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|   | S.B. No. 52 | |
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| relating to the right of state hospital patients to designate an | ||
| essential caregiver for in-person visitation. | ||
|        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
|        SECTION 1.  Chapter 552, Health and Safety Code, is amended | ||
| by adding Subchapter F to read as follows: | ||
| SUBCHAPTER F. RIGHT TO ESSENTIAL CAREGIVER VISITS | ||
|        Sec. 552.201.  DEFINITION. In this chapter, "essential | ||
| caregiver" means a family member, friend, guardian, or other | ||
| individual a patient, patient's guardian, or patient's legally | ||
| authorized representative selects for in-person visits. | ||
|        Sec. 552.202.  PATIENT'S RIGHT TO ESSENTIAL CAREGIVER | ||
| VISITS. (a) A patient, the patient's guardian, or the patient's | ||
| legally authorized representative has the right to designate an | ||
| essential caregiver with whom a state hospital may not prohibit | ||
| in-person visitation. | ||
|        (b)  If a patient is a minor, the patient's parent, guardian, | ||
| or managing conservator may designate both of the minor patient's | ||
| parents as essential caregivers under Subsection (a). | ||
|        Sec. 552.203.  ESSENTIAL CAREGIVER POLICIES, PROCEDURES, | ||
| AND SAFETY PROTOCOLS. (a)  Notwithstanding Section 552.202, the | ||
| executive commissioner by rule shall develop guidelines to assist | ||
| state hospitals in establishing essential caregiver visitation | ||
| policies and procedures. The guidelines must require the hospitals | ||
| to: | ||
|              (1)  allow a patient, patient's guardian, or patient's | ||
| legally authorized representative or, for a minor patient, the | ||
| patient's parent, guardian, or managing conservator, to designate | ||
| for in-person visitation an essential caregiver; | ||
|              (2)  establish a visitation schedule allowing the | ||
| essential caregiver to visit the patient for at least two hours each | ||
| day; | ||
|              (3)  establish procedures to enable physical contact | ||
| between the patient and essential caregiver; and | ||
|              (4)  obtain the signature of the essential caregiver | ||
| certifying the caregiver will follow the hospital's safety | ||
| protocols and any other policies, procedures, or rules established | ||
| under this section. | ||
|        (b)  A state hospital may not establish safety protocols | ||
| under this section that are more stringent than the safety | ||
| protocols the hospital establishes for hospital staff. | ||
|        Sec. 552.204.  REVOCATION OF ESSENTIAL CAREGIVER | ||
| DESIGNATION. (a)  A state hospital may revoke an individual's | ||
| designation as an essential caregiver if the individual violates | ||
| the hospital's policies, procedures, or safety protocols | ||
| established under Section 552.203. | ||
|        (b)  If a state hospital revokes an individual's designation | ||
| as an essential caregiver under this section, the patient, | ||
| patient's guardian, or patient's legally authorized representative | ||
| or, for a minor patient, the patient's parent, guardian, or | ||
| managing conservator, has the right to immediately designate | ||
| another individual as the patient's essential caregiver. | ||
|        (c)  The commission by rule shall establish an appeals | ||
| process to evaluate the revocation of an individual's designation | ||
| as an essential caregiver under this section. | ||
|        Sec. 552.205.  TEMPORARY SUSPENSION OF ESSENTIAL CAREGIVER | ||
| VISITS. (a)  A state hospital may petition the commission to | ||
| suspend in-person essential caregiver visits for not more than | ||
| seven days if in-person visitation poses a serious community health | ||
| risk. The commission may deny the hospital's request to suspend | ||
| in-person essential caregiver visitation if the commission | ||
| determines that in-person visitation does not pose a serious | ||
| community health risk. | ||
|        (b)  A state hospital may request an extension from the | ||
| commission to suspend in-person essential caregiver visitation for | ||
| more than seven days. The commission may not approve an extension | ||
| for a period that exceeds seven days, and the hospital must | ||
| separately request each extension. | ||
|        (c)  A state hospital may not suspend in-person essential | ||
| caregiver visitation in any year for more than 14 consecutive days | ||
| or 45 days total. | ||
|        Sec. 552.206.  PROVISION OF NECESSARY PATIENT CARE BY | ||
| ESSENTIAL CAREGIVER.   This subchapter may not be construed as | ||
| requiring an essential caregiver to providStatutes affected: Introduced: () Senate Committee Report: () Engrossed: () House Committee Report: () Enrolled: () | ||