1-1     By:  Armbrister                                        S.B. No. 941
 1-2           (In the Senate - Filed March 5, 1999; March 8, 1999, read
 1-3     first time and referred to Committee on Health Services;
 1-4     May 7, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 3, Nays 0; May 7, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 941                   By:  Nelson
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the authority of mental health professionals to form
1-11     certain jointly owned entities.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Section 4, The Texas Professional Corporation Act
1-14     (Article 1528e, Vernon's Texas Civil Statutes), is amended to read
1-15     as follows:
1-16           Sec. 4.  ARTICLES OF INCORPORATION.  (a)  One or more
1-17     individuals[,] may incorporate a professional corporation by filing
1-18     the original and a copy of Articles of Incorporation with the
1-19     Secretary of State.  One or more individuals may incorporate a
1-20     professional legal corporation by filing the original and a copy of
1-21     Articles of Incorporation with the Secretary of State.  Except as
1-22     provided by Subsection (b) of this section, no [No] professional
1-23     corporation organized under this Act shall render more than one
1-24     kind of professional service.  In addition to other provisions
1-25     required or permitted by law, the Articles of Incorporation shall
1-26     set forth:
1-27                 (1) [(a)]  A statement that the corporation is a
1-28     professional corporation; and
1-29                 (2) [(b)]  A statement of the [one specific kind of]
1-30     professional service to be rendered by the corporation.
1-31           (b)  Professionals, other than physicians, engaged in related
1-32     mental health fields such as psychology, clinical social work,
1-33     licensed professional counseling, and licensed marriage and family
1-34     therapy may form a professional corporation under this Act to
1-35     perform professional services that fall within the scope of
1-36     practice of those practitioners.  When professionals engaged in
1-37     related mental health fields form a corporation under this Act, the
1-38     authority of each of the practitioners is limited by the scope of
1-39     practice of the respective practitioner, and none can exercise
1-40     control over the others' clinical authority granted by their
1-41     respective licenses, whether through agreements, bylaws,
1-42     directives, financial incentives, or other arrangements that would
1-43     assert control over treatment decisions made by a practitioner.
1-44     The state agencies exercising regulatory control over professions
1-45     to which this subsection applies continue to exercise regulatory
1-46     authority over the respective licenses of the professionals.
1-47           SECTION 2.  Subsection (B), Section 2, Texas Professional
1-48     Association Act (Article 1528f, Vernon's Texas Civil Statutes), is
1-49     amended to read as follows:
1-50           (B)  Licenses.  (1)  Except as provided by [Subdivision (2)
1-51     of] this subsection, all members of the association shall be
1-52     licensed to perform the type of professional service for which the
1-53     association is formed.
1-54                 (2)  Doctors of medicine and osteopathy licensed by the
1-55     Texas State Board of Medical Examiners and podiatrists licensed by
1-56     the Texas State Board of Podiatric Medical Examiners may form an
1-57     association that is jointly owned by those practitioners to perform
1-58     a professional service that falls within the scope of practice of
1-59     those practitioners.
1-60                 (3)  Professionals, other than physicians, engaged in
1-61     related mental health fields such as psychology, clinical social
1-62     work, licensed professional counseling, and licensed marriage and
1-63     family therapy may form an association that is jointly owned by
1-64     those practitioners to perform professional services that fall
 2-1     within the scope of practice of those practitioners.
 2-2                 (4)  When doctors of medicine, osteopathy, and podiatry
 2-3     or mental health professionals form an association that is jointly
 2-4     owned by those practitioners, the authority of each of the
 2-5     practitioners is limited by the scope of practice of the respective
 2-6     practitioners and none can exercise control over the other's
 2-7     clinical authority granted by their respective licenses, either
 2-8     through agreements, bylaws, directives, financial incentives, or
 2-9     other arrangements that would assert control over treatment
2-10     decisions made by the practitioner.  The state agencies exercising
2-11     regulatory control over professions to which this subdivision
2-12     applies [Texas State Board of Medical Examiners and the Texas State
2-13     Board of Podiatric Medical Examiners] continue to exercise
2-14     regulatory authority over their respective licenses.
2-15           SECTION 3.  Subsection A, Article 11.01, Texas Limited
2-16     Liability Company Act (Article 1528n, Vernon's Texas Civil
2-17     Statutes), is amended to read as follows:
2-18           A.  (1)  One or more persons may organize a professional
2-19     limited liability company by filing articles of organization with
2-20     the Secretary of State in accordance with Part Three of this Act.
2-21     In addition to other provisions required or permitted by law, the
2-22     articles of organization of a professional limited liability
2-23     company must include a statement:
2-24                       (a)  that the limited liability company is a
2-25     professional limited liability company; and
2-26                       (b)  describing the [one] specific kind of
2-27     professional service to be rendered by the limited liability
2-28     company.
2-29                 (2)  Except as provided by Subdivision (3) of this
2-30     subsection, a [A] professional limited liability company:
2-31                       (a)  may be organized under this Act only for the
2-32     purpose of rendering one specific type of professional service and
2-33     ancillary services; and
2-34                       (b)  [.  A professional limited liability company
2-35     organized under this Act] may not render more than one kind of
2-36     professional service.
2-37                 (3)  Professionals, other than physicians, engaged in
2-38     related mental health fields such as psychology, clinical social
2-39     work, licensed professional counseling, and licensed marriage and
2-40     family therapy may organize a professional limited liability
2-41     company that is jointly owned by those practitioners to perform a
2-42     professional service that falls within the scope of practice of
2-43     those practitioners.  When mental health professionals organize a
2-44     professional limited liability company that is jointly owned by
2-45     those practitioners, the authority of each of the practitioners is
2-46     limited by the scope of practice of the respective practitioner,
2-47     and none can exercise control over the others' clinical authority
2-48     granted by their respective licenses, whether through agreements,
2-49     bylaws, directives, financial incentives, or other arrangements
2-50     that would assert control over treatment decisions made by a
2-51     practitioner.  The state agencies exercising regulatory control
2-52     over professions to which this subdivision applies continue to
2-53     exercise regulatory authority over their respective licenses.
2-54           SECTION 4.  The importance of this legislation and the
2-55     crowded condition of the calendars in both houses create an
2-56     emergency and an imperative public necessity that the
2-57     constitutional rule requiring bills to be read on three several
2-58     days in each house be suspended, and this rule is hereby suspended,
2-59     and that this Act take effect and be in force from and after its
2-60     passage, and it is so enacted.
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