|   | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                
			 | 
            
               AN ACT
             | 
         
         
            | 
                
			 | 
            relating to the authority of an advanced practice registered nurse  | 
         
         
            | 
                
			 | 
            or physician assistant regarding death certificates. | 
         
         
            | 
                
			 | 
                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
            | 
                
			 | 
                   SECTION 1.  Section 193.005(a), Health and Safety Code, is  | 
         
         
            | 
                
			 | 
            amended to read as follows: | 
         
         
            | 
                
			 | 
                   (a)  A person required to file a death certificate or fetal  | 
         
         
            | 
                
			 | 
            death certificate shall obtain the required medical certification  | 
         
         
            | 
                
			 | 
            from the decedent's attending physician, or[, subject to Subsection  | 
         
         
            | 
                
			 | 
            (a-1),] a physician assistant or advanced practice registered nurse  | 
         
         
            | 
                
			 | 
            of the decedent, if the death occurred under the care of the person  | 
         
         
            | 
                
			 | 
            in connection with the treatment of the condition or disease  | 
         
         
            | 
                
			 | 
            process that contributed to the death. | 
         
         
            | 
                
			 | 
                   SECTION 2.  Section 193.005(a-1), Health and Safety Code, is  | 
         
         
            | 
                
			 | 
            repealed. | 
         
         
            | 
                
			 | 
                   SECTION 3.  This Act takes effect immediately if it receives  | 
         
         
            | 
                
			 | 
            a vote of two-thirds of all the members elected to each house, as  | 
         
         
            | 
                
			 | 
            provided by Section 39, Article III, Texas Constitution.  If this  | 
         
         
            | 
                
			 | 
            Act does not receive the vote necessary for immediate effect, this  | 
         
         
            | 
                
			 | 
            Act takes effect September 1, 2021. | 
         
         
            |   | 
         
         
            |   | 
         
         
            |   | 
            ______________________________ | 
            ______________________________ | 
         
         
            |   | 
               President of the Senate | 
            Speaker of the House      | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                		
			 | 
                   I certify that H.B. No. 4048 was passed by the House on May 8,  | 
         
         
            | 
                		
			 | 
            2021, by the following vote:  Yeas 136, Nays 3, 2 present, not  | 
         
         
            | 
                		
			 | 
            voting. | 
         
         
            | 
                		
			 | 
             | 
         
         
            | 
                		
			 | 
            ______________________________ | 
         
         
            | 
                		
			 | 
            Chief Clerk of the House    | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                		
			 | 
                   I certify that H.B. No. 4048 was passed by the Senate on May  | 
         
         
            | 
                		
			 | 
            27, 2021, by the following vote:  Yeas 30, Nays 1. | 
         
         
            | 
                		
			 | 
             | 
         
         
            | 
                		
			 | 
            ______________________________ | 
         
         
            | 
                		
			 | 
            Secretary of the Senate     | 
         
         
            | 
                		
			 | 
            APPROVED:  _____________________ | 
         
         
            | 
                		
			 | 
                               Date           | 
         
         
            | 
                		
			 | 
              | 
         
         
            | 
                		
			 | 
                      _____________________ | 
         
         
            | 
                		
			 | 
                             Governor        |