1 | 1 | | 85R3962 EES-D |
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2 | 2 | | By: Zedler H.B. No. 1399 |
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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 the release of confidential physician-patient |
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8 | 8 | | communications to the Texas Medical Board. |
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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. Section 159.003, Occupations Code, is amended by |
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11 | 11 | | amending Subsection (a) and adding Subsection (d) to read as |
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12 | 12 | | follows: |
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13 | 13 | | (a) Subject to Subsection (d), an [An] exception to the |
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14 | 14 | | privilege of confidentiality in a court or administrative |
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15 | 15 | | proceeding exists: |
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16 | 16 | | (1) in a proceeding brought by a patient against a |
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17 | 17 | | physician, including: |
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18 | 18 | | (A) a malpractice proceeding; or |
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19 | 19 | | (B) a criminal proceeding or license revocation |
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20 | 20 | | proceeding in which the patient is a complaining witness and |
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21 | 21 | | disclosure is relevant to a claim or defense of the physician; |
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22 | 22 | | (2) if the patient or a person authorized to act on the |
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23 | 23 | | patient's behalf submits a written consent to the release of |
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24 | 24 | | confidential information as provided by Section 159.005; |
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25 | 25 | | (3) in a proceeding to substantiate and collect on a |
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26 | 26 | | claim for medical services provided to the patient; |
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27 | 27 | | (4) in a civil action or administrative proceeding, if |
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28 | 28 | | relevant, brought by the patient or a person on the patient's |
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29 | 29 | | behalf, if the patient or person is attempting to recover monetary |
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30 | 30 | | damages for a physical or mental condition including the patient's |
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31 | 31 | | death; |
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32 | 32 | | (5) in a disciplinary [investigation or] proceeding |
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33 | 33 | | conducted under this subtitle, if the board protects the identity |
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34 | 34 | | of any patient whose billing or medical records are examined other |
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35 | 35 | | than a patient: |
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36 | 36 | | (A) for whom an exception exists under |
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37 | 37 | | Subdivision (1); or |
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38 | 38 | | (B) who has submitted written consent to the |
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39 | 39 | | release of the billing or medical records as provided by Section |
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40 | 40 | | 159.005; |
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41 | 41 | | (6) in a criminal investigation of a physician in |
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42 | 42 | | which the board is participating, or assisting in the investigation |
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43 | 43 | | or proceeding by providing certain billing or medical records |
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44 | 44 | | obtained from the physician, if the board protects the identity of a |
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45 | 45 | | patient whose billing or medical records are provided in the |
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46 | 46 | | investigation or proceeding other than a patient: |
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47 | 47 | | (A) for whom an exception exists under |
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48 | 48 | | Subdivision (1); or |
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49 | 49 | | (B) who has submitted written consent to the |
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50 | 50 | | release of the billing or medical records as provided by Section |
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51 | 51 | | 159.005; |
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52 | 52 | | (7) in an involuntary civil commitment proceeding, |
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53 | 53 | | proceeding for court-ordered treatment, or probable cause hearing |
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54 | 54 | | under Chapter 462, 574, or 593, Health and Safety Code; |
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55 | 55 | | (8) if the patient's physical or mental condition is |
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56 | 56 | | relevant to the execution of a will; |
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57 | 57 | | (9) if the information is relevant to a proceeding |
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58 | 58 | | brought under Section 159.009; |
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59 | 59 | | (10) in a criminal prosecution in which the patient is |
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60 | 60 | | a victim, witness, or defendant; |
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61 | 61 | | (11) to satisfy a request for billing or medical |
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62 | 62 | | records of a deceased or incompetent person under Section |
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63 | 63 | | 74.051(e), Civil Practice and Remedies Code; or |
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64 | 64 | | (12) to a court or a party to an action under a court |
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65 | 65 | | order. |
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66 | 66 | | (d) A communication or record that is confidential and |
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67 | 67 | | privileged under Section 159.002 may not be disclosed or released |
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68 | 68 | | to the board for use in an investigation conducted under this |
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69 | 69 | | subtitle unless: |
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70 | 70 | | (1) the patient or a person authorized to act on the |
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71 | 71 | | patient's behalf submits a written consent to the release of the |
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72 | 72 | | information as provided by Section 159.005; or |
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73 | 73 | | (2) a court orders release of the information to the |
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74 | 74 | | board for the purpose of conducting the investigation. |
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75 | 75 | | SECTION 2. The change in law made by this Act to Section |
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76 | 76 | | 159.003, Occupations Code, applies only to the disclosure or |
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77 | 77 | | release of information to the Texas Medical Board on or after the |
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78 | 78 | | effective date of this Act. The disclosure or release of |
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79 | 79 | | information to the Texas Medical Board before that date is governed |
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80 | 80 | | by the law in effect on the date of the disclosure or release, and |
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81 | 81 | | the former law is continued in effect for that purpose. |
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82 | 82 | | SECTION 3. This Act takes effect September 1, 2017. |
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