By Roman                                              H.B. No. 1933

         75R7412 JMM-D                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to certain retired physicians who perform voluntary

 1-3     charity care.

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

 1-5           SECTION 1.  Section 2.09, Medical Practice Act (Article

 1-6     4495b, Vernon's Texas Civil Statutes), is amended by adding

 1-7     Subsection (bb) to read as follows:

 1-8           (bb)  The board shall periodically provide information to

 1-9     license holders concerning the exemption under Section 3.01(g) of

1-10     this Act from payment of the annual registration fee for retired

1-11     physicians who provide voluntary charitable care.

1-12           SECTION 2.  Section 3.025(e), Medical Practice Act (Article

1-13     4495b, Vernon's Texas Civil Statutes), is amended to read as

1-14     follows:

1-15           (e)  Except as otherwise provided by this subsection,

1-16     Subsection (a) of this section does not apply to a licensee who is

1-17     retired and has been exempted by rule from paying the annual

1-18     registration fee.  A retired physician who is exempt from the

1-19     annual registration fee under Section 3.01(g) of this Act shall

1-20     participate in continuing medical education if the physician has

1-21     been retired for five or more years and is engaged in the practice

1-22     of providing voluntary charity care.  A retired physician required

1-23     to participate in continuing medical education under this

1-24     subsection shall fulfill the physician's continuing medical

 2-1     education requirement by attending a seminar established under

 2-2     board rule designed for retired physicians who provide voluntary

 2-3     charity care.  The board's rules shall prescribe the contents of

 2-4     the seminar, the frequency with which a physician must attend a

 2-5     seminar, and the method of enforcing the requirements of this

 2-6     subsection.

 2-7           SECTION 3.  Subchapter E, Medical Practice Act (Article

 2-8     4495b, Vernon's Texas Civil Statutes), is amended by adding Section

 2-9     5.11 to read as follows:

2-10           Sec. 5.11.  LIABILITY OF RETIRED PHYSICIAN PROVIDING

2-11     VOLUNTARY CHARITABLE CARE.  (a)  Subject to Subsection (b) of this

2-12     section, a retired physician who is exempt from the annual

2-13     registration fee under Section 3.01(g) of this Act and who is

2-14     providing voluntary charity care is not liable for an act or

2-15     omission resulting in personal injury to or death of a patient if:

2-16                 (1)  the physician commits the act or omission in the

2-17     course of providing health care services or services related to

2-18     health care to the patient;

2-19                 (2)  the care is not administered for or in expectation

2-20     of compensation; and

2-21                 (3)  the services provided are within the scope of

2-22     practice of the physician.

2-23           (b)  Subsection (a) of this section applies only if, before

2-24     the provision of services to the patient, the patient signs a

2-25     written statement that:

2-26                 (1)  acknowledges that the physician is providing

2-27     services without compensation; and

 3-1                 (2)  waives the right to recover damages to the extent

 3-2     described by Subsection (a) of this section in exchange for

 3-3     receiving the uncompensated services.

 3-4           (c)  If the patient is a minor, the written statement must be

 3-5     signed by the parent, managing conservator, or legal guardian of

 3-6     the patient.

 3-7           (d)  This section does not apply to an act or omission that

 3-8     is intentional, wilfully or wantonly negligent, or done with

 3-9     conscious indifference or reckless disregard for the safety of

3-10     others.

3-11           SECTION 4.  Section 84.007, Civil Practice and Remedies Code,

3-12     is amended by adding Subsection (h) to read as follows:

3-13           (h)  Section 84.004 does not apply to an act or omission

3-14     subject to Section 5.11, Medical Practice Act (Article 4495b,

3-15     Vernon's Texas Civil Statutes).

3-16           SECTION 5.  (a) This Act takes effect September 1, 1997.

3-17           (b)  The Texas State Board of Medical Examiners shall adopt

3-18     rules under this Act not later than January 1, 1998.  A retired

3-19     physician is not required to comply with the requirements of

3-20     Section 3.025(e), Medical Practice Act (Article 4495b, Vernon's

3-21     Texas Civil Statutes), as amended by this Act, before January 1,

3-22     1999.

3-23           (c)  The change in law made by this Act applies only to a

3-24     cause of action that accrues on or after the effective date of this

3-25     Act.  An action that accrued before the effective date of this Act

3-26     is governed by the law as it existed immediately before the

3-27     effective date of this Act, and that law is continued in effect for

 4-1     that purpose.

 4-2           SECTION 6.  The importance of this legislation and the

 4-3     crowded condition of the calendars in both houses create an

 4-4     emergency and an imperative public necessity that the

 4-5     constitutional rule requiring bills to be read on three several

 4-6     days in each house be suspended, and this rule is hereby suspended.