By: Miles, Hancock  S.B. No. 2919          (In the Senate - Filed March 14, 2025; April 7, 2025, read   first time and referred to Committee on Health & Human Services;   May 12, 2025, reported adversely, with favorable Committee   Substitute by the following vote:  Yeas 7, Nays 1; May 12, 2025,   sent to printer.)Click here to see the committee vote     COMMITTEE SUBSTITUTE FOR S.B. No. 2919 By:  Miles     A BILL TO BE ENTITLED   AN ACT     relating to power duration requirements in emergency contingency   plans adopted by end stage renal disease facilities.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 251.017, Health and Safety Code, is   amended by amending Subsection (b) and adding Subsection (f) to   read as follows:          (b)  Unless the facility adopts a plan described by   Subsection (d) or (e), an end stage renal disease facility must   adopt an emergency contingency plan as required by Subsection (a)   under which the facility is required:                (1)  to have an on-site emergency generator that:                      (A)  has a type 2 essential electrical   distribution system in accordance with the National Fire Protection   Association 99, Section 4.5, and the National Fire Protection   Association 110;                      (B)  is installed, tested, and maintained in   accordance with the National Fire Protection Association 99,   Section 4.5.4, and the National Fire Protection Association 110;   and                      (C)  is kept at all times not less than 10 feet   from the electrical transformer;                (2)  except as provided by Subsection (c), to maintain:                      (A)  an on-site fuel source with sufficient [that   contains enough] fuel capacity to power the on-site generator for   not less than 72 [24] hours, as determined by the electrical load   demand on the emergency generator for that period; or                      (B)  an on-site battery-powered generator with   sufficient electrical capacity to power the facility for not less   than 72 hours;                (3)  to maintain a sufficient quantity of potable water   on-site to operate the facility's water treatment system for not   less than 24 hours; and                (4)  to maintain a water valve connection that allows   an outside vendor to provide potable water to operate the   facility's water treatment system.          (f)  If an end stage renal disease facility determines it is   not feasible for the facility to install or maintain an on-site fuel   storage tank with capacity sufficient to store the fuel required   under Subsection (b)(2)(A), the facility must enter into an   agreement with a third party for the party to provide during a power   outage the fuel required for the facility to comply with that   subsection.          SECTION 2.  Not later than December 1, 2025, each end stage   renal disease facility shall modify the facility's emergency   contingency plan as necessary to comply with Section 251.017(b),   Health and Safety Code, as amended by this Act.          SECTION 3.  This Act takes effect September 1, 2025.     * * * * *