Texas 2017 - 85th Regular

Texas House Bill HB2962 Compare Versions

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1-85R18804 SCL-F
2- By: Capriglione, Sheffield, Springer, et al. H.B. No. 2962
3- Substitute the following for H.B. No. 2962:
4- By: Smithee C.S.H.B. No. 2962
1+By: Capriglione, et al. (Senate Sponsor - Campbell) H.B. No. 2962
2+ (In the Senate - Received from the House May 15, 2017;
3+ May 16, 2017, read first time and referred to Committee on Health &
4+ Human Services; May 19, 2017, reported favorably by the following
5+ vote: Yeas 5, Nays 3; May 19, 2017, sent to printer.)
6+Click here to see the committee vote
57
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79 A BILL TO BE ENTITLED
810 AN ACT
9- relating to reporting requirements by certain health care
10- facilities for abortion complications; authorizing a civil
11+ relating to reporting requirements by certain physicians and health
12+ care facilities for abortion complications; authorizing a civil
1113 penalty.
1214 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1315 SECTION 1. Subchapter A, Chapter 171, Health and Safety
1416 Code, is amended by adding Section 171.006 to read as follows:
1517 Sec. 171.006. ABORTION COMPLICATION REPORTING
1618 REQUIREMENTS; CIVIL PENALTY. (a) In this section "abortion
1719 complication" means any harmful event or adverse outcome with
1820 respect to a patient related to an abortion that is performed on the
1921 patient and that is diagnosed or treated by a health care
2022 practitioner or at a health care facility and includes:
2123 (1) shock;
2224 (2) uterine perforation;
2325 (3) cervical laceration;
2426 (4) hemorrhage;
2527 (5) aspiration or allergic response;
2628 (6) infection;
2729 (7) sepsis;
2830 (8) death of the patient;
2931 (9) incomplete abortion;
3032 (10) damage to the uterus; or
3133 (11) an infant born alive after the abortion.
32- (b) The reporting requirements of this section apply only to
33- a health care facility that is a hospital, abortion facility,
34- freestanding emergency medical care facility, or health care
35- facility that provides emergency medical care, as defined by
36- Section 773.003.
37- (c) Each facility described by Subsection (b) shall submit
34+ (b) The reporting requirements of this section apply only
35+ to:
36+ (1) a physician who performs an abortion at an
37+ abortion facility if the abortion results in an abortion
38+ complication that is diagnosed or treated by that physician or at
39+ the abortion facility; or
40+ (2) a health care facility that is a hospital,
41+ abortion facility, freestanding emergency medical care facility,
42+ or health care facility that provides emergency medical care, as
43+ defined by Section 773.003.
44+ (c) A physician described by Subsection (b)(1) shall submit
3845 to the department in the form and manner prescribed by department
39- rule a quarterly report on each abortion complication diagnosed or
40- treated at the facility.
46+ rule a report on each abortion complication diagnosed or treated by
47+ that physician or at the abortion facility not later than 72 hours
48+ after the complication is diagnosed or treated. Each facility
49+ described by Subsection (b)(2) shall electronically submit to the
50+ department in the form and manner prescribed by department rule a
51+ report on each abortion complication diagnosed or treated at the
52+ facility not later than the 30th day after the date on which the
53+ complication is diagnosed or treatment is provided for the
54+ complication.
4155 (d) The department shall develop a form for reporting an
4256 abortion complication under Subsection (c) and publish the form on
43- the department's Internet website.
57+ the department's Internet website. The executive commissioner by
58+ rule may adopt procedures to reduce duplication in reporting under
59+ this section.
4460 (e) A report under this section may not identify by any
45- means the physician performing an abortion or the patient.
46- (f) A report under this section must identify the name and
47- type of facility submitting the report and must include, if known,
48- for each abortion complication:
61+ means the physician performing an abortion, other than a physician
62+ described by Subsection (b)(1), or the patient.
63+ (f) A report under this section must identify the name of
64+ the physician submitting the report or the name and type of facility
65+ submitting the report and must include, if known, for each abortion
66+ complication:
4967 (1) the date of the abortion that caused or may have
5068 caused the complication;
5169 (2) the type of abortion that caused or may have caused
5270 the complication;
5371 (3) the gestational age of the fetus when the abortion
5472 was performed;
5573 (4) the name and type of the facility in which the
5674 abortion was performed;
5775 (5) the date the complication was diagnosed or
5876 treated;
5977 (6) the name and type of any facility other than the
6078 reporting facility in which the complication was diagnosed or
6179 treated;
6280 (7) a description of the complication;
63- (8) the number of previous live births of the patient;
64- and
65- (9) the number of previous induced abortions of the
81+ (8) the patient's year of birth, race, marital status,
82+ and state and county of residence;
83+ (9) the date of the first day of the patient's last
84+ menstrual period that occurred before the date of the abortion that
85+ caused or may have caused the complication;
86+ (10) the number of previous live births of the
87+ patient; and
88+ (11) the number of previous induced abortions of the
6689 patient.
6790 (g) Except as provided by Section 245.023, all information
6891 and records held by the department under this section are
6992 confidential and are not open records for the purposes of Chapter
7093 552, Government Code. That information may not be released or made
7194 public on subpoena or otherwise, except that release may be made:
7295 (1) for statistical purposes, but only if a person,
7396 patient, or facility is not identified;
7497 (2) with the consent of each person, patient, and
7598 facility identified in the information released;
7699 (3) to medical personnel, appropriate state agencies,
77100 or county and district courts to enforce this chapter; or
78101 (4) to appropriate state licensing boards to enforce
79102 state licensing laws.
80103 (h) A report submitted under this section must meet the
81104 federal reporting requirements that mandate the most specific,
82105 accurate, and complete coding and reporting for the highest level
83106 of specificity.
84107 (i) The department shall develop and publish on the
85108 department's Internet website an annual report that aggregates on a
86109 statewide basis each abortion complication required to be reported
87110 under Subsection (f) for the previous calendar year.
88- (j) A facility that violates this section is subject to a
89- civil penalty of $500 for each violation. The attorney general, at
90- the request of the department, may file an action to recover a civil
91- penalty assessed under this subsection and may recover attorney's
92- fees and costs incurred in bringing the action. Each day of a
93- continuing violation constitutes a separate ground for recovery.
111+ (j) A physician described by Subsection (b)(1) or facility
112+ that violates this section is subject to a civil penalty of $500 for
113+ each violation. The attorney general, at the request of the
114+ department or appropriate licensing agency, may file an action to
115+ recover a civil penalty assessed under this subsection and may
116+ recover attorney's fees and costs incurred in bringing the action.
117+ Each day of a continuing violation constitutes a separate ground
118+ for recovery.
94119 (k) The third separate violation of this section
95- constitutes cause for the revocation or suspension of a facility's
96- license, permit, registration, certificate, or other authority or
97- for other disciplinary action against the facility by the
98- department.
120+ constitutes cause for the revocation or suspension of a physician's
121+ or facility's license, permit, registration, certificate, or other
122+ authority or for other disciplinary action against the physician or
123+ facility by the appropriate licensing agency.
124+ (l) The department shall notify the Texas Medical Board of
125+ any violations of this section by a physician.
99126 SECTION 2. Not later than January 1, 2018:
100127 (1) the Department of State Health Services shall
101128 develop the forms required by Section 171.006, Health and Safety
102129 Code, as added by this Act; and
103130 (2) the executive commissioner of the Health and Human
104131 Services Commission shall adopt the rules necessary to implement
105132 Section 171.006, Health and Safety Code, as added by this Act.
106- SECTION 3. This Act takes effect September 1, 2017.
133+ SECTION 3. The Department of State Health Services shall
134+ establish an electronic reporting system for purposes of Section
135+ 171.006, Health and Safety Code, as added by this Act, as soon as
136+ practicable after the effective date of this Act.
137+ SECTION 4. This Act takes effect September 1, 2017.
138+ * * * * *