81R11445 YDB-D By: Farrar H.B. No. 4087 A BILL TO BE ENTITLED AN ACT relating to the establishment of an ultrasound machine registry; providing a civil penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle G, Title 4, Health and Safety Code, is amended by adding Chapter 325 to read as follows: CHAPTER 325. ULTRASOUND MACHINES Sec. 325.001. DEFINITIONS. In this chapter: (1) "Department" means the Department of State Health Services. (2) "Executive commissioner" means the executive commissioner of the Health and Human Services Commission. (3) "Health care facility" means a facility authorized under the laws of this state to provide health care to patients. (4) "Licensed practitioner" means a physician licensed in this state to practice medicine or a nurse or advance nurse practitioner licensed in this state to practice nursing. (5) "Ultrasound machine" means a medical imaging device that uses high frequency sound waves and their echoes to provide treatment and testing of patients. Sec. 325.002. RESTRICTED POSSESSION AND USE OF ULTRASOUND MACHINE. (a) A person may not purchase or possess an ultrasound machine for use in the provision of medical, nursing, or health care in this state unless the person is a licensed practitioner or is a health care facility that employs or has on staff at least one licensed practitioner. (b) A person may not operate an ultrasound machine unless the person operates the machine under the supervision of a licensed practitioner or other properly trained health care professional who is able to perform and interpret the ultrasound. Sec. 325.003. NOTIFICATION OF POSSESSION OF ULTRASOUND MACHINE. (a) A licensed practitioner or health care facility that purchases or takes possession of an ultrasound machine shall notify the department not later than the seventh day after the date the practitioner or facility takes possession of the machine. (b) The notification required under Subsection (a) must be on the form prescribed by the department and must include: (1) the name, address, and telephone number of the licensed practitioner or health care facility that took possession of the machine and the date the practitioner or facility took possession of the machine; (2) the type of machine; (3) the address of the premises where the machine is used; and (4) the name of each licensed practitioner who uses the machine. (c) A licensed practitioner or health care facility that has possession of an ultrasound machine shall notify the department of any change in the information provided to the department under Subsection (b) not later than the seventh day after the date of the change. Sec. 325.004. ESTABLISHMENT OF REGISTRY. The department shall establish a central registry of ultrasound machines and include in the registry the information submitted to the department under Section 325.003. Sec. 325.005. INSPECTION; RECORDS. (a) The department or the department's representative may enter public or private property at reasonable times to determine whether, in a matter under the department's jurisdiction, a person is complying with this chapter and department rules. (b) A licensed practitioner or health care facility required to submit notification under Section 325.003 shall retain a copy of all maintenance records and records relating to the use, receipt, storage, transfer, or disposal of an ultrasound machine as provided by department rules. Sec. 325.006. RULES. The executive commissioner shall adopt rules necessary to implement this chapter, including rules on inspections and on maintenance of records. Sec. 325.007. CIVIL PENALTY. (a) A person who violates this chapter or any rule adopted under this chapter is liable to this state for a civil penalty of $1,000 for each violation. Each day a violation continues constitutes a separate violation. (b) The amount of the penalty shall be based on: (1) the seriousness of the violation; (2) the history of previous violations; (3) the amount necessary to deter a future violation; and (4) any other matter that justice may require. (c) The department or the attorney general may sue to collect a civil penalty under this section. In the suit the state may recover the reasonable expenses incurred in obtaining the penalty, including investigation and court costs, reasonable attorney's fees, witness fees, and other expenses. SECTION 2. (a) Not later than November 1, 2009, the executive commissioner of the Health and Human Services Commission shall adopt the rules required by Chapter 325, Health and Safety Code, as added by this Act. (b) Not later than December 31, 2009, the Department of State Health Services shall prescribe the form required under Section 325.003, Health and Safety Code, as added by this Act, and establish the registry required by Section 325.004, Health and Safety Code, as added by this Act. SECTION 3. Notwithstanding Chapter 325, Health and Safety Code, as added by this Act, a licensed practitioner or health care facility is not required to submit the notification required by Section 325.003, Health and Safety Code, as added by this Act, before January 1, 2010. SECTION 4. This Act takes effect September 1, 2009.