Texas 2025 - 89th Regular

Texas House Bill HB2071 Compare Versions

OldNewDifferences
11 89R8021 MM-F
2- By: Hull, et al. H.B. No. 2071
2+ By: Hull H.B. No. 2071
3+
4+
35
46
57 A BILL TO BE ENTITLED
68 AN ACT
79 relating to certain policies and procedures for health care
810 specialty consultations in certain child abuse or neglect
911 investigations and assessments.
1012 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1113 SECTION 1. Section 261.3017, Family Code, is amended by
1214 amending Subsections (c-1) and (d) and adding Subsections (c-3) and
1315 (e-1) to read as follows:
1416 (c-1) For a case in which a specialty consultation is
1517 required by Subsection (c), the department shall refer the case to a
1618 physician who:
1719 (1) is licensed to practice medicine in this state
1820 under Subtitle B, Title 3, Occupations Code;
1921 (2) is board certified in a field or specialty
2022 relevant to diagnosing and treating the conditions described by
2123 Subsection (b); [and]
2224 (3) was not involved with the report of suspected
2325 abuse or neglect; and
2426 (4) was not involved in reviewing the case, including
2527 as a member of a review team under Section 261.312 or a
2628 multidisciplinary team under Subchapter E, Chapter 264.
2729 (c-3) Before referring a child's case under Subsection (c),
2830 the department shall provide to the child's parent or legal
2931 guardian or, if represented by an attorney, the attorney of the
3032 parent or legal guardian all medical records, including
3133 radiographs, images, and other documents used by the department and
3234 the network during the abuse or neglect investigation.
3335 (d) In providing assessments to the department as provided
3436 by Subsection (b), the network and the system must use a blind peer
3537 review process to resolve cases where physicians in the network or
3638 system disagree in the assessment of the causes of a child's
3739 injuries or in the presence of a condition listed under Subsection
3840 (b). The department shall provide to the child's parent or legal
3941 guardian or, if represented by an attorney, the attorney of the
4042 parent or legal guardian the information used to resolve a case
4143 described by this subsection, including the names of the
4244 physicians, the physicians' opinions, the possible conflicting
4345 conditions, all assessments conducted on the child who is the
4446 subject of the case, and all medical records related to the child.
4547 (e-1) The department, a referring provider, including a
4648 hospital, and the network may not obstruct, prevent, or inhibit a
4749 child's parent or legal guardian or, if represented by an attorney,
4850 the attorney of the parent or legal guardian from obtaining all
4951 medical records and documentation necessary to request an
5052 alternative opinion, including access to the child for that purpose
5153 by a health care professional providing an alternative or second
5254 opinion or performing diagnostic testing.
5355 SECTION 2. Sections 261.30175(b), (c), and (d), Family
5456 Code, are amended to read as follows:
5557 (b) A health care practitioner who reports suspected abuse
5658 or neglect of a child or was involved in reviewing the case,
5759 including as a member of a review team under Section 261.312 or a
5860 multidisciplinary team under Subchapter E, Chapter 264, may not
5961 provide forensic assessment services in connection with an
6062 investigation resulting from the report. This subsection applies
6163 regardless of whether the practitioner is a member of the network or
6264 system.
6365 (c) When referring a case for forensic assessment, the
6466 department shall refer the case to a physician authorized to
6567 practice medicine in this state under Subtitle B, Title 3,
6668 Occupations Code, who was not involved:
6769 (1) with the report of suspected abuse or neglect; or
6870 (2) in reviewing the case, including as a member of a
6971 review team under Section 261.312 or a multidisciplinary team under
7072 Subchapter E, Chapter 264.
7173 (d) This section may not be construed to:
7274 (1) prohibit the department from interviewing the
7375 health care practitioner in the practitioner's capacity as a
7476 principal or collateral source; [or]
7577 (2) otherwise restrict the department's ability to
7678 conduct an investigation as provided by this subchapter; or
7779 (3) restrict the ability of the child's parent or legal
7880 guardian or, if represented by an attorney, the attorney of the
7981 parent or legal guardian to receive all medical records and
8082 documentation relating to a case in which the network is consulted.
8183 SECTION 3. This Act takes effect September 1, 2025.