Texas 2025 - 89th Regular

Texas House Bill HB2928 Compare Versions

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11 89R10003 JTZ-D
22 By: Campos H.B. No. 2928
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to the regulation of referral agencies for assisted living
1010 facilities; providing a civil penalty.
1111 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1212 SECTION 1. Chapter 247, Health and Safety Code, is amended
1313 by adding Subchapter F to read as follows:
1414 SUBCHAPTER F. REFERRAL AGENCIES
1515 Sec. 247.151. DEFINITIONS. In this subchapter:
1616 (1) "Client" means an individual seeking assistance
1717 with entering into an arrangement with an assisted living facility
1818 through a referral agency.
1919 (2) "Referral agency" means a person who for
2020 compensation provides client referral services to individuals or
2121 assisted living facilities.
2222 Sec. 247.152. DISCLOSURE REQUIRED. (a) A referral agency
2323 shall provide a written disclosure statement to each client before
2424 referring the client to an assisted living facility. A referral
2525 agency that only provides information to an individual is not
2626 required to provide the statement to the individual.
2727 (b) The disclosure statement must contain the following
2828 information:
2929 (1) the name, address, and telephone number of the
3030 referral agency;
3131 (2) the services the referral agency provides to the
3232 client;
3333 (3) the fee amount the referral agency charges to the
3434 client;
3535 (4) the fee amount the referral agency charges to the
3636 referred assisted living facility;
3737 (5) the date of the most recent visit by referral
3838 agency personnel to the referred assisted living facility;
3939 (6) a statement on whether the referral agency or its
4040 personnel have an ownership interest in the referred assisted
4141 living facility;
4242 (7) a statement acknowledging the client may cease
4343 using the services of the referral agency without the agency
4444 assessing a penalty or cancellation fee against the client;
4545 (8) a statement that the client is not required to
4646 enter into an agreement with the referred assisted living facility;
4747 and
4848 (9) lines for the client's name and the date on which
4949 the referral agency provided the disclosure statement to the
5050 client.
5151 Sec. 247.153. INTAKE FORM. (a) A referral agency shall
5252 complete a standardized intake form for each client before
5353 referring the client to an assisted living facility. A referral
5454 agency that only provides information to an individual is not
5555 required to complete the intake form for the individual.
5656 (b) The executive commissioner by rule shall prescribe a
5757 standardized intake form for use under this section.
5858 (c) The intake form must ask a client to provide the
5959 following information regarding the client:
6060 (1) recent medical history relevant to the referral
6161 process;
6262 (2) known medications and medication management
6363 needs;
6464 (3) known medical diagnoses, health concerns, and
6565 reasons for seeking a referral to an assisted living facility;
6666 (4) behaviors or symptoms that may cause concern or
6767 require special care;
6868 (5) any mental illness, dementia, or developmental
6969 disability diagnosis;
7070 (6) daily living assistance needs, activity
7171 preferences, and sleeping habits;
7272 (7) particular cultural or language access needs and
7373 accommodations;
7474 (8) geographic location preferences;
7575 (9) any special dietary needs and food preferences;
7676 (10) a description of the client's daily routine; and
7777 (11) basic financial information and any available
7878 long-term care insurance or financial assistance, including
7979 Medicaid, that may be helpful in defining assisted living facility
8080 options for the client.
8181 Sec. 247.154. GENERAL FACILITY INFORMATION. (a) Before
8282 referring a client to an assisted living facility, a referral
8383 agency shall consult with a representative of the facility and
8484 obtain the following general information:
8585 (1) the type and number of the facility's license;
8686 (2) whether the facility's license authorizes the
8787 facility to provide care to individuals with a mental illness,
8888 dementia, or a developmental disability;
8989 (3) sources of payment the facility accepts, including
9090 whether the facility accepts Medicaid;
9191 (4) general level of medication management services
9292 the facility provides;
9393 (5) general level and types of personal care services
9494 the facility provides;
9595 (6) particular cultural needs the facility
9696 accommodates or may accommodate;
9797 (7) primary and secondary languages spoken by the
9898 facility's care providers;
9999 (8) activities the facility typically provides;
100100 (9) client behavioral problems or symptoms the
101101 facility is or is not equipped to address;
102102 (10) food preferences and special dietary needs the
103103 facility accommodates or may accommodate; and
104104 (11) other available special care or services.
105105 (b) A referral agency at least annually shall consult with
106106 and obtain from an assisted living facility the information
107107 required under Subsection (a).
108108 Sec. 247.155. FACILITY VIOLATION STATUS. (a) Before
109109 referring a client to an assisted living facility, a referral
110110 agency shall conduct a search of the commission's Internet website
111111 and inform the client in writing whether the assisted living
112112 facility is listed on the website for a violation of licensing
113113 requirements.
114114 (b) A referral agency must conduct the search described by
115115 Subsection (a) not earlier than 30 days before the date the agency
116116 provides the information to the client.
117117 Sec. 247.156. REFERRAL OF CLIENT TO ASSISTED LIVING
118118 FACILITY. To the extent practicable, a referral agency shall refer
119119 a client to an assisted living facility that appears, in the best
120120 judgment of the agency, to meet the client's identified needs.
121121 Sec. 247.157. CIVIL PENALTY. (a) At the request of the
122122 commission, the attorney general shall bring an action to collect a
123123 civil penalty from a referral agency that violates this subchapter.
124124 (b) The civil penalty may not exceed $1,000 for each
125125 violation. Each day of a continuing violation constitutes a
126126 separate violation.
127127 Sec. 247.158. RULES. The executive commissioner shall
128128 adopt rules necessary to implement this subchapter.
129129 SECTION 2. As soon as practicable after the effective date
130130 of this Act, the executive commissioner of the Health and Human
131131 Services Commission shall adopt rules necessary to implement
132132 Subchapter F, Chapter 247, Health and Safety Code, as added by this
133133 Act.
134134 SECTION 3. This Act takes effect September 1, 2025.