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  89R15980 LRM-D     By: Thompson H.B. No. 5336       A BILL TO BE ENTITLED   AN ACT   relating to minimum staffing standards and policies for assisted   living facilities that provide care to persons with Alzheimer's   disease or related disorders and to the disclosure of those   standards and policies.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 247.029, Health and Safety Code, is   amended by amending Subsection (b) and adding Subsection (b-1) to   read as follows:          (b)  The executive commissioner shall adopt minimum   standards for an assisted living facility classified under this   section.   The minimum standards must require the facility to:                 (1)  maintain a minimum staffing ratio of:                       (A)     for the day shift, one nursing assistant per   seven residents;                       (B)     for the evening shift, one nursing assistant   per 9.5 residents; and                       (C)     for the overnight shift, one nursing   assistant per 17 residents;                 (2)     adopt staffing policies to ensure residents'   needs, as determined by each resident's resident-centered care   plan, are met through direct care by staff at the facility; and                 (3)  disclose the facility's 24-hour staffing patterns:                       (A)     to prospective residents and their families;   and                       (B)  on the facility's Internet website.           (b-1)     At least once a month, an assisted living facility   shall post the facility's updated 24-hour staffing pattern   prominently and conspicuously in a public area of the facility that   is readily accessible to residents, employees, and visitors.          SECTION 2.  As soon as practicable after the effective date   of this Act, the executive commissioner of the Health and Human   Services Commission shall adopt the minimum standards necessary to   implement the change in law made by this Act.          SECTION 3.  This Act takes effect September 1, 2025.