TX SB2269

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

Defines "retaliate" as any adverse action by the commission in response to a nursing facility's good faith response to a commission decision negatively affecting the facility

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

Prohibits the commission from penalizing nursing facilities for violations being appealed through the federal appeals process (42 C.F.R. Part 498) when federal requirements are the same or substantially similar to state requirements

Prohibits the commission from retaliating against nursing facilities that appeal commission decisions or take other actions to counter commission enforcement actions; effective September 1, 2025