C.S.H.B. 3439 78(R)    BILL ANALYSIS


C.S.H.B. 3439
By: Rose
Civil Practices
Committee Report (Substituted)



BACKGROUND AND PURPOSE 
Under current Texas law, health care practitioners who conduct free sports
physicals for students are not exempted from liability for incidents
arising from the provision of that service. As proposed, CSHB 3439 makes
physicians, physician assistants and advanced nurse practitioners who
conduct physicals for school-sponsored extracurricular and sporting
activities without compensation exempt from civil liability for any act or
omission resulting in injury to the student patient. CSHB 3439 makes such
liability contingent on a number requirements, does not limit certain
liability of school districts or insurers, and does not apply to a
governmental unit or its employees. 


RULEMAKING AUTHORITY
It is the committee's opinion that this bill does not expressly grant any
additional rulemaking authority to a state officer, department, agency, or
institution. 


ANALYSIS
SECTION 1. Amends Title 4, Civil Practice and Remedies Code, by adding
Chapter 91, as follows: 
CHAPTER 91. LIABILITY OF VOLUNTEER HEALTH CARE PRACTITIONERS
 Sec. 91.001. DEFINITIONS. Defines "Health care practitioner" for the
purposes of this chapter.  Defines "school" for the purposes of this
chapter. 
 Sec. 91.002. HEALTH CARE PRACTITIONER LIABILITY. Exempts a health care
practitioner who conducts a physical examination or medical screening of a
patient for certain purposes without compensation or expectation of
compensation from civil liability for any act or omission resulting in the
death of or injury to the patient if certain conditions are met. 
 Sec. 91.003. INSURANCE REQUIRED. (a) Provides that Section 91.002 applies
only to a health care practitioner who has liability insurance coverage in
effect to cover any act or omission to which this chapter applies. Sets
forth the minimum requirements for liability coverage for purposes of this
section. 
 (b) Authorizes the coverage to be provided under a contract of insurance
or other plan of insurance and to be satisfied by the purchase of a
certain policy. 
 Sec. 91.004. APPLICABILITY. (a) Provides that this chapter does not apply
to certain acts and omissions. 
 (b) Provides that this chapter does not limit the liability of a school
district to its students, teachers, or staff. 
 (c) Provides that this chapter does not apply to a governmental unit or
employee of a governmental unit as defined by Section 101.001. 
 (d) Provides that this chapter does not limit the liability of an insurer
or insurance plan in an action under Chapter 21, Insurance Code, or in an
action for bad faith conduct, breach of fiduciary duty, or negligent
failure to settle a claim. 


EFFECTIVE DATE
September 1, 2003



COMPARISON OF ORIGINAL TO SUBSTITUTE
Physician assistant and advanced nurse practitioner added to the
definition of health care practitioner.