By: West S.B. No. 660     A BILL TO BE ENTITLED   AN ACT   relating to the installation of bollards or another safety barrier   adjacent to certain hospital emergency rooms.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  The heading to Subchapter B, Chapter 311, Health   and Safety Code, is amended to read as follows:   SUBCHAPTER B. EMERGENCY SERVICES; EMERGENCY ROOMS          SECTION 2.  Subchapter B, Chapter 311, Health and Safety   Code, is amended by adding Section 311.025 to read as follows:          Sec. 311.025.  EMERGENCY ROOM CRASH BARRIERS REQUIRED AT   CERTAIN HOSPITALS. (a)  In this section, "hospital" means a   hospital licensed under Chapter 241, except that the term does not   include a hospital that:                (1)  is located in a county with a population of 68,750   or less; or                (2)  has been designated by the Centers for Medicare   and Medicaid Services as a critical access hospital, rural referral   center, or sole community hospital and:                      (A)  is not located in a metropolitan statistical   area; or                      (B)  if the hospital has 100 or fewer beds, is   located in a metropolitan statistical area.          (b)  If a hospital maintains an emergency room located near   an area with vehicular traffic, the hospital shall install and   maintain crash-rated bollards or another similar safety barrier   adjacent to the emergency room in a manner likely to prevent a motor   vehicle from crashing into the emergency room.          (c)  The executive commissioner of the Health and Human   Services Commission shall adopt rules as necessary to implement   this section.          SECTION 3.  (a) As soon as practicable after the effective   date of this Act but not later than December 1, 2025, the executive   commissioner of the Health and Human Services Commission shall   adopt rules as required by Section 311.025(c), Health and Safety   Code, as added by this Act.          (b)  A hospital to which Section 311.025, Health and Safety   Code, as added by this Act, applies:                (1)  is not required to comply with the requirements of   that section until January 1, 2026; and                (2)  is not required to reinstall or install additional   bollards or safety barriers if the hospital has, before the   effective date of this Act, installed crash-rated bollards or   another similar safety barrier adjacent to the hospital's emergency   room.          SECTION 4.  This Act takes effect September 1, 2025.