87R5397 SRA-D     By: Campos H.B. No. 1423       A BILL TO BE ENTITLED   AN ACT   relating to the regulation and inspection procedures of certain   long-term care facilities.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 242.043(a), Health and Safety Code, is   amended to read as follows:          (a)  The commission [department] or the commission's   [department's] representative may make any inspection, including   an unannounced inspection or follow-up inspection,  survey, or   investigation that it considers necessary and may enter the   premises of an institution at reasonable times to make an   inspection, survey, or investigation in accordance with department   rules.          SECTION 2.  Sections 242.044(a) and (b), Health and Safety   Code, are amended to read as follows:          (a)  The commission [Each licensing period, the department]   shall annually conduct at least one [two] unannounced inspection   [inspections] of each institution.          (b)  For at least one [two] unannounced annual inspection    [inspections each licensing period] of an institution, the   commission [department] shall invite at least one person as a   citizen advocate from:                (1)  the AARP;                (2)  the Texas Senior Citizen Association;                (3)  the department's Certified Long-term Care   Ombudsman; or                (4)  another statewide organization for the elderly.          SECTION 3.  Subchapter B, Chapter 242, Health and Safety   Code, is amended by adding Sections 242.0441 and 242.0442 to read as   follows:          Sec. 242.0441.  FOLLOW-UP INSPECTIONS. (a) The commission   or the commission's representative may conduct a follow-up   inspection of an institution after conducting an inspection,   survey, or investigation of the institution under Section 242.043   or 242.044 to:                (1)  evaluate and monitor the findings of the initial   inspection, survey, or investigation; and                (2)  ensure the commission is citing and punishing   institutional deficiencies consistently across the state.          (b)  If an institution corrects a deficiency cited during a   follow-up inspection within the time specified by executive   commissioner rule, the commission may not impose additional   punitive actions for the deficiency.          Sec. 242.0442.  COMMISSION EVALUATION OF REGULATORY   CAPACITY. (a) Not later than January 31 of each year, the   commission shall evaluate the commission's capacity to regulate   institutions under this chapter and formulate a strategy to   effectively perform licensing duties, enforcement activities, and   complaint investigations for that year.          (b)  The commission shall continue to regularly evaluate the   commission's capacity to regulate institutions under this chapter   and implement corrective measures as necessary.          (c)  The commission shall monitor the commission's staffing   of employees who perform inspections, surveys, or investigations of   institutions under this chapter and fill any vacant positions as   soon as possible.          (d)  Not later than January 1 of each year, the commission   shall evaluate the commission's compliance during the previous year   with Sections 242.043, 242.044, and 242.0441.          SECTION 4.  This Act takes effect September 1, 2021.