The commission shall adopt procedures to review:

1. (1) citations or penalties assessed for a violation of a rule or law against an institution or facility licensed under Chapter 242, 247, or 252, Health and Safety Code, or certified to participate in Medicaid administered in accordance with Chapter 32, Human Resources Code, considering:

   1. (A) the number of violations by geographic region;
   2. (B) the patterns of violations in each region; and
   3. (C) the outcomes following the assessment of a citation or penalty; and

2. (2) the performance of duties by employees and agents of a state agency responsible for licensing, inspecting, surveying, or investigating institutions and facilities licensed under Chapter 242, 247, or 252, Health and Safety Code, or certified to participate in Medicaid administered in accordance with Chapter 32, Human Resources Code, related to:

   1. (A) complaints the commission receives; or
   2. (B) any standards or rules violated by an employee or agent of a state agency.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.