S.B. No. 2269 introduces amendments to the Government Code and Health and Safety Code concerning dispute resolution and enforcement actions against long-term care facilities. A key provision is the addition of Subsection (b-1) to Section 526.0202, which establishes that decisions made through the informal dispute resolution process are binding on the commission and cannot be overturned. Additionally, the bill defines "retaliate" in Section 242.002, clarifying that it refers to adverse actions taken by the commission in response to a nursing facility's good faith actions related to commission decisions.

Further amendments include changes to Section 242.070, which restricts the commission from assessing multiple monetary penalties for the same violation and introduces a new Section 242.075 that prohibits retaliation against nursing facilities for appealing commission decisions. The bill specifies that these changes apply only to violations occurring on or after its effective date of September 1, 2025, ensuring that prior violations are governed by existing law.

Statutes affected:
Introduced: Health and Safety Code 242.002, Health and Safety Code 242.070 (Health and Safety Code 242)
Senate Committee Report: Government Code 526.0202, Health and Safety Code 242.002, Health and Safety Code 242.070 (Government Code 526, Health and Safety Code 242)
Engrossed: Government Code 526.0202, Health and Safety Code 242.002, Health and Safety Code 242.070 (Government Code 526, Health and Safety Code 242)
House Committee Report: Government Code 526.0202, Health and Safety Code 242.002, Health and Safety Code 242.070 (Government Code 526, Health and Safety Code 242)
Enrolled: Government Code 526.0202, Health and Safety Code 242.002, Health and Safety Code 242.070 (Government Code 526, Health and Safety Code 242)