1-1                                   AN ACT
 1-2     relating to public access to certain information regarding medical
 1-3     practitioners.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 5.07(a), Medical Practice Act (Article
 1-6     4495b, Vernon's Texas Civil Statutes), is amended to read as
 1-7     follows:
 1-8           (a)  Within 30 days after the initial conviction or the
 1-9     initial finding of the trier of fact of guilt of a person known to
1-10     be a physician, licensed or otherwise lawfully practicing in this
1-11     state or applying to be so licensed to practice, of any offense
1-12     constituting a felony, a Class A or Class B misdemeanor, or a Class
1-13     C misdemeanor involving moral turpitude, a violation of state or
1-14     federal narcotics or controlled substance laws, or an offense
1-15     involving fraud or abuse under the Medicare or Medicaid programs,
1-16     whether or not the conviction, adjudication, or finding is entered,
1-17     withheld, or appealed under the laws of this state, the clerk of
1-18     the court of record in which the conviction, adjudication, or
1-19     finding was entered shall prepare and forward to the Department of
1-20     Public Safety the information required under Chapter 60, Code of
1-21     Criminal Procedure, for use in the computerized criminal history
1-22     system.
1-23           SECTION 2.  Subchapter E, Medical Practice Act (Article
1-24     4495b, Vernon's Texas Civil Statutes), is amended by adding Section
 2-1     5.12 to read as follows:
 2-2           Sec. 5.12.  PHYSICIAN PROFILES.  (a)  The board shall create
 2-3     a profile of each physician licensed under this Act.  The profile
 2-4     must:
 2-5                 (1)  include the information required by Subsection (b)
 2-6     of this section; and
 2-7                 (2)  be compiled in a format that permits the board to
 2-8     make the information contained in the profile available to the
 2-9     public.
2-10           (b)  A profile must contain the following information on each
2-11     physician:
2-12                 (1)  the name of each medical school attended and the
2-13     dates of:
2-14                       (A)  graduation; or
2-15                       (B)  Fifth Pathway designation and completion of
2-16     the Fifth Pathway Program;
2-17                 (2)  a description of all graduate medical education in
2-18     the United States or Canada;
2-19                 (3)  any specialty certification held by the physician
2-20     and issued by a medical licensing board that is a member of the
2-21     American Board of Medical Specialties or the Bureau of Osteopathic
2-22     Specialists;
2-23                 (4)  the number of years the physician has actively
2-24     practiced medicine in:
2-25                       (A)  the United States or Canada; and
2-26                       (B)  this state;
2-27                 (5)  the name of each hospital in this state in which
 3-1     the physician has privileges;
 3-2                 (6)  the physician's primary practice location;
 3-3                 (7)  the type of language translating services,
 3-4     including translating services for a person with impairment of
 3-5     hearing, that the physician provides at the physician's primary
 3-6     practice location;
 3-7                 (8)  whether the physician participates in the Medicaid
 3-8     program;
 3-9                 (9)  a description of any conviction for an offense
3-10     constituting a felony, a Class A or Class B misdemeanor, or a Class
3-11     C misdemeanor involving moral turpitude during the 10-year period
3-12     preceding the date of the profile;
3-13                 (10)  a description of any charges reported to the
3-14     board during the 10-year period preceding the date of the profile
3-15     to which the physician has pleaded no contest, for which the
3-16     physician is the subject of deferred adjudication or pretrial
3-17     diversion, or in which sufficient facts of guilt were found and the
3-18     matter was continued by a court of competent jurisdiction;
3-19                 (11)  a description of any disciplinary action against
3-20     the physician by the board during the 10-year period preceding the
3-21     date of the profile;
3-22                 (12)  a description of any disciplinary action against
3-23     the physician by a medical licensing board of another state during
3-24     the 10-year period preceding the date of the profile;
3-25                 (13)  a description of the final resolution taken by
3-26     the board on medical malpractice claims or complaints required to
3-27     be opened by the board under Section 5.05(f) of this Act;
 4-1                 (14)  whether the physician's patient service areas are
 4-2     accessible to disabled persons, as defined by federal law; and
 4-3                 (15)  a description of any formal complaint against the
 4-4     physician initiated and filed under Section 4.03 of this Act and
 4-5     the status of the complaint.
 4-6           (c)  Information required to be included under Subsection (b)
 4-7     of this section that is not maintained by the board in the ordinary
 4-8     course of the board's duties shall be obtained from a physician at
 4-9     the time the physician renews the physician's license.  In
4-10     requesting information from the physician, the board shall inform
4-11     the physician that compliance with the request for information is
4-12     mandatory, inform the physician of the date the information will be
4-13     made available to the public, and instruct the physician of the
4-14     requirements under Subsection (f) of this section for the physician
4-15     to obtain a copy of the physician's profile to make corrections.
4-16           (d)  This section does not:
4-17                 (1)  prevent the board from providing explanatory
4-18     information regarding the significance of categories in which
4-19     malpractice settlements are reported; or
4-20                 (2)  require the board to disclose confidential
4-21     settlement information.
4-22           (e)  A pending malpractice claim or complaint, other than a
4-23     claim disclosed under Subsection (b)(13) of this section, may not
4-24     be disclosed to the public by the board.  This subsection does not
4-25     prevent the board from investigating and disciplining a physician
4-26     on the basis of a pending medical malpractice claim or complaint.
4-27           (f)  The board shall provide an individual physician with a
 5-1     copy of the physician's profile if the physician requests a copy at
 5-2     the time the physician renews the physician's license.  If a copy
 5-3     is requested by a physician the board shall provide the physician
 5-4     one month from the date the copy is provided to the physician to
 5-5     correct factual errors in the physician's profile.
 5-6           (g)  The board shall update the information contained in a
 5-7     physician's profile annually.  The board shall adopt a form that
 5-8     allows a physician to update information contained in a physician's
 5-9     profile.  The form shall be made available on the Internet and in
5-10     other formats as prescribed by board rule.  The board may adopt
5-11     rules concerning the type and content of additional information
5-12     that may be included in a physician's profile.
5-13           (h)  The board shall adopt rules as necessary to implement
5-14     this section.
5-15           SECTION 3.  (a)  Each state agency listed in Subsection (b)
5-16     of this section shall provide a cost estimate, including
5-17     methodology, regarding the establishment and administration of a
5-18     profile program for persons licensed or regulated by the agency
5-19     similar to the program established by the Texas State Board of
5-20     Medical Examiners under Section 5.12, Medical Practice Act (Article
5-21     4495b, Vernon's Texas Civil Statutes), as added by this Act.
5-22           (b)  This section applies to the:
5-23                 (1)  Texas Board of Chiropractic Examiners;
5-24                 (2)  State Board of Dental Examiners;
5-25                 (3)  Texas Board of Occupational Therapy Examiners;
5-26                 (4)  Texas Optometry Board;
5-27                 (5)  Texas State Board of Pharmacy;
 6-1                 (6)  Texas Board of Physical Therapy Examiners;
 6-2                 (7)  Texas State Board of Podiatric Medical Examiners;
 6-3     and
 6-4                 (8)  Texas State Board of Examiners of Psychologists.
 6-5           (c)  An agency required to provide a cost estimate under this
 6-6     section shall report, not later than January 1, 2000, the results
 6-7     of the study to the presiding officer of each house of the 77th
 6-8     Legislature, Regular Session, 2001.
 6-9           SECTION 4.  (a)  This Act takes effect September 1, 1999.
6-10           (b)  The change in law made by this Act to Section 5.07(a),
6-11     Medical Practice Act (Article 4495b, Vernon's Texas Civil
6-12     Statutes),  applies only to a conviction or finding of guilt for an
6-13     offense that is made on or after the effective date of this Act.  A
6-14     conviction or finding made before the effective date of this Act is
6-15     governed by the law in effect on the date of the conviction or
6-16     finding, and the former law is continued in effect for that
6-17     purpose.
6-18           (c)  The Texas State Board of Medical Examiners shall adopt
6-19     rules under Section 5.12, Medical Practice Act (Article 4495b,
6-20     Vernon's Texas Civil Statutes), as added by this Act, not later
6-21     than April 1, 2000.  The board shall make the initial physician
6-22     profiles required under this Act available to the public not later
6-23     than September 1, 2001.
6-24           (d)  The Texas State Board of Medical Examiners shall raise
6-25     fees prescribed by the board in an amount not to exceed $20 for
6-26     each fiscal year in the 2000-2001 biennium and not to exceed $10
6-27     for each fiscal year in the 2002-2003 biennium for each physician
 7-1     licensed by the board to cover the costs of administering the
 7-2     changes in law made by this Act.  The board shall reduce any fees
 7-3     raised under this subsection not later than the second anniversary
 7-4     of the date the initial physician profiles required under this Act
 7-5     are made available to the public to the extent the increase in fee
 7-6     amounts was necessary to cover the initial costs incurred by the
 7-7     board in establishing a physician profile system.
 7-8           SECTION 5.  The importance of this legislation and the
 7-9     crowded condition of the calendars in both houses create an
7-10     emergency and an imperative public necessity that the
7-11     constitutional rule requiring bills to be read on three several
7-12     days in each house be suspended, and this rule is hereby suspended.
         _______________________________     _______________________________
             President of the Senate              Speaker of the House
               I certify that H.B. No. 110 was passed by the House on April
         16, 1999, by a non-record vote; and that the House concurred in
         Senate amendments to H.B. No. 110 on May 20, 1999, by a non-record
         vote.
                                             _______________________________
                                                 Chief Clerk of the House
               I certify that H.B. No. 110 was passed by the Senate, with
         amendments, on May 18, 1999, by a viva-voce vote.
                                             _______________________________
                                                 Secretary of the Senate
         APPROVED:  _____________________
                            Date
                    _____________________
                          Governor