By: Menéndez	S.B. No. 1999

	A BILL TO BE ENTITLED
	AN ACT
	relating to day activity and health services facilities.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 531.951(a), Government Code, is amended
	to read as follows:
	(a)  This subchapter applies only to the final licensing,
	listing, or registration decisions of a health and human services
	agency with respect to a person under the law authorizing the agency
	to regulate the following types of persons:
	(1)  a youth camp licensed under Chapter 141, Health
	and Safety Code;
	(2)  a home and community support services agency
	licensed under Chapter 142, Health and Safety Code;
	(3)  a hospital licensed under Chapter 241, Health and
	Safety Code;
	(4)  an institution licensed under Chapter 242, Health
	and Safety Code;
	(5)  an assisted living facility licensed under Chapter
	247, Health and Safety Code;
	(6)  a special care facility licensed under Chapter
	248, Health and Safety Code;
	(7)  an intermediate care facility licensed under
	Chapter 252, Health and Safety Code;
	(8)  a chemical dependency treatment facility licensed
	under Chapter 464, Health and Safety Code;
	(9)  a mental hospital or mental health facility
	licensed under Chapter 577, Health and Safety Code;
	(10)  a child-care facility or child-placing agency
	licensed under or a family home listed or registered under Chapter
	42, Human Resources Code; or
	(11)  a day activity and health services [an adult
	day-care] facility licensed under Chapter 103, Human Resources
	Code.
	SECTION 2.  Section 81.042(e), Health and Safety Code, is
	amended to read as follows:
	(e)  The following persons shall report to the local health
	authority or the department a suspected case of a reportable
	disease and all information known concerning the person who has or
	is suspected of having the disease if a report is not made as
	required by Subsections (a)-(d):
	(1)  a professional registered nurse;
	(2)  an administrator or director of a public or
	private temporary or permanent child-care facility;
	(3)  an administrator or director of a nursing home,
	personal care home, adult respite care center, or day activity and
	health services facility [adult day-care center];
	(4)  an administrator of a home health agency;
	(5)  an administrator or health official of a public or
	private institution of higher education;
	(6)  an owner or manager of a restaurant, dairy, or
	other food handling or processing establishment or outlet;
	(7)  a superintendent, manager, or health official of a
	public or private camp, home, or institution;
	(8)  a parent, guardian, or householder;
	(9)  a health professional;
	(10)  an administrator or health official of a penal or
	correctional institution; or
	(11)  emergency medical service personnel, a peace
	officer, or a firefighter.
	SECTION 3.  Section 164.003(5), Health and Safety Code, as
	amended by S.B. No. 219, Acts of the 84th Legislature, Regular
	Session, 2015, is amended to read as follows:
	(5)  "Mental health facility" means:
	(A)  a "mental health facility" as defined by
	Section 571.003;
	(B)  a residential treatment facility, other than
	a mental health facility, in which persons are treated for
	emotional problems or disorders in a 24-hour supervised living
	environment; and
	(C)  a day activity and health services [an adult
	day-care] facility as defined by Section 103.003, Human Resources
	Code.
	SECTION 4.  Section 250.001(3), Health and Safety Code, as
	reenacted and amended by S.B. No. 219, Acts of the 84th
	Legislature, Regular Session, 2015, is amended to read as follows:
	(3)  "Facility" means:
	(A)  a nursing facility, custodial care home, or
	other institution licensed by the Department of Aging and
	Disability Services under Chapter 242;
	(B)  an assisted living facility licensed by the
	Department of Aging and Disability Services under Chapter 247;
	(C)  a home and community support services agency
	licensed under Chapter 142;
	(D)  a day activity and health services [an adult
	day care] facility licensed by the Department of Aging and
	Disability Services under Chapter 103, Human Resources Code;
	(E)  an ICF-IID licensed under Chapter 252;
	(F)  an adult foster care provider that contracts
	with the Department of Aging and Disability Services;
	(G)  a facility that provides mental health
	services and that is operated by or contracts with the Department of
	State Health Services;
	(H)  a local mental health authority designated
	under Section 533.035 or a local intellectual and developmental
	disability authority designated under Section 533.035;
	(I)  a person exempt from licensing under Section
	142.003(a)(19);
	(J)  a special care facility licensed by the
	Department of State Health Services under Chapter 248;
	(K)  a mental health service unit of a hospital
	licensed under Chapter 241; or
	(L)  a prescribed pediatric extended care center
	licensed by the Department of Aging and Disability Services under
	Chapter 248A.
	SECTION 5.  The heading to Chapter 103, Human Resources
	Code, is amended to read as follows:
	CHAPTER 103. DAY ACTIVITY AND HEALTH SERVICES [ADULT DAY CARE]
	SECTION 6.  Section 103.001, Human Resources Code, as
	amended by S.B. No. 219, Acts of the 84th Legislature, Regular
	Session, 2015, and Section 103.002, Human Resources Code, are
	amended to read as follows:
	Sec. 103.001.  PURPOSE. It is the purpose of this chapter to
	establish programs of quality day activity and health services
	[adult day care and day health care] that will enable persons with
	disabilities who have medical or functional impairments and elderly
	persons to maintain maximum independence and to prevent premature
	or inappropriate institutionalization.  It is the purpose of this
	chapter to provide adequately regulated supervision for elderly
	persons and persons with disabilities while enabling them to remain
	in a family environment and affording the family a measure of
	normality in its daily activities.  The legislature intends to
	provide for the development of policies and programs that will:
	(1)  provide alternatives to institutionalization;
	(2)  establish facilities for day activity and health
	services [adult day care and day health care] throughout the state
	that offer services and are accessible to economically
	disadvantaged persons; and
	(3)  prevent inappropriate institutionalization.
	Sec. 103.002.  SHORT TITLE. This chapter may be cited as the
	Day Activity and Health Services [Adult Day Care] Act.
	SECTION 7.  Section 103.003(1), Human Resources Code, as
	amended by S.B. No. 219, Acts of the 84th Legislature, Regular
	Session, 2015, and Section 103.003(2), Human Resources Code, are
	amended to read as follows:
	(1)  "Day activity and health services [Adult day-care]
	facility" means a facility that provides services under a day
	activity and health services [an adult day-care] program on a daily
	or regular basis but not overnight to four or more elderly persons
	or persons with disabilities who are not related by blood,
	marriage, or adoption to the owner of the facility.
	(2)  "Day activity and health services [Adult day-care]
	program" means a structured, comprehensive program that is designed
	to meet the needs of adults with functional impairments through an
	individual plan of care by providing health, social, and related
	support services in a protective setting.
	SECTION 8.  Section 103.0041(a), Human Resources Code, is
	amended to read as follows:
	(a)  A person may not operate a day activity and health
	services [an adult day-care] facility without a license issued
	under this chapter.
	SECTION 9.  Section 103.006(a), Human Resources Code, is
	amended to read as follows:
	(a)  The department shall issue a license to operate a day
	activity and health services [an adult day-care] facility to a
	person who has met the application requirements and received
	approval after an on-site inspection.
	SECTION 10.  Section 103.007(a), Human Resources Code, is
	amended to read as follows:
	(a)  An applicant for a license to operate a day activity and
	health services [an adult day-care] facility must file an
	application on a form prescribed by the department together with a
	license fee of $50.
	SECTION 11.  Section 103.0075(a), Human Resources Code, as
	amended by S.B. No. 219, Acts of the 84th Legislature, Regular
	Session, 2015, is amended to read as follows:
	(a)  The executive commissioner by rule shall adopt a
	procedure under which a person proposing to construct or modify a
	day activity and health services [an adult day-care] facility may
	submit building plans to the department for review for compliance
	with the department's architectural requirements before beginning
	construction or modification. In adopting the procedure, the
	executive commissioner shall set reasonable deadlines by which the
	department must complete review of submitted plans.
	SECTION 12.  Section 103.0091(a), Human Resources Code, is
	amended to read as follows:
	(a)  The department may petition a district court for a
	temporary restraining order to restrain a continuing violation of
	the standards or licensing requirements provided under this chapter
	if the department finds that the violation creates an immediate
	threat to the health and safety of the day activity and health
	services facility [adult day-care] residents.
	SECTION 13.  Section 103.0092(a), Human Resources Code, is
	amended to read as follows:
	(a)  If the department finds a day activity and health
	services [an adult day-care] facility operating in violation of the
	standards prescribed by this chapter and the violations create an
	immediate threat to the health and safety of a resident in the
	facility, the department shall suspend the license or order
	immediate closing of all or part of the facility.
	SECTION 14.  Section 103.011, Human Resources Code, is
	amended to read as follows:
	Sec. 103.011.  RIGHTS OF THE ELDERLY. (a)  In addition to
	other rights an individual attending a day activity and health
	services [an adult day care] facility has as a citizen, an
	individual who is 55 years of age or older has the rights prescribed
	by Chapter 102 of this code.
	(b)  The department shall require each day activity and
	health services [adult day care] facility to implement and enforce
	the applicable provisions of Chapter 102 of this code.
	SECTION 15.  Section 103.012(a), Human Resources Code, is
	amended to read as follows:
	(a)  The department may assess an administrative penalty
	against a person who:
	(1)  violates this chapter, a rule, standard, or order
	adopted under this chapter, or a term of a license issued under this
	chapter;
	(2)  makes a false statement of a material fact that the
	person knows or should know is false:
	(A)  on an application for issuance or renewal of
	a license or in an attachment to the application; or
	(B)  with respect to a matter under investigation
	by the department;
	(3)  refuses to allow a representative of the
	department to inspect:
	(A)  a book, record, or file required to be
	maintained by a day activity and health services [an adult
	day-care] facility; or
	(B)  any portion of the premises of a day activity
	and health services [an adult day-care] facility;
	(4)  wilfully interferes with the work of a
	representative of the department or the enforcement of this
	chapter;
	(5)  wilfully interferes with a representative of the
	department preserving evidence of a violation of this chapter, a
	rule, standard, or order adopted under this chapter, or a term of a
	license issued under this chapter;
	(6)  fails to pay a penalty assessed under this chapter
	not later than the 30th day after the date the assessment of the
	penalty becomes final; or
	(7)  fails to notify the department of a change of
	ownership before the effective date of the change of ownership.
	SECTION 16.  Sections 103.013(a) and (c), Human Resources
	Code, are amended to read as follows:
	(a)  The department may not collect an administrative
	penalty from a day activity and health services [an adult day-care]
	facility under Section 103.012 if, not later than the 45th day after
	the date the facility receives notice under Section 103.014(c), the
	facility corrects the violation.
	(c)  A day activity and health services [An adult day-care]
	facility that corrects a violation must maintain the correction.
	If the facility fails to maintain the correction until at least the
	first anniversary after the date the correction was made, the
	department may assess and collect an administrative penalty for the
	subsequent violation. An administrative penalty assessed under
	this subsection is equal to three times the amount of the original
	penalty assessed but not collected. The department is not required
	to provide the facility with an opportunity under this section to
	correct the subsequent violation.
	SECTION 17.  Sections 103.014(c) and (e), Human Resources
	Code, are amended to read as follows:
	(c)  The department shall give written notice of the report
	to the person charged with the violation not later than the 10th day
	after the date on which the report is issued. The notice must
	include:
	(1)  a brief summary of the charges;
	(2)  a statement of the amount of penalty recommended;
	(3)  a statement of whether the violation is subject to
	correction under Section 103.013 and, if the violation is subject
	to correction under that section, a statement of:
	(A)  the date on which the day activity and health
	services [adult day-care] facility must file a plan of correction
	with the department that the department shall review and may
	approve, if satisfactory; and
	(B)  the date on which the plan of correction must
	be completed to avoid assessment of the penalty; and
	(4)  a statement that the person charged has a right to
	a hearing on the occurrence of the violation, the amount of the
	penalty, or both.
	(e)  If the violation is subject to correction under Section
	103.013, the day activity and health services [adult day-care]
	facility shall submit a plan of correction to the department for
	approval not later than the 10th day after the date on which the
	notice under Subsection (c) is received.
	SECTION 18.  Section 161.151(2), Human Resources Code, is
	amended to read as follows:
	(2)  "Respite services" means support services,
	including in-home services or day activity and health [adult
	day-care] services, that are provided for the purpose of
	temporarily giving relief to a primary caregiver who provides care
	to an individual with a chronic serious health condition or
	disability.
	SECTION 19.  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, 2015.