1 | 1 | | 81R1160 UM-D |
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2 | 2 | | By: Zaffirini S.B. No. 35 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to mortality review for certain individuals who are |
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8 | 8 | | developmentally disabled. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Chapter 161, Human Resources Code, is amended by |
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11 | 11 | | adding Subchapter F to read as follows: |
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12 | 12 | | SUBCHAPTER F. MORTALITY REVIEW FOR CERTAIN INDIVIDUALS WHO ARE |
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13 | 13 | | DEVELOPMENTALLY DISABLED |
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14 | 14 | | Sec. 161.201. DEFINITION. In this subchapter, "health care |
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15 | 15 | | provider" means an individual or facility licensed, certified, or |
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16 | 16 | | otherwise authorized to administer health or mental health care, |
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17 | 17 | | for profit or otherwise, in the ordinary course of business or |
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18 | 18 | | professional practice. |
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19 | 19 | | Sec. 161.202. APPLICABILITY. This subchapter applies to |
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20 | 20 | | the death of a person with a developmental disability who, at the |
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21 | 21 | | time of the person's death, resided in or received services from a |
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22 | 22 | | facility or agency operated or licensed by the department. |
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23 | 23 | | Sec. 161.203. MORTALITY REVIEW TEAMS. (a) The department |
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24 | 24 | | shall establish a regional mortality review team in each local |
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25 | 25 | | mental retardation authority service area. |
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26 | 26 | | (b) The executive commissioner shall appoint to each |
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27 | 27 | | mortality review team at least three individuals, including a |
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28 | 28 | | physician or registered nurse with expertise regarding the medical |
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29 | 29 | | treatment of individuals with developmental disabilities. The |
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30 | 30 | | review team may also include: |
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31 | 31 | | (1) a representative of a state school in the |
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32 | 32 | | mortality review team's service area; |
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33 | 33 | | (2) a representative of the local mental retardation |
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34 | 34 | | authority; |
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35 | 35 | | (3) an educator with experience working with |
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36 | 36 | | individuals with developmental disabilities; or |
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37 | 37 | | (4) other community representatives with relevant |
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38 | 38 | | experience working with individuals with developmental |
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39 | 39 | | disabilities. |
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40 | 40 | | (c) The members of a mortality review team shall select a |
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41 | 41 | | presiding officer for the mortality review team. |
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42 | 42 | | (d) Members serve for staggered terms of three years, with |
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43 | 43 | | the term of one member expiring February 1 each year. |
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44 | 44 | | (e) An appointment to a vacancy on the mortality review team |
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45 | 45 | | shall be made in the same manner as the original appointment. A |
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46 | 46 | | member is eligible for reappointment. |
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47 | 47 | | (f) A member of a mortality review team is not entitled to |
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48 | 48 | | compensation for serving on the team but is entitled to |
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49 | 49 | | reimbursement for the member's travel expenses as provided in the |
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50 | 50 | | General Appropriations Act. Reimbursement under this subsection |
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51 | 51 | | shall be paid from funds appropriated to the department for that |
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52 | 52 | | purpose. |
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53 | 53 | | Sec. 161.204. POWERS AND DUTIES OF MORTALITY REVIEW TEAM. |
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54 | 54 | | (a) A mortality review team may conduct a meeting by telephone |
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55 | 55 | | conference call or other electronic medium. |
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56 | 56 | | (b) Meetings of a mortality review team are closed to the |
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57 | 57 | | public and are not subject to Chapter 551, Government Code. |
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58 | 58 | | (c) Each mortality review team shall initially review and |
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59 | 59 | | investigate the circumstances and causes of each death in the |
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60 | 60 | | mortality review team's service area of a person to whom this |
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61 | 61 | | subchapter applies to determine whether further review regarding |
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62 | 62 | | that death is necessary. |
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63 | 63 | | (d) The mortality review team shall complete an in-depth |
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64 | 64 | | review regarding the death of the person if the mortality review |
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65 | 65 | | team finds, after an initial review, that the death of the person: |
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66 | 66 | | (1) is unexpected or the result of an accident; or |
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67 | 67 | | (2) involves suspicious circumstances that may |
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68 | 68 | | indicate possible abuse or neglect. |
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69 | 69 | | Sec. 161.205. ACCESS TO INFORMATION. (a) A mortality |
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70 | 70 | | review team may request information and records regarding a |
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71 | 71 | | deceased person as necessary to carry out the mortality review |
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72 | 72 | | team's duties. Records and information that may be requested under |
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73 | 73 | | this section include: |
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74 | 74 | | (1) medical, dental, and mental health care |
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75 | 75 | | information; and |
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76 | 76 | | (2) information and records maintained by any state or |
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77 | 77 | | local government agency, including: |
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78 | 78 | | (A) a birth certificate; |
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79 | 79 | | (B) law enforcement investigative data; |
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80 | 80 | | (C) medical examiner investigative data; |
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81 | 81 | | (D) juvenile court records; |
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82 | 82 | | (E) parole and probation information and |
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83 | 83 | | records; and |
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84 | 84 | | (F) adult or child protective services |
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85 | 85 | | information and records. |
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86 | 86 | | (b) On request of the presiding officer of a review team, |
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87 | 87 | | the custodian of the relevant information and records relating to a |
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88 | 88 | | deceased person shall provide those records to the mortality review |
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89 | 89 | | team at no charge. |
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90 | 90 | | Sec. 161.206. MORTALITY REVIEW REPORT. (a) The mortality |
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91 | 91 | | review team shall submit a written report to the department |
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92 | 92 | | regarding the findings of the mortality review team for each review |
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93 | 93 | | and in-depth review of the death of a person to whom this subchapter |
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94 | 94 | | applies. |
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95 | 95 | | (b) The mortality review team may include suggestions for |
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96 | 96 | | improving statewide practices relating to the care and treatment of |
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97 | 97 | | individuals with developmental disabilities in the report. |
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98 | 98 | | Sec. 161.207. USE AND PUBLICATION RESTRICTIONS; |
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99 | 99 | | CONFIDENTIALITY. (a) The department or mortality review team may |
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100 | 100 | | use or publish information under this subchapter only to advance |
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101 | 101 | | statewide practices regarding the treatment and care of individuals |
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102 | 102 | | with mental, physical, or developmental disabilities. A summary of |
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103 | 103 | | the data in mortality review team reports or statistical |
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104 | 104 | | compilation of data reports may be released by the department for |
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105 | 105 | | general publication, if the summary or statistical compilation does |
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106 | 106 | | not contain any information that would permit the identification of |
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107 | 107 | | an individual. |
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108 | 108 | | (b) Information and records acquired by a mortality review |
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109 | 109 | | team in the exercise of its duties under this subchapter are |
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110 | 110 | | confidential and exempt from disclosure under the open records law, |
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111 | 111 | | Chapter 552, Government Code, and may only be disclosed as |
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112 | 112 | | necessary to carry out the mortality review team's duties. |
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113 | 113 | | (c) The identity of a person whose death was reviewed in |
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114 | 114 | | accordance with this subchapter is confidential and may not be |
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115 | 115 | | revealed. |
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116 | 116 | | (d) The identity of a health care provider or the name of a |
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117 | 117 | | facility or agency that provided services to or was the residence of |
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118 | 118 | | a person whose death was reviewed in accordance with this |
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119 | 119 | | subchapter is confidential and may not be revealed. |
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120 | 120 | | (e) Reports, information, statements, memoranda, and other |
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121 | 121 | | information furnished under this subchapter and any findings or |
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122 | 122 | | conclusions resulting from a review by a mortality review team are |
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123 | 123 | | privileged. |
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124 | 124 | | Sec. 161.208. LIMITATION ON LIABILITY. (a) A health care |
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125 | 125 | | provider or other person is not civilly or criminally liable for |
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126 | 126 | | furnishing information to the department for use by a mortality |
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127 | 127 | | review team unless the person acted in bad faith or knowingly |
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128 | 128 | | provided false information to the department. |
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129 | 129 | | (b) A member of a mortality review team is not liable for |
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130 | 130 | | damages to a person for a report or recommendation made by the |
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131 | 131 | | mortality review team if the member acts in good faith and in the |
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132 | 132 | | reasonable belief that the report is accurate and the |
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133 | 133 | | recommendation is warranted by the facts known to the mortality |
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134 | 134 | | review team. |
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135 | 135 | | SECTION 2. If, before implementing any provision of this |
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136 | 136 | | Act, a state agency determines that a waiver or authorization from a |
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137 | 137 | | federal agency is necessary for implementation of that provision, |
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138 | 138 | | the agency affected by the provision shall request the waiver or |
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139 | 139 | | authorization and may delay implementing that provision until the |
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140 | 140 | | waiver or authorization is granted. |
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141 | 141 | | SECTION 3. This Act takes effect September 1, 2009. |
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