1 | 1 | | 87R13687 EAS-F |
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2 | 2 | | By: Oliverson H.B. No. 3965 |
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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 requiring an emergency operation plan for continued |
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8 | 8 | | treatment of patients in an end stage renal disease facility in the |
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9 | 9 | | event of a disaster and the prioritization of power restoration for |
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10 | 10 | | those facilities during certain disasters. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 251.014, Health and Safety Code, is |
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13 | 13 | | amended by amending Subsection (a) and adding Subsection (c) to |
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14 | 14 | | read as follows: |
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15 | 15 | | (a) The rules adopted under Section 251.003 must contain |
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16 | 16 | | minimum standards to protect the health and safety of a patient of |
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17 | 17 | | an end stage renal disease facility, including standards for: |
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18 | 18 | | (1) the qualifications and supervision of the |
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19 | 19 | | professional staff, including physicians, and other personnel; |
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20 | 20 | | (2) the equipment used by the facility is compatible |
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21 | 21 | | with the health and safety of the patients; |
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22 | 22 | | (3) the sanitary and hygienic conditions in the |
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23 | 23 | | facility; |
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24 | 24 | | (4) quality assurance for patient care; |
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25 | 25 | | (5) the provision and coordination of treatment and |
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26 | 26 | | services by the facility; |
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27 | 27 | | (6) clinical records maintained by the facility; |
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28 | 28 | | (7) design and space requirements for the facility for |
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29 | 29 | | safe access by patients and personnel and for ensuring patient |
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30 | 30 | | privacy; |
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31 | 31 | | (8) indicators of the quality of care provided by the |
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32 | 32 | | facility; [and] |
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33 | 33 | | (9) water treatment and reuse by the facility; and |
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34 | 34 | | (10) the continued treatment of patients during a |
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35 | 35 | | state of disaster declared under Section 418.014, Government Code, |
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36 | 36 | | or a declaration of local disaster declared under Section 418.108, |
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37 | 37 | | Government Code, including the development and adoption of a |
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38 | 38 | | comprehensive emergency operation plan. |
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39 | 39 | | (c) The emergency operation plan described by Subsection |
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40 | 40 | | (a)(10) must: |
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41 | 41 | | (1) include a plan to communicate to a patient any |
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42 | 42 | | changes in the patient's dialysis treatment schedule; |
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43 | 43 | | (2) include a plan to address patient transportation |
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44 | 44 | | to and from the facility in the event of a disaster that obstructs |
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45 | 45 | | or impairs roadways; and |
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46 | 46 | | (3) require a facility to execute a contract with one |
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47 | 47 | | or more end stage renal disease facilities located within a |
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48 | 48 | | 100-mile radius stipulating that each facility will provide |
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49 | 49 | | dialysis treatment to patients of the other facility if necessary |
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50 | 50 | | in the event of a disaster. |
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51 | 51 | | SECTION 2. Sections 38.072(a) and (b), Utilities Code, are |
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52 | 52 | | amended to read as follows: |
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53 | 53 | | (a) In this section: |
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54 | 54 | | (1) "Assisted living facility" has the meaning |
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55 | 55 | | assigned by Section 247.002, Health and Safety Code. |
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56 | 56 | | (2) "End stage renal disease facility" has the meaning |
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57 | 57 | | assigned by Section 251.001, Health and Safety Code. |
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58 | 58 | | (3) "Extended power outage" has the meaning assigned |
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59 | 59 | | by Section 13.1395, Water Code. |
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60 | 60 | | (4) [(3)] "Hospice services" has the meaning assigned |
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61 | 61 | | by Section 142.001, Health and Safety Code. |
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62 | 62 | | (5) [(4)] "Nursing facility" has the meaning assigned |
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63 | 63 | | by Section 242.301, Health and Safety Code. |
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64 | 64 | | (b) The commission by rule shall require an electric utility |
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65 | 65 | | to give to the following the same priority that it gives to a |
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66 | 66 | | hospital in the utility's emergency operations plan for restoring |
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67 | 67 | | power after an extended power outage: |
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68 | 68 | | (1) a nursing facility; |
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69 | 69 | | (2) an assisted living facility; [and] |
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70 | 70 | | (3) an end stage renal disease facility; and |
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71 | 71 | | (4) a facility that provides hospice services. |
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72 | 72 | | SECTION 3. As soon as practicable after the effective date |
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73 | 73 | | of this Act, each end stage renal disease facility shall develop and |
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74 | 74 | | implement an emergency operation plan under Section 251.014, Health |
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75 | 75 | | and Safety Code, as amended by this Act. |
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76 | 76 | | SECTION 4. As soon as practicable after the effective date |
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77 | 77 | | of this Act, the Public Utility Commission of Texas shall adopt the |
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78 | 78 | | rules required by Section 38.072, Utilities Code, as amended by |
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79 | 79 | | this Act. |
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80 | 80 | | SECTION 5. This Act takes effect September 1, 2021. |
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