1 | 1 | | By: Dean H.B. No. 1491 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to the liability of a rural or community hospital for a |
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7 | 7 | | health care liability claim. |
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8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 9 | | SECTION 1. Section 74.001, Civil Practice and Remedies |
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10 | 10 | | Code, is amended by adding Subdivision (26) to read as follows: |
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11 | 11 | | (26) "Rural or community hospital" means a hospital |
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12 | 12 | | that: |
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13 | 13 | | (A) is located in a county with a population of |
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14 | 14 | | 60,000 or less; |
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15 | 15 | | (B) is designated by the Centers for Medicare and |
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16 | 16 | | Medicaid Services as a critical access hospital, sole community |
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17 | 17 | | hospital, or rural referral center and is not located in an area |
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18 | 18 | | defined by the United States Office of Management and Budget as a |
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19 | 19 | | metropolitan statistical area; or |
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20 | 20 | | (C) meets all of the following criteria: |
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21 | 21 | | (i) has 100 or fewer beds; |
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22 | 22 | | (ii) is designated by the Centers for |
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23 | 23 | | Medicare and Medicaid Services as a critical access hospital, sole |
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24 | 24 | | community hospital, or rural referral center; and |
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25 | 25 | | (iii) is located in an area defined by the |
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26 | 26 | | United States Office of Management and Budget as a metropolitan |
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27 | 27 | | statistical area. |
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28 | 28 | | SECTION 2. Section 74.301, Civil Practice and Remedies |
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29 | 29 | | Code, is amended by adding Subsection (d) to read as follows: |
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30 | 30 | | (d) Notwithstanding the other provisions of this section, |
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31 | 31 | | in an action on a health care liability claim where final judgment |
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32 | 32 | | is rendered against a rural or community hospital, the limit of |
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33 | 33 | | civil liability for noneconomic damages of the hospital, inclusive |
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34 | 34 | | of all persons and entities for which vicarious liability theories |
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35 | 35 | | may apply, is limited to an amount not to exceed $100,000, |
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36 | 36 | | regardless of the number of defendants against whom the claim is |
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37 | 37 | | asserted or the number of separate causes of action on which the |
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38 | 38 | | claim is based. |
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39 | 39 | | SECTION 3. Section 74.302(a), Civil Practice and Remedies |
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40 | 40 | | Code, is amended to read as follows: |
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41 | 41 | | (a) In the event that Section 74.301 is stricken from this |
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42 | 42 | | subchapter or is otherwise to any extent invalidated by a method |
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43 | 43 | | other than through legislative means, the following, subject to the |
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44 | 44 | | provisions of this section, shall become effective: |
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45 | 45 | | (1) In an action on a health care liability claim where |
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46 | 46 | | final judgment is rendered against a physician or health care |
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47 | 47 | | provider other than a health care institution, the limit of civil |
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48 | 48 | | liability for noneconomic damages of the physician or health care |
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49 | 49 | | provider other than a health care institution, inclusive of all |
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50 | 50 | | persons and entities for which vicarious liability theories may |
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51 | 51 | | apply, shall be limited to an amount not to exceed $250,000 for each |
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52 | 52 | | claimant, regardless of the number of defendant physicians or |
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53 | 53 | | health care providers other than a health care institution against |
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54 | 54 | | whom the claim is asserted or the number of separate causes of |
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55 | 55 | | action on which the claim is based. |
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56 | 56 | | (2) In an action on a health care liability claim where |
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57 | 57 | | final judgment is rendered against a single health care |
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58 | 58 | | institution, the limit of civil liability for noneconomic damages |
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59 | 59 | | inclusive of all persons and entities for which vicarious liability |
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60 | 60 | | theories may apply, shall be limited to an amount not to exceed |
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61 | 61 | | $250,000 for each claimant. |
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62 | 62 | | (3) In an action on a health care liability claim where |
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63 | 63 | | final judgment is rendered against more than one health care |
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64 | 64 | | institution, the limit of civil liability for noneconomic damages |
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65 | 65 | | for each health care institution, inclusive of all persons and |
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66 | 66 | | entities for which vicarious liability theories may apply, shall be |
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67 | 67 | | limited to an amount not to exceed $250,000 for each claimant and |
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68 | 68 | | the limit of civil liability for noneconomic damages for all health |
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69 | 69 | | care institutions, inclusive of all persons and entities for which |
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70 | 70 | | vicarious liability theories may apply, shall be limited to an |
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71 | 71 | | amount not to exceed $500,000 for each claimant. |
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72 | 72 | | (4) Notwithstanding Subdivisions (1), (2), and (3), in |
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73 | 73 | | an action on a health care liability claim where final judgment is |
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74 | 74 | | rendered against a rural or community hospital, the limit of civil |
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75 | 75 | | liability for noneconomic damages of the hospital, inclusive of all |
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76 | 76 | | persons and entities for which vicarious liability theories may |
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77 | 77 | | apply, is limited to an amount not to exceed $100,000, regardless of |
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78 | 78 | | the number of defendants against whom the claim is asserted or the |
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79 | 79 | | number of separate causes of action on which the claim is based. |
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80 | 80 | | SECTION 4. Section 74.303, Civil Practice and Remedies |
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81 | 81 | | Code, is amended by amending Subsections (a) and (c) and adding |
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82 | 82 | | Subsection (a-1) to read as follows: |
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83 | 83 | | (a) Except as provided by Subsection (a-1), in [In] a |
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84 | 84 | | wrongful death or survival action on a health care liability claim |
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85 | 85 | | where final judgment is rendered against a physician or health care |
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86 | 86 | | provider, the limit of civil liability for all damages, including |
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87 | 87 | | exemplary damages, shall be limited to an amount not to exceed |
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88 | 88 | | $500,000 for each claimant, regardless of the number of defendant |
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89 | 89 | | physicians or health care providers against whom the claim is |
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90 | 90 | | asserted or the number of separate causes of action on which the |
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91 | 91 | | claim is based. |
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92 | 92 | | (a-1) In a wrongful death or survival action on a health |
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93 | 93 | | care liability claim where final judgment is rendered against a |
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94 | 94 | | rural or community hospital, the limit of civil liability for all |
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95 | 95 | | damages, including exemplary damages, shall be limited to an amount |
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96 | 96 | | not to exceed $100,000, regardless of the number of defendant |
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97 | 97 | | physicians or health care providers against whom the claim is |
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98 | 98 | | asserted or the number of separate causes of action on which the |
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99 | 99 | | claim is based. |
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100 | 100 | | (c) Subsection (a) or (a-1) does not apply to the amount of |
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101 | 101 | | damages awarded on a health care liability claim for the expenses of |
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102 | 102 | | necessary medical, hospital, and custodial care received before |
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103 | 103 | | judgment or required in the future for treatment of the injury. |
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104 | 104 | | SECTION 5. Subchapter G, Chapter 74, Civil Practice and |
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105 | 105 | | Remedies Code, as amended by this Act, applies only to a cause of |
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106 | 106 | | action that accrues on or after the effective date of this Act. |
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107 | 107 | | SECTION 6. This Act takes effect September 1, 2021. |
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