By McCall                                               H.B. No. 47
       74R60(1) CLG
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the testing of a person arrested for certain sexual
    1-3  offenses for AIDS, HIV infection, or related conditions.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Chapter 15, Code of Criminal Procedure, is
    1-6  amended by adding Article 15.171 to read as follows:
    1-7        Art. 15.171.  TESTING FOR AIDS, HIV INFECTION, OR RELATED
    1-8  CONDITIONS.  (a)  The victim of a person who is arrested for an
    1-9  offense under Section 21.11(a)(1), 22.011, or 22.021, Penal Code,
   1-10  may make a written request to the Texas Department of Health or a
   1-11  health authority to order the person to undergo a medical procedure
   1-12  or test designed to show or help show whether the person has:
   1-13              (1)  a sexually transmitted disease;
   1-14              (2)  AIDS;
   1-15              (3)  HIV infection;
   1-16              (4)  antibodies to HIV; or
   1-17              (5)  infection with any other probable causative agent
   1-18  of AIDS.
   1-19        (b)  Not later than the 10th day after the date a request is
   1-20  made under Subsection (a), the department, the health authority, or
   1-21  a designated representative of the department or health authority
   1-22  shall give the person who is subject to the order prompt and
   1-23  confidential written notice of the order.  The order must:
   1-24              (1)  state the grounds and provisions of the order,
    2-1  including the factual basis for its issuance;
    2-2              (2)  refer the person to appropriate health care
    2-3  facilities where the person can undergo the medical procedure or
    2-4  test referred to in Subsection (a); and
    2-5              (3)  inform the person who is subject to the order of
    2-6  the person's right to refuse to be tested and the authority of the
    2-7  department or health authority to ask for a court order requiring
    2-8  the medical procedure or test.
    2-9        (c)  If the person who is subject to the order refuses to
   2-10  comply, the prosecuting attorney who represents the state in
   2-11  district court, on request of the department, the health authority,
   2-12  or a designated representative of the department or health
   2-13  authority, shall petition the district court for a hearing on the
   2-14  order.  The person who is subject to the order has the right to an
   2-15  attorney at the hearing, and the court shall appoint an attorney
   2-16  for a person who cannot afford legal representation.  The person
   2-17  may not waive the right to an attorney unless the person has
   2-18  consulted with an attorney.
   2-19        (d)  The attorney for the state and the attorney for the
   2-20  person subject to the order may introduce evidence at the hearing
   2-21  in support of or in opposition to the testing of the person.  On
   2-22  conclusion of the hearing, the court shall either issue an
   2-23  appropriate order requiring counseling and testing of the person
   2-24  for the conditions described by Subsection (a) or refuse to issue
   2-25  the order if the court has determined that the counseling and
   2-26  testing of the person is unnecessary.  If the court issues an order
   2-27  requiring testing, the person who is subject to the order shall pay
    3-1  for the cost of the medical procedure or test as court costs.  The
    3-2  court may assess court costs against the person who requested the
    3-3  procedure or test if the court finds that there was not reasonable
    3-4  cause for the request.
    3-5        (e)  The department, the health authority, or a designated
    3-6  representative of the department or health authority shall inform
    3-7  the person who requested the order of the results of the procedure
    3-8  or test.  If the person subject to the order is found to have a
    3-9  condition described by Subsection (a), the department, health
   3-10  authority, or designated representative shall inform that person
   3-11  and the person who requested the order of the need for medical
   3-12  follow-up and counseling services.  The department, health
   3-13  authority, or designated representative shall develop protocols for
   3-14  coding test specimens to ensure that any identifying information
   3-15  concerning the person tested will be destroyed as soon as the
   3-16  testing is complete.
   3-17        (f)  Counseling and testing for HIV conducted under this
   3-18  article must conform to the model protocol on HIV counseling and
   3-19  testing prescribed by the department.
   3-20        (g)  The state may not use the fact that a medical procedure
   3-21  or test was performed on a person under this article or use the
   3-22  results of the procedure or test in any criminal proceeding arising
   3-23  out of the alleged offense.
   3-24        (h)  In this article:
   3-25              (1)  "AIDS" has the meaning assigned by Section 81.101,
   3-26  Health and Safety Code.
   3-27              (2)  "Department" means the Texas Department of Health.
    4-1              (3)  "Health authority" has the meaning assigned by
    4-2  Section 81.003, Health and Safety Code.
    4-3              (4)  "HIV" has the meaning assigned by Section 81.101,
    4-4  Health and Safety Code.
    4-5              (5)  "Test result" has the meaning assigned by Section
    4-6  81.101, Health and Safety Code.
    4-7        SECTION 2.  Section 81.102(a), Health and Safety Code, is
    4-8  amended to read as follows:
    4-9        (a)  A person may not require another person to undergo a
   4-10  medical procedure or test designed to determine or help determine
   4-11  if a person has AIDS or HIV infection, antibodies to HIV, or
   4-12  infection with any other probable causative agent of AIDS unless:
   4-13              (1)  the medical procedure or test is required under
   4-14  Subsection (d), under Section 81.050, or under Article 15.171
   4-15  <21.31>, Code of Criminal Procedure;
   4-16              (2)  the medical procedure or test is authorized under
   4-17  Article 21.21-4, Insurance Code;
   4-18              (3)  a medical procedure is to be performed on the
   4-19  person that could expose health care personnel to AIDS or HIV
   4-20  infection, according to board guidelines defining the conditions
   4-21  that constitute possible exposure to AIDS or HIV infection, and
   4-22  there is sufficient time to receive the test result before the
   4-23  procedure is conducted; or
   4-24              (4)  the medical procedure or test is necessary:
   4-25                    (A)  as a bona fide occupational qualification
   4-26  and there is not a less discriminatory means of satisfying the
   4-27  occupational qualification;
    5-1                    (B)  to screen blood, blood products, body
    5-2  fluids, organs, or tissues to determine suitability for donation;
    5-3                    (C)  in relation to a particular person under
    5-4  this chapter;
    5-5                    (D)  to manage accidental exposure to blood or
    5-6  other body fluids, but only if the test is conducted under written
    5-7  infectious disease control protocols adopted by the health care
    5-8  agency or facility;
    5-9                    (E)  to test residents and clients of residential
   5-10  facilities of the Texas Department of Mental Health and Mental
   5-11  Retardation, but only if:
   5-12                          (i)  the test result would change the
   5-13  medical or social management of the person tested or others who
   5-14  associated with that person; and
   5-15                          (ii)  the test is conducted in accordance
   5-16  with guidelines adopted by the residential facility or the Texas
   5-17  Department of Mental Health and Mental Retardation and approved by
   5-18  the department; or
   5-19                    (F)  to test residents and clients of residential
   5-20  facilities of the Texas Youth Commission, but only if:
   5-21                          (i)  the test result would change the
   5-22  medical or social management of the person tested or others who
   5-23  associate with that person; and
   5-24                          (ii)  the test is conducted in accordance
   5-25  with guidelines adopted by the Texas Youth Commission.
   5-26        SECTION 3.  Sections 81.103(b) and (c), Health and Safety
   5-27  Code, are amended to read as follows:
    6-1        (b)  A test result may be released to:
    6-2              (1)  the department under this chapter;
    6-3              (2)  a local health authority if reporting is required
    6-4  under this chapter;
    6-5              (3)  the Centers for Disease Control of the United
    6-6  States Public Health Service if reporting is required by federal
    6-7  law or regulation;
    6-8              (4)  the physician or other person authorized by law
    6-9  who ordered the test;
   6-10              (5)  a physician, nurse, or other health care personnel
   6-11  who have a legitimate need to know the test result in order to
   6-12  provide for their protection and to provide for the patient's
   6-13  health and welfare;
   6-14              (6)  the person tested or a person legally authorized
   6-15  to consent to the test on the person's behalf;
   6-16              (7)  the spouse of the person tested if the person
   6-17  tests positive for AIDS or HIV infection, antibodies to HIV, or
   6-18  infection with any other probable causative agent of AIDS;
   6-19              (8)  a person authorized to receive test results under
   6-20  Article 15.171 <21.31>, Code of Criminal Procedure, concerning a
   6-21  person who is tested as required or authorized under that article;
   6-22  and
   6-23              (9)  a person exposed to HIV infection as provided by
   6-24  Section 81.050.
   6-25        (c)  A <The> court that orders testing under Article 15.171,
   6-26  Code of Criminal Procedure, shall notify persons receiving test
   6-27  results under Subsection (b)(8) of the requirements of this
    7-1  section.
    7-2        SECTION 4.  Article 21.31, Code of Criminal Procedure, and
    7-3  Section 81.094, Health and Safety Code, are repealed.
    7-4        SECTION 5.  This Act takes effect September 1, 1995.
    7-5        SECTION 6.  (a)  The change in law made by this Act applies
    7-6  only to an offense committed on or after the effective date of this
    7-7  Act.  For the purposes of this section, an offense is committed
    7-8  before the effective date of this Act if any element of the offense
    7-9  occurs before the effective date.
   7-10        (b)  An offense committed before the effective date of this
   7-11  Act is covered by the law in effect when the offense was committed,
   7-12  and the former law is continued in effect for that purpose.
   7-13        SECTION 7.  The importance of this legislation and the
   7-14  crowded condition of the calendars in both houses create an
   7-15  emergency and an imperative public necessity that the
   7-16  constitutional rule requiring bills to be read on three several
   7-17  days in each house be suspended, and this rule is hereby suspended.