1-1                                   AN ACT
 1-2     relating to medical services ordered by physicians in certain other
 1-3     states for residents of this state.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 3.06(i), Medical Practice Act (Article
 1-6     4495b, Vernon's Texas Civil Statutes), is amended to read as
 1-7     follows:
 1-8           (i)  A person who is physically located in another
 1-9     jurisdiction but who, through the use of any medium, including an
1-10     electronic medium, performs an act that is part of patient care
1-11     service initiated in this state, including the taking of an X-ray
1-12     examination or the preparation of pathological material for
1-13     examination, and that would affect the diagnosis or treatment of
1-14     the patient, is engaged in the practice of medicine in this state
1-15     for the purposes of this Act and is subject to this Act and to
1-16     appropriate regulation by the board.  This subsection does not
1-17     apply to:
1-18                 (1)  the acts of a medical specialist located in
1-19     another jurisdiction who provides only episodic consultation
1-20     services on request to a person licensed in this state who
1-21     practices in the same medical specialty;
1-22                 (2)  the acts of a physician located in another
1-23     jurisdiction who is providing consultation services to a medical
1-24     school as defined in Section 61.501, Education Code; [or]
 2-1                 (3)  the acts of a physician located in another
 2-2     jurisdiction who is providing consultation services to an
 2-3     institution defined in either Subchapter C, Chapter 73, Education
 2-4     Code, or Subchapter K, Chapter 74, Education Code; or
 2-5                 (4)  the acts of a physician located in another
 2-6     jurisdiction of a state of the United States whose borders are
 2-7     contiguous with the State of Texas who is the treating physician of
 2-8     a patient and orders home health or hospice services for a resident
 2-9     of this state to be delivered by a home and community support
2-10     services agency licensed in this state.
2-11           SECTION 2.  This Act takes effect September 1, 1999.
2-12           SECTION 3.  The importance of this legislation and the
2-13     crowded condition of the calendars in both houses create an
2-14     emergency and an imperative public necessity that the
2-15     constitutional rule requiring bills to be read on three several
2-16     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. 3083 was passed by the House on April
         30, 1999, by a non-record vote.
                                             _______________________________
                                                 Chief Clerk of the House
               I certify that H.B. No. 3083 was passed by the Senate on May
         20, 1999, by the following vote:  Yeas 30, Nays 0.
                                             _______________________________
                                                 Secretary of the Senate
         APPROVED:  _____________________
                            Date
                    _____________________
                          Governor