1 | 1 | | 87R7165 MWC-D |
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2 | 2 | | By: Rosenthal H.B. No. 2605 |
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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 prevention of and safety requirements regarding sudden |
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8 | 8 | | cardiac arrest affecting public school students participating in |
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9 | 9 | | interscholastic athletics. |
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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. Chapter 38, Education Code, is amended by adding |
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12 | 12 | | Subchapter D-1 to read as follows: |
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13 | 13 | | SUBCHAPTER D-1. PREVENTION OF AND SAFETY REQUIREMENTS REGARDING |
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14 | 14 | | SUDDEN CARDIAC ARREST AFFECTING STUDENT ATHLETES |
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15 | 15 | | Sec. 38.181. DEFINITIONS. In this subchapter: |
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16 | 16 | | (1) "Athletic trainer" has the meaning assigned by |
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17 | 17 | | Section 451.001, Occupations Code. |
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18 | 18 | | (2) "Coach" includes an assistant coach. |
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19 | 19 | | (3) "League" means the University Interscholastic |
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20 | 20 | | League. |
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21 | 21 | | (4) "Parent" includes a guardian or other person with |
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22 | 22 | | legal authority to make medical decisions for a student. |
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23 | 23 | | (5) "Physician" means a person who holds a license to |
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24 | 24 | | practice medicine in this state. |
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25 | 25 | | Sec. 38.182. APPLICABILITY. This subchapter applies to an |
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26 | 26 | | interscholastic athletic activity, including practice and |
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27 | 27 | | competition, sponsored or sanctioned by: |
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28 | 28 | | (1) a school district and any school for which a |
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29 | 29 | | charter has been granted under Chapter 12; or |
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30 | 30 | | (2) the league. |
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31 | 31 | | Sec. 38.183. WEBSITE INFORMATION. (a) The agency shall |
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32 | 32 | | develop guidelines and other relevant materials, in accordance with |
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33 | 33 | | this section, to educate students, parents, and coaches regarding |
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34 | 34 | | sudden cardiac arrest, including: |
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35 | 35 | | (1) warning signs and symptoms, including: |
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36 | 36 | | (A) fainting or seizures during athletic |
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37 | 37 | | activity; |
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38 | 38 | | (B) difficulty breathing; |
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39 | 39 | | (C) chest pains; |
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40 | 40 | | (D) dizziness; |
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41 | 41 | | (E) abnormal racing heart rate; and |
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42 | 42 | | (F) extreme fatigue; and |
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43 | 43 | | (2) risks associated with continuing athletic |
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44 | 44 | | activity after experiencing a warning sign or symptom of sudden |
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45 | 45 | | cardiac arrest. |
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46 | 46 | | (b) In developing the guidelines and other materials under |
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47 | 47 | | Subsection (a), the agency may use educational videos and other |
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48 | 48 | | resources available at no cost. |
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49 | 49 | | (c) The agency shall post on the agency's Internet website |
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50 | 50 | | the guidelines and other materials developed under Subsection (a). |
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51 | 51 | | Sec. 38.184. REQUIRED ANNUAL FORM ACKNOWLEDGING SUDDEN |
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52 | 52 | | CARDIAC ARREST INFORMATION. (a) A student may not participate in |
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53 | 53 | | an interscholastic athletic activity for a school year until both |
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54 | 54 | | the student and the student's parent have signed a form for that |
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55 | 55 | | school year that acknowledges receiving and reading written |
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56 | 56 | | information that: |
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57 | 57 | | (1) explains: |
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58 | 58 | | (A) sudden cardiac arrest warning signs and |
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59 | 59 | | symptoms; and |
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60 | 60 | | (B) electrocardiogram testing; |
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61 | 61 | | (2) provides notice of the option of the student to |
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62 | 62 | | request the administration of an electrocardiogram in addition to a |
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63 | 63 | | physical examination; and |
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64 | 64 | | (3) is consistent with the information in the |
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65 | 65 | | materials developed and posted under Section 38.183. |
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66 | 66 | | (b) The form required under Subsection (a) must be approved |
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67 | 67 | | by the league. |
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68 | 68 | | Sec. 38.185. INFORMATIONAL MEETING. Before the start of |
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69 | 69 | | each athletic season, a school district or charter school may hold |
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70 | 70 | | an informational meeting regarding the warning signs and symptoms |
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71 | 71 | | of sudden cardiac arrest for students, parents, coaches, and other |
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72 | 72 | | school employees. The district or school may invite a physician, |
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73 | 73 | | including a pediatric cardiologist, or athletic trainer to present |
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74 | 74 | | information at the meeting. |
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75 | 75 | | Sec. 38.186. REQUEST FOR ELECTROCARDIOGRAM. A student may |
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76 | 76 | | request an electrocardiogram from any health care professional, |
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77 | 77 | | including a health care professional provided through the student's |
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78 | 78 | | patient-centered medical home, as defined by Section 533.0029, |
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79 | 79 | | Government Code, a health care professional provided through a |
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80 | 80 | | school district program, or another health care professional chosen |
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81 | 81 | | by the parent, provided that the health care professional is: |
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82 | 82 | | (1) appropriately licensed in this state; and |
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83 | 83 | | (2) authorized to administer and interpret |
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84 | 84 | | electrocardiograms under the health care professional's scope of |
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85 | 85 | | practice. |
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86 | 86 | | Sec. 38.187. REMOVAL AND PREVENTION FROM PLAY IN PRACTICE |
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87 | 87 | | OR COMPETITION FOLLOWING SUDDEN CARDIAC ARREST WARNING SIGN OR |
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88 | 88 | | SYMPTOM. (a) A student shall be removed from an interscholastic |
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89 | 89 | | athletic practice or competition immediately if any of the |
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90 | 90 | | following persons determines that the student has lost |
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91 | 91 | | consciousness during the practice or competition: |
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92 | 92 | | (1) a coach; |
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93 | 93 | | (2) a physician; |
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94 | 94 | | (3) a licensed health care professional; |
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95 | 95 | | (4) a school nurse; or |
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96 | 96 | | (5) the student's parent. |
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97 | 97 | | (b) A student may be removed from an interscholastic |
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98 | 98 | | athletic practice or competition by a person listed in Subsection |
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99 | 99 | | (a) if the person determines that the student has exhibited a |
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100 | 100 | | warning sign or symptom of sudden cardiac arrest other than the loss |
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101 | 101 | | of consciousness as described by Sections 38.183(a)(1)(B)-(F). |
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102 | 102 | | (c) Subject to Section 38.188, if a person listed in |
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103 | 103 | | Subsection (a) knows that a student has lost consciousness at any |
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104 | 104 | | time during or immediately following an interscholastic athletic |
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105 | 105 | | practice or competition, the student shall be prevented from |
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106 | 106 | | participating in any further practice or competition. |
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107 | 107 | | (d) Subject to Section 38.188, if a person listed in |
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108 | 108 | | Subsection (a) knows that a student has exhibited a warning sign or |
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109 | 109 | | symptom of sudden cardiac arrest other than the loss of |
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110 | 110 | | consciousness at any time during or immediately following an |
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111 | 111 | | interscholastic athletic practice or competition, the student may |
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112 | 112 | | be prevented from participating in any further practice or |
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113 | 113 | | competition. |
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114 | 114 | | Sec. 38.188. RETURN TO PLAY IN PRACTICE OR COMPETITION. A |
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115 | 115 | | student removed from or prevented from participating in an |
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116 | 116 | | interscholastic athletic practice or competition under Section |
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117 | 117 | | 38.187 may not be permitted to practice or compete again until: |
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118 | 118 | | (1) the student has been evaluated by: |
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119 | 119 | | (A) a physician; |
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120 | 120 | | (B) a licensed health care professional; or |
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121 | 121 | | (C) a school nurse; and |
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122 | 122 | | (2) the evaluating health care provider has provided a |
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123 | 123 | | written statement indicating that, in the provider's professional |
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124 | 124 | | judgment, it is safe for the student to return to play. |
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125 | 125 | | Sec. 38.189. TRAINING COURSES. (a) The league shall |
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126 | 126 | | approve for coaches of interscholastic athletic activities |
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127 | 127 | | training courses that provide for training in the subject matter of |
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128 | 128 | | sudden cardiac arrest, including prevention, warning signs and |
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129 | 129 | | symptoms, risks, and long-term effects. |
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130 | 130 | | (b) A coach may not coach an interscholastic athletic |
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131 | 131 | | activity for a school year until the coach has completed a training |
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132 | 132 | | course approved under Subsection (a). |
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133 | 133 | | (c) A coach must submit proof of timely completion of an |
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134 | 134 | | approved course in compliance with Subsection (b) to the school |
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135 | 135 | | district superintendent or the superintendent's designee or, in the |
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136 | 136 | | case of a charter school, a person who serves the function of a |
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137 | 137 | | superintendent or that person's designee. |
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138 | 138 | | Sec. 38.190. IMMUNITY. This subchapter does not: |
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139 | 139 | | (1) waive any immunity from liability of a school |
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140 | 140 | | district or charter school or of district or school officers or |
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141 | 141 | | employees; |
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142 | 142 | | (2) create any liability for a cause of action against |
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143 | 143 | | a school district or open-enrollment charter school or against |
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144 | 144 | | district or charter school officers or employees; or |
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145 | 145 | | (3) waive any immunity from liability under Section |
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146 | 146 | | 74.151, Civil Practice and Remedies Code. |
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147 | 147 | | Sec. 38.191. RULES. The commissioner and the league may |
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148 | 148 | | adopt rules as necessary to administer this subchapter. |
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149 | 149 | | SECTION 2. Section 33.096, Education Code, is repealed. |
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150 | 150 | | SECTION 3. Subchapter D-1, Chapter 38, Education Code, as |
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151 | 151 | | added by this Act, applies beginning with the 2021-2022 school |
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152 | 152 | | year. |
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153 | 153 | | SECTION 4. Notwithstanding Section 38.189, Education Code, |
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154 | 154 | | as added by this Act, a coach required under that section to take a |
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155 | 155 | | training course in the subject of sudden cardiac arrest must |
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156 | 156 | | initially complete the training course not later than September 1, |
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157 | 157 | | 2022. |
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158 | 158 | | SECTION 5. This Act takes effect immediately if it receives |
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159 | 159 | | a vote of two-thirds of all the members elected to each house, as |
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160 | 160 | | provided by Section 39, Article III, Texas Constitution. If this |
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161 | 161 | | Act does not receive the vote necessary for immediate effect, this |
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162 | 162 | | Act takes effect September 1, 2021. |
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