1-1     By:  Duncan, Nelson                                    S.B. No. 215
 1-2           (In the Senate - Filed January 21, 1999; January 28, 1999,
 1-3     read first time and referred to Committee on Economic Development;
 1-4     April 28, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 6, Nays 0; April 28, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 215                  By:  Jackson
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the liability of certain health care providers.
1-11           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-12           SECTION 1.  Section 84.003, Civil Practice and Remedies Code,
1-13     is amended by amending Subdivision (2) and adding Subdivision (5)
1-14     to read as follows:
1-15                 (2)  "Volunteer" means a person rendering services for
1-16     or on behalf of a charitable organization who does not receive
1-17     compensation in excess of reimbursement for expenses incurred.  The
1-18     [, and such] term includes a person serving as a director, officer,
1-19     trustee, or direct service volunteer, including a volunteer health
1-20     care provider.
1-21                 (5)  "Volunteer health care provider" means an
1-22     individual who voluntarily provides health care services without
1-23     compensation or expectation of compensation and who is:
1-24                       (A)  an individual who is licensed to practice
1-25     medicine under the Medical Practice Act (Article 4495b, Vernon's
1-26     Texas Civil Statutes);
1-27                       (B)  a retired physician who is eligible to
1-28     provide health care services, including a retired physician who is
1-29     licensed but exempt from paying the required annual registration
1-30     fee under Section 3.01(g), Medical Practice Act (Article 4495b,
1-31     Vernon's Texas Civil Statutes);
1-32                       (C)  a physician assistant licensed under the
1-33     Physician Assistant Licensing Act (Article 4495b-1, Vernon's Texas
1-34     Civil Statutes) or a retired physician assistant who is eligible to
1-35     provide health care services under the law of this state;
1-36                       (D)  a registered nurse, including an advanced
1-37     nurse practitioner, licensed under Chapter 7, Title 71, Revised
1-38     Statutes, or a retired registered nurse, including a retired
1-39     advanced nurse practitioner, who is eligible to provide health care
1-40     services under the law of this state;
1-41                       (E)  a licensed vocational nurse  licensed under
1-42     Chapter 118, Acts of the 52nd Legislature, Regular Session, 1951
1-43     (Article 4528c, Vernon's Texas Civil Statutes), or a retired
1-44     licensed vocational nurse who is eligible to provide health care
1-45     services under the law of this state;
1-46                       (F)  a pharmacist licensed under the Texas
1-47     Pharmacy Act (Article 4542a-1,  Vernon's Texas Civil Statutes) or a
1-48     retired pharmacist who is eligible to provide health care services
1-49     under the law of this state;
1-50                       (G)  a podiatrist licensed under Chapter 11,
1-51     Title 71, Revised Statutes, or a retired podiatrist who is eligible
1-52     to provide health care services under the law of this state;
1-53                       (H)  a dentist licensed under the Dental Practice
1-54     Act (Chapter 9, Title 71, Revised Statutes) or a retired dentist
1-55     who is eligible to provide health care services under the law of
1-56     this state;
1-57                       (I)  a dental hygienist licensed under Chapter
1-58     475, Acts of the 52nd Legislature, Regular Session, 1951 (Article
1-59     4551e, Vernon's Texas Civil Statutes), or a retired dental
1-60     hygienist who is eligible to provide health care services under the
1-61     law of this state; or
1-62                       (J)  an optometrist or therapeutic optometrist
1-63     licensed under the Texas Optometry Act (Article 4552-1.01 et seq.,
1-64     Vernon's Texas Civil Statutes) or a retired optometrist or
 2-1     therapeutic optometrist who is eligible to provide health care
 2-2     services under the law of this state.
 2-3           SECTION 2.  Section 84.004, Civil Practice and Remedies Code,
 2-4     is amended to read as follows:
 2-5           Sec. 84.004.  VOLUNTEER LIABILITY.  (a)  Except as provided
 2-6     by Subsection (d) [(c) of this section] and Section 84.007 [of this
 2-7     Act], a volunteer who is serving as an officer, director, or
 2-8     trustee of a charitable organization is immune from civil liability
 2-9     for any act or omission resulting in death, damage, or injury if
2-10     the volunteer was acting in the course and scope of his duties or
2-11     functions as an officer, director, or trustee within the
2-12     organization.
2-13           (b)  Except as provided by Subsection (c) or (d) [of this
2-14     section] and Section 84.007 [of this Act], a volunteer who is
2-15     serving as a direct service volunteer of a charitable organization
2-16     is immune from civil liability for any act or omission resulting in
2-17     death, damage, or injury if the volunteer was acting in good faith
2-18     and in the course and scope of his duties or functions within the
2-19     organization.
2-20           (c)  Except as provided by Subsection (d) and Section 84.007,
2-21     a volunteer health care provider who is serving as a direct service
2-22     volunteer of a charitable organization is immune from civil
2-23     liability for any act or omission resulting in death, damage, or
2-24     injury to a patient if:
2-25                 (1)  the volunteer was acting in good faith and in the
2-26     course and scope of the volunteer's duties or functions within the
2-27     organization;
2-28                 (2)  the volunteer commits the act or omission in the
2-29     course of providing health care services to the patient;
2-30                 (3)  the services provided are within the scope of the
2-31     license of the volunteer; and
2-32                 (4)  before the volunteer provides health care
2-33     services, the patient or, if the patient is a minor or is otherwise
2-34     legally incompetent, the patient's parent, managing conservator,
2-35     legal guardian, or other person with legal responsibility for the
2-36     care of the patient signs a written statement that acknowledges:
2-37                       (A)  that the volunteer is providing care that is
2-38     not administered for or in expectation of compensation; and
2-39                       (B)  the limitations on the recovery of damages
2-40     from the volunteer in exchange for receiving the health care
2-41     services.
2-42           (d)  A volunteer of a charitable organization is liable to a
2-43     person for death, damage, or injury to the person or his property
2-44     proximately caused by any act or omission arising from the
2-45     operation or use of any motor-driven equipment, including an
2-46     airplane, to the extent insurance coverage is required by Chapter
2-47     601, Transportation Code, and to the extent of any existing
2-48     insurance coverage applicable to the act or omission.
2-49           (e) [(d)]  The provisions of this section apply only to the
2-50     liability of volunteers and do not apply to the liability of the
2-51     organization for acts or omissions of volunteers.
2-52           SECTION 3.  This Act takes effect September 1, 1999, and
2-53     applies only to a cause of action that accrues on or after that
2-54     date.  An action that accrued before the effective date of this Act
2-55     is governed by the law as it existed immediately before the
2-56     effective date of this Act, and that law is continued in effect for
2-57     that purpose.
2-58           SECTION 4.  The importance of this legislation and the
2-59     crowded condition of the calendars in both houses create an
2-60     emergency and an imperative public necessity that the
2-61     constitutional rule requiring bills to be read on three several
2-62     days in each house be suspended, and this rule is hereby suspended.
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