82R9306 T
	By: Alvarado	H.B. No. 2306

	A BILL TO BE ENTITLED
	AN ACT
	relating to certain health and safety matters regarding appropriate
	places of employment and places that are accessible to the public.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 161.0901(b), Health and Safety Code, is
	amended to read as follows:
	(b)  The report must include, at a minimum:
	(1)  a baseline of statistics and analysis regarding
	retail compliance with this subchapter, Subchapter K, and Chapters
	154 and 155, Tax Code;
	(2)  a baseline of statistics and analysis regarding
	illegal tobacco sales, including:
	(A)  sales to minors;
	(B)  enforcement actions concerning minors; and
	(C)  sources of citations;
	(3)  tobacco controls and initiatives by the Office of
	Smoking and Health of the department, or any other state agency,
	including an evaluation of the effectiveness of the controls and
	initiatives;
	(4)  the future goals and plans of the Office of Smoking
	and Health of the department to decrease the use of tobacco and
	tobacco products, including the determination of potential
	measures to address relevant air quality issues;
	(5)  the educational programs of the Office of Smoking
	and Health of the department and the effectiveness of those
	programs, including programs to increase awareness of potential
	measures to address relevant air quality issues; and
	(6)  the incidence of use of tobacco and tobacco
	products by regions in this state, including use of cigarettes and
	tobacco products by ethnicity.
	SECTION 2.  Section 161.253(a), Health and Safety Code, is
	amended to read as follows:
	(a)  On conviction of an individual for an offense under
	Section 161.252, the court shall suspend execution of sentence and
	shall require the defendant to attend a tobacco awareness program,
	which must include increasing the awareness of potential measures
	to address relevant air quality issues, approved by the
	commissioner. The court may require the parent or guardian of the
	defendant to attend the tobacco awareness program with the
	defendant.
	SECTION 3.  Section 161.301(a), Health and Safety Code, is
	amended to read as follows:
	(a)  The commissioner shall develop and implement a public
	awareness campaign designed to reduce tobacco use by minors in this
	state. The campaign may use advertisements or similar media to
	provide educational information about tobacco use. The
	commissioner shall also determine and promote the implementation of
	potential measures to address relevant air quality issues.
	SECTION 4.  Section 161.302(a), Health and Safety Code, is
	amended to read as follows:
	(a)  The entity administering Section 161.301 shall also
	develop and implement a grant program to support youth groups that
	include as a part of the group's program components related to
	reduction of tobacco use by the group's members, including
	increasing the awareness of potential measures to address relevant
	air quality issues.
	SECTION 5.  Section 161.354(c), Health and Safety Code, is
	amended to read as follows:
	(c)  Information included in a report filed under this
	subchapter is confidential if the department determines that there
	is no reasonable scientific basis for concluding that the
	availability of the information could reduce risks to public
	health, including increasing the awareness of potential measures
	to address relevant air quality issues.
	SECTION 6.  Subsections(a) and (d), Section 242.001, Health
	and Safety Code, are amended to read as follows:
	(a)  It is the goal of this chapter to ensure that
	institutions in this state deliver the highest possible quality of
	care. This chapter, and the rules and standards adopted under this
	chapter, establish minimum acceptable levels of care. A violation
	of a minimum acceptable level of care established under this
	chapter or a rule or standard adopted under this chapter is
	forbidden by law. Each institution licensed under this chapter
	shall, at a minimum, provide quality care in accordance with this
	chapter and the rules and standards. Components of quality of care
	addressed by these rules and standards include:
	(1)  quality of life;
	(2)  access to care;
	(3)  continuity of care;
	(4)  comprehensiveness of care;
	(5)  coordination of services;
	(6)  humaneness of treatment;
	(7)  conservatism in intervention;
	(8)  health and safety, including relevant air quality,
	of the environment;
	(9)  professionalism of caregivers; and
	(10)  participation in useful studies.
	(d)  The legislature finds that the construction,
	maintenance, and operation of institutions shall be regulated in a
	manner that protects the residents of the institutions by:
	(1)  providing the highest possible quality of care;
	(2)  strictly monitoring all factors relating to the
	health, safety, welfare, and dignity of each resident, including
	relevant air quality;
	(3)  imposing prompt and effective remedies for
	noncompliance with licensing standards; and
	(4)  providing the public with information concerning
	the operation of institutions in this state.
	SECTION 7.  Subsections (a) and (e), Section 242.037, Health
	and Safety Code, are amended to read as follows:
	(a)  The department shall make and enforce rules and minimum
	standards to implement this chapter, including rules and minimum
	standards relating to quality of life, quality of care, and
	residents' rights, including relevant air quality.
	(e)  In addition to standards or rules required by other
	provisions of this chapter, the board shall adopt, publish, and
	enforce minimum standards relating to:
	(1)  the construction of an institution, including
	plumbing, heating, lighting, ventilation, and other housing
	conditions, to ensure the residents' health, safety, comfort, and
	protection from fire hazard, including relevant air quality;
	(2)  the regulation of the number and qualification of
	all personnel, including management and nursing personnel,
	responsible for any part of the care given to the residents;
	(3)  requirements for in-service education of all
	employees who have any contact with the residents;
	(4)  training on the care of persons with Alzheimer's
	disease and related disorders for employees who work with those
	persons;
	(5)  sanitary and related conditions in an institution
	and its surroundings, including water supply, sewage disposal, food
	handling, and general hygiene in order to ensure the residents'
	health, safety, and comfort;
	(6)  the nutritional needs of each resident according
	to good nutritional practice or the recommendations of the
	physician attending the resident;
	(7)  equipment essential to the residents' health and
	welfare;
	(8)  the use and administration of medication in
	conformity with applicable law and rules;
	(9)  care and treatment of residents and any other
	matter related to resident health, safety, and welfare;
	(10)  licensure of institutions; and
	(11)  implementation of this chapter.
	SECTION 8.  Section 248.026(a), Health and Safety Code, is
	amended to read as follows:
	(a)  The board shall adopt rules necessary to implement this
	chapter.  The rules must establish minimum standards for special
	care facilities relating to:
	(1)  the issuance, renewal, denial, suspension, and
	revocation of the license required by this chapter;
	(2)  the qualifications, duties, and supervision of
	professional and nonprofessional personnel and volunteers;
	(3)  residents' rights;
	(4)  medical and nursing care and services provided by
	a license holder;
	(5)  the organizational structure, lines of authority,
	delegation of responsibility, and operation of a special care
	facility;
	(6)  records of care and services kept by the license
	holder, including the disposal or destruction of those records;
	(7)  health, safety, fire prevention, and sanitary
	provisions, including relevant air quality;
	(8)  transfer of residents in a medically appropriate
	manner from or to a special care facility;
	(9)  construction plan approval and inspection; and
	(10)  any aspects of a special care facility as
	necessary to protect the public or residents of the facility.
	SECTION 9.  Subsections (a) and (b), Section 385.002, Health
	and Safety Code, are amended to read as follows:
	(a)  The board by rule shall establish voluntary guidelines
	for indoor air quality in, and air quality of common outside areas
	connected to or immediately contiguous to indoor areas of,
	government buildings, including guidelines for ventilation and
	indoor air pollution control systems. The board may adopt other
	rules necessary to implement this chapter.
	(b)  In establishing the guidelines, the board shall
	consider:
	(1)  the potential chronic effects of air contaminants
	on human health;
	(2)  the potential effects of insufficient ventilation
	of the indoor, or immediately contiguous outdoor, environment on
	human health;
	(3)  the potential costs of health care for the short-
	term and long-term effects on human health that may result from
	exposure to indoor air contaminants; and
	(4)  the potential costs of compliance with a proposed
	guideline.
	SECTION 10.  The legislature finds that the quality of the
	air in appropriate places of employment and appropriate places that
	are accessible to the public shall be maintained and improved with
	effective and necessary measures, prescribed by statute or rule,
	that protect the general health, safety, and welfare.
	SECTION 11.  This Act takes effect September 1, 2011.