Relating to the oversight of rehabilitation hospitals by the office of the state long-term care ombudsman.

89(R) HB 5396 - House Committee Report version - Bill Text

89R27986 MPF-D

By: Rose, Thompson, Y. Davis of Dallas,

H.B. No. 5396

Bowers, A. Davis of Dallas

Substitute the following for H.B. No. 5396:

By: Hull

C.S.H.B. No. 5396

A BILL TO BE ENTITLED

AN ACT

relating to the oversight of rehabilitation hospitals by the office

of the state long-term care ombudsman.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. This Act shall be known as the Congresswoman

Eddie Bernice Johnson Rehabilitation Hospital Care Ombudsman Act of

2025.

SECTION 2. Section 101A.251, Human Resources Code, is

amended by amending Subdivision (1-a) and adding Subdivisions (1-b)

and (3-b) to read as follows:

(1-a)
"Imminent peril" means the condition of being in

immediate danger of bodily injury, physical or mental impairment,

or death.

(1-b)
"Local ombudsman entity" means a distinct unit

or entity, consisting of representatives, designated by the state

long-term care ombudsman to carry out the ombudsman program in a

service area of the state.

(3-b)

"Rehabilitation hospital" means a hospital as

defined by Section 241.003, Health and Safety Code, that

specializes in providing comprehensive medical rehabilitation

services, including surgery and related ancillary services.

SECTION 3. Section 101A.254, Human Resources Code, is

amended by adding Subsection (a-1) and amending Subsection (b) to

read as follows:

(a-1)

The office may receive, investigate, and resolve

complaints regarding the health or safety of rehabilitation

hospital patients who may be in imminent peril as a result of care

provided or withheld by rehabilitation hospital staff.

(b) The office may use appropriate administrative, legal,

and other remedies to assist residents
and rehabilitation hospital

patients
as provided by commission rules.

SECTION 4. Sections 101A.257(a) and (d), Human Resources

Code, are amended to read as follows:

(a) The office shall have access to residents
and

rehabilitation hospital patients
and shall, in accordance with

commission rules, investigate and resolve complaints made by or on

behalf of residents
and rehabilitation hospital patients
.

(d) A long-term care facility
or rehabilitation hospital

shall cooperate with an investigation conducted by the state

long-term care ombudsman or a representative, including an

ombudsman designated under Section 101A.255.

SECTION 5. Sections 101A.258(a), (a-1), and (b), Human

Resources Code, are amended to read as follows:

(a) The state long-term care ombudsman and representatives

shall have access to patient care records of residents
and

rehabilitation hospital patients
as provided by commission

rules. Except as provided by Subsection (b), all records and

information created or obtained by the state long-term care

ombudsman or a representative remain confidential.

(a-1) The state long-term care ombudsman and

representatives shall have access to patient care records of a

resident
or rehabilitation hospital patient
if:

(1) the resident
,
[
or
] the resident's legal

representative
, the patient, or the patient's legal representative

consents to the access;

(2) the resident
or patient
is unable to consent to the

access and the resident
or patient
has no legal representative; or

(3) access to the records is necessary to investigate

a complaint and:

(A) a legal representative of the resident
or

patient
refuses to consent to the access;

(B) the state long-term care ombudsman or

representative has reasonable cause to believe that the legal

representative of the resident
or patient
is not acting in the best

interests of the resident
or patient
; and

(C) the state long-term care ombudsman approves

the access.

(b) The office shall ensure that the identity of a

complainant or any resident
or rehabilitation hospital patient
may

be disclosed only with the consent of the person or the person's

legal representative or on court order.

SECTION 6. Section 101A.259, Human Resources Code, is

amended to read as follows:

Sec. 101A.259.
SYSTEM FOR AND METHOD OF
REPORTING [
SYSTEM
].

(a)
The office shall maintain a statewide ombudsman uniform

reporting system to collect and analyze information relating to

complaints and conditions in long-term care facilities as long as

such system does not duplicate other state reporting systems. The

office shall provide the information to the commission in

accordance with federal law.

(b)

A person may file by telephone or electronic mail a

complaint with the office regarding the health or safety of a

rehabilitation hospital patient who may be in imminent peril as a

result of care provided or withheld by a rehabilitation hospital's

staff.

SECTION 7. Subchapter F, Chapter 101A, Human Resources

Code, is amended by adding Section 101A.2615 to read as follows:

Sec.

101A.2615.

REQUIRED NOTICE AT REHABILITATION

HOSPITALS.

(a)

A rehabilitation hospital shall post in a prominent

and conspicuous location at the hospital and in each patient room at

the hospital a sign containing information on the procedure for

contacting and filing a complaint with the office. The sign must:

(1)

be printed in at least 14-point, sans serif

typeface on paper at least 8-1/2 by 11 inches in size;

(2)

contain the contact information for filing a

complaint against a rehabilitation hospital, including the

telephone number and electronic mail address for the appropriate

person to receive the complaint; and

(3) contain the following statement:

"If you believe you are in immediate danger of bodily injury,

physical or mental impairment, or death as a result of care you are

receiving or not receiving at this facility, contact the Office of

the Long-Term Care Ombudsman."

(b)

The executive commissioner by rule shall prescribe the

form and content of the sign required by Subsection (a) and post on

the commission's Internet website a model sign that complies with

this section and commission rules.

SECTION 8. Section 101A.261, Human Resources Code, is

amended to read as follows:

Sec. 101A.261. PUBLIC INFORMATION. The office shall

provide information and make recommendations to public agencies,

legislators, and other persons about the problems and concerns of

residents
and rehabilitation hospital patients
.

SECTION 9. Section 101A.262(a), Human Resources Code, is

amended to read as follows:

(a) The office shall prepare a report that contains:

(1) information and findings relating to the problems

and concerns of residents
and rehabilitation hospital patients
; and

(2) policy, regulatory, and legislative

recommendations to solve the problems, resolve the concerns, and

improve the quality of the residents'
and patients'
care and lives.

SECTION 10. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall publish on the commission's Internet

website the model sign required by Section 101A.2615, Human

Resources Code, as added by this Act.

SECTION 11. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules necessary to implement

Subchapter F, Chapter 101A, Human Resources Code, as amended by

this Act.

SECTION 12. 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, 2025.