Texas 2025 - 89th Regular

Texas Senate Bill SB2043 Compare Versions

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11 89R15132 KKR-D
22 By: Hughes S.B. No. 2043
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to prohibited retaliation against a physician or health
1010 care provider for reporting certain violations or taking certain
1111 actions with respect to the provision of health care services;
1212 providing a civil remedy.
1313 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1414 SECTION 1. Subtitle H, Title 4, Health and Safety Code, is
1515 amended by adding Chapter 332 to read as follows:
1616 CHAPTER 332. PROHIBITED RETALIATION AGAINST HEALTH CARE PROVIDERS
1717 Sec. 332.001. DEFINITIONS. In this chapter:
1818 (1) "Health care facility" means a public or private
1919 organization, corporation, partnership, sole proprietorship,
2020 association, agency, network, joint venture, or other entity that
2121 provides health care services to patients. The term includes a
2222 hospital, clinic, medical center, ambulatory surgical center,
2323 private physician's office, pharmacy, nursing home, laboratory or
2424 diagnostic facility, infirmary, dispensary, medical school,
2525 nursing school, pharmacy school, or medical training facility.
2626 (2) "Health care provider" means a nurse, nurse aide,
2727 medical assistant, hospital employee, allied health professional,
2828 counselor, therapist, laboratory technician, clinic employee,
2929 nursing home employee, pharmacist, pharmacy employee, researcher,
3030 medical, pharmacy, or nursing school student, professional,
3131 paraprofessional, or, without regard to whether the person holds a
3232 license, any other person who furnishes or assists in the
3333 furnishing of a health care service.
3434 (3) "Health care service" means any phase of patient
3535 medical care or treatment. The term includes:
3636 (A) examination, testing, diagnosis, referral,
3737 prognosis, dispensing or administering a drug or device, ancillary
3838 research, instruction, therapy, treatment, and preparing for or
3939 performing a surgery or procedure; and
4040 (B) record-making procedures, preparation of
4141 treatment notes, and any other care or treatment rendered by a
4242 physician, health care provider, or health care facility.
4343 (4) "Physician" means an individual licensed to
4444 practice medicine in this state.
4545 Sec. 332.002. RETALIATION PROHIBITED. (a) A person,
4646 including a health care facility, a political subdivision of this
4747 state, a public official of this state, the Texas Medical Board or
4848 another agency of this state, or a medical school or other
4949 institution that conducts education or training programs for health
5050 care providers may not take an adverse action against a physician or
5151 health care provider because the physician or provider:
5252 (1) except as prohibited by law, testifies, assists,
5353 or participates in or is preparing to testify, assist, or
5454 participate in a proceeding to present information about:
5555 (A) any act or omission that the physician or
5656 provider reasonably believes relates to a violation of a law, rule,
5757 regulation, or ethical guideline with respect to the provision of
5858 health care services;
5959 (B) treatment practices or methods that may put
6060 patient health at risk;
6161 (C) a substantial and specific danger to public
6262 health or safety;
6363 (D) gross mismanagement or waste of funds; or
6464 (E) abuse of authority;
6565 (2) provides, causes to be provided, or is preparing
6666 to provide or cause to be provided information described by
6767 Subdivision (1) to:
6868 (A) the physician's or provider's employer;
6969 (B) the attorney general, the Health and Human
7070 Services Commission, or any state agency charged with protecting
7171 patients with respect to the provision of health care services and
7272 public health and safety; or
7373 (C) the United States Department of Health and
7474 Human Services, the Office of Civil Rights of the United States
7575 Department of State, or any other federal agency charged with
7676 protecting patients with respect to the provision of health care
7777 services and public health and safety; or
7878 (3) engages in speech, expression, or association that
7979 is protected from government interference, unless it is shown by
8080 clear and convincing evidence that the physician's or provider's
8181 speech, expression, or association was the direct cause of physical
8282 harm to an individual with whom the physician or provider had a
8383 practitioner-patient relationship during the three years
8484 immediately preceding the incident of physical harm.
8585 (b) Violations under this section include discrimination
8686 against or taking an adverse action with regard to:
8787 (1) licensure;
8888 (2) certification;
8989 (3) employment terms, benefits, seniority status,
9090 promotion, or transfer;
9191 (4) staff appointments or other privileges;
9292 (5) denial of admission or participation in a program
9393 for which the physician or health care provider is otherwise
9494 eligible;
9595 (6) imposition of a burden in the terms or conditions
9696 of employment;
9797 (7) denial of aid, assistance, or benefits;
9898 (8) conditional receipt of the aid, assistance, or
9999 benefits; or
100100 (9) coercion or disqualification of the physician or
101101 provider receiving aid, assistance, or benefits.
102102 Sec. 332.003. CIVIL REMEDIES. (a) A physician or health
103103 care provider who is injured by a violation of this chapter may
104104 bring a civil action against another person, entity, or political
105105 subdivision of this state that violates this chapter. A physician
106106 or provider who brings an action under this section may obtain:
107107 (1) injunctive relief;
108108 (2) damages incurred by the physician or provider,
109109 including:
110110 (A) actual damages for all psychological,
111111 emotional, and physical injuries resulting from the violation of
112112 this chapter, as applicable;
113113 (B) court costs; and
114114 (C) reasonable attorney's fees; or
115115 (3) both injunctive relief and damages.
116116 (b) Governmental immunity is waived and abolished to the
117117 extent of liability under this section.
118118 SECTION 2. This Act takes effect September 1, 2025.