S.B. No. 1522 amends the Health and Safety Code to enhance the regulation of continuing care facilities in Texas. The bill redefines "assisted living facility" and establishes the Texas Department of Insurance as the governing board. It clarifies terms such as "entrance fee," which now explicitly includes amounts for residency and related services while excluding optional modifications to living units. New definitions for "nursing facility" and "continuing care" are introduced, emphasizing the provision of living units and access to health care services under a continuing care contract. Additionally, it ensures that residents in facilities providing nursing home or assisted living care have the same rights as those in licensed nursing homes.

The bill also mandates that facilities provide disclosure statements to residents and establishes escrow accounts for entrance fees, detailing the conditions under which these fees can be released. It specifies that advertisements for continuing care contracts must align with required disclosures and prohibits misrepresentation of licensed status. Further amendments address the management and release of entrance fees, allowing escrow agents to release fees without additional proof of compliance after the initial release, provided that monthly marketing reports are submitted. The bill clarifies the timeline for returning entrance fees and modifies conditions for actuarial reviews, with changes set to take effect on January 1, 2026, for providers issued a certificate of authority after that date.

Statutes affected:
Introduced: Health and Safety Code 246.002, Health and Safety Code 246.0025, Health and Safety Code 246.004, Health and Safety Code 246.022, Health and Safety Code 246.055, Health and Safety Code 246.056, Health and Safety Code 246.057, Health and Safety Code 246.071, Health and Safety Code 246.072, Health and Safety Code 246.073, Health and Safety Code 246.0736, Health and Safety Code 246.074, Health and Safety Code 246.075, Health and Safety Code 246.077, Health and Safety Code 246.114 (Health and Safety Code 246)
Senate Committee Report: Health and Safety Code 246.002, Health and Safety Code 246.0025, Health and Safety Code 246.004, Health and Safety Code 246.022, Health and Safety Code 246.055, Health and Safety Code 246.056, Health and Safety Code 246.057, Health and Safety Code 246.071, Health and Safety Code 246.072, Health and Safety Code 246.073, Health and Safety Code 246.0736, Health and Safety Code 246.074, Health and Safety Code 246.075, Health and Safety Code 246.077, Health and Safety Code 246.114 (Health and Safety Code 246)
Engrossed: Health and Safety Code 246.002, Health and Safety Code 246.0025, Health and Safety Code 246.004, Health and Safety Code 246.022, Health and Safety Code 246.055, Health and Safety Code 246.056, Health and Safety Code 246.057, Health and Safety Code 246.071, Health and Safety Code 246.072, Health and Safety Code 246.073, Health and Safety Code 246.0736, Health and Safety Code 246.074, Health and Safety Code 246.075, Health and Safety Code 246.077, Health and Safety Code 246.114 (Health and Safety Code 246)
House Committee Report: Health and Safety Code 246.002, Health and Safety Code 246.0025, Health and Safety Code 246.004, Health and Safety Code 246.022, Health and Safety Code 246.055, Health and Safety Code 246.056, Health and Safety Code 246.057, Health and Safety Code 246.071, Health and Safety Code 246.072, Health and Safety Code 246.073, Health and Safety Code 246.0736, Health and Safety Code 246.074, Health and Safety Code 246.075, Health and Safety Code 246.077, Health and Safety Code 246.114 (Health and Safety Code 246)
Enrolled: Health and Safety Code 246.002, Health and Safety Code 246.0025, Health and Safety Code 246.004, Health and Safety Code 246.022, Health and Safety Code 246.055, Health and Safety Code 246.056, Health and Safety Code 246.057, Health and Safety Code 246.071, Health and Safety Code 246.072, Health and Safety Code 246.073, Health and Safety Code 246.0736, Health and Safety Code 246.074, Health and Safety Code 246.075, Health and Safety Code 246.077, Health and Safety Code 246.114 (Health and Safety Code 246)