1 | 1 | | 87R8402 JG-F |
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2 | 2 | | By: White H.B. No. 2760 |
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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 the right to choose and refuse medical treatment and |
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8 | 8 | | control measures and to the imposition of isolation or quarantine |
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9 | 9 | | control measures. |
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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. The heading to Section 81.009, Health and Safety |
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12 | 12 | | Code, is amended to read as follows: |
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13 | 13 | | Sec. 81.009. EXEMPTION FROM MEDICAL TREATMENT; RIGHT TO |
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14 | 14 | | CHOOSE OR REFUSE MEDICAL TREATMENT AND CONTROL MEASURES. |
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15 | 15 | | SECTION 2. Section 81.009, Health and Safety Code, is |
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16 | 16 | | amended by amending Subsection (a) and adding Subsection (c) to |
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17 | 17 | | read as follows: |
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18 | 18 | | (a) This chapter does not authorize or require the medical |
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19 | 19 | | treatment of an individual who chooses treatment by prayer or |
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20 | 20 | | spiritual means [as part of the tenets and practices of a recognized |
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21 | 21 | | church of which the individual is an adherent or member]. However, |
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22 | 22 | | the individual may be isolated or quarantined from the public [in an |
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23 | 23 | | appropriate facility] and shall obey the rules, orders, and |
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24 | 24 | | instructions of the department or health authority while in |
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25 | 25 | | isolation or quarantine. |
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26 | 26 | | (c) Notwithstanding other law, an individual retains the |
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27 | 27 | | right to choose and make decisions regarding the medical treatment |
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28 | 28 | | provided to the individual or the individual's child and the right |
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29 | 29 | | to refuse: |
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30 | 30 | | (1) a medical treatment or procedure; |
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31 | 31 | | (2) a medical test; |
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32 | 32 | | (3) a physical or mental examination; |
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33 | 33 | | (4) an immunization; |
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34 | 34 | | (5) an experimental procedure or protocol; |
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35 | 35 | | (6) the collection of a specimen; |
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36 | 36 | | (7) participation in a tracking or tracing program; |
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37 | 37 | | (8) participation in wearing a medical or other |
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38 | 38 | | protective device; |
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39 | 39 | | (9) participation in maintaining a measured distance |
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40 | 40 | | from other individuals or animals, unless the distance is required |
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41 | 41 | | by law or under a court order unrelated to this chapter; and |
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42 | 42 | | (10) involuntary disclosure of personal data or |
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43 | 43 | | medical information. |
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44 | 44 | | SECTION 3. Subchapter E, Chapter 81, Health and Safety |
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45 | 45 | | Code, is amended by adding Section 81.0825 to read as follows: |
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46 | 46 | | Sec. 81.0825. REQUIREMENTS FOR IMPOSITION OF CONTROL |
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47 | 47 | | MEASURES INVOLVING ISOLATION OR QUARANTINE FOR INDIVIDUAL OR GROUP. |
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48 | 48 | | (a) Before ordering an individual or a group of individuals to |
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49 | 49 | | implement control measures under Section 81.083 or 81.085 that |
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50 | 50 | | involve isolation or quarantine, the department or a health |
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51 | 51 | | authority must: |
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52 | 52 | | (1) provide notice of the control measures to the |
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53 | 53 | | individual or group of individuals; |
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54 | 54 | | (2) provide to the individual or group of individuals |
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55 | 55 | | an opportunity to demonstrate that the implementation of control |
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56 | 56 | | measures is not necessary; and |
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57 | 57 | | (3) obtain from a district court in a county in which |
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58 | 58 | | the individual or group of individuals resides, is located, or is |
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59 | 59 | | receiving court-ordered health services a court order authorizing |
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60 | 60 | | the department or health authority to order the individual or group |
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61 | 61 | | of individuals to implement control measures. |
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62 | 62 | | (b) To obtain a court order under Subsection (a)(3), the |
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63 | 63 | | department or health authority must demonstrate to the court by |
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64 | 64 | | clear and convincing evidence that the individual or group of |
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65 | 65 | | individuals is infected with or is reasonably suspected of being |
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66 | 66 | | infected with a communicable disease that presents a threat to |
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67 | 67 | | public health. The department or health authority must submit to |
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68 | 68 | | the court any evidence the individual or group provides to the |
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69 | 69 | | department or health authority under Subsection (a)(2). |
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70 | 70 | | (c) In ordering an individual or group of individuals to |
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71 | 71 | | implement control measures under Section 81.083 or 81.085 that |
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72 | 72 | | involve isolation or quarantine, the department or a health |
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73 | 73 | | authority to the greatest extent possible must: |
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74 | 74 | | (1) use the least restrictive means available; and |
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75 | 75 | | (2) allow an individual to isolate or quarantine in |
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76 | 76 | | the individual's home or with a family member, a friend, or another |
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77 | 77 | | individual with whom the individual is involved in a romantic |
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78 | 78 | | relationship. |
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79 | 79 | | SECTION 4. Sections 81.083(b) and (k), Health and Safety |
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80 | 80 | | Code, are amended to read as follows: |
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81 | 81 | | (b) If the department or a health authority has reasonable |
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82 | 82 | | cause to believe that an individual is ill with, has been exposed |
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83 | 83 | | to, or is the carrier of a communicable disease, the department or |
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84 | 84 | | health authority may, subject to Section 81.0825, order the |
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85 | 85 | | individual, or the individual's parent, legal guardian, or managing |
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86 | 86 | | conservator if the individual is a minor, to implement control |
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87 | 87 | | measures that are reasonable and necessary to prevent the |
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88 | 88 | | introduction, transmission, and spread of the disease in this |
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89 | 89 | | state. |
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90 | 90 | | (k) If the department or a health authority has reasonable |
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91 | 91 | | cause to believe that a group of five or more individuals has been |
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92 | 92 | | exposed to or infected with a communicable disease, the department |
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93 | 93 | | or health authority may, subject to Section 81.0825, order the |
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94 | 94 | | members of the group to implement control measures that are |
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95 | 95 | | reasonable and necessary to prevent the introduction, |
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96 | 96 | | transmission, and spread of the disease in this state. If the |
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97 | 97 | | department or health authority adopts control measures under this |
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98 | 98 | | subsection, each member of the group is subject to the requirements |
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99 | 99 | | of this section. |
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100 | 100 | | SECTION 5. Sections 81.085(a) and (c), Health and Safety |
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101 | 101 | | Code, are amended to read as follows: |
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102 | 102 | | (a) If an outbreak of communicable disease occurs in this |
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103 | 103 | | state, the commissioner or one or more health authorities may, |
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104 | 104 | | subject to Section 81.0825, impose an area quarantine coextensive |
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105 | 105 | | with the area affected. The commissioner may impose an area |
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106 | 106 | | quarantine, if the commissioner has reasonable cause to believe |
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107 | 107 | | that individuals or property in the area may be infected or |
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108 | 108 | | contaminated with a communicable disease, for the period necessary |
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109 | 109 | | to determine whether an outbreak of communicable disease has |
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110 | 110 | | occurred. A health authority may impose the quarantine only within |
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111 | 111 | | the boundaries of the health authority's jurisdiction. |
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112 | 112 | | (c) The department may, subject to Section 81.0825, impose |
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113 | 113 | | additional disease control measures in a quarantine area that the |
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114 | 114 | | department considers necessary and most appropriate to arrest, |
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115 | 115 | | control, and eradicate the threat to the public health. Absent |
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116 | 116 | | preemptive action by the department under this chapter or by the |
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117 | 117 | | governor under Chapter 418, Government Code (Texas Disaster Act of |
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118 | 118 | | 1975), a health authority may impose in a quarantine area under the |
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119 | 119 | | authority's jurisdiction additional disease control measures that |
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120 | 120 | | the health authority considers necessary and most appropriate to |
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121 | 121 | | arrest, control, and eradicate the threat to the public health. |
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122 | 122 | | SECTION 6. Section 81.009(b), Health and Safety Code, is |
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123 | 123 | | repealed. |
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124 | 124 | | SECTION 7. This Act takes effect September 1, 2021. |
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