4 | 11 | | AN ACT |
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5 | 12 | | relating to the rights and treatment of and services provided to |
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6 | 13 | | certain adult sexual assault survivors. |
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7 | 14 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 15 | | SECTION 1. Section 323.004(c), Health and Safety Code, is |
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9 | 16 | | amended to read as follows: |
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10 | 17 | | (c) A health care facility must obtain documented consent |
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11 | 18 | | before providing the forensic medical examination and treatment. |
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12 | 19 | | The facility shall presume that an adult sexual assault survivor |
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13 | 20 | | requesting a forensic medical examination and treatment is |
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14 | 21 | | competent. |
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15 | 22 | | SECTION 2. Chapter 323, Health and Safety Code, is amended |
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16 | 23 | | by adding Section 323.0044 to read as follows: |
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17 | 24 | | Sec. 323.0044. PROVISION OF EMERGENCY SERVICES TO CERTAIN |
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18 | 25 | | ADULT SEXUAL ASSAULT SURVIVORS. (a) A health care facility shall |
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19 | 26 | | provide a forensic medical examination and treatment to an adult |
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20 | 27 | | sexual assault survivor for whom a guardian is appointed under |
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21 | 28 | | Title 3, Estates Code, without the consent of the survivor's |
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22 | 29 | | guardian, guardian ad litem, or other legal agent if: |
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23 | 30 | | (1) the health care facility determines the survivor |
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24 | 31 | | understands the nature of the forensic medical examination and |
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25 | 32 | | treatment; and |
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26 | 33 | | (2) the survivor agrees to receive the forensic |
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27 | 34 | | medical examination and treatment. |
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28 | 35 | | (b) Subject to Subsection (c), if an adult sexual assault |
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29 | 36 | | survivor requests a forensic medical examination and treatment and |
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30 | 37 | | a health care facility determines the survivor potentially is |
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31 | 38 | | incapable of consenting to the forensic medical examination and |
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32 | 39 | | treatment, the health care facility may: |
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33 | 40 | | (1) obtain consent from a relative or caretaker of the |
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34 | 41 | | survivor on the survivor's behalf; |
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35 | 42 | | (2) obtain consent from the survivor's guardian, |
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36 | 43 | | guardian ad litem, or other legal agent; or |
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37 | 44 | | (3) petition a court with probate jurisdiction in the |
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38 | 45 | | county in which the facility is located for an emergency order |
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39 | 46 | | authorizing the forensic medical examination and treatment, in the |
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40 | 47 | | manner provided by Section 48.208, Human Resources Code. |
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41 | 48 | | (c) If personnel of a health care facility know or have |
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42 | 49 | | reason to believe that the survivor's relative, caretaker, |
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43 | 50 | | guardian, guardian ad litem, or other legal agent is a suspect or |
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44 | 51 | | accomplice in the sexual assault of the survivor, the health care |
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45 | 52 | | facility may not contact the survivor's relative, caretaker, |
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46 | 53 | | guardian, guardian ad litem, or other legal agent. |
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47 | 54 | | (d) A health care facility may not provide a forensic |
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48 | 55 | | medical examination to an adult sexual assault survivor for whom a |
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49 | 56 | | guardian is appointed under Title 3, Estates Code, if the survivor |
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50 | 57 | | refuses the examination, regardless of whether the survivor's |
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51 | 58 | | guardian requests or consents to the examination. |
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52 | 59 | | SECTION 3. Section 420.072(c), Government Code, is amended |
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53 | 60 | | to read as follows: |
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54 | 61 | | (c) A communication, a record, or evidence that is |
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55 | 62 | | confidential under this subchapter may not be disclosed to a parent |
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56 | 63 | | or legal guardian of a survivor who is a minor or to a guardian |
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57 | 64 | | appointed under Title 3, Estates Code, of an adult survivor, if |
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58 | 65 | | applicable, if an advocate or a sexual assault program knows or has |
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59 | 66 | | reason to believe that the parent or [legal] guardian of the |
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60 | 67 | | survivor is a suspect or accomplice in the sexual assault of the |
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61 | 68 | | survivor. |
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62 | 69 | | SECTION 4. Section 420.073, Government Code, is amended by |
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63 | 70 | | amending Subsection (a) and adding Subsection (d) to read as |
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64 | 71 | | follows: |
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65 | 72 | | (a) Consent for the release of confidential information |
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66 | 73 | | other than evidence contained in an evidence collection kit must be |
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67 | 74 | | in writing and signed by the survivor, a parent or legal guardian if |
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68 | 75 | | the survivor is a minor, [a legal guardian if the survivor has been |
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69 | 76 | | adjudicated incompetent to manage the survivor's personal |
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70 | 77 | | affairs,] an attorney ad litem appointed for the survivor, or a |
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71 | 78 | | personal representative if the survivor is deceased. The written |
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72 | 79 | | consent must specify: |
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73 | 80 | | (1) the information or records covered by the release; |
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92 | 93 | | SECTION 5. Section 420.0735(b), Government Code, is amended |
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93 | 94 | | to read as follows: |
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94 | 95 | | (b) For purposes of Subsection (a)(1), a written consent |
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95 | 96 | | signed by an adult survivor with a guardian appointed under Title 3 |
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96 | 97 | | [incapacitated person, as that term is defined by Chapter 1002], |
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97 | 98 | | Estates Code, is effective regardless of whether the adult |
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98 | 99 | | survivor's [incapacitated person's] guardian, guardian ad litem, or |
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99 | 100 | | other legal agent signs the release. If the adult survivor with an |
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100 | 101 | | appointed guardian agrees to the release but [incapacitated person] |
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101 | 102 | | is unable to provide a signature and the guardian, guardian ad |
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102 | 103 | | litem, or other legal agent is unavailable or declines to sign the |
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103 | 104 | | release, then the investigating law enforcement officer may sign |
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104 | 105 | | the release. |
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105 | 106 | | SECTION 6. Section 1151.351(b), Estates Code, is amended to |
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106 | 107 | | read as follows: |
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107 | 108 | | (b) Unless limited by a court or otherwise restricted by |
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108 | 109 | | law, a ward is authorized to the following: |
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109 | 110 | | (1) to have a copy of the guardianship order and |
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110 | 111 | | letters of guardianship and contact information for the probate |
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111 | 112 | | court that issued the order and letters; |
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112 | 113 | | (2) to have a guardianship that encourages the |
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113 | 114 | | development or maintenance of maximum self-reliance and |
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114 | 115 | | independence in the ward with the eventual goal, if possible, of |
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115 | 116 | | self-sufficiency; |
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116 | 117 | | (3) to be treated with respect, consideration, and |
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117 | 118 | | recognition of the ward's dignity and individuality; |
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118 | 119 | | (4) to reside and receive support services in the most |
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119 | 120 | | integrated setting, including home-based or other community-based |
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120 | 121 | | settings, as required by Title II of the Americans with |
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121 | 122 | | Disabilities Act (42 U.S.C. Section 12131 et seq.); |
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122 | 123 | | (5) to consideration of the ward's current and |
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123 | 124 | | previously stated personal preferences, desires, medical and |
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124 | 125 | | psychiatric treatment preferences, religious beliefs, living |
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125 | 126 | | arrangements, and other preferences and opinions; |
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126 | 127 | | (6) to financial self-determination for all public |
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127 | 128 | | benefits after essential living expenses and health needs are met |
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128 | 129 | | and to have access to a monthly personal allowance; |
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129 | 130 | | (7) to receive timely and appropriate health care and |
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130 | 131 | | medical treatment that does not violate the ward's rights granted |
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131 | 132 | | by the constitution and laws of this state and the United States; |
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132 | 133 | | (8) to exercise full control of all aspects of life not |
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133 | 134 | | specifically granted by the court to the guardian; |
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134 | 135 | | (9) to control the ward's personal environment based |
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135 | 136 | | on the ward's preferences; |
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136 | 137 | | (10) to complain or raise concerns regarding the |
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137 | 138 | | guardian or guardianship to the court, including living |
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138 | 139 | | arrangements, retaliation by the guardian, conflicts of interest |
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139 | 140 | | between the guardian and service providers, or a violation of any |
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140 | 141 | | rights under this section; |
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141 | 142 | | (11) to receive notice in the ward's native language, |
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142 | 143 | | or preferred mode of communication, and in a manner accessible to |
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143 | 144 | | the ward, of a court proceeding to continue, modify, or terminate |
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144 | 145 | | the guardianship and the opportunity to appear before the court to |
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145 | 146 | | express the ward's preferences and concerns regarding whether the |
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146 | 147 | | guardianship should be continued, modified, or terminated; |
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147 | 148 | | (12) to have a court investigator, guardian ad litem, |
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148 | 149 | | or attorney ad litem appointed by the court to investigate a |
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149 | 150 | | complaint received by the court from the ward or any person about |
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150 | 151 | | the guardianship; |
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151 | 152 | | (13) to participate in social, religious, and |
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152 | 153 | | recreational activities, training, employment, education, |
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153 | 154 | | habilitation, and rehabilitation of the ward's choice in the most |
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154 | 155 | | integrated setting; |
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155 | 156 | | (14) to self-determination in the substantial |
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156 | 157 | | maintenance, disposition, and management of real and personal |
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157 | 158 | | property after essential living expenses and health needs are met, |
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158 | 159 | | including the right to receive notice and object about the |
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159 | 160 | | substantial maintenance, disposition, or management of clothing, |
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160 | 161 | | furniture, vehicles, and other personal effects; |
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161 | 162 | | (15) to personal privacy and confidentiality in |
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162 | 163 | | personal matters, subject to state and federal law; |
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163 | 164 | | (16) to unimpeded, private, and uncensored |
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164 | 165 | | communication and visitation with persons of the ward's choice, |
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165 | 166 | | except that if the guardian determines that certain communication |
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166 | 167 | | or visitation causes substantial harm to the ward: |
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167 | 168 | | (A) the guardian may limit, supervise, or |
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168 | 169 | | restrict communication or visitation, but only to the extent |
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169 | 170 | | necessary to protect the ward from substantial harm; and |
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170 | 171 | | (B) the ward may request a hearing to remove any |
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171 | 172 | | restrictions on communication or visitation imposed by the guardian |
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172 | 173 | | under Paragraph (A); |
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173 | 174 | | (17) to petition the court and retain counsel of the |
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174 | 175 | | ward's choice who holds a certificate required by Subchapter E, |
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175 | 176 | | Chapter 1054, to represent the ward's interest for capacity |
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176 | 177 | | restoration, modification of the guardianship, the appointment of a |
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177 | 178 | | different guardian, or for other appropriate relief under this |
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178 | 179 | | subchapter, including a transition to a supported decision-making |
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179 | 180 | | agreement, except as limited by Section 1054.006; |
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180 | 181 | | (18) to vote in a public election, marry, and retain a |
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181 | 182 | | license to operate a motor vehicle, unless restricted by the court; |
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182 | 183 | | (19) to personal visits from the guardian or the |
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183 | 184 | | guardian's designee at least once every three months, but more |
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184 | 185 | | often, if necessary, unless the court orders otherwise; |
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185 | 186 | | (20) to be informed of the name, address, phone |
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186 | 187 | | number, and purpose of Disability Rights Texas, an organization |
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187 | 188 | | whose mission is to protect the rights of, and advocate for, persons |
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188 | 189 | | with disabilities, and to communicate and meet with representatives |
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189 | 190 | | of that organization; |
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190 | 191 | | (21) to be informed of the name, address, phone |
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191 | 192 | | number, and purpose of an independent living center, an area agency |
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192 | 193 | | on aging, an aging and disability resource center, and the local |
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193 | 194 | | mental health and intellectual and developmental disability |
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194 | 195 | | center, and to communicate and meet with representatives from these |
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195 | 196 | | agencies and organizations; |
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196 | 197 | | (22) to be informed of the name, address, phone |
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197 | 198 | | number, and purpose of the Judicial Branch Certification Commission |
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198 | 199 | | and the procedure for filing a complaint against a certified |
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199 | 200 | | guardian; |
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200 | 201 | | (23) to contact the Department of Family and |
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201 | 202 | | Protective Services to report abuse, neglect, exploitation, or |
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202 | 203 | | violation of personal rights without fear of punishment, |
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203 | 204 | | interference, coercion, or retaliation; [and] |
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204 | 205 | | (24) to have the guardian, on appointment and on |
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205 | 206 | | annual renewal of the guardianship, explain the rights delineated |
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206 | 207 | | in this subsection in the ward's native language, or preferred mode |
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207 | 208 | | of communication, and in a manner accessible to the ward; and |
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208 | 209 | | (25) to make decisions related to sexual assault |
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209 | 210 | | crisis services, including consenting to a forensic medical |
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210 | 211 | | examination and treatment, authorizing the collection of forensic |
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211 | 212 | | evidence, consenting to the release of evidence contained in an |
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212 | 213 | | evidence collection kit and disclosure of related confidential |
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213 | 214 | | information, and receiving counseling and other support services. |
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214 | 215 | | SECTION 7. This Act takes effect September 1, 2019. |
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