Texas 2021 - 87th Regular

Texas House Bill HB1224 Compare Versions

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11 87R5400 SCL-D
22 By: Campos H.B. No. 1224
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55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the regulation of referral agencies for assisted living
88 facilities; providing a civil penalty.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Chapter 247, Health and Safety Code, is amended
1111 by adding Subchapter F to read as follows:
1212 SUBCHAPTER F. REFERRAL AGENCIES
1313 Sec. 247.151. DEFINITIONS. In this subchapter:
1414 (1) "Client" means an individual seeking assistance
1515 with entering into an arrangement with an assisted living facility
1616 through a referral agency.
1717 (2) "Referral agency" means a person who for
1818 compensation provides client referral services to individuals or
1919 assisted living facilities.
2020 Sec. 247.152. DISCLOSURE REQUIRED. (a) A referral agency
2121 shall provide a written disclosure statement to each client before
2222 referring the client to an assisted living facility. A referral
2323 agency that only provides information to an individual is not
2424 required to provide the statement to the individual.
2525 (b) The disclosure statement must contain the following
2626 information:
2727 (1) the name, address, and telephone number of the
2828 referral agency;
2929 (2) the services the referral agency provides to the
3030 client;
3131 (3) the fee amount the referral agency charges to the
3232 client;
3333 (4) the fee amount the referral agency charges to the
3434 referred assisted living facility;
3535 (5) the date of the most recent visit by referral
3636 agency personnel to the referred assisted living facility;
3737 (6) a statement on whether the referral agency or its
3838 personnel have an ownership interest in the referred assisted
3939 living facility;
4040 (7) a statement acknowledging the client may cease
4141 using the referral agency without the agency assessing a penalty or
4242 cancellation fee against the client;
4343 (8) a statement that the client is not required to
4444 enter into an agreement with the referred assisted living facility;
4545 and
4646 (9) lines for the client's name and the date on which
4747 the referral agency provided the disclosure statement to the
4848 client.
4949 Sec. 247.153. INTAKE FORM. (a) A referral agency shall
5050 complete a standardized intake form for each client before
5151 referring the client to an assisted living facility. A referral
5252 agency that only provides information to an individual is not
5353 required to complete the intake form for the individual.
5454 (b) The executive commissioner by rule shall prescribe a
5555 standardized intake form for use under this section.
5656 (c) The intake form must contain the following information
5757 regarding the client:
5858 (1) recent medical history relevant to the referral
5959 process;
6060 (2) known medications and medication management
6161 needs;
6262 (3) known medical diagnosis, health concerns, and
6363 reasons for seeking a referral to an assisted living facility;
6464 (4) behaviors or symptoms that may cause concern or
6565 require special care;
6666 (5) any mental illness, dementia, or developmental
6767 disability diagnosis;
6868 (6) daily living assistance needs, activity
6969 preferences, and sleeping habits;
7070 (7) particular cultural or language access needs and
7171 accommodations;
7272 (8) geographic location and other important client
7373 preferences, such as food and daily routine; and
7474 (9) basic financial information and the availability
7575 of any long-term care insurance or financial assistance, including
7676 Medicaid, that may be helpful in defining assisted living facility
7777 options for the client.
7878 Sec. 247.154. GENERAL FACILITY INFORMATION. (a) Before
7979 referring a client to an assisted living facility, a referral
8080 agency shall consult with a representative of the facility and
8181 obtain the following general information:
8282 (1) the type and number of the facility's license;
8383 (2) whether the facility's license authorizes the
8484 facility to provide care to individuals with a mental illness,
8585 dementia, or developmental disability;
8686 (3) sources of payment the facility accepts, including
8787 whether the facility accepts Medicaid;
8888 (4) general level of medication management services
8989 the facility provides;
9090 (5) general level and types of personal care services
9191 the facility provides;
9292 (6) particular cultural needs the facility
9393 accommodates or may accommodate;
9494 (7) primary and secondary languages spoken by the
9595 facility's care providers;
9696 (8) activities the facility typically provides;
9797 (9) client behavioral problems or symptoms the
9898 facility is or is not equipped to address;
9999 (10) food preferences and special diets the facility
100100 accommodates or may accommodate; and
101101 (11) other available special care or services.
102102 (b) A referral agency at least annually shall consult with
103103 and obtain from an assisted living facility the information
104104 required under Subsection (a).
105105 Sec. 247.155. FACILITY VIOLATION STATUS. (a) Before
106106 referring a client to an assisted living facility, a referral
107107 agency shall conduct a search of the commission's Internet website
108108 and inform the client in writing whether the assisted living
109109 facility is listed on the website for a violation of licensing
110110 requirements.
111111 (b) A referral agency must conduct the search described by
112112 Subsection (a) not earlier than 30 days before the date the agency
113113 provides the information to the client.
114114 Sec. 247.156. AGENCY REFERRALS. To the extent practicable,
115115 a referral agency shall refer a client to an assisted living
116116 facility that appears, in the best judgment of the agency, to meet
117117 the client's identified needs.
118118 Sec. 247.157. CIVIL PENALTY. (a) At the request of the
119119 commission, the attorney general shall bring an action to collect a
120120 civil penalty from a referral agency that violates this subchapter.
121121 (b) The civil penalty may not exceed $1,000 for each
122122 violation. Each day of a continuing violation constitutes a
123123 separate violation.
124124 Sec. 247.158. RULES. The executive commissioner may adopt
125125 rules necessary to implement this subchapter.
126126 SECTION 2. As soon as practicable after the effective date
127127 of this Act, the executive commissioner of the Health and Human
128128 Services Commission shall adopt rules necessary to implement
129129 Subchapter F, Chapter 247, Health and Safety Code, as added by this
130130 Act.
131131 SECTION 3. This Act takes effect September 1, 2021.