1 | 1 | | S.B. No. 52 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | AN ACT |
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5 | 5 | | relating to the right of state hospital patients to designate an |
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6 | 6 | | essential caregiver for in-person visitation. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. Chapter 552, Health and Safety Code, is amended |
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9 | 9 | | by adding Subchapter F to read as follows: |
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10 | 10 | | SUBCHAPTER F. RIGHT TO ESSENTIAL CAREGIVER VISITS |
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11 | 11 | | Sec. 552.201. DEFINITION. In this chapter, "essential |
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12 | 12 | | caregiver" means a family member, friend, guardian, or other |
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13 | 13 | | individual a patient, patient's guardian, or patient's legally |
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14 | 14 | | authorized representative selects for in-person visits. |
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15 | 15 | | Sec. 552.202. PATIENT'S RIGHT TO ESSENTIAL CAREGIVER |
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16 | 16 | | VISITS. (a) A patient, the patient's guardian, or the patient's |
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17 | 17 | | legally authorized representative has the right to designate an |
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18 | 18 | | essential caregiver with whom a state hospital may not prohibit |
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19 | 19 | | in-person visitation. |
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20 | 20 | | (b) If a patient is a minor, the patient's parent, guardian, |
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21 | 21 | | or managing conservator may designate both of the minor patient's |
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22 | 22 | | parents as essential caregivers under Subsection (a). |
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23 | 23 | | Sec. 552.203. ESSENTIAL CAREGIVER POLICIES, PROCEDURES, |
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24 | 24 | | AND SAFETY PROTOCOLS. (a) Notwithstanding Section 552.202, the |
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25 | 25 | | executive commissioner by rule shall develop guidelines to assist |
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26 | 26 | | state hospitals in establishing essential caregiver visitation |
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27 | 27 | | policies and procedures. The guidelines must require the hospitals |
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28 | 28 | | to: |
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29 | 29 | | (1) allow a patient, patient's guardian, or patient's |
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30 | 30 | | legally authorized representative or, for a minor patient, the |
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31 | 31 | | patient's parent, guardian, or managing conservator, to designate |
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32 | 32 | | for in-person visitation an essential caregiver; |
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33 | 33 | | (2) establish a visitation schedule allowing the |
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34 | 34 | | essential caregiver to visit the patient for at least two hours each |
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35 | 35 | | day; |
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36 | 36 | | (3) establish procedures to enable physical contact |
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37 | 37 | | between the patient and essential caregiver; and |
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38 | 38 | | (4) obtain the signature of the essential caregiver |
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39 | 39 | | certifying the caregiver will follow the hospital's safety |
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40 | 40 | | protocols and any other policies, procedures, or rules established |
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41 | 41 | | under this section. |
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42 | 42 | | (b) A state hospital may not establish safety protocols |
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43 | 43 | | under this section that are more stringent than the safety |
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44 | 44 | | protocols the hospital establishes for hospital staff. |
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45 | 45 | | Sec. 552.204. REVOCATION OF ESSENTIAL CAREGIVER |
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46 | 46 | | DESIGNATION. (a) A state hospital may revoke an individual's |
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47 | 47 | | designation as an essential caregiver if the individual violates |
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48 | 48 | | the hospital's policies, procedures, or safety protocols |
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49 | 49 | | established under Section 552.203. |
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50 | 50 | | (b) If a state hospital revokes an individual's designation |
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51 | 51 | | as an essential caregiver under this section, the patient, |
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52 | 52 | | patient's guardian, or patient's legally authorized representative |
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53 | 53 | | or, for a minor patient, the patient's parent, guardian, or |
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54 | 54 | | managing conservator, has the right to immediately designate |
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55 | 55 | | another individual as the patient's essential caregiver. |
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56 | 56 | | (c) The commission by rule shall establish an appeals |
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57 | 57 | | process to evaluate the revocation of an individual's designation |
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58 | 58 | | as an essential caregiver under this section. |
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59 | 59 | | Sec. 552.205. TEMPORARY SUSPENSION OF ESSENTIAL CAREGIVER |
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60 | 60 | | VISITS. (a) A state hospital may petition the commission to |
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61 | 61 | | suspend in-person essential caregiver visits for not more than |
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62 | 62 | | seven days if in-person visitation poses a serious community health |
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63 | 63 | | risk. The commission may deny the hospital's request to suspend |
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64 | 64 | | in-person essential caregiver visitation if the commission |
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65 | 65 | | determines that in-person visitation does not pose a serious |
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66 | 66 | | community health risk. |
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67 | 67 | | (b) A state hospital may request an extension from the |
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68 | 68 | | commission to suspend in-person essential caregiver visitation for |
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69 | 69 | | more than seven days. The commission may not approve an extension |
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70 | 70 | | for a period that exceeds seven days, and the hospital must |
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71 | 71 | | separately request each extension. |
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72 | 72 | | (c) A state hospital may not suspend in-person essential |
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73 | 73 | | caregiver visitation in any year for more than 14 consecutive days |
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74 | 74 | | or 45 days total. |
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75 | 75 | | Sec. 552.206. PROVISION OF NECESSARY PATIENT CARE BY |
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76 | 76 | | ESSENTIAL CAREGIVER. This subchapter may not be construed as |
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77 | 77 | | requiring an essential caregiver to provide necessary care to a |
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78 | 78 | | patient, and a state hospital may not require an essential |
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79 | 79 | | caregiver to provide the necessary care. |
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80 | 80 | | SECTION 2. As soon as practicable after the effective date |
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81 | 81 | | of this Act, the executive commissioner of the Health and Human |
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82 | 82 | | Services Commission shall prescribe the guidelines and adopt the |
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83 | 83 | | rules required by Subchapter F, Chapter 552, Health and Safety |
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84 | 84 | | Code, as added by this Act. |
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85 | 85 | | SECTION 3. This Act takes effect September 1, 2023. |
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86 | 86 | | ______________________________ ______________________________ |
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87 | 87 | | President of the Senate Speaker of the House |
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88 | 88 | | I hereby certify that S.B. No. 52 passed the Senate on |
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89 | 89 | | April 6, 2023, by the following vote: Yeas 31, Nays 0. |
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90 | 90 | | ______________________________ |
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91 | 91 | | Secretary of the Senate |
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92 | 92 | | I hereby certify that S.B. No. 52 passed the House on |
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93 | 93 | | May 19, 2023, by the following vote: Yeas 142, Nays 1, |
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94 | 94 | | two present not voting. |
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95 | 95 | | ______________________________ |
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96 | 96 | | Chief Clerk of the House |
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97 | 97 | | Approved: |
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98 | 98 | | ______________________________ |
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99 | 99 | | Date |
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100 | 100 | | ______________________________ |
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101 | 101 | | Governor |
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