1 | | - | 85R18804 SCL-F |
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2 | | - | By: Capriglione, Sheffield, Springer, et al. H.B. No. 2962 |
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3 | | - | Substitute the following for H.B. No. 2962: |
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4 | | - | By: Smithee C.S.H.B. No. 2962 |
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| 1 | + | By: Capriglione, et al. (Senate Sponsor - Campbell) H.B. No. 2962 |
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| 2 | + | (In the Senate - Received from the House May 15, 2017; |
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| 3 | + | May 16, 2017, read first time and referred to Committee on Health & |
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| 4 | + | Human Services; May 19, 2017, reported favorably by the following |
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| 5 | + | vote: Yeas 5, Nays 3; May 19, 2017, sent to printer.) |
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| 6 | + | Click here to see the committee vote |
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11 | 13 | | penalty. |
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12 | 14 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 15 | | SECTION 1. Subchapter A, Chapter 171, Health and Safety |
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14 | 16 | | Code, is amended by adding Section 171.006 to read as follows: |
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15 | 17 | | Sec. 171.006. ABORTION COMPLICATION REPORTING |
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16 | 18 | | REQUIREMENTS; CIVIL PENALTY. (a) In this section "abortion |
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17 | 19 | | complication" means any harmful event or adverse outcome with |
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18 | 20 | | respect to a patient related to an abortion that is performed on the |
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19 | 21 | | patient and that is diagnosed or treated by a health care |
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20 | 22 | | practitioner or at a health care facility and includes: |
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21 | 23 | | (1) shock; |
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22 | 24 | | (2) uterine perforation; |
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23 | 25 | | (3) cervical laceration; |
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24 | 26 | | (4) hemorrhage; |
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25 | 27 | | (5) aspiration or allergic response; |
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26 | 28 | | (6) infection; |
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27 | 29 | | (7) sepsis; |
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28 | 30 | | (8) death of the patient; |
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29 | 31 | | (9) incomplete abortion; |
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30 | 32 | | (10) damage to the uterus; or |
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31 | 33 | | (11) an infant born alive after the abortion. |
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32 | | - | (b) The reporting requirements of this section apply only to |
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33 | | - | a health care facility that is a hospital, abortion facility, |
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34 | | - | freestanding emergency medical care facility, or health care |
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35 | | - | facility that provides emergency medical care, as defined by |
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36 | | - | Section 773.003. |
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37 | | - | (c) Each facility described by Subsection (b) shall submit |
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| 34 | + | (b) The reporting requirements of this section apply only |
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| 35 | + | to: |
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| 36 | + | (1) a physician who performs an abortion at an |
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| 37 | + | abortion facility if the abortion results in an abortion |
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| 38 | + | complication that is diagnosed or treated by that physician or at |
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| 39 | + | the abortion facility; or |
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| 40 | + | (2) a health care facility that is a hospital, |
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| 41 | + | abortion facility, freestanding emergency medical care facility, |
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| 42 | + | or health care facility that provides emergency medical care, as |
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| 43 | + | defined by Section 773.003. |
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| 44 | + | (c) A physician described by Subsection (b)(1) shall submit |
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39 | | - | rule a quarterly report on each abortion complication diagnosed or |
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40 | | - | treated at the facility. |
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| 46 | + | rule a report on each abortion complication diagnosed or treated by |
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| 47 | + | that physician or at the abortion facility not later than 72 hours |
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| 48 | + | after the complication is diagnosed or treated. Each facility |
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| 49 | + | described by Subsection (b)(2) shall electronically submit to the |
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| 50 | + | department in the form and manner prescribed by department rule a |
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| 51 | + | report on each abortion complication diagnosed or treated at the |
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| 52 | + | facility not later than the 30th day after the date on which the |
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| 53 | + | complication is diagnosed or treatment is provided for the |
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| 54 | + | complication. |
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45 | | - | means the physician performing an abortion or the patient. |
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46 | | - | (f) A report under this section must identify the name and |
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47 | | - | type of facility submitting the report and must include, if known, |
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48 | | - | for each abortion complication: |
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| 61 | + | means the physician performing an abortion, other than a physician |
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| 62 | + | described by Subsection (b)(1), or the patient. |
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| 63 | + | (f) A report under this section must identify the name of |
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| 64 | + | the physician submitting the report or the name and type of facility |
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| 65 | + | submitting the report and must include, if known, for each abortion |
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| 66 | + | complication: |
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49 | 67 | | (1) the date of the abortion that caused or may have |
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50 | 68 | | caused the complication; |
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51 | 69 | | (2) the type of abortion that caused or may have caused |
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52 | 70 | | the complication; |
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53 | 71 | | (3) the gestational age of the fetus when the abortion |
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54 | 72 | | was performed; |
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55 | 73 | | (4) the name and type of the facility in which the |
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56 | 74 | | abortion was performed; |
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57 | 75 | | (5) the date the complication was diagnosed or |
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58 | 76 | | treated; |
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59 | 77 | | (6) the name and type of any facility other than the |
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60 | 78 | | reporting facility in which the complication was diagnosed or |
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61 | 79 | | treated; |
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62 | 80 | | (7) a description of the complication; |
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63 | | - | (8) the number of previous live births of the patient; |
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64 | | - | and |
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65 | | - | (9) the number of previous induced abortions of the |
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| 81 | + | (8) the patient's year of birth, race, marital status, |
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| 82 | + | and state and county of residence; |
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| 83 | + | (9) the date of the first day of the patient's last |
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| 84 | + | menstrual period that occurred before the date of the abortion that |
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| 85 | + | caused or may have caused the complication; |
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| 86 | + | (10) the number of previous live births of the |
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| 87 | + | patient; and |
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| 88 | + | (11) the number of previous induced abortions of the |
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66 | 89 | | patient. |
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67 | 90 | | (g) Except as provided by Section 245.023, all information |
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68 | 91 | | and records held by the department under this section are |
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69 | 92 | | confidential and are not open records for the purposes of Chapter |
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70 | 93 | | 552, Government Code. That information may not be released or made |
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71 | 94 | | public on subpoena or otherwise, except that release may be made: |
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72 | 95 | | (1) for statistical purposes, but only if a person, |
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73 | 96 | | patient, or facility is not identified; |
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74 | 97 | | (2) with the consent of each person, patient, and |
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75 | 98 | | facility identified in the information released; |
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76 | 99 | | (3) to medical personnel, appropriate state agencies, |
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77 | 100 | | or county and district courts to enforce this chapter; or |
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78 | 101 | | (4) to appropriate state licensing boards to enforce |
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79 | 102 | | state licensing laws. |
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80 | 103 | | (h) A report submitted under this section must meet the |
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81 | 104 | | federal reporting requirements that mandate the most specific, |
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82 | 105 | | accurate, and complete coding and reporting for the highest level |
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83 | 106 | | of specificity. |
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84 | 107 | | (i) The department shall develop and publish on the |
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85 | 108 | | department's Internet website an annual report that aggregates on a |
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86 | 109 | | statewide basis each abortion complication required to be reported |
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87 | 110 | | under Subsection (f) for the previous calendar year. |
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88 | | - | (j) A facility that violates this section is subject to a |
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89 | | - | civil penalty of $500 for each violation. The attorney general, at |
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90 | | - | the request of the department, may file an action to recover a civil |
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91 | | - | penalty assessed under this subsection and may recover attorney's |
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92 | | - | fees and costs incurred in bringing the action. Each day of a |
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93 | | - | continuing violation constitutes a separate ground for recovery. |
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| 111 | + | (j) A physician described by Subsection (b)(1) or facility |
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| 112 | + | that violates this section is subject to a civil penalty of $500 for |
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| 113 | + | each violation. The attorney general, at the request of the |
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| 114 | + | department or appropriate licensing agency, may file an action to |
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| 115 | + | recover a civil penalty assessed under this subsection and may |
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| 116 | + | recover attorney's fees and costs incurred in bringing the action. |
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| 117 | + | Each day of a continuing violation constitutes a separate ground |
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| 118 | + | for recovery. |
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95 | | - | constitutes cause for the revocation or suspension of a facility's |
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96 | | - | license, permit, registration, certificate, or other authority or |
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97 | | - | for other disciplinary action against the facility by the |
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98 | | - | department. |
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| 120 | + | constitutes cause for the revocation or suspension of a physician's |
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| 121 | + | or facility's license, permit, registration, certificate, or other |
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| 122 | + | authority or for other disciplinary action against the physician or |
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| 123 | + | facility by the appropriate licensing agency. |
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| 124 | + | (l) The department shall notify the Texas Medical Board of |
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| 125 | + | any violations of this section by a physician. |
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99 | 126 | | SECTION 2. Not later than January 1, 2018: |
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100 | 127 | | (1) the Department of State Health Services shall |
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101 | 128 | | develop the forms required by Section 171.006, Health and Safety |
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102 | 129 | | Code, as added by this Act; and |
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103 | 130 | | (2) the executive commissioner of the Health and Human |
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104 | 131 | | Services Commission shall adopt the rules necessary to implement |
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105 | 132 | | Section 171.006, Health and Safety Code, as added by this Act. |
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106 | | - | SECTION 3. This Act takes effect September 1, 2017. |
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| 133 | + | SECTION 3. The Department of State Health Services shall |
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| 134 | + | establish an electronic reporting system for purposes of Section |
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| 135 | + | 171.006, Health and Safety Code, as added by this Act, as soon as |
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| 136 | + | practicable after the effective date of this Act. |
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| 137 | + | SECTION 4. This Act takes effect September 1, 2017. |
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| 138 | + | * * * * * |
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