HB 2218 mandates that certain nursing facilities, assisted living facilities, and senior independent living communities with elevators install and maintain operational emergency generators or backup power sources. These power sources must be capable of running an elevator for at least 48 hours during a power outage. Facilities that fail to comply face civil penalties, with fines of up to $500 per violation for nursing and assisted living facilities, and up to $1,000 for senior independent living communities. The bill grants the Texas Attorney General authority to enforce these penalties and sets a compliance deadline of March 1, 2026​.