Texas 2021 - 87th Regular

Texas House Bill HB1491 Compare Versions

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11 By: Dean H.B. No. 1491
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44 A BILL TO BE ENTITLED
55 AN ACT
66 relating to the liability of a rural or community hospital for a
77 health care liability claim.
88 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
99 SECTION 1. Section 74.001, Civil Practice and Remedies
1010 Code, is amended by adding Subdivision (26) to read as follows:
1111 (26) "Rural or community hospital" means a hospital
1212 that:
1313 (A) is located in a county with a population of
1414 60,000 or less;
1515 (B) is designated by the Centers for Medicare and
1616 Medicaid Services as a critical access hospital, sole community
1717 hospital, or rural referral center and is not located in an area
1818 defined by the United States Office of Management and Budget as a
1919 metropolitan statistical area; or
2020 (C) meets all of the following criteria:
2121 (i) has 100 or fewer beds;
2222 (ii) is designated by the Centers for
2323 Medicare and Medicaid Services as a critical access hospital, sole
2424 community hospital, or rural referral center; and
2525 (iii) is located in an area defined by the
2626 United States Office of Management and Budget as a metropolitan
2727 statistical area.
2828 SECTION 2. Section 74.301, Civil Practice and Remedies
2929 Code, is amended by adding Subsection (d) to read as follows:
3030 (d) Notwithstanding the other provisions of this section,
3131 in an action on a health care liability claim where final judgment
3232 is rendered against a rural or community hospital, the limit of
3333 civil liability for noneconomic damages of the hospital, inclusive
3434 of all persons and entities for which vicarious liability theories
3535 may apply, is limited to an amount not to exceed $100,000,
3636 regardless of the number of defendants against whom the claim is
3737 asserted or the number of separate causes of action on which the
3838 claim is based.
3939 SECTION 3. Section 74.302(a), Civil Practice and Remedies
4040 Code, is amended to read as follows:
4141 (a) In the event that Section 74.301 is stricken from this
4242 subchapter or is otherwise to any extent invalidated by a method
4343 other than through legislative means, the following, subject to the
4444 provisions of this section, shall become effective:
4545 (1) In an action on a health care liability claim where
4646 final judgment is rendered against a physician or health care
4747 provider other than a health care institution, the limit of civil
4848 liability for noneconomic damages of the physician or health care
4949 provider other than a health care institution, inclusive of all
5050 persons and entities for which vicarious liability theories may
5151 apply, shall be limited to an amount not to exceed $250,000 for each
5252 claimant, regardless of the number of defendant physicians or
5353 health care providers other than a health care institution against
5454 whom the claim is asserted or the number of separate causes of
5555 action on which the claim is based.
5656 (2) In an action on a health care liability claim where
5757 final judgment is rendered against a single health care
5858 institution, the limit of civil liability for noneconomic damages
5959 inclusive of all persons and entities for which vicarious liability
6060 theories may apply, shall be limited to an amount not to exceed
6161 $250,000 for each claimant.
6262 (3) In an action on a health care liability claim where
6363 final judgment is rendered against more than one health care
6464 institution, the limit of civil liability for noneconomic damages
6565 for each health care institution, inclusive of all persons and
6666 entities for which vicarious liability theories may apply, shall be
6767 limited to an amount not to exceed $250,000 for each claimant and
6868 the limit of civil liability for noneconomic damages for all health
6969 care institutions, inclusive of all persons and entities for which
7070 vicarious liability theories may apply, shall be limited to an
7171 amount not to exceed $500,000 for each claimant.
7272 (4) Notwithstanding Subdivisions (1), (2), and (3), in
7373 an action on a health care liability claim where final judgment is
7474 rendered against a rural or community hospital, the limit of civil
7575 liability for noneconomic damages of the hospital, inclusive of all
7676 persons and entities for which vicarious liability theories may
7777 apply, is limited to an amount not to exceed $100,000, regardless of
7878 the number of defendants against whom the claim is asserted or the
7979 number of separate causes of action on which the claim is based.
8080 SECTION 4. Section 74.303, Civil Practice and Remedies
8181 Code, is amended by amending Subsections (a) and (c) and adding
8282 Subsection (a-1) to read as follows:
8383 (a) Except as provided by Subsection (a-1), in [In] a
8484 wrongful death or survival action on a health care liability claim
8585 where final judgment is rendered against a physician or health care
8686 provider, the limit of civil liability for all damages, including
8787 exemplary damages, shall be limited to an amount not to exceed
8888 $500,000 for each claimant, regardless of the number of defendant
8989 physicians or health care providers against whom the claim is
9090 asserted or the number of separate causes of action on which the
9191 claim is based.
9292 (a-1) In a wrongful death or survival action on a health
9393 care liability claim where final judgment is rendered against a
9494 rural or community hospital, the limit of civil liability for all
9595 damages, including exemplary damages, shall be limited to an amount
9696 not to exceed $100,000, regardless of the number of defendant
9797 physicians or health care providers against whom the claim is
9898 asserted or the number of separate causes of action on which the
9999 claim is based.
100100 (c) Subsection (a) or (a-1) does not apply to the amount of
101101 damages awarded on a health care liability claim for the expenses of
102102 necessary medical, hospital, and custodial care received before
103103 judgment or required in the future for treatment of the injury.
104104 SECTION 5. Subchapter G, Chapter 74, Civil Practice and
105105 Remedies Code, as amended by this Act, applies only to a cause of
106106 action that accrues on or after the effective date of this Act.
107107 SECTION 6. This Act takes effect September 1, 2021.