88R4067 LRM-F By: Thierry H.B. No. 2301 A BILL TO BE ENTITLED AN ACT relating to emergency generators or other power sources for nursing facilities and assisted living facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 242, Health and Safety Code, is amended by adding Sections 242.053 and 242.054 to read as follows: Sec. 242.053. EMERGENCY GENERATOR OR OTHER POWER SOURCE. (a) Each nursing facility licensed under this chapter shall ensure the facility is equipped with an operational emergency generator or comparable emergency power source and a sufficient amount of fuel to operate the generator or power source for a minimum of 72 hours during a power outage in: (1) an area in the facility of sufficient size to maintain residents safely at all times and that is appropriate for resident needs; and (2) for a nursing facility that maintains an area in the facility with an installed unit locking device as defined by commission rule to restrict a resident's ability to exit a unit of the facility or the facility, a separately powered area in addition to an area described by Subdivision (1). (b) An operational emergency generator or comparable emergency power source required by Subsection (a) may be powered by any type of fuel, including natural gas. (c) A nursing facility must comply with Subsection (a) not later than September 1, 2024. A nursing facility may request from the commission an extension not to exceed one year to comply in good faith with Subsection (a). A facility may request not more than two additional one-year extensions and must separately request each extension. This subsection expires September 1, 2027. Sec. 242.054. GENERATOR INSPECTION. In addition to the inspections required under Sections 242.043 and 242.044, the commission shall conduct an annual inspection of each facility's emergency generator or other power source required by Section 242.053. The executive commissioner by rule shall prescribe a checklist for an inspection conducted under this section. SECTION 2. Subchapter D, Chapter 247, Health and Safety Code, is amended by adding Sections 247.073 and 247.074 to read as follows: Sec. 247.073. EMERGENCY GENERATOR OR OTHER POWER SOURCE. (a) Each assisted living facility licensed under this chapter shall ensure the facility is equipped with an operational emergency generator or comparable emergency power source and a sufficient amount of fuel to operate the generator or power source for a minimum of 72 hours during a power outage in: (1) an area in the facility of sufficient size to maintain residents safely at all times and that is appropriate for resident needs; and (2) for an assisted living facility that maintains an area in the facility with an installed unit locking device as defined by commission rule to restrict a resident's ability to exit a unit of the facility or the facility, a separately powered area in addition to an area described by Subdivision (1). (b) An operational emergency generator or comparable emergency power source required by Subsection (a) may be powered by any type of fuel, including natural gas. (c) An assisted living facility must comply with Subsection (a) not later than September 1, 2024. An assisted living facility may request from the commission an extension not to exceed one year to comply in good faith with Subsection (a). A facility may request not more than two additional one-year extensions and must separately request each extension. This subsection expires September 1, 2027. Sec. 247.074. GENERATOR INSPECTION. In addition to the inspections required under Sections 247.023(a) and 247.027, the commission shall conduct an annual inspection of each facility's emergency generator or other power source required by Section 247.073. The executive commissioner by rule shall prescribe a checklist for an inspection conducted under this section. SECTION 3. As soon as practicable after the effective date of this Act, the executive commissioner of the Health and Human Services Commission shall adopt rules necessary to implement Sections 242.053, 242.054, 247.073, and 247.074, Health and Safety Code, as added by this Act. SECTION 4. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2023.