By:  Bernsen                                          S.B. No. 1106
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the application of the Medical Liability and Insurance
 1-3     Improvement Act of Texas to optometrists and therapeutic
 1-4     optometrists.
 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-6           SECTION 1.  Subdivision (3), Subsection (a), Section 1.03,
 1-7     Medical Liability and Insurance Improvement Act of Texas (Article
 1-8     4590i, Vernon's Texas Civil Statutes), is amended to read as
 1-9     follows:
1-10                 (3)  "Health care provider" means any person,
1-11     partnership, professional association, corporation, facility, or
1-12     institution duly licensed or chartered by the State of Texas to
1-13     provide health care as a registered nurse, hospital, dentist,
1-14     podiatrist, pharmacist, optometrist or therapeutic optometrist, or
1-15     nursing home, or an officer, employee, or agent thereof acting in
1-16     the course and scope of his employment.
1-17           SECTION 2.  This Act takes effect September 1, 2001, and
1-18     applies only to a cause of action that accrues on or after that
1-19     date.  A cause of action that accrued before the effective date of
1-20     this Act is governed by the law applicable to the action
1-21     immediately before the effective date of this Act, and that law is
1-22     continued in effect for that purpose.
1-23                          COMMITTEE AMENDMENT NO. 1
1-24           Amends S.B. 1106 by inserting a new SECTION 2 to read as
1-25     follows and by renumbering the remaining SECTIONS appropriately:
 2-1           SECTION 2.  Subchapter M, Subsections (f), (g), (j), (k), and
 2-2     (l), Section 13.01, Medical Liability and Insurance Improvement Act
 2-3     of Texas (Article 4590i, Vernon's Texas Civil Statutes) to read as
 2-4     follows:
 2-5           (f)  The court may, for good cause shown after motion and
 2-6     hearing, extend any time period specified in Subsection (d) of this
 2-7     section for an additional 30 days past the 180th day after the date
 2-8     on which the health care liability claim was filed.  Only one
 2-9     extension may be granted under this subsection. Any motion filed
2-10     under this subsection seeking an extension of time must be filed
2-11     with the court prior to the expiration of the time period
2-12     established in Subsection (d).  If the ruling on such motion is not
2-13     made by the court until after the expiration of such time period,
2-14     the 30-day extension shall be measured from the date of the ruling
2-15     rather than from the 180th day after the date on which the health
2-16     care liability claim was filed.
2-17           (g)  Notwithstanding any other provision of this section, if
2-18     a claimant has failed to comply with a deadline established by
2-19     Subsection (d) of this section and after hearing the court finds
2-20     that the failure of the claimant or the claimant's attorney was
2-21     [not intentional or] the result of [conscious indifference but was
2-22     the result of an accident] a clerical, administrative, electronic,
2-23     or machine error or mistake, the court shall grant a grace period
2-24     of 30 days to permit the claimant to comply with that subsection.
2-25     A motion by a claimant for relief under this subsection shall be
2-26     considered timely if it is filed before any hearing on a motion by
 3-1     a defendant under Subsection (e) of this section.  If the court
 3-2     grants relief under this subsection, it shall state on the record
 3-3     or in a written order the factual and legal basis for its decision.
 3-4           (j)  Nothing in this section shall be construed to require
 3-5     the [filing] furnishing of an expert report regarding any issue
 3-6     other than an issue relating to liability or causation.
 3-7           (k)  Notwithstanding any other law, an expert report [filed]
 3-8     furnished under this section:
 3-9                 (1)  is not admissible in evidence by a defendant;
3-10                 (2)  shall not be used in a deposition, trial, or other
3-11     proceeding; and
3-12                 (3)  shall not be referred to by a defendant during the
3-13     course of the action for any purpose, however, notwithstanding the
3-14     restrictions in Subsection (k)(1), (2) and (3), if the party
3-15     producing an expert report under this subsection utilizes that
3-16     report to support or oppose a motion for summary judgment or a
3-17     motion to exclude expert testimony as being scientifically
3-18     unreliable under the Texas Rules of Evidence, then the restrictions
3-19     upon the use of such report set forth in Subsections (k)(1), (2)
3-20     and (3) shall be deemed waived.
3-21           (l)(1)  A court shall grant a motion challenging the adequacy
3-22     of an expert report only if it appears to the court, after hearing,
3-23     that the report does not represent a good faith effort to comply
3-24     with the definition of an expert report in Subsection (r)(6) of
3-25     this section.
3-26           (l)(2)  The procedures set forth in this Subsection (l)(2)
 4-1     are available only to a claimant in a health care liability claim
 4-2     with respect to an expert report that is furnished on or before the
 4-3     150th day after the date on which the health care liability claim
 4-4     was filed.  An objection to the sufficiency of an expert report
 4-5     under Subsection (l)(1) must be made not later than the 21st day
 4-6     after the date the objecting party receives a copy of the expert
 4-7     report.  The court shall conduct a hearing to determine any
 4-8     objection to the sufficiency of any expert report under Subsection
 4-9     (l)(1) as soon as practicable after the filing of an objection.  In
4-10     the event the court finds the report to be insufficient pursuant to
4-11     this subsection, then the claimant shall have thirty (30) days
4-12     after the order is signed to comply and provide a sufficient
4-13     report.  No sanctions shall be entered pursuant to Subsection (e)
4-14     until after the claimant has failed to comply with the order
4-15     striking the expert report.  Failure to object to the expert report
4-16     within the time allowed under this Subsection (l)(2) results in a
4-17     waiver of any deficiencies of the expert report.
4-18                                                                   Janek