85R24953 LED-D     By: Davis of Dallas H.B. No. 2025     Substitute the following for H.B. No. 2025:     By:  Miller C.S.H.B. No. 2025       A BILL TO BE ENTITLED   AN ACT   relating to staffing requirements for certain facilities that   provide care to persons with Alzheimer's disease or related   disorders; authorizing an administrative penalty.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 242.0665(b), Health and Safety Code, is   amended to read as follows:          (b)  Subsection (a) does not apply:                (1)  to a violation that the department determines:                      (A)  results in serious harm to or death of a   resident;                      (B)  constitutes a serious threat to the health or   safety of a resident; or                      (C)  substantially limits the institution's   capacity to provide care;                (2)  to a violation described by Sections   242.066(a)(2)-(7);                (3)  to a violation of Section 260A.014 or 260A.015;   [or]                (4)  to a violation of a right of a resident adopted   under Subchapter L; or                (5)  to a second or subsequent violation of Section   326.002 that occurs before the second anniversary of the date of the   first violation.          SECTION 2.  Section 247.0452(b), Health and Safety Code, is   amended to read as follows:          (b)  Subsection (a) does not apply:                (1)  to a violation that the department determines   results in serious harm to or death of a resident;                (2)  to a violation described by Sections   247.0451(a)(2)-(7) or a violation of Section 260A.014 or 260A.015;                (3)  to a second or subsequent violation of:                      (A)  a right of the same resident under Section   247.064; or                      (B)  the same right of all residents under Section   247.064; [or]                (4)  to a violation described by Section 247.066, which   contains its own right to correct provisions; or                (5)  to a second or subsequent violation of Section   326.002 that occurs before the second anniversary of the date of the   first violation.          SECTION 3.  Subtitle G, Title 4, Health and Safety Code, is   amended by adding Chapter 326 to read as follows:   CHAPTER 326. STAFFING REQUIREMENTS FOR FACILITIES PROVIDING CARE TO   PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS          Sec. 326.001.  DEFINITIONS. In this chapter:                (1)  "Commission" means the Health and Human Services   Commission.                (2)  "Facility" means:                      (A)  a nursing facility licensed under Chapter   242;                      (B)  a continuing care facility regulated under   Chapter 246;                      (C)  an assisted living facility licensed under   Chapter 247;                      (D)  a day activity and health services facility   licensed under Chapter 103, Human Resources Code;                       (E)  an establishment subject to Chapter 105,   Human Resources Code;                      (F)  a community home qualified under Chapter 123,   Human Resources Code; and                      (G)  an adult foster care provider that contracts   with the commission.          Sec. 326.002.  WRITTEN POLICY REQUIRED. A facility shall   adopt, implement, and enforce a written policy that:                (1)  requires a facility employee who provides direct   care to a person with Alzheimer's disease or a related disorder to   successfully complete training in the provision of care to persons   with Alzheimer's disease and related disorders; and                (2)  ensures the care and services provided by a   facility employee to a person with Alzheimer's disease or a related   disorder meet the specific identified needs of the person relating   to the person's diagnosis of Alzheimer's disease or a related   disorder.          Sec. 326.003.  ENFORCEMENT. (a) The commission may assess   an administrative penalty against a facility for a violation of   Section 326.002.           (b)  The commission is not required to provide a facility an   opportunity to correct a second or subsequent violation of Section   326.002 that occurs before the second anniversary of the date of the   first violation.          (c)  A violation of Section 326.002 constitutes a violation   of the law regulating a facility, and the commission may initiate   for the violation any other enforcement action authorized by that   law against the facility, including an adult foster care facility   with three or fewer beds.          Sec. 326.004.  RULES. The executive commissioner shall   adopt rules related to the administration and implementation of   this chapter.          SECTION 4.  Section 103.013(b), Human Resources Code, is   amended to read as follows:          (b)  Subsection (a) does not apply to:                (1)  a violation that the department determines:                      (A)  results in serious harm to or death of a   person attending the facility;                      (B)  constitutes a serious threat to the health   and safety of a person attending the facility; or                      (C)  substantially limits the facility's capacity   to provide care;                (2)  a violation described by Sections   103.012(a)(2)-(7); [or]                (3)  a violation of Section 103.011; or                (4)  a second or subsequent violation of Section   326.002 that occurs before the second anniversary of the date of the   first violation.          SECTION 5.  Chapter 326, Health and Safety Code, as added by   this Act, does not affect the terms of a contract entered into   before the effective date of this Act, except that if the contract   is renewed, modified, or extended on or after the effective date of   this Act, Chapter 326 applies to the contract beginning on the date   of renewal, modification, or extension.          SECTION 6.  This Act takes effect September 1, 2017.