HBA-ATS, DMD C.S.S.B. 1198 76(R)BILL ANALYSIS


Office of House Bill AnalysisC.S.S.B. 1198
By: Moncrief
Human Services
5/14/1999
Committee Report (Substituted)



BACKGROUND AND PURPOSE 

Currently, Texas law does not require certain convalescent and nursing
homes to execute a surety bond.  C.S.S.B. 1198 provides that, if three or
more institutions that are licensed or required to be licensed are owned by
the same owner or controlled by the same controlling person, the license
holder of each of the institutions must execute a surety bond issued by a
surety company authorized to do business in this state as a condition of
obtaining or renewing a license, provided that there are three or more
companies willing to provide this service to the institutions and that the
dedication of collateral by the institutions or license holders is not a
condition for the issuance of bonds. 

This bill also provides that the bond must be payable to the Texas
Department of Human Services in the event a trustee is appointed under
Subchapter D (Trustees for Nursing or Convalescent Homes), Chapter 242,
Health and Safety Code, and the trustee uses emergency assistance funds to
alleviate an immediate threat to the health and safety of the residents of
the institution.  This bill also requires the Texas Board of Human Services
(board) to set the amounts of bonds according to a schedule adopted, by
rule, but prohibits the board from requiring a bond in an amount that
exceeds $50,000. 

RULEMAKING AUTHORITY

It is the opinion of the Office of House Bill Analysis that rulemaking
authority is expressly delegated to the Texas Board of Human Services in
SECTION 1 (Section 242.0325, Health and Safety Code) of this bill. 

SECTION BY SECTION ANALYSIS

SECTION 1.  Amends Subchapter B, Chapter 242, Health and Safety Code, by
adding Section 242.0325, as follows: 

Sec. 242.0325. SURETY BOND REQUIREMENT. (a) Provides that, if three or more
institutions that are licensed or required to be licensed are owned by the
same owner or controlled by the same controlling person, the license holder
of each of the institutions must execute a surety bond issued by a surety
company authorized to do business in this state as a condition of obtaining
or renewing a license, provided that there are three or more companies
willing to provide this service to the institutions and that the dedication
of collateral by the institutions or license holders is not a condition for
the issuance of bonds. 

(b) Provides that the bond must be payable to the Texas Department of Human
Services (department) in the event a trustee is appointed under Subchapter
D (Trustees for Nursing or Convalescent Homes) and the trustee uses
emergency assistance funds to alleviate an immediate threat to the health
and safety of the residents of the institution.  Provides that the term of
the bond must be coextensive with the term of the institution's license.
Provides that the surety is liable to the department under a bond only for
the amounts of emergency assistance funds that the department disburses
during the term covered by the bond and only in a cumulative amount not to
exceed the face amount of the bond. 

(c) Requires the Texas Board of Human Services (board) to set the amounts
of bonds under this section according to a schedule adopted, by rule.
Prohibits the board from  requiring a bond in an amount that exceeds
$50,000.  Requires the board to schedule the amounts based on the number of
residents in an institution and on the department's experience regarding
the amounts disbursed from the emergency assistance fund when a trustee has
been appointed under Subchapter D. 

(d) Requires the department on behalf of the board, before the board adopts
any rule under Subsection (c), to attempt to engage in negotiated
rulemaking to assist the board in drafting the proposed rule by following
the procedures prescribed by Chapter 2008, Government Code. 

SECTION 2.Effective date: September 1, 1999.

SECTION 3.Emergency clause.    

COMPARISON OF ORIGINAL TO SUBSTITUTE

C.S.S.B. 1198 differs from the original bill in SECTION 1 (proposed Section
242.0325(a), Health and Safety Code) by providing that, if three or more
institutions that are licensed or required to be licensed are owned by the
same owner or controlled by the same controlling person, the license holder
of each of the institutions, rather than each of the institutions, must
execute a surety bond issued by a surety company authorized to do business
in this state as a condition of obtaining or renewing a license, provided
that there are three, rather than two, or more companies willing to provide
this service to the institutions.  The substitute also adds the provision
that the dedication of collateral by the institutions or license holders is
not a condition for the issuance of bonds. 

In proposed Section 242.0325(b), the substitute differs from the original
by providing that the bond must be payable to the Texas Department of Human
Services (department) in the event a trustee is appointed under Subchapter
D (Trustees for Nursing or Convalescent Homes) and the trustee uses
emergency assistance funds to alleviate an immediate threat to the health
and safety of the residents of the institution, rather than providing that
the bond must be payable to the department and conditioned on the
institution's compliance with Chapter 242 (Convalescent and Nursing Homes
and Related Institutions) and rules adopted under that chapter.  The
substitute also adds the following provisions: the term of the bond must be
coextensive with the term of the institution's license; and the surety is
liable to the department under a bond only for the amounts of emergency
assistance funds that the department disburses during the term covered by
the bond and only in a cumulative amount not to exceed the face amount of
the bond. 

In proposed Section 242.0325(c), the substitute differs from the original
by prohibiting the Texas Board of Human Services (board) from requiring a
bond in an amount that exceeds $50,000.  The substitute also requires the
board to schedule the amounts based on the number of residents in an
institution and on the department's experience regarding the amounts
disbursed from the emergency assistance fund when a trustee has been
appointed under Subchapter D, rather than on the costs incurred by the
department when it is necessary to close an institution, arrange for the
placement of a trustee, transfer residents, or take other regulatory
actions in connection with a violation of Chapter 242 or rules adopted
under that chapter. 

In proposed Section 242.0325(d), the substitute differs from the original
by removing "as added by Chapter 1315, Acts of the 75th Legislature,
Regular Session, 1997" as a description of which Chapter 2008, Government
Code, is to be followed by the board in drafting its proposed rule.