
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14 | 14 | | office shall develop and implement in each state supported living |
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15 | 15 | | center a peer support program under which a state supported living |
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16 | 16 | | center provides peer support services as an institutional benefit |
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17 | 17 | | to residents. The program's peer support services must be designed |
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18 | 18 | | to: |
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19 | 19 | | (1) make residents more aware of the restrictions |
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20 | 20 | | limiting their control over their lives; |
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21 | 21 | | (2) encourage a renewed effort by the state supported |
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22 | 22 | | living center to provide education to residents and families of |
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23 | 23 | | residents regarding a resident's basic rights and the application |
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24 | 24 | | of those rights to a person-centered life; |
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25 | 25 | | (3) increase the accountability of the state supported |
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26 | 26 | | living center's staff; and |
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27 | 27 | | (4) help protect residents' rights. |
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28 | 28 | | (b) In developing and implementing the peer support |
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29 | 29 | | program, the office may collaborate with the Office of Consumer |
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30 | 30 | | Rights and Services of the Department of Aging and Disability |
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31 | 31 | | Services, or its successor agency, and appropriate state protection |
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32 | 32 | | and advocacy agencies. |
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33 | 33 | | Sec. 555.202. PEER SUPPORT SPECIALISTS. (a) A peer support |
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34 | 34 | | program must establish peer support specialists to provide |
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35 | 35 | | supportive services to residents. |
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36 | 36 | | (b) An individual is eligible to serve as a peer support |
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37 | 37 | | specialist only if the individual: |
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38 | 38 | | (1) has been diagnosed with an intellectual or |
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39 | 39 | | developmental disability; |
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40 | 40 | | (2) was a resident of a state supported living center |
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41 | 41 | | before serving as a peer support specialist; |
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42 | 42 | | (3) lives independently in the community during the |
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43 | 43 | | time the individual serves as a peer support specialist; and |
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44 | 44 | | (4) is knowledgeable regarding resident rights. |
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45 | 45 | | (c) A peer support specialist shall assist a resident to |
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46 | 46 | | achieve the resident's goals for independence by helping the |
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47 | 47 | | resident: |
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48 | 48 | | (1) develop a specific action plan; |
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49 | 49 | | (2) access available resources; and |
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50 | 50 | | (3) understand the resident's rights on a state |
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51 | 51 | | supported living center campus. |
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52 | 52 | | Sec. 555.203. PEER SUPPORT SPECIALIST COACHING SERVICES. |
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53 | 53 | | The office shall provide coaching services to peer support |
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54 | 54 | | specialists, including: |
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55 | 55 | | (1) emotional assistance; |
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56 | 56 | | (2) informational assistance; |
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57 | 57 | | (3) assistance developing specific action plans; and |
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58 | 58 | | (4) assistance identifying available resources. |
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59 | 59 | | Sec. 555.204. INITIAL ESTABLISHMENT AND EXPANSION. (a) The |
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60 | 60 | | office shall establish a peer support program in three state |
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61 | 61 | | supported living centers as soon as practicable. |
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62 | 62 | | (b) The office shall establish a peer support program in |
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63 | 63 | | each state supported living center in the state not later than |
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64 | 64 | | September 1, 2021. |
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65 | 65 | | SECTION 2. Section 555.059(a), Health and Safety Code, is |
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66 | 66 | | amended to read as follows: |
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67 | 67 | | (a) The independent ombudsman shall: |
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68 | 68 | | (1) evaluate the process by which a center |
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69 | 69 | | investigates, reviews, and reports an injury to a resident or |
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70 | 70 | | client or an unusual incident; |
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71 | 71 | | (2) evaluate the delivery of services to residents and |
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72 | 72 | | clients to ensure that the rights of residents and clients are fully |
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73 | 73 | | observed, including ensuring that each center conducts sufficient |
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74 | 74 | | unannounced patrols; |
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75 | 75 | | (3) immediately refer a complaint alleging the abuse, |
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76 | 76 | | neglect, or exploitation of a resident or client to the Department |
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77 | 77 | | of Family and Protective Services; |
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78 | 78 | | (4) refer a complaint alleging employee misconduct |
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79 | 79 | | that does not involve abuse, neglect, or exploitation or a possible |
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80 | 80 | | violation of an ICF-IID standard or condition of participation to |
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81 | 81 | | the regulatory services division of the department; |
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82 | 82 | | (5) refer a complaint alleging a criminal offense, |
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83 | 83 | | other than an allegation of abuse, neglect, or exploitation of a |
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84 | 84 | | resident or client, to the inspector general; |
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85 | 85 | | (6) conduct investigations of complaints, other than |
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86 | 86 | | complaints alleging criminal offenses or the abuse, neglect, or |
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87 | 87 | | exploitation of a resident or client, if the office determines |
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88 | 88 | | that: |
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89 | 89 | | (A) a resident or client or the resident's or |
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90 | 90 | | client's family may be in need of assistance from the office; or |
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91 | 91 | | (B) a complaint raises the possibility of a |
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92 | 92 | | systemic issue in the center's provision of services; |
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93 | 93 | | (7) conduct biennial on-site audits at each center of: |
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94 | 94 | | (A) the ratio of direct care employees to |
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95 | 95 | | residents; |
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96 | 96 | | (B) the provision and adequacy of training to: |
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97 | 97 | | (i) center employees; and |
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98 | 98 | | (ii) direct care employees; and |
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99 | 99 | | (C) if the center serves alleged offender |
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100 | 100 | | residents, the provision of specialized training to direct care |
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101 | 101 | | employees; |
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102 | 102 | | (8) conduct an annual audit of each center's policies, |
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103 | 103 | | practices, and procedures to ensure that each resident and client |
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104 | 104 | | is encouraged to exercise the resident's or client's rights, |
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105 | 105 | | including: |
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106 | 106 | | (A) the right to file a complaint; and |
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107 | 107 | | (B) the right to due process; |
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108 | 108 | | (9) prepare and deliver an annual report regarding the |
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109 | 109 | | findings of each audit to the: |
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110 | 110 | | (A) executive commissioner; |
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111 | 111 | | (B) commissioner; |
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112 | 112 | | (C) Aging and Disability Services Council; |
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113 | 113 | | (D) governor; |
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114 | 114 | | (E) lieutenant governor; |
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115 | 115 | | (F) speaker of the house of representatives; |
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116 | 116 | | (G) standing committees of the senate and house |
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117 | 117 | | of representatives with primary jurisdiction over state supported |
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118 | 118 | | living centers; and |
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119 | 119 | | (H) state auditor; |
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120 | 120 | | (10) require a center to provide access to all |
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121 | 121 | | records, data, and other information under the control of the |
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122 | 122 | | center that the independent ombudsman determines is necessary to |
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123 | 123 | | investigate a complaint or to conduct an audit under this section; |
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124 | 124 | | (11) review all final reports produced by the |
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125 | 125 | | Department of Family and Protective Services, the regulatory |
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126 | 126 | | services division of the department, and the inspector general |
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127 | 127 | | regarding a complaint referred by the independent ombudsman; |
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128 | 128 | | (12) provide assistance to a resident, client, |
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129 | 129 | | authorized representative of a resident or client, or family member |
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130 | 130 | | of a resident or client who the independent ombudsman determines is |
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131 | 131 | | in need of assistance, including advocating with an agency, |
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132 | 132 | | provider, or other person in the best interests of the resident or |
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133 | 133 | | client; |
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134 | 134 | | (13) make appropriate referrals under any of the |
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135 | 135 | | duties and powers listed in this subsection; [and] |
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136 | 136 | | (14) monitor and evaluate the department's actions |
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137 | 137 | | relating to any problem identified or recommendation included in a |
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138 | 138 | | report received from the Department of Family and Protective |
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139 | 139 | | Services relating to an investigation of alleged abuse, neglect, or |
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140 | 140 | | exploitation of a resident or client; and |
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141 | 141 | | (15) develop and implement peer support programs under |
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142 | 142 | | Subchapter F. |
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143 | 143 | | SECTION 3. This Act takes effect September 1, 2017. |
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