TX HB4670

Decisions made through the informal dispute resolution process by a contracted adjudicator between the Health and Human Services Commission and long-term care facilities become binding on the commission and cannot be overturned

Prohibits the commission from imposing state administrative penalties against nursing facilities for violations that are already subject to federal penalties from the Centers for Medicare and Medicaid Services under 42 C.F.R. Section 488.408

Bars the commission from imposing state penalties on facilities that are actively appealing federal penalties when the federal and state requirements are the same or substantially similar

Adds a statutory definition of "retaliate" as adverse commission action in response to a nursing facility's good faith response to negative commission decisions

Prohibits the commission from retaliating against nursing facilities that appeal commission decisions or file other actions to counter commission enforcement actions

Applies only to violations occurring on or after September 1, 2025