1 | 1 | | 86R8178 SCL-F |
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2 | 2 | | By: West S.B. No. 919 |
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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 health care professional liability coverage for certain |
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8 | 8 | | public institutions of higher education. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. The heading to Chapter 59, Education Code, is |
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11 | 11 | | amended to read as follows: |
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12 | 12 | | CHAPTER 59. HEALTH CARE PROFESSIONAL [MEDICAL] MALPRACTICE |
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13 | 13 | | COVERAGE FOR CERTAIN INSTITUTIONS |
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14 | 14 | | SECTION 2. The heading to Subchapter A, Chapter 59, |
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15 | 15 | | Education Code, is amended to read as follows: |
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16 | 16 | | SUBCHAPTER A. HEALTH CARE [MEDICAL] PROFESSIONAL LIABILITY |
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17 | 17 | | SECTION 3. Sections 59.01(1), (2), (3), and (4), Education |
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18 | 18 | | Code, are amended to read as follows: |
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19 | 19 | | (1) "Health care professional [Medical] staff members |
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20 | 20 | | or students" means: |
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21 | 21 | | (A) physicians [medical doctors, doctors of |
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22 | 22 | | osteopathy], dentists, veterinarians, [and] podiatrists, physician |
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23 | 23 | | assistants, nurses, pharmacists, and other health care providers |
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24 | 24 | | who: |
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25 | 25 | | (i) are appointed to the faculty or |
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26 | 26 | | [professional medical staff] employed [for student health |
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27 | 27 | | services] by or volunteer for The University of Texas System, The |
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28 | 28 | | Texas A&M University System, the Texas Tech University System, or |
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29 | 29 | | the University of North Texas System; and |
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30 | 30 | | (ii) either: |
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31 | 31 | | (a) are appointed or employed on a |
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32 | 32 | | full-time basis; [Health Science Center at Fort Worth, either full |
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33 | 33 | | time] or |
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34 | 34 | | (b) are appointed or volunteer on a |
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35 | 35 | | part-time basis and who[, although appointed less than full time |
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36 | 36 | | (including volunteers), either] devote their total professional |
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37 | 37 | | service to providing health services [such appointment] or provide |
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38 | 38 | | services to patients by assignment from the department chairman; |
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39 | 39 | | and |
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40 | 40 | | (B) interns, residents, fellows, [and] medical |
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41 | 41 | | students, [or] dental students, veterinary students, [and] |
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42 | 42 | | students of osteopathic medicine, nursing students, pharmacy |
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43 | 43 | | students, and students of any other health care profession that |
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44 | 44 | | requires a license, certificate, or other authorization under Title |
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45 | 45 | | 3, Occupations Code, [osteopathy] participating in a patient-care |
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46 | 46 | | program in The University of Texas System, The Texas A&M University |
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47 | 47 | | System, the Texas Tech University System, or the University of |
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48 | 48 | | North Texas System [Health Science Center at Fort Worth]. |
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49 | 49 | | (2) "Health care liability [Medical malpractice] |
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50 | 50 | | claim" means a cause of action against a physician or health care |
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51 | 51 | | professional for treatment, lack of treatment, or other claimed |
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52 | 52 | | departure from accepted standards of medical care, health care, or |
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53 | 53 | | veterinary care, or safety or professional or administrative |
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54 | 54 | | services directly related to health care, which proximately results |
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55 | 55 | | in injury to or death of a [the] patient, whether the [patient's] |
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56 | 56 | | claim or cause of action [or the executor's claim or cause of action |
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57 | 57 | | under Section 71.021, Civil Practice and Remedies Code,] sounds in |
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58 | 58 | | tort or contract. |
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59 | 59 | | (3) "Board" means the board of regents of The |
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60 | 60 | | University of Texas System, the board of regents of The Texas A&M |
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61 | 61 | | University System, the board of regents of the Texas Tech |
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62 | 62 | | University System, or the board of regents of the University of |
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63 | 63 | | North Texas System. |
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64 | 64 | | (4) "Fund" means the health care [medical] |
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65 | 65 | | professional liability fund. |
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66 | 66 | | SECTION 4. Sections 59.02, 59.04, 59.05, and 59.06, |
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67 | 67 | | Education Code, are amended to read as follows: |
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68 | 68 | | Sec. 59.02. HEALTH CARE [MEDICAL] PROFESSIONAL LIABILITY |
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69 | 69 | | FUND. (a) Each board may establish a separate self-insurance fund |
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70 | 70 | | to pay any damages adjudged in a court of competent jurisdiction or |
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71 | 71 | | a settlement of any health care liability [medical malpractice] |
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72 | 72 | | claim against a health care professional [member of the medical] |
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73 | 73 | | staff member or student [students] arising from the exercise of the |
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74 | 74 | | member's or student's [his] appointment, duties, or training with |
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75 | 75 | | The University of Texas System, The Texas A&M University System, |
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76 | 76 | | the Texas Tech University System, or the University of North Texas |
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77 | 77 | | System [Health Science Center at Fort Worth]. |
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78 | 78 | | (b) The boards may pay from the funds all expenses incurred |
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79 | 79 | | in the investigation, settlement, defense, or payment of claims |
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80 | 80 | | described above on behalf of the health care professional [medical] |
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81 | 81 | | staff members or students. |
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82 | 82 | | (c) On the establishment of each fund, transfers to the fund |
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83 | 83 | | shall be made in an amount and at such intervals as determined by |
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84 | 84 | | the board. Each board may receive and accept any gifts or donations |
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85 | 85 | | specified for the purposes of this subchapter and deposit those |
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86 | 86 | | gifts or donations into the fund. Each board may invest money |
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87 | 87 | | deposited in the fund, and any income received shall be retained in |
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88 | 88 | | the fund. The money shall be deposited in any of the approved |
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89 | 89 | | depository banks of The University of Texas System, The Texas A&M |
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90 | 90 | | University System, the Texas Tech University System, or the |
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91 | 91 | | University of North Texas System [Health Science Center at Fort |
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92 | 92 | | Worth]. All expenditures from the funds shall be paid pursuant to |
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93 | 93 | | approval by the boards. |
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94 | 94 | | Sec. 59.04. PURCHASE OF INSURANCE. Each board may purchase |
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95 | 95 | | health care liability [medical malpractice] insurance from an |
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96 | 96 | | insurance company authorized to engage in the [do] business of |
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97 | 97 | | insurance in this state as it considers necessary to carry out the |
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98 | 98 | | purpose of this subchapter. |
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99 | 99 | | Sec. 59.05. LEGAL COUNSEL. Each board may employ private |
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100 | 100 | | legal counsel to represent the health care professional [medical] |
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101 | 101 | | staff members or [and] students covered by this subchapter under |
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102 | 102 | | the rules of the board. |
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103 | 103 | | Sec. 59.06. LIMITATION ON APPROPRIATED FUNDS. Funds |
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104 | 104 | | appropriated by the legislature to The University of Texas System, |
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105 | 105 | | The Texas A&M University System, [either system, to] the Texas Tech |
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106 | 106 | | University System [Health Sciences Center, to the Texas Tech |
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107 | 107 | | University Health Sciences Center at El Paso], or [to] the |
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108 | 108 | | University of North Texas System [Health Science Center at Fort |
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109 | 109 | | Worth] from the General Revenue Fund may not be used to establish or |
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110 | 110 | | maintain the fund, to purchase insurance, or to employ private |
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111 | 111 | | legal counsel. |
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112 | 112 | | SECTION 5. Sections 59.08(a) and (e), Education Code, are |
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113 | 113 | | amended to read as follows: |
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114 | 114 | | (a) The state shall indemnify a health care professional |
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115 | 115 | | [member of the medical] staff member or [a] student for damages paid |
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116 | 116 | | as required by a judgment on or settlement of a health care |
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117 | 117 | | liability [medical malpractice] claim arising out of the provision |
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118 | 118 | | of charitable care or services. |
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119 | 119 | | (e) The attorney general is entitled to approve any |
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120 | 120 | | settlement of the portion of a health care liability [medical |
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121 | 121 | | malpractice] claim that may result in the state being liable for |
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122 | 122 | | indemnification of the defendant under this section. If the |
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123 | 123 | | attorney general does not approve a settlement, the state is not |
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124 | 124 | | liable for indemnification of the defendant under this section. The |
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125 | 125 | | attorney general shall base the determination on the best interests |
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126 | 126 | | of the defendant. |
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127 | 127 | | SECTION 6. Section 59.08, Education Code, as amended by |
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128 | 128 | | this Act, applies only to a cause of action that accrues on or after |
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129 | 129 | | the effective date of this Act. A cause of action that accrued |
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130 | 130 | | before the effective date of this Act is governed by the law as it |
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131 | 131 | | existed immediately before the effective date of this Act, and that |
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132 | 132 | | law is continued in effect for that purpose. |
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133 | 133 | | SECTION 7. This Act takes effect September 1, 2019. |
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