81R18855 YDB-F
	By: Menendez, Naishtat	H.B. No. 216
	Substitute the following for H.B. No. 216:
	By:  Rose	C.S.H.B. No. 216

	A BILL TO BE ENTITLED
	AN ACT
	relating to the regulation of boarding home facilities for persons
	with disabilities or elderly persons and assisted living
	facilities.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Subtitle B, Title 4, Health and Safety Code, is
	amended by adding Chapter 254 to read as follows:
	CHAPTER 254. BOARDING HOME FACILITIES
	Sec. 254.001.  DEFINITIONS. In this chapter:
	(1)  "Assistance with self-administering medication"
	means assisting a resident by reminding the resident to take
	medication, opening and removing medications from a container, or
	reminding the resident when a prescription medication needs to be
	refilled.
	(2)  "Boarding home facility" means an establishment
	that:
	(A)  furnishes, in one or more buildings, lodging
	to three or more persons with disabilities or elderly persons who
	are unrelated to the owner of the establishment by blood or
	marriage; and
	(B)  provides community meals, light housework,
	meal preparation, transportation, grocery shopping, money
	management, laundry services, or assistance with
	self-administration of medication but does not provide personal
	care services as defined by Section 247.002 to those persons.
	(3)  "Commission" means the Health and Human Services
	Commission.
	(4)  "Elderly person" has the meaning assigned by
	Section 48.002, Human Resources Code.
	(5)  "Executive commissioner" means the executive
	commissioner of the Health and Human Services Commission.
	(6)  "Person with a disability" means a disabled person
	as defined by Section 48.002, Human Resources Code.
	(7)  "Resident" means a person who is residing in a
	boarding home facility.
	Sec. 254.002.  EXEMPTIONS. This chapter does not apply to:
	(1)  a person that is required to be licensed under
	Chapter 142, 242, 246, 247, or 252;
	(2)  a person that is exempt from licensing under
	Section 142.003(a)(19), 242.003(3), or 247.004(4);
	(3)  a hotel as defined by Section 156.001, Tax Code;
	(4)  a retirement community;
	(5)  a monastery or convent;
	(6)  a child-care facility as defined by Section
	42.002, Human Resources Code;
	(7)  a family violence shelter center as defined by
	Section 51.002, Human Resources Code; or
	(8)  a sorority or fraternity house or other dormitory
	associated with an institution of higher education.
	Sec. 254.003.  MODEL STANDARDS.  The executive commissioner
	shall develop and publish in the Texas Register model standards for
	the operation of a boarding home facility relating to:
	(1)  the construction or remodeling of a boarding home
	facility, including plumbing, heating, lighting, ventilation, and
	other housing conditions, to ensure the residents' health, safety,
	comfort, and protection from fire hazard;
	(2)  sanitary and related conditions in a boarding home
	facility and its surroundings, including insect and rodent control,
	water supply, sewage disposal, food handling, and general hygiene
	to ensure the residents' health, safety, and comfort;
	(3)  the reporting and investigation of injuries,
	incidents, and unusual accidents and the establishment of other
	policies and procedures necessary to ensure resident health and
	safety;
	(4)  assistance with self-administering medication;
	(5)  requirements for in-service education of the
	facility's staff;
	(6)  criminal history record checks; and
	(7)  assessment and periodic monitoring to ensure that
	a resident:
	(A)  does not require the boarding home facility
	to provide personal care, nursing, or other services not listed in
	Section 254.001(2); and
	(B)  is capable of self-administering medication
	or is aware of what the resident's medications look like and knows
	when the medications should be taken but requires assistance with
	self-administering medication.
	Sec. 254.004.  LOCAL REGULATION. A county or municipality
	may require a person to obtain a permit from the county or
	municipality to operate a boarding home facility within the
	county's or municipality's jurisdiction.  A county or municipality
	may adopt the standards developed by the executive commissioner
	under Section 254.003 and require a boarding home facility that
	holds a permit issued by the county or municipality to comply with
	the adopted standards.
	Sec. 254.005.  PERMIT PROCEDURES; FEES; FINES. (a)  A county
	or municipality that requires a person to obtain a boarding home
	facility permit as authorized by Section 254.004 may establish
	procedures for the submission of a boarding home facility permit
	application and for the issuance, denial, renewal, suspension, and
	revocation of the permit.
	(b)  A county or municipality that requires a person to
	obtain a boarding home facility permit as authorized under Section
	254.004 may set reasonable fees for issuance of the permit, renewal
	of the permit, and inspections and may impose fines for
	noncompliance with the county or municipal boarding home facility
	regulations. The fees collected and fines imposed by the county or
	municipality must be used to administer the county or municipal
	permitting program, as a source of local matching funds for state
	grants, or for other purposes directly related to providing
	boarding home facility or other assisted living services to elderly
	persons and persons with disabilities.
	(c)  A person required to obtain a boarding home facility
	permit from a county or municipality as authorized under Section
	254.004 shall pay any fees required or fines imposed by the county
	or municipality.
	Sec. 254.006.  POSTING. A boarding home facility that holds
	a permit issued by a county or municipality shall prominently and
	conspicuously post for display in a public area of the boarding home
	facility that is readily available to residents, the operator,
	employees, and visitors:
	(1)  the permit issued by a county or municipality;
	(2)  a sign prescribed by the county or municipality
	that issued the permit that specifies how complaints may be
	registered with the county or municipality;
	(3)  a notice in a form prescribed by the county or
	municipality that issued the permit stating that inspection and
	related reports are available at the boarding home facility for
	public inspection and providing a telephone number that may be used
	to obtain information concerning the boarding home facility;
	(4)  a concise summary of the most recent inspection
	report relating to the boarding home facility; and
	(5)  a notice in a form prescribed by the county or
	municipality that issued the permit that lists the name, location,
	and contact information for:
	(A)  the closest local public health services
	agency in the proximity of the boarding home facility; and
	(B)  a local organization or entity that
	represents, advocates, or serves elderly persons or persons with
	disabilities, including any related toll-free contact information
	for reporting emergencies to the organization or entity.
	Sec. 254.007.  INSPECTIONS.  (a)  A county or municipality
	may conduct any inspection, survey, or investigation that it
	considers necessary and may enter the premises of a boarding home
	facility at reasonable times to make an inspection, survey, or
	investigation.
	(b)  A county or municipality is entitled to access to books,
	records, and other documents maintained by or on behalf of a
	boarding home facility to the extent necessary to enforce the
	standards adopted by the county or municipality.
	Sec. 254.008.  INTERLOCAL COOPERATION. Two or more counties
	or municipalities may cooperate and contract with each other for
	the purpose of inspecting and permitting boarding home facilities.
	Sec. 254.009.  REPORTING OF ABUSE, NEGLECT, OR EXPLOITATION.
	(a) A person, including an owner, operator, or employee of a
	boarding home facility that holds a permit issued by a county or
	municipality, who has cause to believe that a resident who is an
	elderly person or a person with a disability has been abused,
	neglected, or exploited or may be adversely affected by abuse,
	neglect, or exploitation caused by another person shall report the
	abuse, neglect, or exploitation to the Department of Family and
	Protective Services for investigation by that agency.
	(b)  Each boarding home facility that holds a permit issued
	by a county or municipality shall require each employee of the
	boarding home facility, as a condition of employment with the
	boarding home facility, to sign a statement that the employee
	acknowledges that the employee may be criminally liable under
	Section 48.052, Human Resources Code, for failure to report abuse,
	neglect, or exploitation.
	Sec. 254.010.  COMPETITIVE GRANT PROGRAM. (a)  The
	commission shall establish a competitive grant program that
	promotes innovation and effectiveness in the local regulation of
	boarding home facilities.
	(b)  A grant awarded by the commission under this section
	shall be used to support creative and innovative approaches to
	local regulation, including:
	(1)  public-private initiatives;
	(2)  cooperative arrangements among local agencies and
	governmental entities;
	(3)  use of mental health or social services personnel;
	(4)  public awareness and education campaigns; and
	(5)  other activities that improve local regulation and
	quality of life of residents.
	(c)  The commission shall request proposals for the award of
	a grant under the program. The commission shall evaluate each
	proposal and award a grant based on the proposal's quantifiable
	effectiveness and potentially positive impact on the regulation of
	boarding home facilities.
	(d)  The commission may require a county or municipality to
	spend local matching funds as a condition for the award of a grant
	under this section.  The commission may not collect any additional
	money from the county or municipality that is derived from fees
	collected or fines imposed for the administration of a boarding
	home facility permitting program authorized under this chapter.
	(e)  The commission may award a grant under the program only
	to a county, a municipality, or two or more counties or
	municipalities that have entered into an interlocal cooperation
	agreement.  A grant recipient may use the grant money received under
	this section only to pay for activities directly related to the
	purpose of the grant program as described by Subsection (b).
	(f)  The commission shall establish procedures to administer
	the grant program, including a procedure for the submission of a
	proposal and a procedure to be used by the commission to evaluate a
	proposal.
	(g)  The commission shall enter into a contract that includes
	performance requirements with each grant recipient. The commission
	shall monitor and enforce the terms of the contract. The contract
	must authorize the commission to recoup grant money from a grant
	recipient for failure of the grant recipient to comply with the
	terms of the contract.
	(h)  The commission shall post on its Internet website a
	summary of each grant awarded under this section.
	SECTION 2.  Sections 247.002(1), (2), (4), (5), and (7),
	Health and Safety Code, are amended to read as follows:
	(1)  "Assisted living facility" means an establishment
	that:
	(A)  furnishes, in one or more facilities, food
	and shelter to four or more persons who are unrelated to the
	proprietor of the establishment; [and]
	(B)  provides:
	(i)  personal care services; or
	(ii)  administration of medication by a
	person licensed in this state to administer the medication; and
	(C)  may provide assistance with or supervision of
	the administration of medication.
	(2)  "Board" means the executive commissioner of the
	Health and [Texas Board of] Human Services Commission.
	(4)  "Department" means the [Texas] Department of Aging
	and Disability [Human] Services.
	(5)  "Personal care services" means:
	(A)  assistance with feeding [meals], dressing,
	moving [movement], bathing, or other personal needs or maintenance;
	or
	(B)  [the administration of medication by a person
	licensed to administer medication or the assistance with or
	supervision of medication; or
	[(C)]  general supervision or oversight of the
	physical and mental well-being of a person who needs assistance to
	maintain a private and independent residence in an assisted living
	facility or who needs assistance to manage the person's personal
	life, regardless of whether a guardian has been appointed for the
	person.
	(7)  "Commissioner" means the commissioner of the
	department [human services].
	SECTION 3.  Section 247.004, Health and Safety Code, is
	amended to read as follows:
	Sec. 247.004.  EXEMPTIONS.  This chapter does not apply to:
	(1)  a boarding home facility as defined by Section
	254.001 [that has rooms for rent and that may offer community meals,
	light housework, meal preparation, transportation, grocery
	shopping, money management, or laundry services but that does not
	provide personal care services];
	(2)  an establishment conducted by or for the adherents
	of the Church of Christ, Scientist, for the purpose of providing
	facilities for the care or treatment of the sick who depend
	exclusively on prayer or spiritual means for healing without the
	use of any drug or material remedy if the establishment complies
	with local safety, sanitary, and quarantine ordinances and
	regulations;
	(3)  a facility conducted by or for the adherents of a
	qualified religious society classified as a tax-exempt
	organization under an Internal Revenue Service group exemption
	ruling for the purpose of providing personal care services without
	charge solely for the society's professed members or ministers in
	retirement, if the facility complies with local safety, sanitation,
	and quarantine ordinances and regulations; or
	(4)  a facility that provides personal care services
	only to persons enrolled in a program that is funded in whole or in
	part by the department [Texas Department of Mental Health and
	Mental Retardation] and that is monitored by the department [Texas
	Department of Mental Health and Mental Retardation] or its
	designated local mental retardation authority in accordance with
	standards set by the department [Texas Department of Mental Health
	and Mental Retardation].
	SECTION 4.  Section 247.030, Health and Safety Code, is
	repealed.
	SECTION 5.  It is the intent of the legislature that the
	passage by the 81st Legislature, Regular Session, 2009, of another
	bill that amends Subtitle B, Title 4, Health and Safety Code, and
	Chapter 247, Health and Safety Code, and the amendments made by this
	Act shall be harmonized, if possible, as provided by Section
	311.025(b), Government Code, so that effect may be given to each.
	If the amendments made by this Act to Subtitle B, Title 4, Health
	and Safety Code, and Chapter 247, Health and Safety Code, and the
	amendments made to Subtitle B, Title 4, Health and Safety Code, and
	Chapter 247, Health and Safety Code, by any other bill are
	irreconcilable, it is the intent of the legislature that this Act
	prevail, regardless of the relative dates of enactment of this Act
	and the other bill or bills, but only to the extent that differences
	are irreconcilable.
	SECTION 6.  Not later than September 1, 2010, the executive
	commissioner of the Health and Human Services Commission shall
	adopt the model standards required by Section 254.003, Health and
	Safety Code, as added by this Act.
	SECTION 7.  (a)  Except as provided by Subsection (b) of this
	section, this Act takes effect September 1, 2009.
	(b)  Sections 254.004 through 254.008, Health and Safety
	Code, as added by this Act, and Section 4 of this Act take effect
	September 1, 2010.