Bill Text: TX HB2699 | 2015-2016 | 84th Legislature | Introduced
Bill Title: Relating to the functions and operations of the Department of Aging and Disability Services; increasing penalties.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2015-03-23 - Left pending in committee [HB2699 Detail]
Download: Texas-2015-HB2699-Introduced.html
84R1316 GCB-D | ||
By: Raymond | H.B. No. 2699 |
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relating to the functions and operations of the Department of Aging | ||
and Disability Services; increasing penalties. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 142, Health and Safety | ||
Code, is amended by adding Section 142.0125 to read as follows: | ||
Sec. 142.0125. PROGRESSIVE SANCTIONS. (a) The executive | ||
commissioner by rule shall create a matrix of progressive sanctions | ||
that the department must use to assess penalty amounts and impose | ||
disciplinary actions under this chapter appropriately and fairly | ||
for a violation of a law, rule, standard, or order adopted or | ||
license issued under this chapter or for a violation of other law | ||
for which this chapter provides a sanction. | ||
(b) The matrix of progressive sanctions adopted under this | ||
section must provide for increases in amounts of administrative | ||
penalties based on type, frequency, and seriousness of violations | ||
and must provide guidance for determining appropriate and graduated | ||
administrative penalties to assess under this chapter to deter | ||
future violations, including guidance on considering the factors | ||
listed in this chapter for determining the amount of a penalty. | ||
(c) The matrix of progressive sanctions adopted under this | ||
section must provide for imposing stronger sanctions, including | ||
license suspension or revocation, for more serious violations or | ||
for repeated violations as appropriate to deter future serious or | ||
repeated violations. The matrix of progressive sanctions must | ||
describe appropriate time frames to be used in determining whether | ||
a home and community support services agency has committed repeated | ||
violations or has engaged in a pattern of repeated violations, such | ||
as repeated violations found in consecutive regular inspections. | ||
SECTION 2. Sections 142.017(b) and (j), Health and Safety | ||
Code, are amended to read as follows: | ||
(b) The penalty shall be not less than $100 or more than | ||
$5,000 [ |
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occurs before the day on which the person receives written notice of | ||
the violation from the department does not constitute a separate | ||
violation and shall be considered to be one violation. Each day of | ||
a continuing violation that occurs after the day on which the person | ||
receives written notice of the violation from the department | ||
constitutes a separate violation. | ||
(j) The executive commissioner by rule shall define types of | ||
minor violations an agency may correct under Subsection (e) before | ||
imposing an administrative penalty. The executive commissioner | ||
shall ensure that all other violations are not subject to a right to | ||
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SECTION 3. Section 242.061, Health and Safety Code, is | ||
amended by adding Subsections (c-1), (c-2), and (e) to read as | ||
follows: | ||
(c-1) The department shall revoke the license of an | ||
institution that violates this chapter or a rule, standard, or | ||
order adopted or license issued under this chapter in a manner that | ||
causes immediate jeopardy to health and safety on three separate | ||
days within a 24-month period. | ||
(c-2) In the case of revocation of a license under | ||
Subsection (c-1), to ensure the health and safety of residents of | ||
the institution, the department may: | ||
(1) request the appointment of a trustee to operate | ||
the institution under Subchapter D; | ||
(2) obtain a new operator for the institution; or | ||
(3) assist with the relocation of residents to another | ||
institution. | ||
(e) In this section, "immediate jeopardy to health and | ||
safety" means a situation in which immediate corrective action is | ||
necessary because the institution's noncompliance with one or more | ||
requirements has caused, or is likely to cause, serious injury, | ||
harm, impairment, or death to a resident receiving care in the | ||
institution. | ||
SECTION 4. Subchapter C, Chapter 242, Health and Safety | ||
Code, is amended by adding Section 242.0613 to read as follows: | ||
Sec. 242.0613. PROGRESSIVE SANCTIONS. (a) The executive | ||
commissioner by rule shall create a matrix of progressive sanctions | ||
that the department must use to assess penalty amounts and impose | ||
disciplinary actions under this chapter appropriately and fairly | ||
for a violation of a law, rule, standard, or order adopted or | ||
license issued under this chapter or for a violation of other law | ||
for which this chapter provides a sanction. | ||
(b) The matrix of progressive sanctions adopted under this | ||
section must provide for increases in amounts of administrative | ||
penalties based on type, frequency, and seriousness of violations | ||
and must provide guidance for determining appropriate and graduated | ||
administrative penalties to assess under this chapter to deter | ||
future violations, including guidance on considering the factors | ||
listed in this chapter for determining the amount of a penalty. | ||
(c) The matrix of progressive sanctions adopted under this | ||
section must provide for imposing stronger sanctions, including | ||
license suspension or revocation, for more serious violations or | ||
for repeated violations as appropriate to deter future serious or | ||
repeated violations. The matrix of progressive sanctions must | ||
describe appropriate time frames to be used in determining whether | ||
a facility has committed repeated violations or has engaged in a | ||
pattern of repeated violations, such as repeated violations found | ||
in consecutive regular inspections. | ||
SECTION 5. Section 242.0665(b), Health and Safety Code, is | ||
amended to read as follows: | ||
(b) The executive commissioner by rule shall define types of | ||
minor violations a facility may correct under Subsection (a) before | ||
imposing an administrative penalty. The executive commissioner | ||
shall ensure that all other violations are not subject to a right to | ||
correct [ |
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SECTION 6. Subchapter C, Chapter 247, Health and Safety | ||
Code, is amended by adding Section 247.0415 to read as follows: | ||
Sec. 247.0415. PROGRESSIVE SANCTIONS. (a) The executive | ||
commissioner of the Health and Human Services Commission by rule | ||
shall create a matrix of progressive sanctions that the department | ||
must use to assess penalty amounts and impose disciplinary actions | ||
under this chapter appropriately and fairly for a violation of a | ||
law, rule, standard, or order adopted or license issued under this | ||
chapter or for a violation of other law for which this chapter | ||
provides a sanction. | ||
(b) The matrix of progressive sanctions adopted under this | ||
section must provide for increases in amounts of administrative | ||
penalties based on type, frequency, and seriousness of violations | ||
and must provide guidance for determining appropriate and graduated | ||
administrative penalties to assess under this chapter to deter | ||
future violations, including guidance on considering the factors | ||
listed in this chapter for determining the amount of a penalty. | ||
(c) The matrix of progressive sanctions adopted under this | ||
section must provide for imposing stronger sanctions, including | ||
license suspension or revocation, for more serious violations or | ||
for repeated violations as appropriate to deter future serious or | ||
repeated violations. The matrix of progressive sanctions must | ||
describe appropriate time frames to be used in determining whether | ||
an assisted living facility has committed repeated violations or | ||
has engaged in a pattern of repeated violations, such as repeated | ||
violations found in consecutive regular inspections. | ||
SECTION 7. Section 247.0451(b), Health and Safety Code, is | ||
amended to read as follows: | ||
(b) Except as provided by Section 247.0452(c), the penalty | ||
may not exceed $5,000 [ |
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violation occurs or continues is a separate violation for purposes | ||
of imposing a penalty. | ||
SECTION 8. Section 247.0452(b), Health and Safety Code, is | ||
amended to read as follows: | ||
(b) The executive commissioner of the Health and Human | ||
Services Commission by rule shall define types of minor violations | ||
an assisted living facility may correct under Subsection (a) before | ||
imposing an administrative penalty. The executive commissioner | ||
shall ensure that all other violations are not subject to a right to | ||
correct [ |
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SECTION 9. Subchapter C, Chapter 252, Health and Safety | ||
Code, is amended by adding Section 252.0615 to read as follows: | ||
Sec. 252.0615. PROGRESSIVE SANCTIONS. (a) The executive | ||
commissioner of the Health and Human Services Commission by rule | ||
shall create a matrix of progressive sanctions that the department | ||
must use to assess penalty amounts and impose disciplinary actions | ||
under this chapter appropriately and fairly for a violation of a | ||
law, rule, standard, or order adopted or license issued under this | ||
chapter or for a violation of other law for which this chapter | ||
provides a sanction. | ||
(b) The matrix of progressive sanctions adopted under this | ||
section must provide for increases in amounts of administrative | ||
penalties based on type, frequency, and seriousness of violations | ||
and must provide guidance for determining appropriate and graduated | ||
administrative penalties to assess under this chapter to deter | ||
future violations, including guidance on considering the factors | ||
listed in this chapter for determining the amount of a penalty. | ||
(c) The matrix of progressive sanctions adopted under this | ||
section must provide for imposing stronger sanctions, including | ||
license suspension or revocation, for more serious violations or | ||
for repeated violations as appropriate to deter future serious or | ||
repeated violations. The matrix of progressive sanctions must | ||
describe appropriate time frames to be used in determining whether | ||
a facility has committed repeated violations or has engaged in a | ||
pattern of repeated violations, such as repeated violations found | ||
in consecutive regular inspections. | ||
SECTION 10. Sections 252.065(b) and (e), Health and Safety | ||
Code, are amended to read as follows: | ||
(b) The penalty for a facility with fewer than 60 beds shall | ||
be not less than $100 or more than $1,000 for each violation. The | ||
penalty for a facility with 60 beds or more shall be not less than | ||
$100 or more than $5,000 for each violation. [ |
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separate violation for purposes of imposing a penalty. | ||
(e) The department by rule shall provide the facility with a | ||
reasonable period of time, not less than 45 days, following the | ||
first day of a violation to correct the violation before assessing | ||
an administrative penalty if a plan of correction has been | ||
implemented. The executive commissioner of the Health and Human | ||
Services Commission by rule shall define types of minor violations | ||
a facility may correct before assessing an administrative penalty. | ||
The executive commissioner shall ensure that all other violations | ||
are not subject to a right to correct [ |
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SECTION 11. Subchapter B, Chapter 533, Health and Safety | ||
Code, is amended by adding Section 533.054 to read as follows: | ||
Sec. 533.054. CRISIS INTERVENTION TEAMS. (a) In this | ||
section: | ||
(1) "Crisis intervention team" means a team of | ||
individuals specially trained to provide services and support to | ||
persons with intellectual and developmental disabilities who have | ||
behavioral health needs and who are at risk of | ||
institutionalization. | ||
(2) "Department" means the Department of Aging and | ||
Disability Services. | ||
(b) The department shall evaluate the effectiveness of | ||
various models of crisis intervention teams that are funded under a | ||
waiver under Section 1115 of the federal Social Security Act (42 | ||
U.S.C. Section 1315) and operated by a local intellectual and | ||
developmental disability authority. | ||
(c) Not later than March 1, 2016, the department shall | ||
select for implementation one or more models for crisis | ||
intervention teams the department determines best provide | ||
comprehensive, cost-effective support. | ||
(d) The department shall determine the areas in this state | ||
in which local intellectual and developmental disability | ||
authorities do not operate crisis intervention teams and, subject | ||
to available funding, shall implement in each area a team that | ||
operates in accordance with a model selected for implementation | ||
under this section. | ||
SECTION 12. Chapter 555, Health and Safety Code, is amended | ||
by adding Subchapter F to read as follows: | ||
SUBCHAPTER F. STATE SUPPORTED LIVING CENTER RESTRUCTURING AND | ||
CLOSURES | ||
Sec. 555.201. STATE SUPPORTED LIVING CENTER RESTRUCTURING | ||
COMMISSION. (a) In this subchapter, "restructuring commission" | ||
means the state supported living center restructuring commission. | ||
(b) The restructuring commission consists of five members | ||
appointed by the governor and the following three nonvoting ex | ||
officio members: | ||
(1) the executive commissioner or the executive | ||
commissioner's designee; | ||
(2) the executive director of the Texas Facilities | ||
Commission or the executive director's designee; and | ||
(3) the commissioner of the General Land Office or the | ||
commissioner's designee. | ||
(c) The restructuring commission is established to | ||
evaluate each state supported living center in the state to | ||
determine whether closure of the center is recommended to maintain | ||
only the number of centers necessary to meet the level of need in | ||
the state. In evaluating each state supported living center, the | ||
restructuring commission shall consider: | ||
(1) the quality of services provided by the center, | ||
including the center's most recent certification inspections and | ||
the center's ability to meet the minimum ICF-IID standards; | ||
(2) the costs of operating the center; | ||
(3) the center's compliance with the 2009 settlement | ||
agreement between the department and the United States Department | ||
of Justice regarding services provided to individuals with | ||
intellectual and developmental disabilities in state-operated | ||
facilities; | ||
(4) the availability of community service providers in | ||
the area served by the center; | ||
(5) the specialty services provided at the center, | ||
including the ability of the center to serve alleged offenders or | ||
high-risk residents; | ||
(6) the availability of employment opportunities for | ||
center employees if the center closes; | ||
(7) any infrastructure deficiency costs relating to | ||
the center; | ||
(8) the property value of, the market demand for, and | ||
any deed restrictions applicable to property and facilities of the | ||
center; | ||
(9) whether closure of the center would adversely | ||
affect the geographic distribution of centers in the state; | ||
(10) the availability and capacity of service | ||
providers and resources in the community capable of delivering the | ||
quality and level of care each resident of the center would require | ||
following the center's closure; and | ||
(11) any other criteria the restructuring commission | ||
considers appropriate. | ||
(d) Not later than December 1, 2016, the restructuring | ||
commission shall submit to the governor, the lieutenant governor, | ||
the speaker of the house of representatives, and the presiding | ||
officers of the standing committees of the senate and house of | ||
representatives having primary jurisdiction over intellectual and | ||
developmental disability issues a report detailing the | ||
restructuring commission's evaluation of each state supported | ||
living center and, if applicable, proposing the closure of certain | ||
centers. | ||
(e) The restructuring commission is abolished and this | ||
section expires January 1, 2017. | ||
Sec. 555.202. RECOMMENDED CLOSURES OF STATE SUPPORTED | ||
LIVING CENTERS. (a) If the restructuring commission proposes the | ||
closure of one or more state supported living centers, the 85th | ||
Legislature shall consider legislation proposing the closure of the | ||
centers recommended for closure. In considering the proposed | ||
legislation described by this subsection, members of the | ||
legislature may not propose amendments to the legislation. | ||
(b) If the legislation described by Subsection (a) is | ||
enacted and becomes law, the department shall ensure that each | ||
state supported living center approved by the legislature for | ||
closure under Subsection (a) is closed not later than August 31, | ||
2025. | ||
(c) This subchapter expires September 1, 2025. | ||
Sec. 555.203. CLOSURE OF AUSTIN STATE SUPPORTED LIVING | ||
CENTER. (a) The department shall establish a closure plan for the | ||
Austin State Supported Living Center. The plan must provide for | ||
closure of the facility and operations of the Austin State | ||
Supported Living Center not later than August 31, 2017. | ||
(b) The closure plan must provide procedures to transition | ||
to the community each resident for whom transition to the community | ||
is practicable while maintaining respect for resident choice. | ||
(c) The department may award one-time retention bonuses to | ||
each direct support professional, qualified intellectual | ||
disability professional, social worker, and case manager who agrees | ||
to continue to provide services at the Austin State Supported | ||
Living Center until the center is closed. | ||
(d) The proceeds from the closure, including from the sale | ||
or lease of facilities or other property, may be appropriated only | ||
for services for persons with intellectual and developmental | ||
disabilities, including persons with a dual diagnosis of | ||
intellectual and developmental disabilities and mental illness. | ||
(e) Not later than August 31, 2018, the department shall | ||
evaluate the closure process, including how well the closure plan | ||
worked, and, if appropriate, establish policies for improving the | ||
closure process for future closures of other state supported living | ||
centers. | ||
(f) This section expires September 1, 2018. | ||
SECTION 13. Section 531.0318, Government Code, is amended | ||
by adding Subsections (b-1), (d), and (e) to read as follows: | ||
(b-1) The information for consumers required by this | ||
section must include for each provider of long-term care services: | ||
(1) a rating assigned by the Department of Aging and | ||
Disability Services indicating the quality of the care provided or, | ||
alternatively, a link to a rating assigned a provider on an Internet | ||
website maintained by the federal government; | ||
(2) information concerning quality of care, as that | ||
information becomes available; | ||
(3) staffing information, if available, including for | ||
each year the number of staff members who began employment with the | ||
provider during that year and the number of staff members who ceased | ||
employment with the provider during that year; | ||
(4) the ratio of staff members to residents; and | ||
(5) the provider's regulatory performance, as | ||
available. | ||
(d) The Department of Aging and Disability Services shall | ||
immediately post notice on the department's Internet website when a | ||
provider of long-term care services loses its Medicaid | ||
certification. | ||
(e) The Department of Aging and Disability Services shall | ||
periodically solicit input regarding the content of the information | ||
required under this section and the usability and accessibility of | ||
the website on which the information is located from consumers, | ||
consumer advocates, long-term care services providers, and the | ||
general public. | ||
SECTION 14. Subchapter D, Chapter 48, Human Resources Code, | ||
is amended by adding Section 48.15221 to read as follows: | ||
Sec. 48.15221. REPORTS CONCERNING DAY HABILITATION | ||
SERVICES PROVIDERS. (a) In this section "day habilitation | ||
services" and "day habilitation services provider" have the | ||
meanings assigned by Section 161.401. | ||
(b) The department shall prepare and submit to the | ||
Department of Aging and Disability Services an annual report of the | ||
number of investigations arising from a report of abuse, neglect, | ||
or exploitation of a person with an intellectual or developmental | ||
disability that was allegedly committed by or on the premises of a | ||
day habilitation services provider, and whether the investigation | ||
concluded that the report of alleged abuse, neglect, or | ||
exploitation was confirmed, unconfirmed, inconclusive, or | ||
unfounded. | ||
(c) The duty to prepare and submit a report under Subsection | ||
(b) does not affect the duty of the department to investigate and | ||
hold accountable a community-based intellectual and developmental | ||
disabilities services provider or intermediate care facility for | ||
any abuse, neglect, or exploitation of a person who receives day | ||
habilitation services from the provider. | ||
SECTION 15. Chapter 103, Human Resources Code, is amended | ||
by adding Section 103.0085 to read as follows: | ||
Sec. 103.0085. PROGRESSIVE SANCTIONS. (a) The executive | ||
commissioner of the Health and Human Services Commission by rule | ||
shall create a matrix of progressive sanctions that the department | ||
must use to assess penalty amounts and impose disciplinary actions | ||
under this chapter appropriately and fairly for a violation of a | ||
law, rule, standard, or order adopted or license issued under this | ||
chapter or for a violation of other law for which this chapter | ||
provides a sanction. | ||
(b) The matrix of progressive sanctions adopted under this | ||
section must provide for increases in amounts of administrative | ||
penalties based on type, frequency, and seriousness of violations | ||
and must provide guidance for determining appropriate and graduated | ||
administrative penalties to assess under this chapter to deter | ||
future violations, including guidance on considering the factors | ||
listed in this chapter for determining the amount of a penalty. | ||
(c) The matrix of progressive sanctions adopted under this | ||
section must provide for imposing stronger sanctions, including | ||
license suspension or revocation, for more serious violations or | ||
for repeated violations as appropriate to deter future serious or | ||
repeated violations. The matrix of progressive sanctions must | ||
describe appropriate time frames to be used in determining whether | ||
an adult day-care facility has committed repeated violations or has | ||
engaged in a pattern of repeated violations, such as repeated | ||
violations found in consecutive regular inspections. | ||
SECTION 16. Section 103.013(b), Human Resources Code, is | ||
amended to read as follows: | ||
(b) The executive commissioner of the Health and Human | ||
Services Commission by rule shall define types of minor violations | ||
an adult day-care facility may correct under Subsection (a) before | ||
assessing an administrative penalty. The executive commissioner | ||
shall ensure that all other violations are not subject to a right to | ||
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SECTION 17. Section 161.080, Human Resources Code, is | ||
amended by adding Subsection (c) to read as follows: | ||
(c) The executive commissioner by rule shall establish a | ||
list of services a state supported living center may provide under a | ||
contract described by Subsection (a) and a schedule of fees the | ||
state supported living center may charge for those services. In | ||
establishing the schedule of fees for services, the executive | ||
commissioner shall use the reimbursement rate for the applicable | ||
service under the Medicaid program or modify that rate with a | ||
written justification for the modification. | ||
SECTION 18. Chapter 161, Human Resources Code, is amended | ||
by adding Subchapter J to read as follows: | ||
SUBCHAPTER J. POWERS AND DUTIES RELATING TO DAY HABILITATION | ||
SERVICES PROVIDERS | ||
Sec. 161.401. DEFINITIONS. In this subchapter: | ||
(1) "Day habilitation services" means services to | ||
assist persons with intellectual and developmental disabilities in | ||
acquiring, retaining, and improving the self-help, socialization, | ||
and adaptive skills necessary to reside successfully in the | ||
community, including prevocational, educational, and supported | ||
employment services. | ||
(2) "Day habilitation services provider" means a | ||
person who contracts with a community-based intellectual and | ||
developmental disabilities services provider or intermediate care | ||
facility to provide federally funded Medicaid day habilitation | ||
services authorized under Section 1915(c) of the federal Social | ||
Security Act (42 U.S.C. Section 1396n(c)). | ||
Sec. 161.402. DAY HABILITATION SERVICES PROVIDER | ||
INFORMATION TRACKING. (a) Each community-based intellectual and | ||
developmental disabilities services provider and intermediate care | ||
facility shall annually submit to the department a report | ||
providing: | ||
(1) an estimate of the number of clients receiving day | ||
habilitation services for each month of that year; | ||
(2) the physical address of each day habilitation | ||
services provider that provided those services; | ||
(3) the services provided to those clients; and | ||
(4) an estimate of monthly expenditures for the | ||
provision of those services to those clients. | ||
(b) The department shall maintain information obtained | ||
during a department inspection of a day habilitation services | ||
provider concerning conduct or conditions that would constitute a | ||
violation of federal or state law or of department rules applicable | ||
to the community-based intellectual and developmental disabilities | ||
services provider or intermediate care facility with which the day | ||
habilitation services provider contracts. | ||
(c) The department shall maintain information concerning an | ||
investigation of abuse, neglect, or exploitation concerning a day | ||
habilitation services provider that the department receives from | ||
the Department of Family and Protective Services under Section | ||
48.15221. | ||
Sec. 161.403. DAY HABILITATION PROGRAM ADVISORY COMMITTEE. | ||
(a) Not later than September 1, 2015, the department shall | ||
establish a day habilitation program advisory committee composed of | ||
members that represent community-based waiver providers, owners of | ||
day habilitation services providers, and advocates for persons with | ||
intellectual and developmental disabilities. | ||
(b) The day habilitation program advisory committee shall | ||
consider and make recommendations concerning whether the provision | ||
of day habilitation services in this state should be redesigned and | ||
whether day habilitation services providers should be subject to | ||
regulation, including by licensure or certification. | ||
(c) In considering the redesign of the provision of day | ||
habilitation services in this state, the day habilitation program | ||
advisory committee shall examine whether day habilitation service | ||
providers currently comply with the requirements of 42 C.F.R. | ||
Section 441.301. | ||
(d) The day habilitation program advisory committee shall | ||
also consider and make recommendations concerning issues relevant | ||
to the provision of day habilitation services, including the | ||
appropriate funding for services, reimbursable settings and | ||
services, staff-to-client ratio requirements, safety requirements, | ||
and other required or applicable standards. | ||
(e) Not later than September 1, 2016, the day habilitation | ||
program advisory committee shall submit to the governor, the | ||
lieutenant governor, the speaker of the house of representatives, | ||
and the presiding officers of the standing committees of the senate | ||
and house of representatives having primary jurisdiction over | ||
intellectual and developmental disability issues a report | ||
containing the committee's recommendations concerning the redesign | ||
of the provision of day habilitation services in this state and the | ||
necessity for regulation, licensure, or certification of day | ||
habilitation services providers. | ||
(f) The day habilitation program advisory committee is | ||
abolished and this section expires December 31, 2016. | ||
SECTION 19. Section 101.049, Human Resources Code, is | ||
repealed. | ||
SECTION 20. (a) Not later than September 1, 2016, the | ||
executive commissioner of the Health and Human Services Commission | ||
shall adopt by rule the matrices of progressive sanctions required | ||
by Sections 142.0125, 242.0613, 247.0415, and 252.0615, Health and | ||
Safety Code, and Section 103.0085, Human Resources Code, as added | ||
by this Act. | ||
(b) Not later than September 1, 2015, the governor shall | ||
appoint five members of the state supported living center | ||
restructuring commission, as required by Section 555.201, Health | ||
and Safety Code, as added by this Act. | ||
(c) Not later than September 1, 2016, the executive | ||
commissioner of the Health and Human Services Commission shall | ||
adopt the rule listing services a state supported living center may | ||
provide under a contract and the schedule of fees for those services | ||
as required by Section 161.080, Human Resources Code, as amended by | ||
this Act. | ||
SECTION 21. 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. |