SRC-JFA H.B. 561 75(R)   BILL ANALYSIS


Senate Research Center   H.B. 561
By: Hochberg (Zaffirini)
Health & Human Services
5-12-97
Engrossed


DIGEST 

Currently, no general statute exists that allows health regulatory
agencies to share information concerning an ongoing investigation with
another agency, unless the agency is conducting a criminal investigation.
When a violation occurs and a regulatory agency commences an
investigation, the agency cannot report to another agency any information
concerning violations of a rule or statute enforced by another agency.
This lack of communication leads to duplicative investigations or
nonenforcement of penalties against those who violate the rules or
statutes of an agency not directly involved in the investigation.  This
bill would allow for the exchange of information between health care
regulatory agencies.   

PURPOSE

As proposed, H.B. 561 allows for the exchange of certain information
between health care regulatory agencies.   

RULEMAKING AUTHORITY

This bill does not grant any additional rulemaking authority to a state
officer, institution, or agency. 

SECTION BY SECTION ANALYSIS

SECTION 1. Amends Title 7, Government Code, by adding Chapter 774, as
follows: 

CHAPTER 774.  EXCHANGE OF INFORMATION BETWEEN
REGULATORY AGENCIES

Sec. 774.001.  DEFINITIONS.  Defines "health care provider," "health care
regulatory agency," "license," and "regulatory agency." 

Sec. 774.002.  DUTY TO EXCHANGE INFORMATION.  (a)  Requires a health care
regulatory agency that, in the course of an audit, review, investigation,
or examination of a complaint, obtains information pertaining to the
complaint that it believes may be grounds for another health care
regulatory agency to conduct an investigation of or institute a
disciplinary proceeding against a health care provider to forward the
information and any subsequently obtained information or final
determination regarding the health care provider to the other health care
regulatory agency.  

(b)  Provides that information that may be grounds for investigative or
disciplinary action by another health care regulatory agency includes
information that relates to a violation of a rule or statute enforced by
the other health care regulatory agency; or that, in the good faith belief
of the agency obtaining the information, is likely to lead to the
discovery of a violation of a rule or statute enforced by the other health
care regulatory agency.   

(c)  Provides that the information forwarded by a health care regulatory
agency under this section that is privileged or confidential retains its
privileged or confidential nature following the receipt by another health
care regulatory agency.  Provides that the privilege or confidentiality
extends to any agency communication concerning the information forwarded,
regardless of the form, manner, or content of the communication.  
 
(d)  Provides that the forwarding of privileged or confidential
information by a health care regulatory agency does not waive a privilege
in or create an exception to the confidentiality of the information.   

(e)  Provides that an agency's provision of information or failure to
provide information under this section does not give rise to a cause of
action against the agency.   

Sec. 774.003.  PROCEDURE FOR EXCHANGE OF INFORMATION. (a)  Requires a
health care regulatory agency to establish and implement written
procedures to ensure that information obtained that is required to be
forwarded under Section 774.002 is forwarded to the appropriate health
care regulatory agency no later than the 15th day after the date the
agency determines that the information is information that it believes may
be grounds for another health care regulatory agency to conduct an
investigation of or institute a disciplinary proceeding against a health
care provider under Section 774.002.   

(b)  Requires a procedure adopted under this section to provide that the
executive head of a health care regulatory agency or the executive head's
designee may forward information under this section only to the executive
head or the designee of the appropriate health care regulatory agency.   

(c)  Defines "executive head."  

SECTION 2. Effective date: September 1, 1997.
  Makes application of this Act prospective.

SECTION 3. Emergency clause.