3 | 5 | | |
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4 | 6 | | |
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5 | 7 | | A BILL TO BE ENTITLED |
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6 | 8 | | AN ACT |
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7 | 9 | | relating to certain policies and procedures for health care |
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8 | 10 | | specialty consultations in certain child abuse or neglect |
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9 | 11 | | investigations and assessments. |
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10 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 13 | | SECTION 1. Section 261.3017, Family Code, is amended by |
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12 | 14 | | amending Subsections (c-1) and (d) and adding Subsections (c-3) and |
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13 | 15 | | (e-1) to read as follows: |
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14 | 16 | | (c-1) For a case in which a specialty consultation is |
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15 | 17 | | required by Subsection (c), the department shall refer the case to a |
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16 | 18 | | physician who: |
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17 | 19 | | (1) is licensed to practice medicine in this state |
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18 | 20 | | under Subtitle B, Title 3, Occupations Code; |
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19 | 21 | | (2) is board certified in a field or specialty |
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20 | 22 | | relevant to diagnosing and treating the conditions described by |
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21 | 23 | | Subsection (b); [and] |
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22 | 24 | | (3) was not involved with the report of suspected |
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23 | 25 | | abuse or neglect; and |
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24 | 26 | | (4) was not involved in reviewing the case, including |
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25 | 27 | | as a member of a review team under Section 261.312 or a |
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26 | 28 | | multidisciplinary team under Subchapter E, Chapter 264. |
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27 | 29 | | (c-3) Before referring a child's case under Subsection (c), |
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28 | 30 | | the department shall provide to the child's parent or legal |
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29 | 31 | | guardian or, if represented by an attorney, the attorney of the |
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30 | 32 | | parent or legal guardian all medical records, including |
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31 | 33 | | radiographs, images, and other documents used by the department and |
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32 | 34 | | the network during the abuse or neglect investigation. |
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33 | 35 | | (d) In providing assessments to the department as provided |
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34 | 36 | | by Subsection (b), the network and the system must use a blind peer |
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35 | 37 | | review process to resolve cases where physicians in the network or |
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36 | 38 | | system disagree in the assessment of the causes of a child's |
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37 | 39 | | injuries or in the presence of a condition listed under Subsection |
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38 | 40 | | (b). The department shall provide to the child's parent or legal |
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39 | 41 | | guardian or, if represented by an attorney, the attorney of the |
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40 | 42 | | parent or legal guardian the information used to resolve a case |
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41 | 43 | | described by this subsection, including the names of the |
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42 | 44 | | physicians, the physicians' opinions, the possible conflicting |
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43 | 45 | | conditions, all assessments conducted on the child who is the |
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44 | 46 | | subject of the case, and all medical records related to the child. |
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45 | 47 | | (e-1) The department, a referring provider, including a |
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46 | 48 | | hospital, and the network may not obstruct, prevent, or inhibit a |
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47 | 49 | | child's parent or legal guardian or, if represented by an attorney, |
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48 | 50 | | the attorney of the parent or legal guardian from obtaining all |
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49 | 51 | | medical records and documentation necessary to request an |
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50 | 52 | | alternative opinion, including access to the child for that purpose |
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51 | 53 | | by a health care professional providing an alternative or second |
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52 | 54 | | opinion or performing diagnostic testing. |
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53 | 55 | | SECTION 2. Sections 261.30175(b), (c), and (d), Family |
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54 | 56 | | Code, are amended to read as follows: |
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55 | 57 | | (b) A health care practitioner who reports suspected abuse |
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56 | 58 | | or neglect of a child or was involved in reviewing the case, |
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57 | 59 | | including as a member of a review team under Section 261.312 or a |
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58 | 60 | | multidisciplinary team under Subchapter E, Chapter 264, may not |
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59 | 61 | | provide forensic assessment services in connection with an |
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60 | 62 | | investigation resulting from the report. This subsection applies |
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61 | 63 | | regardless of whether the practitioner is a member of the network or |
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62 | 64 | | system. |
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63 | 65 | | (c) When referring a case for forensic assessment, the |
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64 | 66 | | department shall refer the case to a physician authorized to |
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65 | 67 | | practice medicine in this state under Subtitle B, Title 3, |
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66 | 68 | | Occupations Code, who was not involved: |
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67 | 69 | | (1) with the report of suspected abuse or neglect; or |
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68 | 70 | | (2) in reviewing the case, including as a member of a |
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69 | 71 | | review team under Section 261.312 or a multidisciplinary team under |
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70 | 72 | | Subchapter E, Chapter 264. |
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71 | 73 | | (d) This section may not be construed to: |
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72 | 74 | | (1) prohibit the department from interviewing the |
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73 | 75 | | health care practitioner in the practitioner's capacity as a |
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74 | 76 | | principal or collateral source; [or] |
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75 | 77 | | (2) otherwise restrict the department's ability to |
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76 | 78 | | conduct an investigation as provided by this subchapter; or |
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77 | 79 | | (3) restrict the ability of the child's parent or legal |
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78 | 80 | | guardian or, if represented by an attorney, the attorney of the |
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79 | 81 | | parent or legal guardian to receive all medical records and |
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80 | 82 | | documentation relating to a case in which the network is consulted. |
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81 | 83 | | SECTION 3. This Act takes effect September 1, 2025. |
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