1 | 1 | | 89R15132 KKR-D |
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2 | 2 | | By: Hughes S.B. No. 2043 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to prohibited retaliation against a physician or health |
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10 | 10 | | care provider for reporting certain violations or taking certain |
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11 | 11 | | actions with respect to the provision of health care services; |
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12 | 12 | | providing a civil remedy. |
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13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 14 | | SECTION 1. Subtitle H, Title 4, Health and Safety Code, is |
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15 | 15 | | amended by adding Chapter 332 to read as follows: |
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16 | 16 | | CHAPTER 332. PROHIBITED RETALIATION AGAINST HEALTH CARE PROVIDERS |
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17 | 17 | | Sec. 332.001. DEFINITIONS. In this chapter: |
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18 | 18 | | (1) "Health care facility" means a public or private |
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19 | 19 | | organization, corporation, partnership, sole proprietorship, |
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20 | 20 | | association, agency, network, joint venture, or other entity that |
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21 | 21 | | provides health care services to patients. The term includes a |
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22 | 22 | | hospital, clinic, medical center, ambulatory surgical center, |
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23 | 23 | | private physician's office, pharmacy, nursing home, laboratory or |
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24 | 24 | | diagnostic facility, infirmary, dispensary, medical school, |
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25 | 25 | | nursing school, pharmacy school, or medical training facility. |
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26 | 26 | | (2) "Health care provider" means a nurse, nurse aide, |
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27 | 27 | | medical assistant, hospital employee, allied health professional, |
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28 | 28 | | counselor, therapist, laboratory technician, clinic employee, |
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29 | 29 | | nursing home employee, pharmacist, pharmacy employee, researcher, |
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30 | 30 | | medical, pharmacy, or nursing school student, professional, |
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31 | 31 | | paraprofessional, or, without regard to whether the person holds a |
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32 | 32 | | license, any other person who furnishes or assists in the |
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33 | 33 | | furnishing of a health care service. |
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34 | 34 | | (3) "Health care service" means any phase of patient |
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35 | 35 | | medical care or treatment. The term includes: |
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36 | 36 | | (A) examination, testing, diagnosis, referral, |
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37 | 37 | | prognosis, dispensing or administering a drug or device, ancillary |
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38 | 38 | | research, instruction, therapy, treatment, and preparing for or |
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39 | 39 | | performing a surgery or procedure; and |
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40 | 40 | | (B) record-making procedures, preparation of |
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41 | 41 | | treatment notes, and any other care or treatment rendered by a |
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42 | 42 | | physician, health care provider, or health care facility. |
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43 | 43 | | (4) "Physician" means an individual licensed to |
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44 | 44 | | practice medicine in this state. |
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45 | 45 | | Sec. 332.002. RETALIATION PROHIBITED. (a) A person, |
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46 | 46 | | including a health care facility, a political subdivision of this |
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47 | 47 | | state, a public official of this state, the Texas Medical Board or |
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48 | 48 | | another agency of this state, or a medical school or other |
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49 | 49 | | institution that conducts education or training programs for health |
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50 | 50 | | care providers may not take an adverse action against a physician or |
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51 | 51 | | health care provider because the physician or provider: |
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52 | 52 | | (1) except as prohibited by law, testifies, assists, |
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53 | 53 | | or participates in or is preparing to testify, assist, or |
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54 | 54 | | participate in a proceeding to present information about: |
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55 | 55 | | (A) any act or omission that the physician or |
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56 | 56 | | provider reasonably believes relates to a violation of a law, rule, |
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57 | 57 | | regulation, or ethical guideline with respect to the provision of |
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58 | 58 | | health care services; |
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59 | 59 | | (B) treatment practices or methods that may put |
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60 | 60 | | patient health at risk; |
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61 | 61 | | (C) a substantial and specific danger to public |
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62 | 62 | | health or safety; |
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63 | 63 | | (D) gross mismanagement or waste of funds; or |
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64 | 64 | | (E) abuse of authority; |
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65 | 65 | | (2) provides, causes to be provided, or is preparing |
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66 | 66 | | to provide or cause to be provided information described by |
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67 | 67 | | Subdivision (1) to: |
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68 | 68 | | (A) the physician's or provider's employer; |
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69 | 69 | | (B) the attorney general, the Health and Human |
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70 | 70 | | Services Commission, or any state agency charged with protecting |
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71 | 71 | | patients with respect to the provision of health care services and |
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72 | 72 | | public health and safety; or |
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73 | 73 | | (C) the United States Department of Health and |
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74 | 74 | | Human Services, the Office of Civil Rights of the United States |
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75 | 75 | | Department of State, or any other federal agency charged with |
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76 | 76 | | protecting patients with respect to the provision of health care |
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77 | 77 | | services and public health and safety; or |
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78 | 78 | | (3) engages in speech, expression, or association that |
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79 | 79 | | is protected from government interference, unless it is shown by |
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80 | 80 | | clear and convincing evidence that the physician's or provider's |
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81 | 81 | | speech, expression, or association was the direct cause of physical |
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82 | 82 | | harm to an individual with whom the physician or provider had a |
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83 | 83 | | practitioner-patient relationship during the three years |
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84 | 84 | | immediately preceding the incident of physical harm. |
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85 | 85 | | (b) Violations under this section include discrimination |
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86 | 86 | | against or taking an adverse action with regard to: |
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87 | 87 | | (1) licensure; |
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88 | 88 | | (2) certification; |
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89 | 89 | | (3) employment terms, benefits, seniority status, |
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90 | 90 | | promotion, or transfer; |
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91 | 91 | | (4) staff appointments or other privileges; |
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92 | 92 | | (5) denial of admission or participation in a program |
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93 | 93 | | for which the physician or health care provider is otherwise |
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94 | 94 | | eligible; |
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95 | 95 | | (6) imposition of a burden in the terms or conditions |
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96 | 96 | | of employment; |
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97 | 97 | | (7) denial of aid, assistance, or benefits; |
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98 | 98 | | (8) conditional receipt of the aid, assistance, or |
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99 | 99 | | benefits; or |
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100 | 100 | | (9) coercion or disqualification of the physician or |
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101 | 101 | | provider receiving aid, assistance, or benefits. |
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102 | 102 | | Sec. 332.003. CIVIL REMEDIES. (a) A physician or health |
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103 | 103 | | care provider who is injured by a violation of this chapter may |
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104 | 104 | | bring a civil action against another person, entity, or political |
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105 | 105 | | subdivision of this state that violates this chapter. A physician |
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106 | 106 | | or provider who brings an action under this section may obtain: |
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107 | 107 | | (1) injunctive relief; |
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108 | 108 | | (2) damages incurred by the physician or provider, |
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109 | 109 | | including: |
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110 | 110 | | (A) actual damages for all psychological, |
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111 | 111 | | emotional, and physical injuries resulting from the violation of |
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112 | 112 | | this chapter, as applicable; |
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113 | 113 | | (B) court costs; and |
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114 | 114 | | (C) reasonable attorney's fees; or |
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115 | 115 | | (3) both injunctive relief and damages. |
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116 | 116 | | (b) Governmental immunity is waived and abolished to the |
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117 | 117 | | extent of liability under this section. |
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118 | 118 | | SECTION 2. This Act takes effect September 1, 2025. |
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