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            |  | AN ACT | 
         
            |  | relating to the regulation of nurse aides; requiring an | 
         
            |  | occupational registration. | 
         
            |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
            |  | SECTION 1.  Section 250.001, Health and Safety Code, is | 
         
            |  | amended by adding Subdivisions (6) and (7) to read as follows: | 
         
            |  | (6)  "Commission" means the Health and Human Services | 
         
            |  | Commission. | 
         
            |  | (7)  "Executive commissioner" means the executive | 
         
            |  | commissioner of the commission. | 
         
            |  | SECTION 2.  Section 250.0035, Health and Safety Code, is | 
         
            |  | amended to read as follows: | 
         
            |  | Sec. 250.0035.  CERTIFICATE OF REGISTRATION; REQUIREMENTS | 
         
            |  | FOR INCLUSION IN NURSE AIDE REGISTRY [ TRAINING REQUIREMENTS;  | 
         
            |  | CONTINUING EDUCATION].  (a)  To be listed on the nurse aide | 
         
            |  | registry, an applicant must: | 
         
            |  | (1)  complete a training program approved by the | 
         
            |  | commission [ Department of Aging and Disability Services] that | 
         
            |  | includes: | 
         
            |  | (A) [ (1)]  not less than 100 hours of course work | 
         
            |  | as specified by rule; and | 
         
            |  | (B) [ (2)]  a competency evaluation on completion | 
         
            |  | of the training program; and | 
         
            |  | (2)  hold a certificate of registration issued by the | 
         
            |  | commission on completion of the training program required under | 
         
            |  | Subdivision (1). | 
         
            |  | (b)  A certificate of registration and listing on the nurse | 
         
            |  | aide registry expire [ expires] on the second anniversary of the | 
         
            |  | date the certificate is issued and the nurse aide is listed in the | 
         
            |  | registry [ of the listing]. | 
         
            |  | (c)  To renew a nurse aide's certificate of registration and | 
         
            |  | listing on the registry, the nurse aide must complete at least 24 | 
         
            |  | hours of in-service education every two years, including training | 
         
            |  | in geriatrics and, if applicable, in the care of patients with | 
         
            |  | Alzheimer's disease. | 
         
            |  | (d)  The executive commissioner [ of the Health and Human  | 
         
            |  | Services Commission] shall adopt the rules [as] necessary to | 
         
            |  | implement this section, including rules for the issuance and | 
         
            |  | renewal of a certificate of registration under this section and the | 
         
            |  | regulation of nurse aides as necessary to protect the public health | 
         
            |  | and safety. | 
         
            |  | SECTION 3.  (a)  As soon as practicable after the effective | 
         
            |  | date of this Act, the executive commissioner of the Health and Human | 
         
            |  | Services Commission shall adopt the rules and procedures necessary | 
         
            |  | to implement Section 250.0035, Health and Safety Code, as amended | 
         
            |  | by this Act. | 
         
            |  | (b)  Notwithstanding Section 250.0035, Health and Safety | 
         
            |  | Code, as amended by this Act, a nurse aide is not required to hold a | 
         
            |  | certificate of registration issued under that section until | 
         
            |  | September 1, 2022. | 
         
            |  | SECTION 4.  This Act takes effect September 1, 2021. | 
         
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            |  | ______________________________ | ______________________________ | 
         
            |  | President of the Senate | Speaker of the House | 
         
            |  | 
         
            |  | I hereby certify that S.B. No. 1103 passed the Senate on | 
         
            |  | March 31, 2021, by the following vote:  Yeas 31, Nays 0. | 
         
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            |  | 
         
            |  | ______________________________ | 
         
            |  | Secretary of the Senate | 
         
            |  | 
         
            |  | I hereby certify that S.B. No. 1103 passed the House on | 
         
            |  | May 26, 2021, by the following vote:  Yeas 117, Nays 30, two | 
         
            |  | present not voting. | 
         
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            |  | ______________________________ | 
         
            |  | Chief Clerk of the House | 
         
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            |  | Approved: | 
         
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            |  | ______________________________ | 
         
            |  | Date | 
         
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            |  | ______________________________ | 
         
            |  | Governor |