1 | 1 | | |
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2 | 2 | | <BillNo> <Sponsor> |
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3 | 3 | | |
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4 | 4 | | SENATE BILL 1039 |
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5 | 5 | | By Bowling |
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6 | 6 | | |
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7 | 7 | | |
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8 | 8 | | SB1039 |
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9 | 9 | | 002590 |
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10 | 10 | | - 1 - |
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11 | 11 | | |
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12 | 12 | | AN ACT to amend Tennessee Code Annotated, Title 33; |
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13 | 13 | | Title 63 and Title 68, relative to substance use. |
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14 | 14 | | |
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15 | 15 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: |
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16 | 16 | | SECTION 1. Tennessee Code Annotated, Title 68, Chapter 11, Part 15, is amended by |
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17 | 17 | | adding the following as a new section: |
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18 | 18 | | (a) A healthcare facility licensed under this chapter shall not authorize any |
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19 | 19 | | licensed, certified, or authorized healthcare professional to perform: |
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20 | 20 | | (1) A drug or alcohol test or screen on a patient who is pregnant or less |
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21 | 21 | | than one (1) year postpartum unless: |
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22 | 22 | | (A) The pregnant or postpartum patient provides prior written and |
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23 | 23 | | oral informed consent utilizing a tool or questionnaire specific for the drug |
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24 | 24 | | or alcohol test or screen; and |
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25 | 25 | | (B) The performance of the drug or alcohol test or screen is within |
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26 | 26 | | the scope of medical care being provided to the individual; or |
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27 | 27 | | (2) A drug or alcohol test or screen on a newborn unless: |
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28 | 28 | | (A) The individual authorized to consent for the newborn gives |
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29 | 29 | | prior written and oral informed consent specific to the drug or alcohol test |
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30 | 30 | | or screen; and |
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31 | 31 | | (B) The performance of the drug or alcohol test or screen is within |
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32 | 32 | | the scope of medical care being provided to the newborn. |
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33 | 33 | | (b) The written and oral informed consent to a drug or alcohol test or screen as |
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34 | 34 | | described in subsection (a) must: |
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35 | 35 | | |
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36 | 36 | | |
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37 | 37 | | - 2 - 002590 |
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38 | 38 | | |
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39 | 39 | | (1) Occur at the time of testing in a language understandable to the |
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40 | 40 | | pregnant or postpartum patient; |
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41 | 41 | | (2) Provide the patient sufficient opportunity to consider whether or not to |
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42 | 42 | | authorize the drug or alcohol test or screen; |
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43 | 43 | | (3) Minimize the possibility of coercion or undue influence, and |
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44 | 44 | | (4) Consist of written and oral authorization that is dated and signed, and |
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45 | 45 | | includes the following: |
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46 | 46 | | (A) A statement explaining that consenting to a drug or alcohol |
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47 | 47 | | test or screen is voluntary and requires written and oral informed consent, |
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48 | 48 | | except when conditions as described in subsection (c) are met; |
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49 | 49 | | (B) A statement that testing positive for drugs or alcohol could |
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50 | 50 | | have legal consequences, including potentially being reported to the |
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51 | 51 | | department of children's services and that the patient may want to consult |
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52 | 52 | | with legal counsel prior to or after consenting to a drug or alcohol test or |
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53 | 53 | | screen; |
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54 | 54 | | (C) A statement of the medical purpose of the test or screen; |
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55 | 55 | | (D) The extent of confidentiality of the test or screen results; and |
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56 | 56 | | (E) A general description of the test or screen. |
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57 | 57 | | (c) |
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58 | 58 | | (1) A drug or alcohol test or screen may be performed or authorized |
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59 | 59 | | without the consent of the patient or the individual authorized to consent for the |
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60 | 60 | | newborn when, in the healthcare professional's judgment, an emergency exists |
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61 | 61 | | and the patient or newborn is in immediate need of medical attention, and an |
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62 | 62 | | attempt to secure consent would result in a delay of treatment that could increase |
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63 | 63 | | the risk to the patient's or newborn's life or health. |
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64 | 64 | | |
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65 | 65 | | |
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66 | 66 | | - 3 - 002590 |
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67 | 67 | | |
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68 | 68 | | (2) In the case that drug or alcohol testing or screening is performed or |
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69 | 69 | | authorized under this subsection (c), the test or screen results must be discussed |
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70 | 70 | | with the patient or the individual authorized to consent for the newborn in |
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71 | 71 | | language understandable to the patient or individual authorized to consent for the |
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72 | 72 | | newborn and must consist of written and oral notification that is dated and |
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73 | 73 | | signed, and includes a statement: |
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74 | 74 | | (A) That testing or screening positive for drugs or alcohol could |
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75 | 75 | | have legal consequences, including potentially being reported to the |
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76 | 76 | | department of children's services, and that the patient or individual |
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77 | 77 | | authorized to consent for the newborn may want to consult with legal |
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78 | 78 | | counsel; |
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79 | 79 | | (B) In the medical record with a description of the emergency that |
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80 | 80 | | necessitated unconsented drug or alcohol testing or screening; and |
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81 | 81 | | (C) Explaining the extent of confidentiality of the test or screen |
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82 | 82 | | results. |
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83 | 83 | | (d) A healthcare facility licensed under this chapter shall not authorize any |
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84 | 84 | | licensed, certified, or authorized healthcare professional to refuse to treat a pregnant |
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85 | 85 | | patient or a patient who is less than one (1) year postpartum or a newborn because of |
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86 | 86 | | the patient or individual authorized to consent for the newborn's refusal to submit to a |
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87 | 87 | | drug or alcohol test or screen. |
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88 | 88 | | (e) A patient's right to privacy as described in this part must extend to patients in |
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89 | 89 | | the pregnancy and postpartum period and newborns. |
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90 | 90 | | (f) This section does not diminish any other requirement to obtain informed |
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91 | 91 | | consent for a drug or alcohol test or screen or any other procedure. |
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92 | 92 | | |
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93 | 93 | | |
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94 | 94 | | - 4 - 002590 |
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95 | 95 | | |
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96 | 96 | | SECTION 2. This act takes effect July 1, 2025, the public welfare requiring it, and |
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97 | 97 | | applies to prohibited conduct occurring on or after such date. |
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