By McCall                                               H.B. No. 42

      75R581 PEP-D                           

                                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 issue an order of the department or health authority and

1-23     shall give the person who is subject to the order prompt and

1-24     confidential written notice of the order.  The order must:

 2-1                 (1)  state the grounds and provisions of the order,

 2-2     including the factual basis for its issuance;

 2-3                 (2)  refer the person to appropriate health care

 2-4     facilities where the person can undergo the medical procedure or

 2-5     test referred to in Subsection (a); and

 2-6                 (3)  inform the person who is subject to the order of:

 2-7                       (A)  the person's right to refuse to be tested;

 2-8     and

 2-9                       (B)  the authority of the department or health

2-10     authority to request a court order requiring the medical procedure

2-11     or test.

2-12           (c)  If the person who is subject to the order of the

2-13     department or health authority refuses to comply, the prosecuting

2-14     attorney who represents the state in district court, on request of

2-15     the department, the health authority, or a designated

2-16     representative of the department or health authority, shall

2-17     petition the district court for a hearing on the order.  The person

2-18     who is subject to the order has the right to an attorney at the

2-19     hearing, and the court shall appoint an attorney for a person who

2-20     cannot afford legal representation.  The person may waive the right

2-21     to an attorney only if the person consulted with an attorney before

2-22     waiving that right.

2-23           (d)  The attorney for the state and the attorney for the

2-24     person subject to the order of the department or health authority

2-25     may introduce evidence at the hearing in support of or in

2-26     opposition to the order.  On conclusion of the hearing, the court

2-27     shall either issue an appropriate order requiring counseling and

 3-1     testing of the person for the conditions described by Subsection

 3-2     (a) or refuse to issue an order if the court has determined that

 3-3     the counseling and testing of the person is unnecessary.  If the

 3-4     court issues an order requiring testing, the person who is subject

 3-5     to the court order shall pay for the cost of the medical procedure

 3-6     or test as court costs.  The court may assess court costs against

 3-7     the person who requested the order of the department or health

 3-8     authority if the court finds that there was not reasonable cause

 3-9     for that request.

3-10           (e)  The department, the health authority, or a designated

3-11     representative of the department or health authority shall inform

3-12     the person who requested the department or health authority to

3-13     order a procedure or test of the results of each procedure or test

3-14     conducted as a direct result of that request.  If a person who

3-15     undergoes a procedure or test under this article is found to have a

3-16     condition described by Subsection (a), the department, health

3-17     authority, or designated representative shall inform that person

3-18     and the person who requested the department or health authority to

3-19     order a procedure or test of the need for medical follow-up and

3-20     counseling services.  The department, health authority, or

3-21     designated representative shall develop protocols for coding test

3-22     specimens to ensure that any identifying information concerning the

3-23     person tested will be destroyed as soon as the testing is complete.

3-24           (f)  Counseling and testing for HIV conducted under this

3-25     article must conform to the model protocol on HIV counseling and

3-26     testing prescribed by the department.

3-27           (g)  The state may not use the fact that a medical procedure

 4-1     or test was performed on a person under this article or use the

 4-2     results of the procedure or test in a criminal proceeding arising

 4-3     out of the alleged offense.

 4-4           (h)  In this article:

 4-5                 (1)  "AIDS" has the meaning assigned by Section 81.101,

 4-6     Health and Safety Code.

 4-7                 (2)  "Department" means the Texas Department of Health.

 4-8                 (3)  "Health authority" has the meaning assigned by

 4-9     Section 81.003, Health and Safety Code.

4-10                 (4)  "HIV" has the meaning assigned by Section 81.101,

4-11     Health and Safety Code.

4-12                 (5)  "Test result" has the meaning assigned by Section

4-13     81.101, Health and Safety Code.

4-14           SECTION 2.  Section 81.102(a), Health and Safety Code, is

4-15     amended to read as follows:

4-16           (a)  A person may not require another person to undergo a

4-17     medical procedure or test designed to determine or help determine

4-18     if a person has AIDS or HIV infection, antibodies to HIV, or

4-19     infection with any other probable causative agent of AIDS unless:

4-20                 (1)  the medical procedure or test is required under

4-21     Subsection (d), under Section 81.050, or under Article 15.171

4-22     [21.31], Code of Criminal Procedure;

4-23                 (2)  the medical procedure or test is required under

4-24     Section 81.090, and no objection has been made under Section

4-25     81.090(l);

4-26                 (3)  the medical procedure or test is authorized under

4-27     Article 21.21-4, Insurance Code;

 5-1                 (4)  a medical procedure is to be performed on the

 5-2     person that could expose health care personnel to AIDS or HIV

 5-3     infection, according to board guidelines defining the conditions

 5-4     that constitute possible exposure to AIDS or HIV infection, and

 5-5     there is sufficient time to receive the test result before the

 5-6     procedure is conducted; or

 5-7                 (5)  the medical procedure or test is necessary:

 5-8                       (A)  as a bona fide occupational qualification

 5-9     and there is not a less discriminatory means of satisfying the

5-10     occupational qualification;

5-11                       (B)  to screen blood, blood products, body

5-12     fluids, organs, or tissues to determine suitability for donation;

5-13                       (C)  in relation to a particular person under

5-14     this chapter;

5-15                       (D)  to manage accidental exposure to blood or

5-16     other body fluids, but only if the test is conducted under written

5-17     infectious disease control protocols adopted by the health care

5-18     agency or facility;

5-19                       (E)  to test residents and clients of residential

5-20     facilities of the Texas Department of Mental Health and Mental

5-21     Retardation, but only if:

5-22                             (i)  the test result would change the

5-23     medical or social management of the person tested or others who

5-24     associated with that person; and

5-25                             (ii)  the test is conducted in accordance

5-26     with guidelines adopted by the residential facility or the Texas

5-27     Department of Mental Health and Mental Retardation and approved by

 6-1     the department; or

 6-2                       (F)  to test residents and clients of residential

 6-3     facilities of the Texas Youth Commission, but only if:

 6-4                             (i)  the test result would change the

 6-5     medical or social management of the person tested or others who

 6-6     associate with that person; and

 6-7                             (ii)  the test is conducted in accordance

 6-8     with guidelines adopted by the Texas Youth Commission.

 6-9           SECTION 3.  Sections 81.103(b) and (c), Health and Safety

6-10     Code, are amended to read as follows:

6-11           (b)  A test result may be released to:

6-12                 (1)  the department under this chapter;

6-13                 (2)  a local health authority if reporting is required

6-14     under this chapter;

6-15                 (3)  the Centers for Disease Control of the United

6-16     States Public Health Service if reporting is required by federal

6-17     law or regulation;

6-18                 (4)  the physician or other person authorized by law

6-19     who ordered the test;

6-20                 (5)  a physician, nurse, or other health care personnel

6-21     who have a legitimate need to know the test result in order to

6-22     provide for their protection and to provide for the patient's

6-23     health and welfare;

6-24                 (6)  the person tested or a person legally authorized

6-25     to consent to the test on the person's behalf;

6-26                 (7)  the spouse of the person tested if the person

6-27     tests positive for AIDS or HIV infection, antibodies to HIV, or

 7-1     infection with any other probable causative agent of AIDS;

 7-2                 (8)  a person authorized to receive test results under

 7-3     Article 15.171 [21.31], Code of Criminal Procedure, concerning a

 7-4     person who is tested as required or authorized under that article;

 7-5     and

 7-6                 (9)  a person exposed to HIV infection as provided by

 7-7     Section 81.050.

 7-8           (c)  A [The] court that orders testing under Article 15.171,

 7-9     Code of Criminal Procedure, shall notify persons receiving test

7-10     results under Subsection (b)(8) of the requirements of this

7-11     section.

7-12           SECTION 4.  Article 21.31, Code of Criminal Procedure, and

7-13     Section 81.094, Health and Safety Code, are repealed.

7-14           SECTION 5.  This Act takes effect September 1, 1997.

7-15           SECTION 6.  (a)  The change in law made by this Act applies

7-16     only to an offense committed on or after the effective date of this

7-17     Act.  For the purposes of this section, an offense is committed

7-18     before the effective date of this Act if any element of the offense

7-19     occurs before the effective date.

7-20           (b)  An offense committed before the effective date of this

7-21     Act is covered by the law in effect when the offense was committed,

7-22     and the former law is continued in effect for that purpose.

7-23           SECTION 7.  The importance of this legislation and the

7-24     crowded condition of the calendars in both houses create an

7-25     emergency and an imperative public necessity that the

7-26     constitutional rule requiring bills to be read on three several

7-27     days in each house be suspended, and this rule is hereby suspended.