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BILL ANALYSIS

 

 

                                                                                                                                      C.S.H.B. 702

                                                                                                                                           By: Zedler

                                                                                                                                       State Affairs

                                                                                                        Committee Report (Substituted)

 

 

 

BACKGROUND AND PURPOSE

 

With every medical procedure, especially those involving surgery, a doctor is required to tell the patient what complications can arise before the patient submits to a procedure (advised consent).

 

Currently complications resulting from surgical procedures performed in a hospital are reported to the appropriate Hospital Review Board. This data helps doctors and facilities to accurately determine best practices and  to provide advised consent.

 

Most pregnancy termination procedures are not performed in hospitals. However, when a complication arises, women are likely to seek treatment in the hospital. Currently, there is no reporting mechanism or standard to associate the complication with the procedure.

 

HB 702 seeks to provide a standard by which these complications can be reported. The purpose of the bill is to ensure that the standard of care for pregnancy termination is the same as all other surgical procedures.

 

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

 

Amends Chapter 170, Health and Safety Code by adding a new section which would require reporting for complications as a result of pregnancy termination.  The report shall be submitted not later than the 30th day after the initial examination that determined a complication.

 

Provides that the information obtained is confidential and would not be subject to disclosure under Chapter 552 of the Government Code, and specifies the conditions under which any of the information could be provided.  Failure to report complications results in a sanction by the Texas Board of Medical Examiners.

 

This act only applies to those procedures performed on or after January 1, 2006.

 

EFFECTIVE DATE

 

September 1, 2005

 

COMPARISON OF ORIGINAL TO SUBSTITUTE

 

CSHB 702 Amends terminology for medical consistency, changing "abortion" to "pregnancy termination."  Reduces the specificity of information required  in the physician's report.  Allows the report to be submitted by phone.  Changes the penalty for non-compliance to a sanction by the Texas Board of Medical Examiners in order to make the penalty consistent with reporting requirement penalties already in statute.