H.B. No. 3595 establishes new requirements for assisted living facilities in Texas regarding emergency preparedness and contingency operations plans, particularly focusing on temperature regulation during emergencies. The bill mandates that facilities create a plan that includes provisions for a climate-controlled area of refuge for residents during power outages, with specific space requirements for both general residents and those who are bedfast. Additionally, the plan must ensure that temperatures are maintained between 68 and 82 degrees Fahrenheit in designated areas and rooms. Facilities are also required to notify the relevant commission of any unplanned power interruptions lasting more than 12 hours.

The bill further stipulates that the executive commissioner will adopt rules to enforce these requirements and that construction and licensure standards will be established for facilities beginning construction after September 1, 2026. These standards will include backup power systems and protocols for evacuating residents to safe areas during emergencies. Facilities must make their emergency plans available to residents and their families upon request, and penalties may be imposed for non-compliance. The act is set to take effect on September 1, 2025, with a compliance deadline for facilities to adopt the new plans by January 1, 2026.

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