Texas 2019 - 86th Regular

Texas Senate Bill SB1565 Compare Versions

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1-S.B. No. 1565
1+By: Fallon S.B. No. 1565
2+ (Smith)
23
34
5+ A BILL TO BE ENTITLED
46 AN ACT
57 relating to the medical authorization required to release protected
68 health information in a health care liability claim.
79 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
810 SECTION 1. Section 74.052(c), Civil Practice and Remedies
911 Code, is amended to read as follows:
1012 (c) The medical authorization required by this section
1113 shall be in the following form and shall be construed in accordance
1214 with the "Standards for Privacy of Individually Identifiable Health
1315 Information" (45 C.F.R. Parts 160 and 164).
1416 AUTHORIZATION FORM FOR RELEASE OF PROTECTED HEALTH INFORMATION
1517 Patient Name:______ Patient Date [Place] of Birth:________
1618 Patient Address:_________________________________________
1719 ____________ Street_________________ City, State, ZIP
1820 Patient Telephone:__________ Patient E-mail:_________
1921 NOTICE TO PHYSICIAN OR HEALTH CARE PROVIDER: THIS
2022 AUTHORIZATION FORM HAS BEEN AUTHORIZED BY THE TEXAS LEGISLATURE
2123 PURSUANT TO SECTION 74.052, CIVIL PRACTICE AND REMEDIES CODE. YOU
2224 ARE REQUIRED TO PROVIDE THE MEDICAL AND BILLING RECORDS AS
2325 REQUESTED IN THIS AUTHORIZATION.
2426 A. I, __________ (name of patient or authorized
2527 representative), hereby authorize __________ (name of physician or
2628 other health care provider to whom the notice of health care claim
2729 is directed) to obtain and disclose (within the parameters set out
2830 below) the protected health information and associated billing
2931 records described below for the following specific purposes (check
3032 all that apply):
3133 [ ] To facilitate the investigation and evaluation of
3234 the health care claim described in the accompanying Notice of
3335 Health Care Claim.
3436 [ ] Defense of any litigation arising out of the claim
3537 made the basis of the accompanying Notice of Health Care Claim.
3638 [ ] Other - Specify:_________________
3739 B. The health information to be obtained, used, or disclosed
3840 extends to and includes the verbal as well as written and electronic
3941 and is specifically described as follows:
4042 1. The health information and billing records in the
4143 custody of the physicians or health care providers who have
4244 examined, evaluated, or treated __________ (patient) in connection
4345 with the injuries alleged to have been sustained in connection with
4446 the claim asserted in the accompanying Notice of Health Care Claim.
4547 Names and current addresses of treating physicians or
4648 health care providers:
4749 1.__________________________
4850 2.__________________________
4951 3.__________________________
5052 4.__________________________
5153 5.__________________________
5254 6.__________________________
5355 7.__________________________
5456 8.__________________________
5557 This authorization extends to an additional physician or
5658 health care provider that may in the future evaluate, examine, or
5759 treat __________ (patient) for injuries alleged in connection with
5860 the claim made the basis of the attached Notice of Health Care Claim
5961 only if the claimant gives notice to the recipient of the attached
6062 Notice of Health Care Claim of that additional physician or health
6163 care provider;
6264 2. The health information and billing records in the
6365 custody of the following physicians or health care providers who
6466 have examined, evaluated, or treated __________ (patient) during a
6567 period commencing five years prior to the incident made the basis of
6668 the accompanying Notice of Health Care Claim.
6769 Names and current addresses of treating physicians or
6870 health care providers, if applicable:
6971 1.__________________________
7072 2.__________________________
7173 3.__________________________
7274 4.__________________________
7375 5.__________________________
7476 6.__________________________
7577 7.__________________________
7678 8.__________________________
7779 C. Exclusions
7880 1. Providers excluded from authorization.
7981 The following constitutes a list of physicians or health care
8082 providers possessing health care information concerning __________
8183 (patient) to whom this authorization does not apply because I
8284 contend that such health care information is not relevant to the
8385 damages being claimed or to the physical, mental, or emotional
8486 condition of __________ (patient) arising out of the claim made the
8587 basis of the accompanying Notice of Health Care Claim. List the
8688 names of each physician or health care provider to whom this
8789 authorization does not extend and the inclusive dates of
8890 examination, evaluation, or treatment to be withheld from
8991 disclosure, or state "none":
9092 1.__________________________
9193 2.__________________________
9294 3.__________________________
9395 4.__________________________
9496 5.__________________________
9597 6.__________________________
9698 7.__________________________
9799 8.__________________________
98100 2. By initialing below, the patient or patient's
99101 personal or legal representative excludes the following
100102 information from this authorization:
101103 ________ HIV/AIDS test results and/or treatment
102104 ________ Drug/alcohol/substance abuse treatment
103105 ________ Mental health records (mental health records
104106 do not include psychotherapy notes)
105107 ________ Genetic information (including genetic test
106108 results)
107109 D. The persons or class of persons to whom the patient's
108110 health information and billing records will be disclosed or who
109111 will make use of said information are:
110112 1. Any and all physicians or health care providers
111113 providing care or treatment to __________ (patient);
112114 2. Any liability insurance entity providing liability
113115 insurance coverage or defense to any physician or health care
114116 provider to whom Notice of Health Care Claim has been given with
115117 regard to the care and treatment of __________ (patient);
116118 3. Any consulting or testifying experts employed by or
117119 on behalf of __________ (name of physician or health care provider
118120 to whom Notice of Health Care Claim has been given) with regard to
119121 the matter set out in the Notice of Health Care Claim accompanying
120122 this authorization;
121123 4. Any attorneys (including secretarial, clerical,
122124 experts, or paralegal staff) employed by or on behalf of __________
123125 (name of physician or health care provider to whom Notice of Health
124126 Care Claim has been given) with regard to the matter set out in the
125127 Notice of Health Care Claim accompanying this authorization;
126128 5. Any trier of the law or facts relating to any suit
127129 filed seeking damages arising out of the medical care or treatment
128130 of __________ (patient).
129131 E. This authorization shall expire upon resolution of the
130132 claim asserted or at the conclusion of any litigation instituted in
131133 connection with the subject matter of the Notice of Health Care
132134 Claim accompanying this authorization, whichever occurs sooner.
133135 F. I understand that, without exception, I have the right to
134136 revoke this authorization at any time by giving notice in writing to
135137 the person or persons named in Section B above of my intent to
136138 revoke this authorization. I understand that prior actions taken
137139 in reliance on this authorization by a person that had permission to
138140 access my protected health information will not be affected. I
139141 further understand the consequence of any such revocation as set
140142 out in Section 74.052, Civil Practice and Remedies Code.
141143 G. I understand that the signing of this authorization is
142144 not a condition for continued treatment, payment, enrollment, or
143145 eligibility for health plan benefits.
144146 H. I understand that information used or disclosed pursuant
145147 to this authorization may be subject to redisclosure by the
146148 recipient and may no longer be protected by federal HIPAA privacy
147149 regulations.
148150 Name of Patient
149151 ____________________
150152 Signature of Patient/Personal or Legal Representative
151153 __________
152154 Description of Personal or Legal Representative's Authority
153155 __________
154156 Date
155157 _______________
156158 SECTION 2. This Act takes effect September 1, 2019.
157- ______________________________ ______________________________
158- President of the Senate Speaker of the House
159- I hereby certify that S.B. No. 1565 passed the Senate on
160- April 24, 2019, by the following vote: Yeas 31, Nays 0.
161- ______________________________
162- Secretary of the Senate
163- I hereby certify that S.B. No. 1565 passed the House on
164- May 10, 2019, by the following vote: Yeas 141, Nays 0, two
165- present not voting.
166- ______________________________
167- Chief Clerk of the House
168- Approved:
169- ______________________________
170- Date
171- ______________________________
172- Governor