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3 | 8 | | |
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4 | 9 | | |
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5 | 10 | | |
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6 | 11 | | A BILL TO BE ENTITLED |
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7 | 12 | | AN ACT |
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8 | 13 | | relating to ectopic pregnancies and continuing education for |
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9 | 14 | | certain physicians and nurses regarding treatment of certain |
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10 | 15 | | pregnancy-related conditions. |
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11 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 17 | | SECTION 1. Section 245.002(4-a), Health and Safety Code, is |
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13 | 18 | | amended to read as follows: |
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14 | 19 | | (4-a) "Ectopic pregnancy" means the implantation of a |
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15 | 20 | | fertilized egg or embryo: |
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16 | 21 | | (A) outside of the uterus; |
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17 | 22 | | (B) in an intrauterine location at which the |
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18 | 23 | | fertilized egg or embryo becomes nonviable; or |
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19 | 24 | | (C) in a scarred portion of the uterus. |
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20 | 25 | | SECTION 2. Subchapter B, Chapter 156, Occupations Code, is |
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21 | 26 | | amended by adding Section 156.061 to read as follows: |
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22 | 27 | | Sec. 156.061. CONTINUING MEDICAL EDUCATION REGARDING |
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23 | 28 | | TREATMENT OF CERTAIN PREGNANCY-RELATED CONDITIONS. (a) In this |
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24 | 29 | | section: |
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25 | 30 | | (1) "Abortion" and "ectopic pregnancy" have the |
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26 | 31 | | meanings assigned by Section 245.002, Health and Safety Code. |
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27 | 32 | | (2) "Medical emergency" has the meaning assigned by |
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28 | 33 | | Section 171.002, Health and Safety Code. |
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29 | 34 | | (b) A physician licensed under this subtitle who submits an |
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30 | 35 | | application for renewal of a registration permit and whose practice |
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31 | 36 | | includes treating pregnant women shall complete, in accordance with |
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32 | 37 | | this section, at least one hour of continuing medical education |
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33 | 38 | | approved by the board on the treatment of: |
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34 | 39 | | (1) pregnancy-related medical emergencies; |
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35 | 40 | | (2) ectopic pregnancy; and |
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36 | 41 | | (3) situations involving a dead, unborn child whose |
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37 | 42 | | death was caused by a spontaneous abortion. |
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38 | 43 | | (c) The continuing medical education required under |
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39 | 44 | | Subsection (b) must include instruction on: |
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40 | 45 | | (1) standards of care for managing a condition or |
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41 | 46 | | situation described by Subsection (b); |
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42 | 47 | | (2) identification of and timely response to a medical |
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43 | 48 | | emergency caused or aggravated by a woman's pregnancy and that |
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44 | 49 | | requires intervention; |
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45 | 50 | | (3) how abortion is defined under Section 245.002, |
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46 | 51 | | Health and Safety Code, including the medical situations and |
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47 | 52 | | interventions excluded from abortion regulations protecting unborn |
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48 | 53 | | life; |
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49 | 54 | | (4) how medical emergency is defined under Section |
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50 | 55 | | 171.002, Health and Safety Code, and what interventions are |
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51 | 56 | | permitted in a medical emergency involving a pregnant woman; and |
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52 | 57 | | (5) communication strategies for effectively |
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53 | 58 | | discussing a condition or situation described by Subsection (b) |
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54 | 59 | | with patients and their families. |
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55 | 60 | | (d) A physician must complete one hour of continuing medical |
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56 | 61 | | education required by Subsection (b) in each of the first two |
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57 | 62 | | renewal periods following the issuance of the physician's initial |
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58 | 63 | | registration permit under this chapter, with one hour to be |
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59 | 64 | | completed not later than the first anniversary of the date of |
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60 | 65 | | issuance. |
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61 | 66 | | (e) After the period described by Subsection (d), a |
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62 | 67 | | physician must complete not less than one hour of continuing |
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63 | 68 | | medical education as described by Subsection (b) every eight years. |
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64 | 69 | | (f) The hours required by this section may be counted toward |
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65 | 70 | | the hours of continuing medical education required by Section |
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66 | 71 | | 156.051(a)(2). |
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67 | 72 | | (g) The board shall adopt rules to implement this section, |
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68 | 73 | | including rules to establish the content of and approval |
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69 | 74 | | requirements for continuing medical education required under this |
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70 | 75 | | section. |
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71 | 76 | | SECTION 3. Subchapter G, Chapter 301, Occupations Code, is |
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72 | 77 | | amended by adding Section 301.309 to read as follows: |
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73 | 78 | | Sec. 301.309. CONTINUING EDUCATION REGARDING TREATMENT OF |
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74 | 79 | | CERTAIN PREGNANCY-RELATED CONDITIONS. (a) In this section: |
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75 | 80 | | (1) "Abortion" and "ectopic pregnancy" have the |
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76 | 81 | | meanings assigned by Section 245.002, Health and Safety Code. |
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77 | 82 | | (2) "Medical emergency" has the meaning assigned by |
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78 | 83 | | Section 171.002, Health and Safety Code. |
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79 | 84 | | (b) As part of a continuing competency program under Section |
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80 | 85 | | 301.303, a license holder whose practice includes treating pregnant |
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81 | 86 | | women and who is required under board rules to comply with this |
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82 | 87 | | section shall complete at least one hour of continuing education |
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83 | 88 | | during each two-year licensing period relating to the treatment of: |
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84 | 89 | | (1) pregnancy-related medical emergencies; |
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85 | 90 | | (2) ectopic pregnancy; and |
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86 | 91 | | (3) situations involving a dead, unborn child whose |
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87 | 92 | | death was caused by a spontaneous abortion. |
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88 | 93 | | (c) The continuing education under Subsection (b) must |
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89 | 94 | | include instruction on: |
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90 | 95 | | (1) standards of care for managing a condition or |
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91 | 96 | | situation described by Subsection (b); |
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92 | 97 | | (2) identification of and timely response to a medical |
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93 | 98 | | emergency caused or aggravated by a woman's pregnancy and that |
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94 | 99 | | requires intervention; |
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95 | 100 | | (3) how abortion is defined under Section 245.002, |
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96 | 101 | | Health and Safety Code, including the medical situations and |
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97 | 102 | | interventions excluded from abortion regulations protecting unborn |
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98 | 103 | | life; |
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99 | 104 | | (4) how medical emergency is defined under Section |
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100 | 105 | | 171.002, Health and Safety Code, and what interventions are |
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101 | 106 | | permitted in a medical emergency involving a pregnant woman; and |
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102 | 107 | | (5) communication strategies for effectively |
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103 | 108 | | discussing a condition or situation described by Subsection (b) |
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104 | 109 | | with patients and their families. |
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105 | 110 | | (d) The continuing education required under Subsection (b) |
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106 | 111 | | must be part of a program approved under Section 301.303(c). |
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107 | 112 | | (e) The board shall adopt rules to identify the license |
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108 | 113 | | holders who are required to complete continuing education under |
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109 | 114 | | Subsection (b) and to establish the content of that continuing |
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110 | 115 | | education. The board may adopt other rules to implement this |
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111 | 116 | | section, including rules under Section 301.303(c) for the approval |
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112 | 117 | | of education programs and providers. |
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113 | 118 | | SECTION 4. (a) Not later than December 1, 2025, the Texas |
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114 | 119 | | Medical Board shall adopt rules necessary to implement Section |
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115 | 120 | | 156.061, Occupations Code, as added by this Act. |
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116 | 121 | | (b) Not later than December 1, 2025, the Texas Board of |
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117 | 122 | | Nursing shall adopt rules necessary to implement Section 301.309, |
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118 | 123 | | Occupations Code, as added by this Act. |
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119 | 124 | | SECTION 5. (a) Section 156.061, Occupations Code, as added |
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120 | 125 | | by this Act, applies only to an application for renewal of a |
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121 | 126 | | registration permit submitted on or after January 1, 2026. An |
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122 | 127 | | application submitted before January 1, 2026, is governed by the |
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123 | 128 | | law in effect immediately before the effective date of this Act, and |
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124 | 129 | | the former law is continued in effect for that purpose. |
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125 | 130 | | (b) Section 301.309, Occupations Code, as added by this Act, |
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126 | 131 | | applies only to an application for the renewal of a license to |
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127 | 132 | | practice nursing submitted on or after January 1, 2026. An |
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128 | 133 | | application submitted before January 1, 2026, is governed by the |
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129 | 134 | | law in effect immediately before the effective date of this Act, and |
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130 | 135 | | the former law is continued in effect for that purpose. |
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131 | 136 | | SECTION 6. This Act takes effect September 1, 2025. |
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