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3 | 5 | | |
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4 | 6 | | A BILL TO BE ENTITLED |
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5 | 7 | | AN ACT |
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6 | 8 | | relating to reporting requirements for assisted reproductive |
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7 | 9 | | technology, including in vitro fertilization. |
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8 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 11 | | SECTION 1. Chapter 174, Health and Safety Code, is added to |
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10 | 12 | | read as follows: |
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11 | 13 | | CHAPTER 174. REPORTING REQUIREMENTS FOR ASSISTED REPRODUCTIVE |
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12 | 14 | | TECHNOLOGY PROVIDERS |
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13 | 15 | | Sec. 174.001. DEFINITIONS. In this chapter: |
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14 | 16 | | (1) "Department" means the Texas Health and Human |
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15 | 17 | | Services Commission. |
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16 | 18 | | (2) "Assisted reproductive technology provider" means |
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17 | 19 | | any licensed, registered, or certified medical facility, clinic, or |
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18 | 20 | | healthcare provider that engages in treatments or procedures that |
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19 | 21 | | involve the handling of a human egg, sperm, or embryo outside of the |
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20 | 22 | | body with the intent of facilitating a pregnancy, including |
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21 | 23 | | artificial insemination, intrauterine insemination, in vitro |
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22 | 24 | | fertilization, gamete intrafallopian fertilization, zygote |
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23 | 25 | | intrafallopian fertilization, egg, embryo, and sperm |
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24 | 26 | | cryopreservation, and egg, sperm, or embryo donation, including in |
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25 | 27 | | vitro fertilization, frozen embryo transfer, or zygote |
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26 | 28 | | intrafallopian transfer. |
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27 | 29 | | (3) "Embryo" means a distinct and living organism of |
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28 | 30 | | the species homo sapiens from the moment of fertilization until |
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29 | 31 | | death or eight weeks gestation, including the single-cell stage of |
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30 | 32 | | development and such embryos that are in a state of |
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31 | 33 | | cryopreservation or are otherwise unused. |
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32 | 34 | | (4) "Cycle" means a single procedure of in vitro |
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33 | 35 | | fertilization, zygote intrafallopian transfer, gamete |
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34 | 36 | | intrafallopian transfer, or egg retrieval. A complete cycle may |
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35 | 37 | | only refer to egg retrieval if no eggs are fertilized and implanted |
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36 | 38 | | into the patient or it may mean the complete process from egg |
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37 | 39 | | retrieval to the transfer of human reproductive material. |
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38 | 40 | | Sec. 174.002. REPORTING REQUIREMENTS. (a) Each assisted |
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39 | 41 | | reproductive technology provider in the state shall submit an |
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40 | 42 | | annual report to the department detailing the following |
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41 | 43 | | information for the previous calendar year: |
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42 | 44 | | (1) Number of embryos created in total through |
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43 | 45 | | assisted reproductive technology cycles; |
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44 | 46 | | (2) What happens to each of the embryos created; |
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45 | 47 | | (3) How many embryos are negligently destroyed each |
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46 | 48 | | year due to the failure of a cryopreservation tank or technical and |
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47 | 49 | | human error; |
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48 | 50 | | (4) How many embryos perish due to natural causes |
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49 | 51 | | during fertilization, development, or implantation in assisted |
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50 | 52 | | reproductive technology procedures; |
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51 | 53 | | (5) How many embryos perish due to preimplantation |
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52 | 54 | | genetic testing in assisted reproductive technology; |
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53 | 55 | | (6) How many embryos are intentionally destroyed at |
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54 | 56 | | the discretion of the assisted reproductive technology provider or |
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55 | 57 | | the prospective parents and, for each instance, a specified reason |
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56 | 58 | | that the assisted reproductive technology provider or prospective |
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57 | 59 | | parent chose to discard the embryo for one of the four following |
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58 | 60 | | options: |
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59 | 61 | | (A) Genetic or physical health concerns; |
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60 | 62 | | (B) Undesired biological sex; |
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61 | 63 | | (C) Unwanted or unused embryo; or |
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62 | 64 | | (D) Other, with a specified reason; |
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63 | 65 | | (7) How many embryos prospective parents relinquished |
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64 | 66 | | to an embryo adoption clinic; |
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65 | 67 | | (8) How many embryos prospective parents donate for |
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66 | 68 | | research purposes; |
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67 | 69 | | (9) How many embryos are created in each cycle of |
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68 | 70 | | assisted reproductive technology; |
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69 | 71 | | (10) The loss of reproductive material of prospective |
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70 | 72 | | parents due to unknown or undisclosed reasons; |
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71 | 73 | | (11) Any instances of an assisted reproductive |
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72 | 74 | | technology provider knowingly transferring non-viable reproductive |
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73 | 75 | | material into a prospective patient, with or without the patient's |
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74 | 76 | | knowledge; |
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75 | 77 | | (12) The number of embryos that are frozen in |
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76 | 78 | | cryopreservation storage units that year; |
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77 | 79 | | (13) The total number of embryos that are frozen in |
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78 | 80 | | cryopreservation storage units, including embryos frozen in |
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79 | 81 | | previous years; |
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80 | 82 | | (14) How many embryos are transferred fresh versus |
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81 | 83 | | frozen; |
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82 | 84 | | (15) How many embryos are transferred in a single |
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83 | 85 | | transfer cycle; |
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84 | 86 | | (16) How many embryos successfully implant, when |
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85 | 87 | | conceived with assisted reproductive technology, but are |
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86 | 88 | | miscarried, perish naturally in the womb, or are stillborn; |
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87 | 89 | | (17) How many pregnancies result from assisted |
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88 | 90 | | reproductive technology procedures; |
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89 | 91 | | (18) How many live births result from assisted |
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90 | 92 | | reproductive technology procedures; and |
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91 | 93 | | (19) How many cases of multiple gestation including |
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92 | 94 | | twins, triplets, quadruplets, or more, occur from assisted |
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93 | 95 | | reproductive technology procedures. |
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94 | 96 | | (b) The report shall not contain any personally |
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95 | 97 | | identifiable patient information. |
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96 | 98 | | Sec. 174.003. COMPILATION AND PUBLICATION OF REPORTS. (a) |
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97 | 99 | | The department shall compile the data submitted under Section |
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98 | 100 | | 174.002 and prepare an annual report summarizing the statewide |
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99 | 101 | | statistics on assisted reproductive technology procedures and |
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100 | 102 | | outcomes within 12 months of receiving the assisted reproductive |
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101 | 103 | | technology data from providers. |
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102 | 104 | | (b) The annual report compiled under subsection (a) should |
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103 | 105 | | include: |
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104 | 106 | | (1) The total number of providers registered to |
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105 | 107 | | practice assisted reproductive technology; |
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106 | 108 | | (2) The total number of assisted reproductive |
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107 | 109 | | technology and egg retrieval cycles each provider performs; |
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108 | 110 | | (3) A percentage breakdown of the types of assisted |
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109 | 111 | | reproductive technology procedures clinics, as a whole, perform; |
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110 | 112 | | (4) The success rate of each form of assisted |
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111 | 113 | | reproductive technology, broken down by age, whether donor ovum or |
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112 | 114 | | sperm was used, and the total number of cycles required for the |
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113 | 115 | | successful birth of a live child per couple; and |
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114 | 116 | | (5) The total outcomes of each of the individual |
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115 | 117 | | fertility clinic data collection points from Sec. 174.002. |
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116 | 118 | | (c) The report shall be made publicly available on the |
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117 | 119 | | department's website no later than December 31 of each year. |
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118 | 120 | | Sec. 174.004. ENFORCEMENT AND PENALTIES. (a) The |
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119 | 121 | | department shall adopt rules necessary to implement this chapter. |
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120 | 122 | | (b) Failure to comply with the reporting requirements of |
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121 | 123 | | this chapter may result in administrative penalties, including |
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122 | 124 | | fines or other disciplinary actions as prescribed by the |
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123 | 125 | | department. |
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124 | 126 | | SECTION 2. This Act takes effect September 1, 2025. |
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