The bill, S.B. No. 481, mandates that nursing facilities and assisted living facilities in Texas develop and implement comprehensive emergency preparedness and response plans to ensure the safety and continued care of residents during emergencies. The legislation introduces new requirements for these facilities, including the installation and maintenance of emergency generators or alternate power sources, a sufficient fuel supply for at least 96 hours, and carbon monoxide alarms. Additionally, the plans must include strategies to manage resident safety during power outages, such as maintaining a safe temperature range and ensuring safe transportation for residents when necessary.

The bill also stipulates that each facility must provide personnel with written policies and relevant training regarding the emergency plans. The Health and Human Services Commission is tasked with reviewing and approving these plans, with the authority to revoke licenses for non-compliance. The executive commissioner is required to adopt rules to enforce these provisions. The act is set to take effect on September 1, 2025, and facilities are expected to have their plans in place as soon as practicable after the effective date.

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