By:  Truan                                              S.B. No. 90
       73R820 LGF-F
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the access to information for epidemiologic and
    1-3  toxicologic investigations by the Texas Department of Health.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Subchapter C, Chapter 161, Health and Safety
    1-6  Code, is amended by adding Sections 161.0211, 161.0212, 161.0213,
    1-7  and 161.0214 to read as follows:
    1-8        Sec. 161.0211.  EPIDEMIOLOGIC OR TOXICOLOGIC INVESTIGATIONS.
    1-9  (a)  The department shall conduct epidemiologic or toxicologic
   1-10  investigations of human illness or conditions and of environmental
   1-11  exposures that are harmful or believed to be harmful to the public
   1-12  health to:
   1-13              (1)  determine the nature and extent of the disease or
   1-14  environmental exposure believed to be harmful; and
   1-15              (2)  formulate and evaluate control measures to protect
   1-16  the public health.
   1-17        (b)  A person shall provide medical, demographic,
   1-18  epidemiologic, or toxicologic information to the department on
   1-19  request in accordance with the department's written instructions.
   1-20        (c)  A person is not liable for damages or other relief for
   1-21  furnishing to the department medical or other confidential
   1-22  information during an epidemiologic or toxicologic investigation.
   1-23        Sec. 161.0212.  RIGHT OF ENTRY.  To conduct an epidemiologic
   1-24  or toxicologic investigation, the commissioner or the
    2-1  commissioner's designee has the right of entry on land or in a
    2-2  building, vehicle, watercraft, or aircraft and the right of access
    2-3  to an individual, animal, or object that is in isolation,
    2-4  detention, restriction, or quarantine instituted by the
    2-5  commissioner or a health authority or instituted voluntarily on
    2-6  instructions of a private physician.
    2-7        Sec. 161.0213.  INSPECTION.  (a)  The commissioner or the
    2-8  commissioner's designee may enter a public place at reasonable
    2-9  times and within reasonable limits to inspect and collect medical,
   2-10  demographic, epidemiologic, or toxicologic information in the
   2-11  performance of that person's duty to conduct epidemiologic or
   2-12  toxicologic investigations under this subchapter.
   2-13        (b)  In this section, "a public place" means all or any
   2-14  portion of an area, building or other structure, or conveyance that
   2-15  is not used for private residential purposes, regardless of
   2-16  ownership.
   2-17        Sec. 161.0214.  SAMPLES.  (a)  A person authorized to conduct
   2-18  epidemiologic or toxicologic investigations under this subchapter
   2-19  may take samples of materials present on the premises, including
   2-20  soil, water, unprocessed or processed foodstuffs, manufactured
   2-21  clothing, pharmaceuticals, and household goods.
   2-22        (b)  A person who takes a sample under this section shall
   2-23  offer a corresponding sample to the person in control of the
   2-24  premises for independent analysis.
   2-25        (c)  A person who takes a sample under this section may
   2-26  reimburse or offer to reimburse the owner for the materials taken.
   2-27  The reimbursement may not exceed the actual monetary loss to the
    3-1  owner.
    3-2        SECTION 2.  Section 161.022, Health and Safety Code, is
    3-3  amended to read as follows:
    3-4        Sec. 161.022.  USE AND PUBLICATION RESTRICTIONS;
    3-5  CONFIDENTIALITY.  (a)  Except as provided by Subsection (b), the
    3-6  <The> department, a medical organization, a hospital, or a hospital
    3-7  committee may use or publish information under Sections <Section>
    3-8  161.021 and 161.0211 only to advance medical research or medical
    3-9  education in the interest of reducing morbidity or mortality,
   3-10  except that a summary of the studies may be released by those
   3-11  persons for general publication.
   3-12        (b)  The identity of a person whose condition or treatment
   3-13  has been studied is confidential and may not be revealed except:
   3-14              (1)  in an immunization survey <surveys> conducted by
   3-15  or for the department to identify persons who need immunization;
   3-16  and
   3-17              (2)  as a result of information gathered during an
   3-18  epidemiologic or toxicologic investigation by the department, to
   3-19  inform a person who has or may have been exposed to a disease or
   3-20  environmental agent believed to be harmful.
   3-21        (c)  Interviews, reports, statements, memoranda, and other
   3-22  information, other than that excepted by Subsection (b)
   3-23  <immunization information>, furnished under this chapter and any
   3-24  findings or conclusions resulting from the study of that
   3-25  information, are privileged.
   3-26        SECTION 3.  This Act takes effect September 1, 1993.
   3-27        SECTION 4.  The importance of this legislation and the
    4-1  crowded condition of the calendars in both houses create an
    4-2  emergency and an imperative public necessity that the
    4-3  constitutional rule requiring bills to be read on three several
    4-4  days in each house be suspended, and this rule is hereby suspended,
    4-5  and that this Act take effect and be in force from and after its
    4-6  passage, and it is so enacted.