H.B. No. 4048 AN ACT relating to the authority of an advanced practice registered nurse or physician assistant regarding death certificates. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 193.005(a), Health and Safety Code, is amended to read as follows: (a) A person required to file a death certificate or fetal death certificate shall obtain the required medical certification from the decedent's attending physician, or[, subject to Subsection (a-1),] a physician assistant or advanced practice registered nurse of the decedent, if the death occurred under the care of the person in connection with the treatment of the condition or disease process that contributed to the death. SECTION 2. Section 193.005(a-1), Health and Safety Code, is repealed. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2021. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 4048 was passed by the House on May 8, 2021, by the following vote: Yeas 136, Nays 3, 2 present, not voting. ______________________________ Chief Clerk of the House I certify that H.B. No. 4048 was passed by the Senate on May 27, 2021, by the following vote: Yeas 30, Nays 1. ______________________________ Secretary of the Senate APPROVED: _____________________ Date _____________________ Governor