1 | 1 | | 85R4758 SCL-D |
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2 | 2 | | By: Hall S.B. No. 406 |
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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 certificates of birth resulting in stillbirth, fetal |
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8 | 8 | | death certificates, and the disposition of fetal remains; imposing |
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9 | 9 | | administrative penalties. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Section 192.0022(a)(1), Health and Safety Code, |
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12 | 12 | | is amended to read as follows: |
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13 | 13 | | (1) "Stillbirth" means an [unintended,] intrauterine |
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14 | 14 | | fetal death occurring in this state regardless of the [after a] |
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15 | 15 | | gestational age of the unborn child at the time of death [of not |
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16 | 16 | | less than 20 completed weeks]. |
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17 | 17 | | SECTION 2. Chapter 193, Health and Safety Code, is amended |
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18 | 18 | | by adding Section 193.0035 to read as follows: |
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19 | 19 | | Sec. 193.0035. CERTAIN HEALTH CARE FACILITIES REQUIRED TO |
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20 | 20 | | FILE FETAL DEATH CERTIFICATE. (a) A health care facility in this |
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21 | 21 | | state that provides health or medical care to a pregnant woman shall |
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22 | 22 | | file a fetal death certificate for each unborn child that dies |
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23 | 23 | | intrauterine or is delivered with no signs of life at the facility, |
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24 | 24 | | regardless of the gestational age of the unborn child at the time of |
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25 | 25 | | death. |
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26 | 26 | | (b) If abortion is the cause of death of an unborn child, the |
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27 | 27 | | fetal death certificate must state the method of abortion. |
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28 | 28 | | SECTION 3. Section 674.001(2), Health and Safety Code, is |
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29 | 29 | | amended to read as follows: |
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30 | 30 | | (2) "Fetal death certificate" means a death |
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31 | 31 | | certificate filed for any fetus [weighing 350 grams or more or, if |
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32 | 32 | | the weight is unknown, a fetus age 20 weeks or more as calculated |
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33 | 33 | | from the start date of the last normal menstrual period to the date |
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34 | 34 | | of delivery]. |
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35 | 35 | | SECTION 4. Subtitle B, Title 8, Health and Safety Code, is |
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36 | 36 | | amended by adding Chapter 697 to read as follows: |
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37 | 37 | | CHAPTER 697. DISPOSITION OF FETAL REMAINS AND FILING OF FETAL DEATH |
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38 | 38 | | CERTIFICATE BY HEALTH CARE FACILITIES |
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39 | 39 | | Sec. 697.001. DEFINITIONS. In this chapter: |
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40 | 40 | | (1) "Cremation" means the irreversible process of |
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41 | 41 | | reducing remains to ashes or bone fragments through extreme heat |
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42 | 42 | | and evaporation. |
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43 | 43 | | (2) "Department" means the Department of State Health |
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44 | 44 | | Services. |
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45 | 45 | | (3) "Executive commissioner" means the executive |
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46 | 46 | | commissioner of the Health and Human Services Commission. |
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47 | 47 | | (4) "Fetal remains" means a deceased fetus, body parts |
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48 | 48 | | or organs of a deceased fetus, or other tissue from a pregnancy. |
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49 | 49 | | The term does not include the umbilical cord, placenta, gestational |
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50 | 50 | | sac, blood, or body fluids. |
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51 | 51 | | (5) "Incineration" means the process of burning |
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52 | 52 | | remains in an incinerator. |
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53 | 53 | | (6) "Interment" means the disposition of remains by |
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54 | 54 | | entombment, burial, or placement in a niche. |
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55 | 55 | | (7) "Steam disinfection" means the act of subjecting |
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56 | 56 | | remains to steam under pressure to disinfect the remains. |
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57 | 57 | | Sec. 697.002. DISPOSITION OF FETAL REMAINS. (a) A health |
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58 | 58 | | care facility in this state that provides health or medical care to |
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59 | 59 | | a pregnant woman and that is required to dispose of any fetal |
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60 | 60 | | remains related to that care shall dispose of the fetal remains, |
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61 | 61 | | regardless of the gestational age or weight of the deceased fetus, |
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62 | 62 | | by: |
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63 | 63 | | (1) interment; |
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64 | 64 | | (2) cremation; |
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65 | 65 | | (3) incineration followed by interment; or |
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66 | 66 | | (4) steam disinfection followed by interment. |
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67 | 67 | | (b) The executive commissioner shall adopt the rules |
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68 | 68 | | necessary to implement this section. |
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69 | 69 | | Sec. 697.003. FILING FETAL DEATH CERTIFICATE. A health care |
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70 | 70 | | facility in this state that provides medical care to a pregnant |
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71 | 71 | | woman shall file a fetal death certificate as required by Chapter |
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72 | 72 | | 193 for each unborn child that dies intrauterine or is delivered |
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73 | 73 | | with no signs of life at the facility. |
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74 | 74 | | Sec. 697.004. SUSPENSION OR REVOCATION OF LICENSE. The |
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75 | 75 | | department may suspend or revoke the license of a health care |
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76 | 76 | | facility that violates this chapter or a rule adopted under this |
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77 | 77 | | chapter. |
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78 | 78 | | SECTION 5. As soon as practicable after the effective date |
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79 | 79 | | of this Act, the executive commissioner of the Health and Human |
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80 | 80 | | Services Commission shall adopt the rules necessary to implement |
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81 | 81 | | this Act. |
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82 | 82 | | SECTION 6. The changes in law made by this Act apply only to |
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83 | 83 | | a fetal death that occurs on or after the effective date of this |
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84 | 84 | | Act. A fetal death that occurs before the effective date of this |
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85 | 85 | | Act is governed by the law in effect immediately before the |
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86 | 86 | | effective date of this Act, and the former law is continued in |
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87 | 87 | | effect for that purpose. |
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88 | 88 | | SECTION 7. This Act takes effect September 1, 2017. |
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