1-1                                   AN ACT

 1-2     relating to the reporting of health conditions in the workplace.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  The heading to Chapter 84, Health and Safety

 1-5     Code, is amended to read as follows:

 1-6        CHAPTER 84.  REPORTING OF OCCUPATIONAL CONDITIONS [DISEASES]

 1-7           SECTION 2.  Sections 84.001-84.003, Health and Safety Code,

 1-8     are amended to read as follows:

 1-9           Sec. 84.001.  SHORT TITLE.  This chapter may be cited as the

1-10     Occupational Condition [Disease] Reporting Act.

1-11           Sec. 84.002.  DEFINITIONS.  In this chapter:

1-12                 (1)  "Health professional" means an individual whose:

1-13                       (A)  vocation or profession is directly or

1-14     indirectly related to the maintenance of health in another

1-15     individual; and

1-16                       (B)  duties require a specified amount of formal

1-17     education and may require a special examination, a certificate or

1-18     license, or membership in a regional or national association.

1-19                 (2)  "Occupational condition [disease]" means a

1-20     disease, [or] abnormal health condition, or laboratory finding that

1-21     is caused by or is related to exposures [conditions] in the

1-22     workplace.

1-23                 (3) [(2)] "Reportable condition [disease]" means a

1-24     disease, [or] condition, or laboratory finding required to be

 2-1     reported under this chapter.

 2-2           Sec. 84.003.  REPORTABLE CONDITIONS [DISEASES];  RULES.  (a)

 2-3     Asbestosis and[,] silicosis[, and elevated blood lead levels in

 2-4     adults]  are occupational conditions [diseases] that are reportable

 2-5     to the department.

 2-6           (b)  Blood lead levels in adults are laboratory findings that

 2-7     are reportable to the department as provided by board rule.

 2-8           (c)  The board may adopt rules that require other

 2-9     occupational conditions [diseases] to be reported under this

2-10     chapter.  Before the board requires another [other] occupational

2-11     condition [diseases] to be reported, the board must find that the

2-12     condition [disease]:

2-13                 (1)  has a well-understood etiology;

2-14                 (2)  results predominantly from occupational exposures

2-15     [conditions]; and

2-16                 (3)  is preventable.

2-17           (d) [(c)]  The board shall maintain a list of reportable

2-18     conditions [diseases].

2-19           (e) [(d)]  The board shall adopt rules necessary to

2-20     administer and implement this chapter.

2-21           SECTION 3.  Sections 84.004(a) and (b), Health and Safety

2-22     Code, are amended to read as follows:

2-23           (a)  The following persons shall report cases or suspected

2-24     cases of reportable conditions [diseases] to the department:

2-25                 (1)  a physician who diagnoses or treats the individual

2-26     with the condition; [disease; and]

2-27                 (2)  a person who is in charge of a clinical or

 3-1     hospital laboratory, blood bank, mobile unit, or other facility in

 3-2     which a laboratory examination of any specimen derived from a human

 3-3     body yields microscopical, cultural, serological, or other evidence

 3-4     suggestive of the condition; and

 3-5                 (3)  a health professional [disease].

 3-6           (b)  The department may contact a physician attending a

 3-7     person with a case or a suspected case of an occupational condition

 3-8     [disease.  From information received from laboratory notification,

 3-9     the department may not, without the attending physician's consent,

3-10     contact the person from whom the specimen was obtained if the

3-11     notification indicates that the person has an attending physician].

3-12           SECTION 4.  Sections 84.005(b) and (c), Health and Safety

3-13     Code, are amended to read as follows:

3-14           (b)  The department may seek, receive, and spend any funds

3-15     received through appropriations, grants, or donations from public

3-16     or private sources for the purpose of identifying, reporting, or

3-17     preventing those occupational conditions [diseases] that have been

3-18     determined by the board to be injurious or to be a threat to the

3-19     public health, subject to any limitations or conditions prescribed

3-20     by the legislature.

3-21           (c)  Subject to the confidentiality requirements of this

3-22     chapter, the department shall evaluate the reports of occupational

3-23     conditions [diseases] to establish the nature and magnitude of the

3-24     hazards  associated with those conditions [diseases], to prevent

3-25     the occurrence of those hazards, and to establish any trends

3-26     involved.

3-27           SECTION 5.  Section 84.006(a), Health and Safety Code, is

 4-1     amended to read as follows:

 4-2           (a)  All information and records relating to reportable

 4-3     conditions [diseases] are confidential.  That information may not

 4-4     be released or made public on subpoena or otherwise, except that

 4-5     release of information may be made:

 4-6                 (1)  for statistical purposes, but only if a person is

 4-7     not identified;

 4-8                 (2)  with the consent of each person identified in the

 4-9     information released;  or

4-10                 (3)  to medical personnel in a medical emergency to the

4-11     extent necessary to protect the health or life of the named person.

4-12           SECTION 6.  Sections 84.007(a) and (b), Health and Safety

4-13     Code, are amended to read as follows:

4-14           (a)  The department shall investigate the causes of

4-15     occupational conditions [diseases] and methods of prevention.

4-16           (b)  In performing the commissioner's duty to prevent an

4-17     occupational condition [disease], the commissioner or the

4-18     commissioner's designee may enter at reasonable times and inspect

4-19     within reasonable limits all or any part of an area, structure, or

4-20     conveyance, regardless of ownership, that is not used for private

4-21     residential purposes.

4-22           SECTION 7.  Section 4D(b), Texas Structural Pest Control Act

4-23     (Article 135b-6, Vernon's Texas Civil Statutes), is amended to read

4-24     as follows:

4-25           (b)  The board may make available to the Texas Department of

4-26     Health under the occupational condition [disease] reporting program

4-27     established under Chapter 84, Health and Safety Code, any

 5-1     information it receives concerning an exposure to a pesticide

 5-2     caused by a licensee that results in a medically verifiable

 5-3     illness.  The board and the Texas Department of Health shall adopt

 5-4     joint rules to govern such a program.  These rules shall require

 5-5     the board to make the information available to an institution of

 5-6     higher education that conducts research in urban entomology,

 5-7     epidemiology, or other areas related to structural pest control.

 5-8           SECTION 8.  The importance of this legislation and the

 5-9     crowded condition of the calendars in both houses create an

5-10     emergency and an imperative public necessity that the

5-11     constitutional rule requiring bills to be read on three several

5-12     days in each house be suspended, and this rule is hereby suspended,

5-13     and that this Act take effect and be in force from and after its

5-14     passage, and it is so enacted.

         _______________________________     _______________________________

             President of the Senate              Speaker of the House

               I certify that H.B. No. 2311 was passed by the House on April

         11, 1997, by the following vote:  Yeas 132, Nays 0, 2 present, not

         voting.

                                             _______________________________

                                                 Chief Clerk of the House

               I certify that H.B. No. 2311 was passed by the Senate on May

         10, 1997, by the following vote:  Yeas 30, Nays 0.

                                             _______________________________

                                                 Secretary of the Senate

         APPROVED:  _____________________

                            Date

                    _____________________

                          Governor