By Moncrief                                           S.B. No. 1587
         77R7907 DAK-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to alternative dispute resolution procedures for proposals
 1-3     for legislation to change or clarify the permissible scope of
 1-4     practice of a health care profession.
 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-6           SECTION 1. Title 7, Civil Practice and Remedies Code, is
 1-7     amended by adding Chapter 156 to read as follows:
 1-8     CHAPTER 156.  ALTERNATIVE DISPUTE RESOLUTION PROCEDURES FOR HEALTH
 1-9                      CARE PROFESSION DRAFT LEGISLATION
1-10           Sec. 156.001.  DEFINITIONS. In this chapter:
1-11                 (1)  "Health care profession draft legislation" means
1-12     a proposal for legislation to change or clarify the permissible
1-13     scope of practice of a health care profession to which this chapter
1-14     applies.
1-15                 (2)  "Health care professional group" means a group of
1-16     individuals or a person representing a group of individuals who
1-17     practice a health care profession to which this chapter applies.
1-18                 (3)  "Mediator" means the impartial third party, panel,
1-19     or other person who conducts a dispute resolution proceeding under
1-20     this chapter.
1-21           Sec. 156.002.  HEALTH CARE PROFESSIONS. This chapter applies
1-22     to the following health care professions:
1-23                 (1)  physician;
1-24                 (2)  physician's assistant;
 2-1                 (3)  registered nurse;
 2-2                 (4)  advanced practice nurse;
 2-3                 (5)  licensed vocational nurse;
 2-4                 (6)  medical physicist;
 2-5                 (7)  medical radiologic technologist;
 2-6                 (8)  dentist;
 2-7                 (9)  dental hygienist;
 2-8                 (10)  optometrist or therapeutic optometrist;
 2-9                 (11)  optician;
2-10                 (12)  chiropractor;
2-11                 (13)  prosthetist;
2-12                 (14)  orthotist;
2-13                 (15)  audiologist;
2-14                 (16)  speech-language pathologist;
2-15                 (17)  hearing instrument fitter and dispenser;
2-16                 (18)  physical therapist;
2-17                 (19)  occupational therapist;
2-18                 (20)  psychologist;
2-19                 (21)  social worker;
2-20                 (22)  licensed professional counselor;
2-21                 (23)  chemical dependency counselor;
2-22                 (24)  marriage and family therapist;
2-23                 (25)  acupuncturist;
2-24                 (26)  dietician;
2-25                 (27)  midwife;
2-26                 (28)  athletic trainer;
2-27                 (29)  massage therapist;
 3-1                 (30)  perfusionist;
 3-2                 (31)  pharmacist;
 3-3                 (32)  respiratory care professional; and
 3-4                 (33)  podiatrist.
 3-5           Sec. 156.003.  DISPUTE RESOLUTION PROCEEDING. A health care
 3-6     professional group that seeks the enactment of health care
 3-7     profession draft legislation may conduct a dispute resolution
 3-8     proceeding in the manner provided by this chapter relating to the
 3-9     draft legislation.
3-10           Sec. 156.004.  POSTPONEMENT OF CONSIDERATION. The chair of
3-11     any committee of the senate or house of representatives may require
3-12     that the committee postpone consideration of health care profession
3-13     draft legislation until after an alternative dispute resolution
3-14     proceeding relating to the draft legislation is conducted in the
3-15     manner provided by this chapter.
3-16           Sec. 156.005.  CHOICE OF ALTERNATIVE DISPUTE RESOLUTION
3-17     PROCEEDING. A health care professional group that seeks the
3-18     enactment of health care profession draft legislation may choose
3-19     any appropriate alternative dispute resolution procedure,
3-20     including:
3-21                 (1)  a procedure described under Subchapter B, Chapter
3-22     154; or
3-23                 (2)  mediation by the Center for Public Policy Dispute
3-24     Resolution at The University of Texas School of Law.
3-25           Sec. 156.006.  PARTIES TO THE ALTERNATIVE DISPUTE RESOLUTION
3-26     PROCEEDING. The parties to the alternative dispute resolution
3-27     proceeding are:
 4-1                 (1)  the health care professional group that seeks the
 4-2     enactment of health care profession draft legislation;
 4-3                 (2)  any other health care professional group that
 4-4     would be affected by the enactment of the health care profession
 4-5     draft legislation and that chooses to participate as a party; and
 4-6                 (3)  an individual:
 4-7                       (A)  who is a health care professional in a
 4-8     profession affected by the enactment of the health care profession
 4-9     draft legislation; and
4-10                       (B)  whose interest is not otherwise represented
4-11     in the proceeding by a health care professional group.
4-12           Sec. 156.007.  COST OF PROCEEDING. (a)  The health care
4-13     professional group that seeks the enactment of health care
4-14     profession draft legislation shall pay the costs of the mediator.
4-15           (b)  A party shall pay for any costs it incurs in preparing
4-16     for and participating in the alternative dispute resolution
4-17     proceeding, including costs for experts.
4-18           Sec. 156.008.  INVOLVEMENT OF ALL AFFECTED HEALTH CARE
4-19     PROFESSIONS. The mediator shall assure that all health care
4-20     professional groups of the health care professions affected by the
4-21     health care profession draft legislation that is the subject of the
4-22     alternative dispute resolution proceeding have been notified of and
4-23     invited to participate in the proceeding.
4-24           Sec. 156.009.  ISSUES FOR RESOLUTION. The alternative dispute
4-25     resolution proceeding shall consider, in relation to the health
4-26     care profession draft legislation, the following issues:
4-27                 (1)  a definition of the problem and why legislation is
 5-1     necessary to address the problem;
 5-2                 (2)  the benefit to the public;
 5-3                 (3)  any harm to the public;
 5-4                 (4)  the extent to which the public can be confident
 5-5     that the health care professionals whose practice will change as a
 5-6     result of the enactment of the draft legislation will be competent,
 5-7     including evidence that, in relation to the change or clarification
 5-8     in scope of practice:
 5-9                       (A)  the regulatory authority of each affected
5-10     health profession will adequately protect the public;
5-11                       (B)  effective quality assurance standards exist
5-12     in each health care profession affected; and
5-13                       (C)  educational programs for health care
5-14     professionals will be available and adequate;
5-15                 (5)  the extent to which the draft legislation may:
5-16                       (A)  restrict entry into practice; and
5-17                       (B)  require health care professionals from
5-18     outside this state who decide to practice in this state to undergo
5-19     reeducation or new training;
5-20                 (6)  any cost to this state and to the public of the
5-21     enactment of the draft legislation; and
5-22                 (7)  any objections that health care professionals
5-23     affected by the draft legislation have raised and the validity of
5-24     those objections.
5-25           Sec. 156.010.  REPORT ON COMPLETION OF ALTERNATIVE DISPUTE
5-26     RESOLUTION PROCEEDING. (a)  The mediator shall, after the
5-27     conclusion of the alternative dispute resolution proceeding,
 6-1     prepare a report.
 6-2           (b)  The report must:
 6-3                 (1)  present the mediator's findings and conclusions in
 6-4     relation to the issues listed under Section 156.009;
 6-5                 (2)  summarize the position of each of the parties in
 6-6     relation to the mediator's findings and conclusions on each issue;
 6-7                 (3)  indicate those areas in which all parties agreed;
 6-8     and
 6-9                 (4)  include any comments submitted by a party in
6-10     relation to each issue.
6-11           (c)  The mediator shall send the report to:
6-12                 (1)  the parties;
6-13                 (2)  the lieutenant governor;
6-14                 (3)  the speaker of the house of representatives; and
6-15                 (4)  the chairs of the committees in the senate and the
6-16     house of representatives whose jurisdiction relates to change or
6-17     clarification sought by the health care profession draft
6-18     legislation.
6-19           Sec. 156.011.  STATE OFFICE OF ADMINISTRATIVE HEARINGS. (a)
6-20     On or after the 60th day after the date the mediator sends its
6-21     report under Section 156.010, the following persons may request
6-22     that the State Office of Administrative Hearings conduct a hearing
6-23     or an alternative dispute resolution procedure relating to the
6-24     health care profession draft legislation that is the subject of the
6-25     report:
6-26                 (1)  the lieutenant governor;
6-27                 (2)  the speaker of the house of representatives; or
 7-1                 (3)  the chairs of the committees in the senate and the
 7-2     house of representatives whose jurisdiction relates to change or
 7-3     clarification sought by the health care profession draft
 7-4     legislation.
 7-5           (b)  The person making the request shall, in consultation
 7-6     with the State Office of Administrative Hearings and the parties to
 7-7     the original alternative dispute resolution procedure, determine
 7-8     the nature of the proceeding that the office will conduct.
 7-9           (c)  The hearing or alternative dispute resolution proceeding
7-10     shall consider, in relation to the health care profession draft
7-11     legislation, the issues under Section 156.009.
7-12           (d)  The mediator shall prepare and submit a report in the
7-13     same manner as provided by Section 156.010.
7-14           (e)  A party to the hearing or alternative dispute resolution
7-15     shall pay for any costs it incurs in preparing for and
7-16     participating in the hearing or alternative dispute resolution
7-17     proceeding, including costs for experts.
7-18           SECTION 2. (a)  This Act takes effect September 1, 2001.
7-19           (b)  This Act applies to a proposal for legislation to change
7-20     or clarify the permissible scope of practice of a health care
7-21     profession to which Chapter 156, Civil Practice and Remedies Code,
7-22     as added by this Act, applies without regard to whether the
7-23     proposal has previously been considered in any manner by the
7-24     legislature.