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  S.B. No. 41
 
 
 
 
AN ACT
  relating to the use of restraints in state supported living
  centers.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 592, Health and Safety Code, is amended
  by adding Subchapter E to read as follows:
  SUBCHAPTER E.  USE OF RESTRAINTS IN STATE SUPPORTED LIVING CENTERS
         Sec. 592.101.  DEFINITION. In this subchapter, "executive
  commissioner" means the executive commissioner of the Health and
  Human Services Commission.
         Sec. 592.102.  USE OF RESTRAINTS.  (a)  The executive
  commissioner shall adopt rules to ensure that:
               (1)  a mechanical or physical restraint is not
  administered to a resident of a state supported living center
  unless the restraint is:
                     (A)  necessary to prevent imminent physical
  injury to the resident or another; and
                     (B)  the least restrictive restraint effective to
  prevent imminent physical injury;
               (2)  the administration of a mechanical or physical
  restraint to a resident of a state supported living center ends
  immediately once the imminent risk of physical injury abates; and
               (3)  a mechanical or physical restraint is not
  administered to a resident of a state supported living center as
  punishment or as part of a behavior plan.
         (b)  The executive commissioner shall adopt rules to
  prohibit the use of prone and supine holds on a resident of a state
  supported living center except as transitional holds.
         Sec. 592.103.  STANDING ORDERS FOR RESTRAINTS PROHIBITED.  
  (a)  A person may not issue a standing order to administer on an
  as-needed basis mechanical or physical restraints to a resident of
  a state supported living center.
         (b)  A person may not administer mechanical or physical
  restraints to a resident of a state supported living center
  pursuant to a standing order to administer restraints on an
  as-needed basis.
         Sec. 592.104.  STRAITJACKETS PROHIBITED. A person may not
  use a straitjacket to restrain a resident of a state supported
  living center.
         Sec. 592.105.  DUTY TO REPORT. A state supported living
  center shall report to the executive commissioner each incident in
  which a physical or mechanical restraint is administered to a
  resident of a state supported living center. The report must
  contain information and be in the form required by rules of the
  executive commissioner.
         Sec. 592.106.  CONFLICT WITH OTHER LAW. To the extent of a
  conflict between this subchapter and Chapter 322, this subchapter
  controls.
         SECTION 2.  Not later than January 1, 2012, the executive
  commissioner of the Health and Human Services Commission shall
  adopt rules required under Sections 592.102 and 592.105, Health and
  Safety Code, as added by this Act.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2011.
 
 
 
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
         I hereby certify that S.B. No. 41 passed the Senate on
  March 17, 2011, by the following vote:  Yeas 31, Nays 0.
 
 
  ______________________________
  Secretary of the Senate    
 
         I hereby certify that S.B. No. 41 passed the House on
  May 20, 2011, by the following vote:  Yeas 143, Nays 6, one
  present not voting.
 
 
  ______________________________
  Chief Clerk of the House   
 
 
 
  Approved:
 
  ______________________________ 
              Date
 
 
  ______________________________ 
            Governor