By Truan                                        S.B. No. 1516

      75R7474 DLF-F                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the reporting of occupational conditions.

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

 1-4           SECTION 1.  The heading of 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)  "Occupational condition [disease]" means a

1-13     disease, [or] abnormal health condition, or laboratory finding that

1-14     is caused by or is related to exposure to a substance or condition

1-15     [conditions] in the workplace.

1-16                 (2)  "Reportable condition [disease]" means a disease,

1-17     [or] condition, or laboratory finding required to be reported under

1-18     this chapter.

1-19                 (3)  "Health care  professional" means an individual

1-20     who is licensed, certified, or otherwise authorized to administer

1-21     health care, for profit or otherwise, in the ordinary course of the

1-22     individual's business or professional practice.

1-23           Sec. 84.003.  REPORTABLE CONDITIONS [DISEASES]; RULES.  (a)

1-24     Asbestosis and[,] silicosis[, and elevated blood lead levels in

 2-1     adults] are occupational conditions [diseases] that are reportable

 2-2     to the department.

 2-3           (b)  An elevated blood lead level in an adult is a laboratory

 2-4     finding that is reportable to the department. The board shall adopt

 2-5     rules governing the blood lead levels that are reportable under

 2-6     this chapter.

 2-7           (c)  The board may adopt rules that require other

 2-8     occupational conditions [diseases] to be reported under this

 2-9     chapter.  Before the board requires another [other] occupational

2-10     condition [diseases] to be reported, the board must find that the

2-11     condition [disease]:

2-12                 (1)  has a well-understood etiology;

2-13                 (2)  results predominantly from occupational exposure

2-14     to a substance or condition [conditions]; and

2-15                 (3)  is preventable.

2-16           (d) [(c)]  The board shall maintain a list of reportable

2-17     conditions [diseases].

2-18           (e) [(d)]  The board shall adopt rules necessary to

2-19     administer and implement this chapter.

2-20           SECTION 3.  Sections 84.004(a) and (b), Health and Safety

2-21     Code, are amended to read as follows:

2-22           (a)  The following persons shall report cases or suspected

2-23     cases of reportable conditions [diseases] to the department:

2-24                 (1)  a physician who diagnoses or treats the individual

2-25     with the occupational condition [disease];  [and]

2-26                 (2)  a person who is in charge of a clinical or

2-27     hospital laboratory, blood bank, mobile unit, or other facility in

 3-1     which a laboratory examination of any specimen derived from a human

 3-2     body yields microscopical, cultural, serological, or other evidence

 3-3     suggestive of the condition; and

 3-4                 (3)  another health care professional who is aware of

 3-5     the case or suspected case of a reportable condition [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

 3-9     notification, the department may not, without the attending

3-10     physician's consent, contact the person from whom the specimen was

3-11     obtained if the notification indicates that the person has an

3-12     attending physician.]

3-13           SECTION 4.  Sections 84.005(b) and (c), Health and Safety

3-14     Code, are amended to read as follows:

3-15           (b)  The department may seek, receive, and spend any funds

3-16     received through appropriations, grants, or donations from public

3-17     or private sources for the purpose of identifying, reporting, or

3-18     preventing those occupational conditions [diseases] that have been

3-19     determined by the board to be injurious or to be a threat to the

3-20     public health, subject to any limitations or conditions prescribed

3-21     by the legislature.

3-22           (c)  Subject to the confidentiality requirements of this

3-23     chapter, the department shall evaluate the reports of occupational

3-24     conditions [diseases] to establish the nature and magnitude of the

3-25     hazards associated with those conditions [diseases], to prevent the

3-26     occurrence of those hazards, and to establish any trends 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 87.007(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.  The importance of this legislation and the

4-23     crowded condition of the calendars in both houses create an

4-24     emergency and an imperative public necessity that the

4-25     constitutional rule requiring bills to be read on three several

4-26     days in each house be suspended, and this rule is hereby suspended,

4-27     and that this Act take effect and be in force from and after its

 5-1     passage, and it is so enacted.