1 | 1 | | By: Perry, Hall S.B. No. 265 |
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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 required reports of certain vaccine-related or |
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7 | 7 | | drug-related adverse events. |
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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. Subchapter A, Chapter 161, Health and Safety |
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10 | 10 | | Code, is amended by adding Section 161.0103 to read as follows: |
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11 | 11 | | Sec. 161.0103. REQUIRED REPORT OF CERTAIN VACCINE-RELATED |
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12 | 12 | | ADVERSE EVENTS. (a) In this section, "serious adverse event" means |
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13 | 13 | | an event that: |
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14 | 14 | | (1) results in death; |
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15 | 15 | | (2) is considered life-threatening; |
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16 | 16 | | (3) results in inpatient hospitalization or an |
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17 | 17 | | extension of the duration of an existing hospitalization; |
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18 | 18 | | (4) results in a persistent or significant incapacity |
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19 | 19 | | or substantial disruption of a person's ability to perform normal |
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20 | 20 | | life functions; |
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21 | 21 | | (5) results in a congenital anomaly or birth defect; |
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22 | 22 | | or |
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23 | 23 | | (6) results in a medically important condition that, |
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24 | 24 | | based on the physician's reasonable medical judgment, may require |
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25 | 25 | | medical or surgical intervention to prevent an outcome described by |
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26 | 26 | | Subdivisions (1) through (5). |
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27 | 27 | | (b) This section applies only to a vaccine that is: |
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28 | 28 | | (1) experimental or investigational; or |
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29 | 29 | | (2) approved or authorized for emergency use by the |
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30 | 30 | | United States Food and Drug Administration. |
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31 | 31 | | (c) Notwithstanding Subsection (b), this section does not |
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32 | 32 | | apply to a vaccine administered as part of a clinical trial. |
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33 | 33 | | (d) Notwithstanding any other law, a physician shall report |
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34 | 34 | | to the federal Vaccine Adverse Event Reporting System any serious |
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35 | 35 | | adverse event the physician's patient suffers if: |
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36 | 36 | | (1) the physician: |
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37 | 37 | | (A) diagnoses the patient with a condition |
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38 | 38 | | related to the serious adverse event; and |
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39 | 39 | | (B) knows the patient received a vaccination to |
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40 | 40 | | which this section applies; and |
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41 | 41 | | (2) the patient suffers the serious adverse event |
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42 | 42 | | before the first anniversary of the date the patient was |
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43 | 43 | | vaccinated. |
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44 | 44 | | (e) A physician who violates this section is subject to: |
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45 | 45 | | (1) for an initial violation, non-disciplinary |
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46 | 46 | | corrective action by the Texas Medical Board; and |
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47 | 47 | | (2) for each subsequent violation, disciplinary |
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48 | 48 | | action by the Texas Medical Board as if the physician violated |
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49 | 49 | | Subtitle B, Title 3, Occupations Code. |
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50 | 50 | | (f) For purposes of non-disciplinary corrective action or |
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51 | 51 | | disciplinary action imposed under Subsection (e), a violation of |
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52 | 52 | | this section may not be considered after the third anniversary of |
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53 | 53 | | the date of the violation. However, the Texas Medical Board must |
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54 | 54 | | retain information on each violation in the physician's permanent |
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55 | 55 | | record. |
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56 | 56 | | (g) The executive commissioner shall adopt rules necessary |
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57 | 57 | | to implement this section. |
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58 | 58 | | SECTION 2. Subchapter E, Chapter 431, Health and Safety |
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59 | 59 | | Code, is amended by adding Section 431.1145 to read as follows: |
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60 | 60 | | Sec. 431.1145. REQUIRED REPORT OF CERTAIN DRUG-RELATED |
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61 | 61 | | ADVERSE EVENTS. (a) In this section, "serious adverse event" means |
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62 | 62 | | an event that: |
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63 | 63 | | (1) results in death; |
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64 | 64 | | (2) is considered life-threatening; |
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65 | 65 | | (3) results in inpatient hospitalization or an |
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66 | 66 | | extension of the duration of an existing hospitalization; |
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67 | 67 | | (4) results in a persistent or significant incapacity |
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68 | 68 | | or substantial disruption of the person's ability to perform normal |
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69 | 69 | | life functions; |
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70 | 70 | | (5) results in a congenital anomaly or birth defect; |
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71 | 71 | | or |
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72 | 72 | | (6) results in a medically important medical condition |
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73 | 73 | | that, based on the physician's reasonable medical judgment, may |
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74 | 74 | | require medical or surgical intervention to prevent an outcome |
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75 | 75 | | described by Subdivisions (1) through (5). |
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76 | 76 | | (b) This section applies only to a drug that is: |
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77 | 77 | | (1) experimental or investigational; or |
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78 | 78 | | (2) approved or authorized for emergency use by the |
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79 | 79 | | United States Food and Drug Administration. |
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80 | 80 | | (c) Notwithstanding Subsection (b), this section does not |
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81 | 81 | | apply to a drug that is administered or used as part of a clinical |
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82 | 82 | | trial. |
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83 | 83 | | (d) Notwithstanding any other law, a physician shall report |
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84 | 84 | | to the United States Food and Drug Administration through the |
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85 | 85 | | MedWatch Reporting System any serious adverse event the physician's |
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86 | 86 | | patient suffers if: |
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87 | 87 | | (1) the physician: |
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88 | 88 | | (A) diagnoses the patient with a condition |
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89 | 89 | | related to the serious adverse event; and |
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90 | 90 | | (B) knows the patient was administered or used a |
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91 | 91 | | drug to which this section applies; and |
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92 | 92 | | (2) the patient suffers the serious adverse event |
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93 | 93 | | before the first anniversary of the date the patient was |
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94 | 94 | | administered or used the drug. |
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95 | 95 | | (e) A physician who violates this section is subject to: |
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96 | 96 | | (1) for an initial violation, non-disciplinary |
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97 | 97 | | corrective action by the Texas Medical Board; and |
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98 | 98 | | (2) for each subsequent violation, disciplinary |
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99 | 99 | | action by the Texas Medical Board as if the physician violated |
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100 | 100 | | Subtitle B, Title 3, Occupations Code. |
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101 | 101 | | (f) For purposes of non-disciplinary corrective action or |
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102 | 102 | | disciplinary action imposed under Subsection (e), a violation is |
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103 | 103 | | not considered after the third anniversary of the date of the |
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104 | 104 | | violation. However, the Texas Medical Board must retain |
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105 | 105 | | information on each violation in the physician's permanent record. |
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106 | 106 | | (g) The executive commissioner shall adopt rules necessary |
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107 | 107 | | to implement this section. |
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108 | 108 | | SECTION 3. As soon as practicable after the effective date |
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109 | 109 | | of this Act, the executive commissioner of the Health and Human |
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110 | 110 | | Services Commission shall adopt rules necessary to implement the |
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111 | 111 | | changes in law made by this Act. |
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112 | 112 | | SECTION 4. This Act takes effect September 1, 2023. |
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