Power duration requirements in emergency contingency plans adopted by end stage renal disease facilities

Texas Senate Bill 2919, introduced in March 2025, aimed to enhance emergency preparedness for end-stage renal disease (ESRD) facilities by requiring them to have on-site emergency generators capable of providing power for at least 72 hours. Additionally, the bill mandated that these facilities maintain sufficient potable water to operate their water treatment systems for a minimum of 24 hours and establish connections for external water supply during outages. If a facility found it unfeasible to store the necessary fuel on-site, it was required to arrange for third-party fuel provision during power outages. The bill also set a compliance deadline of December 1, 2025, and proposed an effective date of September 1, 2025. ([legiscan.com](https://legiscan.com/TX/text/SB2919/2025?utm_source=openai))

The bill received bipartisan sponsorship from Senator Borris Miles (D) and Senator Kelly Hancock (R), indicating a collaborative effort to address the critical needs of ESRD facilities during emergencies. The Senate Committee Report highlighted the importance of the bill in ensuring uninterrupted dialysis services, which are vital for patients' survival. ([legiscan.com](https://legiscan.com/TX/supplement/SB2919/id/594982?utm_source=openai))

Despite its bipartisan support, the bill faced challenges in advancing through the legislative process. It was reported favorably as substituted on May 12, 2025, but was placed on the intent calendar without further action, leading to its eventual failure to pass. ([legiscan.com](https://legiscan.com/TX/bill/SB2919?utm_source=openai)) This outcome suggests potential concerns regarding the feasibility of implementing such stringent requirements for ESRD facilities, possibly due to financial or logistical constraints.