85R3391 SMT-D
 
  By: Zaffirini S.B. No. 2025
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the establishment of a peer support program for
  residents of state supported living centers.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 555, Health and Safety Code, is amended
  by adding Subchapter F to read as follows:
  SUBCHAPTER F. PEER SUPPORT PROGRAM
         Sec. 555.201.  PEER SUPPORT PROGRAM ESTABLISHED. (a)  The
  office shall develop and implement in each state supported living
  center a peer support program under which a state supported living
  center provides peer support services as an institutional benefit
  to residents. The program's peer support services must be designed
  to:
               (1)  make residents more aware of the restrictions
  limiting their control over their lives;
               (2)  encourage a renewed effort by the state supported
  living center to provide education to residents and families of
  residents regarding a resident's basic rights and the application
  of those rights to a person-centered life;
               (3)  increase the accountability of the state supported
  living center's staff; and
               (4)  help protect residents' rights.
         (b)  In developing and implementing the peer support
  program, the office may collaborate with the Office of Consumer
  Rights and Services of the Department of Aging and Disability
  Services, or its successor agency, and appropriate state protection
  and advocacy agencies.
         Sec. 555.202.  PEER SUPPORT SPECIALISTS. (a)  A peer support
  program must establish peer support specialists to provide
  supportive services to residents.
         (b)  An individual is eligible to serve as a peer support
  specialist only if the individual:
               (1)  has been diagnosed with an intellectual or
  developmental disability;
               (2)  was a resident of a state supported living center
  before serving as a peer support specialist;
               (3)  lives independently in the community during the
  time the individual serves as a peer support specialist; and 
               (4)  is knowledgeable regarding resident rights.
         (c)  A peer support specialist shall assist a resident to
  achieve the resident's goals for independence by helping the
  resident:
               (1)  develop a specific action plan;
               (2)  access available resources; and
               (3)  understand the resident's rights on a state
  supported living center campus.
         Sec. 555.203.  PEER SUPPORT SPECIALIST COACHING SERVICES.
  The office shall provide coaching services to peer support
  specialists, including:
               (1)  emotional assistance;
               (2)  informational assistance;
               (3)  assistance developing specific action plans; and
               (4)  assistance identifying available resources.
         Sec. 555.204.  INITIAL ESTABLISHMENT AND EXPANSION. (a) The
  office shall establish a peer support program in three state
  supported living centers as soon as practicable.
         (b)  The office shall establish a peer support program in
  each state supported living center in the state not later than
  September 1, 2021. 
         SECTION 2.  Section 555.059(a), Health and Safety Code, is
  amended to read as follows:
         (a)  The independent ombudsman shall:
               (1)  evaluate the process by which a center
  investigates, reviews, and reports an injury to a resident or
  client or an unusual incident;
               (2)  evaluate the delivery of services to residents and
  clients to ensure that the rights of residents and clients are fully
  observed, including ensuring that each center conducts sufficient
  unannounced patrols;
               (3)  immediately refer a complaint alleging the abuse,
  neglect, or exploitation of a resident or client to the Department
  of Family and Protective Services;
               (4)  refer a complaint alleging employee misconduct
  that does not involve abuse, neglect, or exploitation or a possible
  violation of an ICF-IID standard or condition of participation to
  the regulatory services division of the department;
               (5)  refer a complaint alleging a criminal offense,
  other than an allegation of abuse, neglect, or exploitation of a
  resident or client, to the inspector general;
               (6)  conduct investigations of complaints, other than
  complaints alleging criminal offenses or the abuse, neglect, or
  exploitation of a resident or client, if the office determines
  that:
                     (A)  a resident or client or the resident's or
  client's family may be in need of assistance from the office; or
                     (B)  a complaint raises the possibility of a
  systemic issue in the center's provision of services;
               (7)  conduct biennial on-site audits at each center of:
                     (A)  the ratio of direct care employees to
  residents;
                     (B)  the provision and adequacy of training to:
                           (i)  center employees; and
                           (ii)  direct care employees; and
                     (C)  if the center serves alleged offender
  residents, the provision of specialized training to direct care
  employees;
               (8)  conduct an annual audit of each center's policies,
  practices, and procedures to ensure that each resident and client
  is encouraged to exercise the resident's or client's rights,
  including:
                     (A)  the right to file a complaint; and
                     (B)  the right to due process;
               (9)  prepare and deliver an annual report regarding the
  findings of each audit to the:
                     (A)  executive commissioner;
                     (B)  commissioner;
                     (C)  Aging and Disability Services Council;
                     (D)  governor;
                     (E)  lieutenant governor;
                     (F)  speaker of the house of representatives;
                     (G)  standing committees of the senate and house
  of representatives with primary jurisdiction over state supported
  living centers; and
                     (H)  state auditor;
               (10)  require a center to provide access to all
  records, data, and other information under the control of the
  center that the independent ombudsman determines is necessary to
  investigate a complaint or to conduct an audit under this section;
               (11)  review all final reports produced by the
  Department of Family and Protective Services, the regulatory
  services division of the department, and the inspector general
  regarding a complaint referred by the independent ombudsman;
               (12)  provide assistance to a resident, client,
  authorized representative of a resident or client, or family member
  of a resident or client who the independent ombudsman determines is
  in need of assistance, including advocating with an agency,
  provider, or other person in the best interests of the resident or
  client;
               (13)  make appropriate referrals under any of the
  duties and powers listed in this subsection; [and]
               (14)  monitor and evaluate the department's actions
  relating to any problem identified or recommendation included in a
  report received from the Department of Family and Protective
  Services relating to an investigation of alleged abuse, neglect, or
  exploitation of a resident or client; and
               (15)  develop and implement peer support programs under
  Subchapter F.
         SECTION 3.  This Act takes effect September 1, 2017.