On January 3, 2025, Texas State Legislature introduced Senate Bill 699, aimed at enhancing safety and operational standards for inpatient rehabilitation facilities across the state. The bill addresses critical issues related to fire safety, emergency preparedness, and transparency in patient care.

One of the bill's primary provisions mandates the executive commissioner to adopt the Life Safety Code of the National Fire Protection Association as the standard for fire safety in rehabilitation facilities. This includes ensuring that facilities constructed after September 1, 1993, comply with federal fire safety regulations. Notably, the bill stipulates that existing facilities as of September 1, 2025, may continue operations under the fire safety standards in effect at that time, while municipalities retain the authority to impose stricter regulations for new constructions.

Additionally, Senate Bill 699 requires inpatient rehabilitation facilities to register with the Texas Information and Referral Network. This registration aims to facilitate the identification of individuals needing assistance during evacuations due to disasters or emergencies. While facilities are not obligated to identify individual patients for evacuation assistance, they must inform patients and their guardians about the registration process.

The bill also emphasizes transparency by requiring facilities to prominently display their licenses, complaint procedures, and inspection reports in accessible areas for patients, employees, and visitors. This provision aims to enhance accountability and ensure that patients are informed about their rights and the standards of care they can expect.

Debate surrounding Senate Bill 699 has focused on the balance between regulatory compliance and operational flexibility for rehabilitation facilities. Some stakeholders argue that the proposed fire safety standards may impose additional financial burdens on facilities, particularly smaller ones. However, proponents assert that the enhanced safety measures are essential for protecting vulnerable patients and ensuring high-quality care.

The implications of this bill are significant, as it seeks to improve patient safety and operational transparency in Texas's rehabilitation facilities. Experts suggest that if passed, the bill could lead to better preparedness for emergencies and a more informed patient population, ultimately fostering a higher standard of care within the state's healthcare system.

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