75R11739 E                           

         By Alvarado                                           H.B. No. 1171

         Substitute the following for H.B. No. 1171:

         By Janek                                          C.S.H.B. No. 1171

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to liens for certain services rendered by health care

 1-3     practitioners.

 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-5           SECTION 1.  Subtitle B, Title 5, Property Code, is amended by

 1-6     adding Chapter 62 to read as follows:

 1-7                CHAPTER 62.  HEALTH CARE PRACTITIONER'S LIEN

 1-8           Sec. 62.001.  DEFINITION.  In this chapter, "health care

 1-9     practitioner" means an individual who is licensed in this state to

1-10     provide health care.

1-11           Sec. 62.002.  LIEN.  A health care practitioner has a lien on

1-12     a cause of action or claim in the county of residence of an

1-13     individual who receives health care services rendered by the

1-14     practitioner for injuries caused by an accident that is attributed

1-15     to the negligence of another person.

1-16           Sec. 62.003.  PROPERTY TO WHICH LIEN ATTACHES.  (a)  The lien

1-17     attaches to:

1-18                 (1)  a cause of action for damages arising from an

1-19     injury for which the injured individual receives health care

1-20     services;

1-21                 (2)  a judgment of a court in this state or the

1-22     decision of a public agency in a proceeding brought by the injured

1-23     individual, or by another person entitled to bring suit in case of

1-24     the death of the individual, to recover damages arising from an

 2-1     injury for which the injured individual receives health care

 2-2     services; and

 2-3                 (3)  the proceeds of a settlement of a cause of action

 2-4     or a claim by the injured individual, or another person entitled to

 2-5     make the claim, arising from an injury for which the injured

 2-6     individual receives health care services.

 2-7           (b)  The lien does not attach to:

 2-8                 (1)  a claim under the workers' compensation laws of

 2-9     this state (Subtitle A, Title 5, Labor Code), the federal

2-10     Employers' Liability Act (45 U.S.C.  Section 51 et seq.), or the

2-11     federal Longshore and Harbor Workers' Compensation Act (33 U.S.C.

2-12     Section 901 et seq.); or

2-13                 (2)  the proceeds of an insurance policy in favor of

2-14     the injured individual or the injured individual's beneficiary or

2-15     legal representative, except public liability insurance carried by

2-16     the insured that protects the insured against loss caused by an

2-17     accident or collision.

2-18           Sec. 62.004.  AMOUNT OF LIEN.  (a)  Except as provided by

2-19     Subsection (b), the lien is for the amount of the health care

2-20     practitioner's charges for services provided to the injured

2-21     individual for the treatment of injuries that resulted from the

2-22     accident.

2-23           (b)  A lien does not cover charges for services that exceed a

2-24     reasonable and regular rate for the necessary services.

2-25           Sec. 62.005.  SECURING LIEN.  (a)  To secure the lien, a

2-26     health care practitioner must:

2-27                 (1)  file written notice of the lien with the county

 3-1     clerk of the county in which the injury occurred and, if different,

 3-2     with the county clerk of the county in which the individual

 3-3     resides;

 3-4                 (2)  send by registered or certified mail, return

 3-5     receipt requested, a written notice to each insurer that may have

 3-6     liability arising out of the accident;

 3-7                 (3)  send by registered or certified mail, return

 3-8     receipt requested, a written notice to each individual who receives

 3-9     health care services rendered by the practitioner for injuries

3-10     caused by an accident that is attributed to the negligence of

3-11     another person; and

3-12                 (4)  notify all parties in a timely manner of the right

3-13     of the health care practitioner to recover from the process of

3-14     settlement, or action taken by the individual who received health

3-15     care services rendered by the practitioner, for injuries caused by

3-16     an accident that is attributed to the negligence of another person,

3-17     and a failure to so notify shall forfeit such right of recovery on

3-18     the part of the health care practitioner.

3-19           (b)  The notice must be given as provided by Subsection (a):

3-20                 (1)  not later than the third business day after the

3-21     date the services are rendered; and

3-22                 (2)  before money is paid to an entitled person because

3-23     of the injury.

3-24           (c)  The notice must contain:

3-25                 (1)  the injured individual's name and address;

3-26                 (2)  the date of the accident;

3-27                 (3)  the name and address of the health care

 4-1     practitioner; and

 4-2                 (4)  if known, the name of the person alleged to be

 4-3     liable for damages arising from the injury.

 4-4           (d)  The county clerk shall:

 4-5                 (1)  record the name of the injured individual, the

 4-6     date of the accident, and the name and address of the health care

 4-7     practitioner; and

 4-8                 (2)  index the record in the name of the injured

 4-9     individual.

4-10           Sec. 62.006.  DISCHARGE OF LIEN.  (a)  To discharge the lien,

4-11     the health care practitioner must, within two business days from

4-12     receipt of payment and copies of receiving the health care

4-13     services, execute and file with the county clerk of any county in

4-14     which such lien notice was filed a certificate stating that the

4-15     debt covered by the lien has been paid or released and authorizing

4-16     the clerk to discharge the lien.

4-17           (b)  The county clerk shall record a memorandum of the

4-18     certificate and the date it was filed.

4-19           (c)  The filing of the certificate and recording of the

4-20     memorandum shall discharge the lien.

4-21           Sec. 62.007.  VALIDITY OF RELEASE.  (a)  A release of a cause

4-22     of action or judgment to which the lien may attach is not valid

4-23     unless:

4-24                 (1)  the health care practitioner's charges were paid

4-25     in full before the execution and delivery of the release;

4-26                 (2)  the health care practitioner's charges were paid

4-27     before the execution and delivery of the release to the extent of

 5-1     any full and true consideration paid to the injured individual by

 5-2     or on behalf of the other parties to the release; or

 5-3                 (3)  the health care practitioner is a party to the

 5-4     release.

 5-5           (b)  A judgment to which the lien attaches remains in effect

 5-6     until the health care practitioner's charges are paid in full or to

 5-7     the extent set out in the judgment.

 5-8           Sec. 62.008.  HEALTH CARE PRACTITIONER'S RECORDS.  (a)  On

 5-9     request by an attorney for a party by, for, or against whom a claim

5-10     is asserted for damages arising from an injury, a health care

5-11     practitioner shall, as promptly as possible, make available for the

5-12     attorney's examination the health care practitioner's records

5-13     concerning the services provided to the injured individual.

5-14           (b)  The health care practitioner may impose reasonable

5-15     requirements for granting access to the health care practitioner's

5-16     records under this section, but the health care practitioner may

5-17     not deny access because a record is incomplete.

5-18           (c)  The records are admissible, subject to applicable rules

5-19     of evidence, in a civil suit arising from the injury.

5-20           Sec. 62.009.  PRIORITY OF HOSPITAL LIEN OVER OTHER LIENS.  A

5-21     lien filed by a health care practitioner under this chapter is

5-22     subordinate to a lien filed under Chapter 55.  A health care

5-23     practitioner may not attempt to enforce a lien under this chapter

5-24     until any liens filed under Chapter 55 have been satisfied and

5-25     discharged.

5-26           SECTION 2.  Chapter 55, Property Code, is amended by adding

5-27     Section 55.0045 to read as follows:

 6-1           Sec. 55.0045.  PHYSICIAN'S CHARGES.  (a)  The lien may also

 6-2     include the amount of a physician's charges for services provided

 6-3     to the injured individual in the hospital's emergency room during

 6-4     the period described in Section 55.004(a).

 6-5           (b)  At the request of a physician, a hospital may act on

 6-6     behalf of the physician with respect to securing and discharging

 6-7     the lien.

 6-8           SECTION 3.  If any provision of this Act, or the application

 6-9     of this Act to any person, is held to be invalid, that invalidity

6-10     does not affect other provisions or applications of this Act that

6-11     may be given effect without the invalid provision or application.

6-12           SECTION 4.  This Act takes effect September 1, 1997, and

6-13     applies only to services rendered by a health care practitioner on

6-14     or after the effective date of this Act.

6-15           SECTION 5.  The importance of this legislation and the

6-16     crowded condition of the calendars in both houses create an

6-17     emergency and an imperative public necessity that the

6-18     constitutional rule requiring bills to be read on three several

6-19     days in each house be suspended, and this rule is hereby suspended.