2 | 9 | | |
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3 | 10 | | |
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4 | 11 | | A BILL TO BE ENTITLED |
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5 | 12 | | AN ACT |
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6 | 13 | | relating to reporting requirements by certain health care |
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7 | 14 | | facilities for abortion complications; authorizing a civil |
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8 | 15 | | penalty. |
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9 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 17 | | SECTION 1. Subchapter A, Chapter 171, Health and Safety |
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11 | 18 | | Code, is amended by adding Section 171.006 to read as follows: |
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12 | 19 | | Sec. 171.006. ABORTION COMPLICATION REPORTING |
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13 | 20 | | REQUIREMENTS; CIVIL PENALTY. (a) In this section, "abortion |
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14 | 21 | | complication" means any harmful event or adverse outcome with |
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15 | 22 | | respect to a patient related to an abortion that is performed on the |
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16 | 23 | | patient and that is diagnosed or treated by a health care |
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17 | 24 | | practitioner or at a health care facility and includes: |
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18 | 25 | | (1) shock; |
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19 | 26 | | (2) uterine perforation; |
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20 | 27 | | (3) cervical laceration; |
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21 | 28 | | (4) hemorrhage; |
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22 | 29 | | (5) aspiration or allergic response; |
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23 | 30 | | (6) infection; |
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24 | 31 | | (7) sepsis; |
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25 | 32 | | (8) death of the patient; |
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26 | 33 | | (9) incomplete abortion; |
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27 | 34 | | (10) damage to the uterus; or |
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28 | 35 | | (11) an infant born alive after the abortion. |
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29 | 36 | | (b) The reporting requirements of this section apply only to |
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30 | 37 | | a health care facility that is a hospital, abortion facility, |
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31 | 38 | | freestanding emergency medical care facility, or health care |
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32 | 39 | | facility that provides emergency medical care, as defined by |
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33 | 40 | | Section 773.003. |
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34 | 41 | | (c) Each facility described by Subsection (b) shall submit |
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35 | 42 | | to the department in the form and manner prescribed by department |
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36 | 43 | | rule a quarterly report on each abortion complication diagnosed or |
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37 | 44 | | treated at the facility. |
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38 | 45 | | (d) The department shall develop a form for reporting an |
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39 | 46 | | abortion complication under Subsection (c) and publish the form on |
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40 | 47 | | the department's Internet website. The form must include |
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41 | 48 | | appropriate abortion complication diagnosis terminology that is |
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42 | 49 | | consistent with standard diagnosis terminology used in medical |
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43 | 50 | | practice. |
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44 | 51 | | (e) A report under this section may not identify by any |
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45 | 52 | | means the physician performing an abortion or the patient. |
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46 | 53 | | (f) A report under this section must identify the name and |
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47 | 54 | | type of facility submitting the report and must include, if known, |
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48 | 55 | | for each abortion complication: |
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49 | 56 | | (1) the date of the abortion that caused or may have |
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50 | 57 | | caused the complication; |
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51 | 58 | | (2) the type of abortion that caused or may have caused |
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52 | 59 | | the complication; |
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53 | 60 | | (3) the probable post-fertilization age of the unborn |
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54 | 61 | | child when the abortion was performed; |
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55 | 62 | | (4) the name and type of the facility in which the |
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56 | 63 | | abortion was performed; |
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57 | 64 | | (5) the date the complication was diagnosed or |
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58 | 65 | | treated; |
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59 | 66 | | (6) the name and type of any facility other than the |
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60 | 67 | | reporting facility in which the complication was diagnosed or |
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61 | 68 | | treated; |
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62 | 69 | | (7) a description of the complication; |
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63 | 70 | | (8) the number of previous live births of the patient; |
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64 | 71 | | and |
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65 | 72 | | (9) the number of previous induced abortions of the |
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66 | 73 | | patient. |
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67 | 74 | | (g) Except as provided by Section 245.023, all information |
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68 | 75 | | and records held by the department under this section are |
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69 | 76 | | confidential and are not open records for the purposes of Chapter |
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70 | 77 | | 552, Government Code. That information may not be released or made |
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71 | 78 | | public on subpoena or otherwise, except that release may be made: |
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72 | 79 | | (1) for statistical purposes, but only if a person, |
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73 | 80 | | patient, or facility is not identified; |
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74 | 81 | | (2) with the consent of each person, patient, and |
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75 | 82 | | facility identified in the information released; |
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76 | 83 | | (3) to medical personnel, appropriate state agencies, |
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77 | 84 | | or county and district courts to enforce this chapter; or |
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78 | 85 | | (4) to appropriate state licensing boards to enforce |
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79 | 86 | | state licensing laws. |
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80 | 87 | | (h) A report submitted under this section must meet the |
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81 | 88 | | federal reporting requirements that mandate the most specific, |
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82 | 89 | | accurate, and complete coding and reporting for the highest level |
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83 | 90 | | of specificity. |
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84 | 91 | | (i) The department shall develop and publish on the |
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85 | 92 | | department's Internet website an annual report that aggregates on a |
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86 | 93 | | statewide basis each abortion complication required to be reported |
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87 | 94 | | under Subsection (f) for the previous calendar year. |
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88 | 95 | | (j) A facility that violates this section is subject to a |
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89 | 96 | | civil penalty of $500 for each violation. The attorney general, at |
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90 | 97 | | the request of the department, may file an action to recover a civil |
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91 | 98 | | penalty assessed under this subsection and may recover attorney's |
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92 | 99 | | fees and costs incurred in bringing the action. |
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93 | 100 | | (k) The third separate violation of this section |
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94 | 101 | | constitutes cause for the revocation or suspension of a facility's |
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95 | 102 | | license, permit, registration, certificate, or other authority or |
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96 | 103 | | for other disciplinary action against the facility by the |
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97 | 104 | | department. |
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98 | 105 | | SECTION 2. Not later than January 1, 2018: |
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99 | 106 | | (1) the Department of State Health Services shall: |
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100 | 107 | | (A) develop the reporting forms required by |
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101 | 108 | | Section 171.006, Health and Safety Code, as added by this Act; and |
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102 | 109 | | (B) if duplicate reporting requirements exist |
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103 | 110 | | under state law, consolidate the reported information into a single |
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104 | 111 | | form; and |
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105 | 112 | | (2) the executive commissioner of the Health and Human |
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106 | 113 | | Services Commission shall adopt the rules necessary to implement |
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107 | 114 | | Section 171.006, Health and Safety Code, as added by this Act. |
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108 | 115 | | SECTION 3. This Act takes effect September 1, 2017. |
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