S.B. No. 186 AN ACT relating to the prohibited discharge of a patient to certain unlicensed or unpermitted group-centered facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. The heading to Chapter 256, Health and Safety Code, is amended to read as follows: CHAPTER 256. SAFE PATIENT HANDLING, [AND] MOVEMENT, AND DISCHARGE PRACTICES SECTION 2. Chapter 256, Health and Safety Code, is amended by adding Section 256.003 to read as follows: Sec. 256.003. PROHIBITED DISCHARGE OF PATIENTS TO CERTAIN GROUP-CENTERED FACILITIES. (a) Subject to Subsection (b), a hospital or other health facility may discharge or otherwise release a patient to the care of a group home, boarding home facility, or similar group-centered facility only if the person who operates the group-centered facility holds a license or permit issued in accordance with applicable state law. (b) A hospital or other health facility may discharge or otherwise release a patient to the care of a group home, boarding home facility, or similar group-centered facility operated by a person who does not hold a license or permit issued in accordance with applicable state law only if: (1) no group-centered facility is operated in the county in which the patient is discharged by a person who holds the applicable license or permit; or (2) the patient voluntarily elects to reside in the group-centered facility of the unlicensed or unpermitted person. (c) A hospital or other health facility is not liable for damages to a patient resulting from the patient's discharge or release to a group home, boarding home facility, or similar group-centered facility under Subsection (b). (d) A local health authority may not issue an order authorizing a hospital or health facility to discharge or release a patient to a group-centered facility in a manner that conflicts with this section. SECTION 3. Section 256.003(c), Health and Safety Code, as added by this Act, applies only to a cause of action that accrues on or after the effective date of this Act. SECTION 4. This Act takes effect September 1, 2023. ______________________________ ______________________________ President of the Senate Speaker of the House I hereby certify that S.B. No. 186 passed the Senate on April 20, 2023, by the following vote: Yeas 31, Nays 0. ______________________________ Secretary of the Senate I hereby certify that S.B. No. 186 passed the House on May 24, 2023, by the following vote: Yeas 122, Nays 17, one present not voting. ______________________________ Chief Clerk of the House Approved: ______________________________ Date ______________________________ Governor