1 | 1 | | 89R10003 JTZ-D |
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2 | 2 | | By: Campos H.B. No. 2928 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the regulation of referral agencies for assisted living |
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10 | 10 | | facilities; providing a civil penalty. |
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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. Chapter 247, Health and Safety Code, is amended |
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13 | 13 | | by adding Subchapter F to read as follows: |
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14 | 14 | | SUBCHAPTER F. REFERRAL AGENCIES |
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15 | 15 | | Sec. 247.151. DEFINITIONS. In this subchapter: |
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16 | 16 | | (1) "Client" means an individual seeking assistance |
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17 | 17 | | with entering into an arrangement with an assisted living facility |
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18 | 18 | | through a referral agency. |
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19 | 19 | | (2) "Referral agency" means a person who for |
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20 | 20 | | compensation provides client referral services to individuals or |
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21 | 21 | | assisted living facilities. |
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22 | 22 | | Sec. 247.152. DISCLOSURE REQUIRED. (a) A referral agency |
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23 | 23 | | shall provide a written disclosure statement to each client before |
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24 | 24 | | referring the client to an assisted living facility. A referral |
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25 | 25 | | agency that only provides information to an individual is not |
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26 | 26 | | required to provide the statement to the individual. |
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27 | 27 | | (b) The disclosure statement must contain the following |
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28 | 28 | | information: |
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29 | 29 | | (1) the name, address, and telephone number of the |
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30 | 30 | | referral agency; |
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31 | 31 | | (2) the services the referral agency provides to the |
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32 | 32 | | client; |
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33 | 33 | | (3) the fee amount the referral agency charges to the |
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34 | 34 | | client; |
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35 | 35 | | (4) the fee amount the referral agency charges to the |
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36 | 36 | | referred assisted living facility; |
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37 | 37 | | (5) the date of the most recent visit by referral |
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38 | 38 | | agency personnel to the referred assisted living facility; |
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39 | 39 | | (6) a statement on whether the referral agency or its |
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40 | 40 | | personnel have an ownership interest in the referred assisted |
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41 | 41 | | living facility; |
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42 | 42 | | (7) a statement acknowledging the client may cease |
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43 | 43 | | using the services of the referral agency without the agency |
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44 | 44 | | assessing a penalty or cancellation fee against the client; |
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45 | 45 | | (8) a statement that the client is not required to |
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46 | 46 | | enter into an agreement with the referred assisted living facility; |
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47 | 47 | | and |
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48 | 48 | | (9) lines for the client's name and the date on which |
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49 | 49 | | the referral agency provided the disclosure statement to the |
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50 | 50 | | client. |
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51 | 51 | | Sec. 247.153. INTAKE FORM. (a) A referral agency shall |
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52 | 52 | | complete a standardized intake form for each client before |
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53 | 53 | | referring the client to an assisted living facility. A referral |
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54 | 54 | | agency that only provides information to an individual is not |
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55 | 55 | | required to complete the intake form for the individual. |
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56 | 56 | | (b) The executive commissioner by rule shall prescribe a |
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57 | 57 | | standardized intake form for use under this section. |
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58 | 58 | | (c) The intake form must ask a client to provide the |
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59 | 59 | | following information regarding the client: |
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60 | 60 | | (1) recent medical history relevant to the referral |
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61 | 61 | | process; |
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62 | 62 | | (2) known medications and medication management |
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63 | 63 | | needs; |
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64 | 64 | | (3) known medical diagnoses, health concerns, and |
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65 | 65 | | reasons for seeking a referral to an assisted living facility; |
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66 | 66 | | (4) behaviors or symptoms that may cause concern or |
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67 | 67 | | require special care; |
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68 | 68 | | (5) any mental illness, dementia, or developmental |
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69 | 69 | | disability diagnosis; |
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70 | 70 | | (6) daily living assistance needs, activity |
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71 | 71 | | preferences, and sleeping habits; |
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72 | 72 | | (7) particular cultural or language access needs and |
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73 | 73 | | accommodations; |
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74 | 74 | | (8) geographic location preferences; |
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75 | 75 | | (9) any special dietary needs and food preferences; |
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76 | 76 | | (10) a description of the client's daily routine; and |
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77 | 77 | | (11) basic financial information and any available |
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78 | 78 | | long-term care insurance or financial assistance, including |
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79 | 79 | | Medicaid, that may be helpful in defining assisted living facility |
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80 | 80 | | options for the client. |
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81 | 81 | | Sec. 247.154. GENERAL FACILITY INFORMATION. (a) Before |
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82 | 82 | | referring a client to an assisted living facility, a referral |
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83 | 83 | | agency shall consult with a representative of the facility and |
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84 | 84 | | obtain the following general information: |
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85 | 85 | | (1) the type and number of the facility's license; |
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86 | 86 | | (2) whether the facility's license authorizes the |
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87 | 87 | | facility to provide care to individuals with a mental illness, |
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88 | 88 | | dementia, or a developmental disability; |
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89 | 89 | | (3) sources of payment the facility accepts, including |
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90 | 90 | | whether the facility accepts Medicaid; |
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91 | 91 | | (4) general level of medication management services |
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92 | 92 | | the facility provides; |
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93 | 93 | | (5) general level and types of personal care services |
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94 | 94 | | the facility provides; |
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95 | 95 | | (6) particular cultural needs the facility |
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96 | 96 | | accommodates or may accommodate; |
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97 | 97 | | (7) primary and secondary languages spoken by the |
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98 | 98 | | facility's care providers; |
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99 | 99 | | (8) activities the facility typically provides; |
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100 | 100 | | (9) client behavioral problems or symptoms the |
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101 | 101 | | facility is or is not equipped to address; |
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102 | 102 | | (10) food preferences and special dietary needs the |
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103 | 103 | | facility accommodates or may accommodate; and |
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104 | 104 | | (11) other available special care or services. |
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105 | 105 | | (b) A referral agency at least annually shall consult with |
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106 | 106 | | and obtain from an assisted living facility the information |
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107 | 107 | | required under Subsection (a). |
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108 | 108 | | Sec. 247.155. FACILITY VIOLATION STATUS. (a) Before |
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109 | 109 | | referring a client to an assisted living facility, a referral |
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110 | 110 | | agency shall conduct a search of the commission's Internet website |
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111 | 111 | | and inform the client in writing whether the assisted living |
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112 | 112 | | facility is listed on the website for a violation of licensing |
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113 | 113 | | requirements. |
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114 | 114 | | (b) A referral agency must conduct the search described by |
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115 | 115 | | Subsection (a) not earlier than 30 days before the date the agency |
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116 | 116 | | provides the information to the client. |
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117 | 117 | | Sec. 247.156. REFERRAL OF CLIENT TO ASSISTED LIVING |
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118 | 118 | | FACILITY. To the extent practicable, a referral agency shall refer |
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119 | 119 | | a client to an assisted living facility that appears, in the best |
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120 | 120 | | judgment of the agency, to meet the client's identified needs. |
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121 | 121 | | Sec. 247.157. CIVIL PENALTY. (a) At the request of the |
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122 | 122 | | commission, the attorney general shall bring an action to collect a |
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123 | 123 | | civil penalty from a referral agency that violates this subchapter. |
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124 | 124 | | (b) The civil penalty may not exceed $1,000 for each |
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125 | 125 | | violation. Each day of a continuing violation constitutes a |
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126 | 126 | | separate violation. |
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127 | 127 | | Sec. 247.158. RULES. The executive commissioner shall |
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128 | 128 | | adopt rules necessary to implement this subchapter. |
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129 | 129 | | SECTION 2. As soon as practicable after the effective date |
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130 | 130 | | of this Act, the executive commissioner of the Health and Human |
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131 | 131 | | Services Commission shall adopt rules necessary to implement |
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132 | 132 | | Subchapter F, Chapter 247, Health and Safety Code, as added by this |
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133 | 133 | | Act. |
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134 | 134 | | SECTION 3. This Act takes effect September 1, 2025. |
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