1 | 1 | | By: Hancock, et al. S.B. No. 10 |
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2 | 2 | | (In the Senate - Filed February 13, 2017; February 14, 2017, |
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3 | 3 | | read first time and referred to Committee on Business & Commerce; |
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4 | 4 | | April 24, 2017, reported adversely, with favorable Committee |
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5 | 5 | | Substitute by the following vote: Yeas 7, Nays 2; April 24, 2017, |
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6 | 6 | | sent to printer.) |
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7 | 7 | | Click here to see the committee vote |
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8 | 8 | | COMMITTEE SUBSTITUTE FOR S.B. No. 10 By: Hancock |
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9 | 9 | | |
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10 | 10 | | |
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11 | 11 | | A BILL TO BE ENTITLED |
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12 | 12 | | AN ACT |
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13 | 13 | | relating to actions on and liability associated with certain |
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14 | 14 | | insurance claims. |
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15 | 15 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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16 | 16 | | SECTION 1. Section 541.156(a), Insurance Code, is amended |
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17 | 17 | | to read as follows: |
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18 | 18 | | (a) A person who receives notice provided under Section |
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19 | 19 | | 541.154 or 542A.003 may make a settlement offer during a period |
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20 | 20 | | beginning on the date notice under Section 541.154 or 542A.003 is |
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21 | 21 | | received and ending on the 60th day after that date. |
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22 | 22 | | SECTION 2. Section 542.060, Insurance Code, is amended by |
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23 | 23 | | amending Subsection (a) and adding Subsection (c) to read as |
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24 | 24 | | follows: |
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25 | 25 | | (a) Except as provided by Subsection (c), if [If] an insurer |
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26 | 26 | | that is liable for a claim under an insurance policy is not in |
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27 | 27 | | compliance with this subchapter, the insurer is liable to pay the |
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28 | 28 | | holder of the policy or the beneficiary making the claim under the |
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29 | 29 | | policy, in addition to the amount of the claim, interest on the |
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30 | 30 | | amount of the claim at the rate of 18 percent a year as damages, |
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31 | 31 | | together with reasonable and necessary attorney's fees. Nothing in |
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32 | 32 | | this subsection prevents the award of prejudgment interest on the |
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33 | 33 | | amount of the claim, as provided by law. |
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34 | 34 | | (c) In an action to which Chapter 542A applies, if an |
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35 | 35 | | insurer that is liable for a claim under an insurance policy is not |
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36 | 36 | | in compliance with this subchapter, the insurer is liable to pay the |
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37 | 37 | | holder of the policy, in addition to the amount of the claim, simple |
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38 | 38 | | interest on the amount of the claim as damages each year at the rate |
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39 | 39 | | determined on the date of judgment by adding five percent to the |
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40 | 40 | | interest rate determined under Section 304.003, Finance Code, |
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41 | 41 | | together with reasonable and necessary attorney's fees. Nothing in |
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42 | 42 | | this subsection prevents the award of prejudgment interest on the |
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43 | 43 | | amount of the claim, as provided by law. Interest awarded under |
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44 | 44 | | this subsection as damages accrues beginning on the date the claim |
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45 | 45 | | was required to be paid. |
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46 | 46 | | SECTION 3. Subtitle C, Title 5, Insurance Code, is amended |
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47 | 47 | | by adding Chapter 542A to read as follows: |
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48 | 48 | | CHAPTER 542A. CERTAIN CONSUMER ACTIONS RELATED TO CLAIMS FOR |
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49 | 49 | | PROPERTY DAMAGE |
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50 | 50 | | Sec. 542A.001. DEFINITIONS. In this chapter: |
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51 | 51 | | (1) "Agent" means an employee, agent, representative, |
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52 | 52 | | or adjuster who performs any act on behalf of an insurer. |
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53 | 53 | | (2) "Claim" means a first-party claim that: |
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54 | 54 | | (A) is made by an insured under an insurance |
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55 | 55 | | policy providing coverage for real property or improvements to real |
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56 | 56 | | property; |
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57 | 57 | | (B) must be paid by the insurer directly to the |
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58 | 58 | | insured; and |
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59 | 59 | | (C) arises from damage to or loss of covered |
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60 | 60 | | property caused, wholly or partly, by forces of nature, including |
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61 | 61 | | an earthquake or earth tremor, a wildfire, a flood, a tornado, |
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62 | 62 | | lightning, a hurricane, hail, wind, a snowstorm, or a rainstorm. |
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63 | 63 | | (3) "Claimant" means a person making a claim. |
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64 | 64 | | (4) "Insurer" means a corporation, association, |
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65 | 65 | | partnership, or individual, other than the Texas Windstorm |
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66 | 66 | | Insurance Association, engaged as a principal in the business of |
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67 | 67 | | insurance and authorized or eligible to write property insurance in |
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68 | 68 | | this state, including: |
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69 | 69 | | (A) an insurance company; |
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70 | 70 | | (B) a reciprocal or interinsurance exchange; |
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71 | 71 | | (C) a mutual insurance company; |
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72 | 72 | | (D) a capital stock insurance company; |
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73 | 73 | | (E) a county mutual insurance company; |
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74 | 74 | | (F) a farm mutual insurance company; |
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75 | 75 | | (G) a Lloyd's plan; |
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76 | 76 | | (H) an eligible surplus lines insurer; or |
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77 | 77 | | (I) the FAIR Plan Association. |
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78 | 78 | | (5) "Person" means a corporation, association, |
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79 | 79 | | partnership, or other legal entity or individual. |
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80 | 80 | | Sec. 542A.002. APPLICABILITY OF CHAPTER. (a) Except as |
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81 | 81 | | provided by Subsection (b), this chapter applies to an action on a |
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82 | 82 | | claim against an insurer or agent, including: |
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83 | 83 | | (1) an action alleging a breach of contract; |
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84 | 84 | | (2) an action alleging negligence, misrepresentation, |
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85 | 85 | | fraud, or breach of a common law duty; or |
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86 | 86 | | (3) an action brought under: |
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87 | 87 | | (A) Subchapter D, Chapter 541; |
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88 | 88 | | (B) Subchapter B, Chapter 542; or |
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89 | 89 | | (C) Subchapter E, Chapter 17, Business & Commerce |
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90 | 90 | | Code. |
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91 | 91 | | (b) This chapter does not apply to an action against the |
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92 | 92 | | Texas Windstorm Insurance Association or to an action relating to |
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93 | 93 | | or arising from a policy ceded to an insurer by the Texas Windstorm |
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94 | 94 | | Insurance Association under Subchapter O, Chapter 2210. An action |
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95 | 95 | | against the Texas Windstorm Insurance Association or that relates |
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96 | 96 | | to or arises from a policy ceded to an insurer by the Texas |
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97 | 97 | | Windstorm Insurance Association under Subchapter O, Chapter 2210, |
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98 | 98 | | is governed by Chapter 2210. |
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99 | 99 | | Sec. 542A.003. NOTICE REQUIRED. (a) In addition to any |
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100 | 100 | | other notice required by law or the applicable insurance policy, |
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101 | 101 | | not later than the 61st day before the date a claimant files an |
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102 | 102 | | action to which this chapter applies in which the claimant seeks |
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103 | 103 | | damages from any person, the claimant must give written notice to |
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104 | 104 | | the person in accordance with this section as a prerequisite to |
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105 | 105 | | filing the action. |
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106 | 106 | | (b) The notice required under this section must provide: |
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107 | 107 | | (1) a statement of the acts or omissions giving rise to |
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108 | 108 | | the claim; |
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109 | 109 | | (2) the specific amount alleged to be owed by the |
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110 | 110 | | insurer on the claim for damage to or loss of covered property; and |
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111 | 111 | | (3) the amount of reasonable and necessary attorney's |
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112 | 112 | | fees incurred by the claimant, calculated by multiplying the number |
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113 | 113 | | of hours actually worked by the claimant's attorney, as of the date |
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114 | 114 | | the notice is given and as reflected in contemporaneously kept time |
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115 | 115 | | records, by an hourly rate that is customary for similar legal |
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116 | 116 | | services. |
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117 | 117 | | (c) If an attorney or other representative gives the notice |
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118 | 118 | | required under this section on behalf of a claimant, the attorney or |
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119 | 119 | | representative shall: |
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120 | 120 | | (1) provide a copy of the notice to the claimant; and |
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121 | 121 | | (2) include in the notice a statement that a copy of |
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122 | 122 | | the notice was provided to the claimant. |
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123 | 123 | | (d) A presuit notice under Subsection (a) is not required if |
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124 | 124 | | giving notice is impracticable because: |
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125 | 125 | | (1) the claimant has a reasonable basis for believing |
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126 | 126 | | there is insufficient time to give the presuit notice before the |
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127 | 127 | | limitations period will expire; or |
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128 | 128 | | (2) the action is asserted as a counterclaim. |
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129 | 129 | | (e) To ensure that a claimant is not prejudiced by having |
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130 | 130 | | given the presuit notice required by this chapter, a court shall |
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131 | 131 | | dismiss without prejudice an action relating to the claim for which |
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132 | 132 | | notice is given by the claimant and commenced: |
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133 | 133 | | (1) before the 61st day after the date the claimant |
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134 | 134 | | provides presuit notice under Subsection (a); |
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135 | 135 | | (2) by a person to whom presuit notice is given under |
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136 | 136 | | Subsection (a); and |
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137 | 137 | | (3) against the claimant giving the notice. |
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138 | 138 | | (f) A claimant who gives notice in accordance with this |
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139 | 139 | | chapter is not relieved of the obligation to give notice under any |
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140 | 140 | | other applicable law. Notice given under this chapter may be |
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141 | 141 | | combined with notice given under any other law. |
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142 | 142 | | (g) Notice given under this chapter is admissible in |
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143 | 143 | | evidence in a civil action or alternative dispute resolution |
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144 | 144 | | proceeding relating to the claim for which the notice is given. |
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145 | 145 | | (h) The giving of a notice under this chapter does not |
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146 | 146 | | provide a basis for limiting the evidence of attorney's fees, |
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147 | 147 | | damage, or loss a claimant may offer at trial. |
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148 | 148 | | Sec. 542A.004. INSPECTION. Once notice is given under |
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149 | 149 | | Section 542A.003(a), a person to whom notice is given may send a |
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150 | 150 | | written request to the claimant to inspect, photograph, or |
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151 | 151 | | evaluate, in a reasonable manner and at a reasonable time, the |
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152 | 152 | | property that is the subject of the claim. |
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153 | 153 | | Sec. 542A.005. ABATEMENT. (a) In addition to taking any |
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154 | 154 | | other act allowed by contract or by any other law, a person against |
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155 | 155 | | whom an action to which this chapter applies is pending may file a |
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156 | 156 | | plea in abatement not later than the 30th day after the date the |
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157 | 157 | | person files an original answer in the court in which the action is |
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158 | 158 | | pending if the person: |
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159 | 159 | | (1) did not receive a presuit notice complying with |
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160 | 160 | | Section 542A.003; or |
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161 | 161 | | (2) requested under Section 542A.004 but was not |
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162 | 162 | | provided a reasonable opportunity to inspect, photograph, or |
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163 | 163 | | evaluate the property that is the subject of the claim. |
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164 | 164 | | (b) The court shall abate the action if the court finds that |
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165 | 165 | | the person filing the plea in abatement: |
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166 | 166 | | (1) did not, for any reason, receive a presuit notice |
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167 | 167 | | complying with Section 542A.003; or |
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168 | 168 | | (2) requested under Section 542A.004 but was not |
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169 | 169 | | provided a reasonable opportunity to inspect, photograph, or |
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170 | 170 | | evaluate the property that is the subject of the claim. |
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171 | 171 | | (c) An action is automatically abated without a court order |
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172 | 172 | | beginning on the 11th day after the date a plea in abatement is |
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173 | 173 | | filed if the plea: |
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174 | 174 | | (1) is verified and alleges that the person against |
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175 | 175 | | whom the action is pending: |
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176 | 176 | | (A) did not receive a presuit notice complying |
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177 | 177 | | with Section 542A.003; or |
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178 | 178 | | (B) requested under Section 542A.004 but was not |
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179 | 179 | | provided a reasonable opportunity to inspect, photograph, or |
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180 | 180 | | evaluate the property that is the subject of the claim; and |
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181 | 181 | | (2) is not controverted by an affidavit filed by the |
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182 | 182 | | claimant before the 11th day after the date the plea in abatement is |
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183 | 183 | | filed. |
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184 | 184 | | (d) An affidavit described by Subsection (c)(2) |
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185 | 185 | | controverting whether the person against whom the action is pending |
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186 | 186 | | received a presuit notice complying with Section 542A.003 must: |
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187 | 187 | | (1) include as an attachment a copy of the document the |
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188 | 188 | | claimant sent to give notice of the claimant's action; and |
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189 | 189 | | (2) state the date on which the notice was given. |
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190 | 190 | | (e) An abatement under this section continues until the |
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191 | 191 | | later of: |
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192 | 192 | | (1) the 60th day after the date a notice complying with |
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193 | 193 | | Section 542A.003 is given; or |
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194 | 194 | | (2) the 15th day after the date of the requested |
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195 | 195 | | inspection, photographing, or evaluating of the property is |
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196 | 196 | | completed. |
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197 | 197 | | (f) If an action is abated under this section, a court may |
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198 | 198 | | not compel participation in an alternative dispute resolution |
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199 | 199 | | proceeding until after the abatement period provided by Subsection |
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200 | 200 | | (e) has expired. |
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201 | 201 | | Sec. 542A.006. ACTION AGAINST AGENT; INSURER ELECTION OF |
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202 | 202 | | LEGAL RESPONSIBILITY. (a) Except as provided by Subsection (h), |
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203 | 203 | | in an action to which this chapter applies, an insurer that is a |
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204 | 204 | | party to the action may elect to accept whatever liability an agent |
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205 | 205 | | might have to the claimant for the agent's acts or omissions related |
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206 | 206 | | to the claim by providing written notice to the claimant. |
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207 | 207 | | (b) If an insurer makes an election under Subsection (a) |
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208 | 208 | | before a claimant files an action to which this chapter applies, no |
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209 | 209 | | cause of action exists against the agent related to the claimant's |
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210 | 210 | | claim, and, if the claimant files an action against the agent, the |
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211 | 211 | | court shall dismiss that action with prejudice. |
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212 | 212 | | (c) If a claimant files an action to which this chapter |
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213 | 213 | | applies against an agent and the insurer thereafter makes an |
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214 | 214 | | election under Subsection (a) with respect to the agent, the court |
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215 | 215 | | shall dismiss the action against the agent with prejudice. |
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216 | 216 | | (d) If an insurer makes an election under Subsection (a) |
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217 | 217 | | but, after having been served with a notice of intent to take a |
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218 | 218 | | deposition of the agent who is the subject of the election, fails to |
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219 | 219 | | make that agent available at a reasonable time and place to give |
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220 | 220 | | deposition testimony, Sections 542A.007(a), (b), and (c) do not |
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221 | 221 | | apply to the action with respect to which the insurer made the |
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222 | 222 | | election unless the court finds that: |
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223 | 223 | | (1) it is impracticable for the insurer to make the |
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224 | 224 | | agent available due to a change in circumstances arising after the |
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225 | 225 | | insurer made the election under Subsection (a); |
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226 | 226 | | (2) the agent whose liability was assumed would not |
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227 | 227 | | have been a proper party to the action; or |
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228 | 228 | | (3) obtaining the agent's deposition testimony is not |
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229 | 229 | | warranted under the law. |
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230 | 230 | | (e) An insurer's election under Subsection (a) is |
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231 | 231 | | ineffective to obtain the dismissal of an action against an agent if |
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232 | 232 | | the insurer's election is conditioned in a way that will result in |
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233 | 233 | | the insurer avoiding liability for any claim-related damage caused |
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234 | 234 | | to the claimant by the agent's acts or omissions. |
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235 | 235 | | (f) An insurer may not revoke, and a court may not nullify, |
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236 | 236 | | an insurer's election under Subsection (a). |
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237 | 237 | | (g) If an insurer makes an election under Subsection (a) and |
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238 | 238 | | the agent is not a party to the action, evidence of the agent's acts |
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239 | 239 | | or omissions may be offered at trial and, if sufficient evidence |
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240 | 240 | | supports the submission, a jury may be asked to determine the |
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241 | 241 | | agent's responsibility for claim-related damage caused to the |
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242 | 242 | | claimant. To the extent there is a conflict between this subsection |
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243 | 243 | | and Chapter 33, Civil Practice and Remedies Code, this subsection |
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244 | 244 | | prevails. |
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245 | 245 | | (h) If an insurer is in receivership at the time the |
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246 | 246 | | claimant commences an action against the insurer, the insurer may |
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247 | 247 | | not make an election under Subsection (a), and the court shall |
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248 | 248 | | disregard any prior election made by the insurer relating to the |
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249 | 249 | | claimant's claim. |
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250 | 250 | | (i) In an action tried by a jury, an insurer's election |
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251 | 251 | | under Subsection (a) may not be made known to the jury. |
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252 | 252 | | Sec. 542A.007. AWARD OF ATTORNEY'S FEES. (a) Except as |
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253 | 253 | | otherwise provided by this section, the amount of attorney's fees |
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254 | 254 | | that may be awarded to a claimant in an action to which this chapter |
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255 | 255 | | applies is the lesser of: |
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256 | 256 | | (1) the amount of reasonable and necessary attorney's |
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257 | 257 | | fees supported at trial by sufficient evidence and determined by |
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258 | 258 | | the trier of fact to have been incurred by the claimant in bringing |
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259 | 259 | | the action; |
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260 | 260 | | (2) the amount of attorney's fees that may be awarded |
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261 | 261 | | to the claimant under other applicable law; or |
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262 | 262 | | (3) the amount calculated by: |
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263 | 263 | | (A) dividing the amount to be awarded in the |
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264 | 264 | | judgment to the claimant for the claimant's claim under the |
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265 | 265 | | insurance policy for damage to or loss of covered property by the |
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266 | 266 | | amount alleged to be owed on the claim for that damage or loss in a |
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267 | 267 | | notice given under this chapter; and |
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268 | 268 | | (B) multiplying the amount calculated under |
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269 | 269 | | Paragraph (A) by the total amount of reasonable and necessary |
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270 | 270 | | attorney's fees supported at trial by sufficient evidence and |
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271 | 271 | | determined by the trier of fact to have been incurred by the |
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272 | 272 | | claimant in bringing the action. |
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273 | 273 | | (b) Except as provided by Subsection (d), the court shall |
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274 | 274 | | award to the claimant the full amount of reasonable and necessary |
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275 | 275 | | attorney's fees supported at trial by sufficient evidence and |
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276 | 276 | | determined by the trier of fact to have been incurred by the |
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277 | 277 | | claimant in bringing the action if the amount calculated under |
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278 | 278 | | Subsection (a)(3)(A) is: |
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279 | 279 | | (1) greater than or equal to 0.8; |
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280 | 280 | | (2) not limited by this section or another law; and |
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281 | 281 | | (3) otherwise recoverable under law. |
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282 | 282 | | (c) The court may not award attorney's fees to the claimant |
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283 | 283 | | if the amount calculated under Subsection (a)(3)(A) is less than |
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284 | 284 | | 0.2. |
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285 | 285 | | (d) If a defendant in an action to which this chapter |
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286 | 286 | | applies pleads and proves that the defendant was entitled to but was |
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287 | 287 | | not given a presuit notice stating the specific amount alleged to be |
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288 | 288 | | owed by the insurer under Section 542A.003(b)(2) at least 61 days |
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289 | 289 | | before the date the action was filed by the claimant, the court may |
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290 | 290 | | not award to the claimant any attorney's fees incurred after the |
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291 | 291 | | date the defendant files the pleading with the court. A pleading |
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292 | 292 | | under this subsection must be filed not later than the 30th day |
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293 | 293 | | after the date the defendant files an original answer in the court |
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294 | 294 | | in which the action is pending. |
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295 | 295 | | SECTION 4. (a) Section 541.156, Insurance Code, as amended |
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296 | 296 | | by this Act, and Chapter 542A, Insurance Code, as added by this Act, |
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297 | 297 | | apply only to an action filed on or after the effective date of this |
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298 | 298 | | Act. An action that is filed before the effective date of this Act |
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299 | 299 | | is governed by the law as it existed immediately before the |
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300 | 300 | | effective date of this Act, and that law is continued in effect for |
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301 | 301 | | that purpose. |
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302 | 302 | | (b) Section 542.060(c), Insurance Code, as added by this |
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303 | 303 | | Act, applies only to a claim, as defined by Section 542A.001, |
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304 | 304 | | Insurance Code, as added by this Act, made on or after the effective |
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305 | 305 | | date of this Act. A claim made before the effective date of this Act |
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306 | 306 | | is governed by the law as it existed immediately before the |
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307 | 307 | | effective date of this Act, and that law is continued in effect for |
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308 | 308 | | that purpose. |
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309 | 309 | | SECTION 5. This Act takes effect immediately if it receives |
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310 | 310 | | a vote of two-thirds of all the members elected to each house, as |
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311 | 311 | | provided by Section 39, Article III, Texas Constitution. If this |
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312 | 312 | | Act does not receive the vote necessary for immediate effect, this |
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313 | 313 | | Act takes effect September 1, 2017. |
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314 | 314 | | * * * * * |
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