TX SB1522

Redefines "continuing care" to mean providing a living unit plus an agreement for priority, guaranteed, or discounted access to progressive levels of health care services, including assisted living and nursing facility care, regardless of whether services are at the same location or through third parties

Expands the definition of "facility" to include an individual's residence and excludes rooms in nursing facilities or assisted living facilities from the definition of "living unit"

Exempts residential communities from continuing care regulations if residents pay for assisted living and nursing care on a fee-for-service basis at the same rates as prospective residents, and the agreement includes a conspicuous disclosure that the community is not a licensed continuing care facility

Allows the Texas Department of Insurance commissioner to reject certificate of authority applications if the applicant does not own the real property where the facility is or will be located, and requires facilities filing actuarial reviews at least once every five years

Prohibits use of the titles "continuing care facility" or "continuing care retirement community" in advertising without holding a certificate of authority, and requires facilities to provide disclosure statements to residents or prospective residents upon request

Takes effect January 1, 2026, with provisions applying only to providers issued certificates of authority on or after that date