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.