S.B. No. 2269 aims to enhance dispute resolution and enforcement actions concerning long-term care facilities in Texas. The bill introduces a binding informal dispute resolution process, ensuring that decisions made by the adjudicating person cannot be overturned by the commission. Additionally, it defines "retaliate" to mean any adverse action taken by the commission against a nursing facility that is responding in good faith to a commission decision that negatively impacts it.

The bill also modifies existing laws regarding monetary penalties, stating that the commission cannot impose multiple penalties for the same violation across different codes. It prohibits the commission from retaliating against nursing facilities that appeal decisions or take actions against the commission's actions. These changes will only apply to violations occurring after the bill's effective date of September 1, 2025, while previous violations will be governed by the law as it existed before this act.

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