Texas Senate Bill 699, introduced on January 3, 2025, aims to strengthen regulatory oversight of inpatient rehabilitation facilities in Texas by imposing stricter penalties for violations of health and safety standards. The bill seeks to address ongoing concerns regarding compliance with state regulations and the protection of patient rights, particularly in relation to advance directives.

Key provisions of the bill include the establishment of a penalty system that allows for fines up to $10,000 per day for serious violations, with each day of non-compliance considered a separate offense. The bill also mandates that the Texas Health and Human Services Commission develop a comprehensive system to track violations, ensuring that penalties are proportionate to the severity of the infractions. Notably, the bill stipulates that a fixed penalty of $500 will be assessed for violations related to advance directives, without the possibility of additional daily fines for ongoing infractions.

Debate surrounding SB 699 has highlighted concerns from various stakeholders. Supporters argue that the bill is essential for enhancing patient safety and ensuring that facilities adhere to established standards. Critics, however, express worries about the potential financial burden on smaller rehabilitation facilities, which may struggle to absorb the costs associated with increased penalties.

The implications of this legislation are significant, as it could lead to improved compliance among facilities and better protection for patients. However, it may also result in increased operational costs for providers, potentially affecting the availability of services in underserved areas. Experts suggest that the bill's success will depend on the effective implementation of the tracking system and the equitable application of penalties.

As the legislative process unfolds, stakeholders will be closely monitoring the discussions and potential amendments to SB 699, which could shape the future of rehabilitation care in Texas.