83R3419 AED-D By: Villarreal H.B. No. 868 A BILL TO BE ENTITLED AN ACT relating to exceptions to mental health information disclosure prohibitions. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 611.001, Health and Safety Code, is amended by adding Subdivision (3) to read as follows: (3) "Mental health services provider" means an unlicensed individual who performs mental health services for a patient, including evaluation and coordination of services. SECTION 2. Section 611.004, Health and Safety Code, is amended by amending Subsection (a) and adding Subsection (e) to read as follows: (a) A professional may disclose confidential information only: (1) to a governmental agency if the disclosure is required or authorized by law; (2) to medical personnel, mental health services providers, or law enforcement personnel if the professional determines that there is a probability of imminent physical injury by the patient to the patient or others or there is a probability of immediate mental or emotional injury to the patient; (3) to qualified personnel for management audits, financial audits, program evaluations, or research, in accordance with Subsection (b); (4) to a person who has the written consent of the patient, or a parent if the patient is a minor, or a guardian if the patient has been adjudicated as incompetent to manage the patient's personal affairs; (5) to the patient's personal representative if the patient is deceased; (6) to individuals, corporations, or governmental agencies involved in paying or collecting fees for mental or emotional health services provided by a professional; (7) to other professionals and personnel under the professionals' direction who participate in the diagnosis, evaluation, or treatment of the patient; (8) in an official legislative inquiry relating to a state hospital or state school as provided by Subsection (c); (9) to designated persons or personnel of a correctional facility in which a person is detained if the disclosure is for the sole purpose of providing treatment and health care to the person in custody; (10) to an employee or agent of the professional who requires mental health care information to provide mental health care services or in complying with statutory, licensing, or accreditation requirements, if the professional has taken appropriate action to ensure that the employee or agent: (A) will not use or disclose the information for any other purposes; and (B) will take appropriate steps to protect the information; [or] (11) to satisfy a request for medical records of a deceased or incompetent person pursuant to Section 74.051(e), Civil Practice and Remedies Code; (12) to a mental health services provider if: (A) the information is nonmedical demographic information about a patient, including address, name, or phone number; and (B) the professional determines that the information is necessary for the mental health services provider to coordinate the provision of services to the patient; or (13) to a person who is considered by the professional as willing and capable of contributing substantially to the patient's recovery, if the professional determines that disclosing the information will assist the person in making that contribution. (e) A person described by Subsection (a)(2) who receives confidential information under that subsection is immune from civil or criminal liability from an action taken based on the information received if the action is taken in good faith. If the person is a professional or a mental health services provider and the patient continues to receive regular treatment or services from the person, the person must attempt to obtain accurate medical or mental health records regarding the patient as necessary to provide treatment or services. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2013.