H.B. No. 3595 establishes new requirements for assisted living facilities in Texas regarding emergency preparedness and contingency operations, particularly focusing on temperature regulation during emergencies. The bill mandates that facilities create and implement an emergency 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 these designated areas. Facilities are also required to notify the relevant commission of any unplanned power interruptions lasting more than 12 hours.

Furthermore, the bill outlines that the executive commissioner will set 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. The act will take effect on September 1, 2025, and facilities must adopt the emergency plans by January 1, 2026. Violations of these provisions may result in penalties assessed by the commission.

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