By Gallego                                             H.B. No. 629
         76R1631 DLF-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to medical information provided by emergency medical
 1-3     services operators.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Chapter 773, Health and Safety Code, is amended
 1-6     by adding Subchapter F to read as follows:
 1-7       SUBCHAPTER F. MEDICAL INFORMATION PROVIDED BY EMERGENCY MEDICAL
 1-8                             SERVICES OPERATORS
 1-9           Sec. 773.141.  DEFINITIONS.  In this subchapter:
1-10                 (1)  "Emergency call" means a telephone call or other
1-11     similar communication from a member of the public, as part of a
1-12     9-1-1 system or otherwise, made to obtain emergency medical
1-13     services.
1-14                 (2)  "Emergency medical services operator" means a
1-15     person who, as a volunteer or employee, receives emergency calls.
1-16           Sec. 773.142.  APPLICATION OF CHAPTER.  This chapter does not
1-17     apply to a physician or other licensed person who may provide
1-18     medical information under law.
1-19           Sec. 773.143.  PROVISION OF MEDICAL INFORMATION.  An
1-20     emergency medical services operator may provide medical information
1-21     to a member of the public during an emergency call if:
1-22                 (1)  the operator has successfully completed an
1-23     emergency medical services operator training program and holds a
1-24     certificate issued under Section 773.144; and
 2-1                 (2)  the information provided substantially conforms to
 2-2     the protocol for delivery of the information adopted by the board
 2-3     under Section 773.145.
 2-4           Sec. 773.144.  TRAINING PROGRAMS.  (a)  The department may
 2-5     offer emergency medical services operator training programs and may
 2-6     approve training programs offered by other persons. The board by
 2-7     rule shall establish minimum standards for approval of training
 2-8     programs and certification and decertification of program
 2-9     instructors.
2-10           (b)  The provider of an emergency medical services operator
2-11     training program shall issue an emergency medical services operator
2-12     a certificate evidencing completion of the training program.  The
2-13     board by rule may require that, before issuance of the certificate,
2-14     the operator successfully complete an examination administered by
2-15     the board, by the provider of the training program, or by another
2-16     person.
2-17           (c)  The board by rule may provide that a certificate  issued
2-18     under Subsection (b) expires at the end of a specified period not
2-19     less than one year after the date on which the certificate is
2-20     issued and may adopt requirements, including additional training or
2-21     examination, for renewal of the certificate.
2-22           (d)  The board by rule may adopt other requirements relating
2-23     to emergency medical services operator training programs.
2-24           Sec. 773.145.  MEDICAL INFORMATION.  The board by rule shall
2-25     adopt a protocol that must be used to provide medical information
2-26     under Section 773.143. The protocol may include the use of a
2-27     flash-card system or other similar system designed to make the
 3-1     information readily accessible to the emergency medical services
 3-2     operator in an understandable form.
 3-3           Sec. 773.146.  LIMITATION ON CIVIL LIABILITY.  (a)  An
 3-4     emergency medical services operator who holds a certificate under
 3-5     Section 773.144 is not liable for damages that arise from the
 3-6     provision of medical information under this subchapter if the
 3-7     information is provided in good faith. This subsection does not
 3-8     apply to an act or omission of the operator that is intentional or
 3-9     wilfully or wantonly negligent.
3-10           (b)  A person who authorizes, sponsors, supports, finances,
3-11     or supervises the functions of an emergency medical services
3-12     operator who holds a certificate under Section 773.144 is not
3-13     liable for damages that arise from the provision of medical
3-14     information under this subchapter if that person acts in good
3-15     faith. This subsection does not apply to an act or omission of the
3-16     person that is intentional or wilfully or wantonly negligent.
3-17           (c)  The immunity granted by this section is in addition to
3-18     any other immunity granted by law.
3-19           Sec. 773.147.  FEES.  (a)  The board by rule may adopt fees
3-20     for:
3-21                 (1)  training programs provided by the board under
3-22     Section 773.144; and
3-23                 (2)  the approval of program instructors and of
3-24     training programs offered by other persons.
3-25           (b)  The fees adopted under this section may not exceed the
3-26     amount necessary for the department to recover the cost of
3-27     administering this subchapter.
 4-1           SECTION 2.  (a)  This Act takes effect September 1, 1999.
 4-2           (b)  This Act applies only to the provision of medical
 4-3     information by an emergency medical services operator, as that term
 4-4     is defined by Section 773.141, Health and Safety Code, as added by
 4-5     this Act, on or after January 1, 2000.  The provision of medical
 4-6     information before January 1, 2000,  is governed by the law as it
 4-7     existed immediately before the effective date of this Act, and that
 4-8     law is continued in effect for this purpose.
 4-9           (c)  The Texas Board of Health shall adopt rules necessary
4-10     for the implementation of Subchapter F, Chapter 773, Health and
4-11     Safety Code, as added by this Act, not later than December 1, 1999.
4-12           SECTION 3.  The importance of this legislation and the
4-13     crowded condition of the calendars in both houses create an
4-14     emergency and an imperative public necessity that the
4-15     constitutional rule requiring bills to be read on three several
4-16     days in each house be suspended, and this rule is hereby suspended.