Current through Reg. 49, No. 38; September 20, 2024
(a) Confidentiality. All reports, records,
and working papers used or developed by HHSC in an investigation are
confidential and may be released only as provided in this subsection.
(1) Completed written investigation reports
on cases concluded to be abuse or neglect must be furnished to the district
attorney and appropriate law enforcement agency. HHSC also may release these
reports to any other public agency HHSC deems appropriate to the
investigation.
(2) Completed
written investigation reports are open to the public, provided the report is
deidentified. The process of deidentification means removing all names and
other personally identifiable data, including any information from witnesses
and others furnished to HHSC as part of the investigation.
(3) HHSC notifies the reporter and the
facility of the results of the HHSC investigation of a reported case of abuse
or neglect, whether HHSC concludes that abuse or neglect occurred or did not
occur.
(b) Immunity. A
person who reports suspected instances of abuse or neglect, in the absence of
bad faith or malicious conduct, is immune from civil or criminal liability
which might have otherwise resulted from making the report. Such immunity
extends to participation in any judicial proceeding resulting from the
report.
(c) Privileged
communications. In a proceeding regarding a report or investigation conducted
under this subchapter, evidence must not be excluded on a claim of privileged
communication except in the case of a communication between an attorney and a
client.
(d) Central registry. HHSC
maintains a central registry of reported cases of abuse and neglect at the
central office in Austin.
(e)
Releasing Public Records.
(1) As further
described in this section, Texas Government Code, Chapter 552, governs
procedures for inspection of public records.
(2) Long-term Care Regulation, Regulatory
Services Division is responsible for the maintenance and release of records on
licensed facilities, and other related records.
(3) The application for inspection of public
records is subject to the following criteria.
(A) The application must be made to Long-term
Care Regulation, Regulatory Services Division, P.O. Box 149030 (E-349), Austin,
Texas 78714-9030.
(B) The requestor
must identify himself or herself.
(C) The requestor must give reasonable prior
notice of the time for inspection and copying of records.
(D) The requestor must specify the records
requested.
(E) On written
applications, if HHSC is unable to ascertain the records being requested, HHSC
may return the written application to the requestor for further
specificity.
(F) HHSC provides the
requested records as soon as possible. However, if the records are in active
use, or in storage, or time is needed for proper deidentification or
preparation of the records for inspection, HHSC so advises the requestor and
sets an hour and date within a reasonable time for records to be
available.
(4) Original
records may be inspected or copied, but in no instance will original records be
removed from HHSC offices.
(5)
Records maintained by HHSC are open to the public, except to the extent a
record is made confidential by law or otherwise exempted from disclosure under
Texas Government Code, Chapter 552. Without limitation:
(A) incomplete reports, audits, evaluations,
and investigations made of, for, or by HHSC are confidential;
(B) reports of abuse and neglect are
confidential;
(C) all names and
related personal, medical, or other identifying information about a resident
are confidential;
(D) information
about any identifiable person that is defamatory, or an invasion of privacy is
confidential;
(E) information
identifying complainants or informants is confidential;
(F) itineraries of surveys and inspections
are confidential; and
(G) to
implement this subsection, HHSC may not alter or deidentify original records.
Instead, HHSC makes available for public review or release only a properly
deidentified copy of the original record.
(6) Charging for copies of records must be in
accordance with the following criteria.
(A) To
inspect records without requesting copies, the requestor must specify the
records to be inspected and HHSC does not charge for this service, except where
HHSC determines that a charge is appropriate based on the nature of the
request.
(B) If the requestor wants
to request copies of a record, the requestor will specify in writing the
records to be copied, and HHSC notifies the requestor of the cost of the
records, which the requestor must pay in advance. Checks and other instruments
of payment must be made payable to the Texas Health and Human Services
Commission.
(C) Any expenses for
standard-size copies incurred in the reproduction, preparation, or retrieval of
records must be borne by the requestor on a cost basis in accordance with costs
established by the Office of the Attorney General in 1 TAC Chapter 70 (relating
to Costs of Copies of Public Information) or, where permitted by those rules,
by HHSC for office machine copies.
(D) For documents that are mailed, HHSC
charges for the postage at the time it charges for the reproduction and adds
applicable sales taxes to the cost of copying records.
(7) HHSC makes a reasonable effort to furnish
records promptly and will extend to the requestor all reasonable comfort and
facility for the full exercise of the rights granted by Texas Government Code,
Chapter 552.