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          AN ACT
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        relating to restraint and seclusion procedures and reporting at  | 
      
      
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        certain facilities. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 322.052, Health and Safety Code, is  | 
      
      
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        amended by adding Subsection (b-1) to read as follows: | 
      
      
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               (b-1)  The rules must: | 
      
      
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                     (1)  authorize a registered nurse, other than the nurse  | 
      
      
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        who initiated the use of restraint or seclusion, who is trained to  | 
      
      
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        assess medical and psychiatric stability with demonstrated  | 
      
      
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        competence as required by rule to conduct a face-to-face evaluation  | 
      
      
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        of a patient in a hospital or facility licensed under Chapter 241 or  | 
      
      
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        577 or in a state mental hospital, as defined by Section 571.003,  | 
      
      
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        not later than one hour after the time the use of restraint or  | 
      
      
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        seclusion is initiated; and | 
      
      
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                     (2)  require a physician to conduct a face-to-face  | 
      
      
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        evaluation of a patient in a hospital or facility licensed under  | 
      
      
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        Chapter 241 or 577 or in a state mental hospital, as defined by  | 
      
      
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        Section 571.003, and document clinical justification for  | 
      
      
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        continuing the restraint or seclusion before issuing or renewing an  | 
      
      
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        order that continues the use of the restraint or seclusion. | 
      
      
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               SECTION 2.  Subchapter B, Chapter 322, Health and Safety  | 
      
      
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        Code, is amended by adding Section 322.056 to read as follows: | 
      
      
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               Sec. 322.056.  REPORTING REQUIREMENT.  A facility shall file  | 
      
      
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        with the Department of State Health Services a quarterly report  | 
      
      
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        regarding hospital-based inpatient psychiatric services measures  | 
      
      
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        related to the use of restraint and seclusion that is required by  | 
      
      
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        the federal Centers for Medicare and Medicaid Services. | 
      
      
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               SECTION 3.  Not later than January 1, 2014, the executive  | 
      
      
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        commissioner of the Health and Human Services Commission shall  | 
      
      
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        adopt rules as required by Subsection (b-1), Section 322.052,  | 
      
      
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        Health and Safety Code, as added by this Act. | 
      
      
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               SECTION 4.  A facility is not required to comply with the  | 
      
      
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        reporting requirements under Section 322.056, Health and Safety  | 
      
      
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        Code, as added by this Act, before January 1, 2014. | 
      
      
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               SECTION 5.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2013. | 
      
      
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        ______________________________ | 
        ______________________________ | 
      
      
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           President of the Senate | 
        Speaker of the House      | 
      
      
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               I hereby certify that S.B. No. 1842 passed the Senate on  | 
      
      
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        April 30, 2013, by the following vote:  Yeas 31, Nays 0. | 
      
      
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        ______________________________ | 
      
      
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        Secretary of the Senate     | 
      
      
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               I hereby certify that S.B. No. 1842 passed the House on  | 
      
      
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        May 22, 2013, by the following vote:  Yeas 148, Nays 0, two  | 
      
      
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        present not voting. | 
      
      
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        ______________________________ | 
      
      
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        Chief Clerk of the House    | 
      
      
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        Approved: | 
      
      
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        ______________________________  | 
      
      
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                    Date | 
      
      
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        ______________________________  | 
      
      
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                  Governor |