| 1 | 1 | | 89R15980 LRM-D |
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| 2 | 2 | | By: Thompson H.B. No. 5336 |
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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 minimum staffing standards and policies for assisted |
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| 10 | 10 | | living facilities that provide care to persons with Alzheimer's |
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| 11 | 11 | | disease or related disorders and to the disclosure of those |
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| 12 | 12 | | standards and policies. |
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| 13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 14 | 14 | | SECTION 1. Section 247.029, Health and Safety Code, is |
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| 15 | 15 | | amended by amending Subsection (b) and adding Subsection (b-1) to |
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| 16 | 16 | | read as follows: |
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| 17 | 17 | | (b) The executive commissioner shall adopt minimum |
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| 18 | 18 | | standards for an assisted living facility classified under this |
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| 19 | 19 | | section. The minimum standards must require the facility to: |
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| 20 | 20 | | (1) maintain a minimum staffing ratio of: |
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| 21 | 21 | | (A) for the day shift, one nursing assistant per |
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| 22 | 22 | | seven residents; |
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| 23 | 23 | | (B) for the evening shift, one nursing assistant |
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| 24 | 24 | | per 9.5 residents; and |
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| 25 | 25 | | (C) for the overnight shift, one nursing |
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| 26 | 26 | | assistant per 17 residents; |
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| 27 | 27 | | (2) adopt staffing policies to ensure residents' |
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| 28 | 28 | | needs, as determined by each resident's resident-centered care |
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| 29 | 29 | | plan, are met through direct care by staff at the facility; and |
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| 30 | 30 | | (3) disclose the facility's 24-hour staffing patterns: |
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| 31 | 31 | | (A) to prospective residents and their families; |
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| 32 | 32 | | and |
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| 33 | 33 | | (B) on the facility's Internet website. |
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| 34 | 34 | | (b-1) At least once a month, an assisted living facility |
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| 35 | 35 | | shall post the facility's updated 24-hour staffing pattern |
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| 36 | 36 | | prominently and conspicuously in a public area of the facility that |
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| 37 | 37 | | is readily accessible to residents, employees, and visitors. |
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| 38 | 38 | | SECTION 2. As soon as practicable after the effective date |
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| 39 | 39 | | of this Act, the executive commissioner of the Health and Human |
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| 40 | 40 | | Services Commission shall adopt the minimum standards necessary to |
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| 41 | 41 | | implement the change in law made by this Act. |
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| 42 | 42 | | SECTION 3. This Act takes effect September 1, 2025. |
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