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