By: Nelson  S.B. No. 762
       (In the Senate - Filed February 20, 2007; March 6, 2007,
read first time and referred to Committee on Health and Human
Services; March 19, 2007, reported adversely, with favorable
Committee Substitute by the following vote:  Yeas 9, Nays 0;
March 19, 2007, sent to printer.)
 
COMMITTEE SUBSTITUTE FOR S.B. No. 762 By:  Nelson
 
A BILL TO BE ENTITLED
AN ACT
 
relating to the certification and regulation of mammography
systems.
       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
       SECTION 1.  Subsections (c), (e), (f), and (g), Section
401.305, Health and Safety Code, are amended to read as follows:
       (c)  Money and security in the perpetual care account may be
administered by the department or commission only for storage,
maintenance, and distribution of mammography medical records or the
decontamination, decommissioning, stabilization, reclamation,
maintenance, surveillance, control, storage, and disposal of
radioactive material for the protection of the public health and
safety and the environment under this chapter and for refunds under
Section 401.303.
       (e)  The department may use money in the perpetual care
account to pay for measures:
             (1)  to prevent or mitigate the adverse effects of
abandonment of radioactive materials, default on a lawful
obligation, insolvency, or other inability by the holder of a
license issued by the department to meet the requirements of this
chapter or department rules; [and]
             (2)  to assure the protection of the public health and
safety and the environment from the adverse effects of ionizing
radiation ; and
             (3)  to protect the health and safety of mammography
patients by assuring mammography medical records are made available
to affected patients.
       (f)  The department may provide, by the terms of a contract
or lease entered into between the department and any person, by the
terms of a mammography certification issued by the department to
any person, or by the terms of a license issued to any person, for
the storage, maintenance and distribution of mammography medical
records, and the department may provide, by the terms of a contract
or lease entered into between the department and any person or by
the terms of a license issued by the department to any person, for
decontamination, closure, decommissioning, reclamation,
surveillance, or other care of a site or facility subject to
department jurisdiction under this chapter as needed to carry out
the purpose of this chapter.
       (g)  The existence of the perpetual care account does not
make the department liable for the costs of storage, maintenance,
and distribution of mammography medical records arising from
mammography certification holders' failure to store, maintain, and
make available mammography medical records or for the costs of 
decontamination, transfer, transportation, reclamation,
surveillance, or disposal of radioactive material arising from a
license holder's abandonment of radioactive material, default on a
lawful obligation, insolvency, or inability to meet the
requirements of this chapter or department rules.
       SECTION 2.  Subchapter L, Chapter 401, Health and Safety
Code, is amended by adding Section 401.4261 to read as follows:
       Sec. 401.4261.  SECURITY.  (a)  The department may require a
person who holds a certification to provide security to assure
performance of the person's obligations related to storing and
maintaining mammography records as required by this subchapter and
department rule.
       (b)  The department shall deposit the security to the credit
of the perpetual care account.
       (c)  The department by rule shall determine the amount and
type of security required under this section in accordance with
reasonable estimates of the costs of storage and maintenance of
mammography records in a manner that protects the public health and
safety.
       SECTION 3.  Subsection (f), Section 401.430, Health and
Safety Code, is amended to read as follows:
       (f)  If, as a result of an inspection, the department
determines that a facility's mammography system fails to meet the
department's certification standards and the quality of
mammography produced by that system creates a serious risk to
public health, the department may require that [the failure is a
Severity Level I violation under the department's rules,] the
facility [shall] notify each patient affected [on whom the facility
performed a mammography during the 30 days preceding the date of the
inspection that revealed the failure]. The facility shall:
             (1)  inform the patient that the mammography system
failed to satisfy the department's certification standards;
             (2)  recommend that the patient consult with the
patient's physician regarding the need for another mammogram [have
another mammogram performed at a facility with a certified
mammography system]; and
             (3)  list the three facilities closest to the original
testing facility that have a certified mammography system.
       SECTION 4.  This Act takes effect September 1, 2007.
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