81R11445 YDB-D
 
  By: Farrar H.B. No. 4087
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the establishment of an ultrasound machine registry;
  providing a civil penalty.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle G, Title 4, Health and Safety Code, is
  amended by adding Chapter 325 to read as follows:
  CHAPTER 325. ULTRASOUND MACHINES
         Sec. 325.001.  DEFINITIONS. In this chapter:
               (1)  "Department" means the Department of State Health
  Services.
               (2)  "Executive commissioner" means the executive
  commissioner of the Health and Human Services Commission.
               (3)  "Health care facility" means a facility authorized
  under the laws of this state to provide health care to patients.
               (4)  "Licensed practitioner" means a physician
  licensed in this state to practice medicine or a nurse or advance
  nurse practitioner licensed in this state to practice nursing.
               (5)  "Ultrasound machine" means a medical imaging
  device that uses high frequency sound waves and their echoes to
  provide treatment and testing of patients.
         Sec. 325.002.  RESTRICTED POSSESSION AND USE OF ULTRASOUND
  MACHINE. (a) A person may not purchase or possess an ultrasound
  machine for use in the provision of medical, nursing, or health care
  in this state unless the person is a licensed practitioner or is a
  health care facility that employs or has on staff at least one
  licensed practitioner.
         (b)  A person may not operate an ultrasound machine unless
  the person operates the machine under the supervision of a licensed
  practitioner or other properly trained health care professional who
  is able to perform and interpret the ultrasound.
         Sec. 325.003.  NOTIFICATION OF POSSESSION OF ULTRASOUND
  MACHINE. (a) A licensed practitioner or health care facility that
  purchases or takes possession of an ultrasound machine shall notify
  the department not later than the seventh day after the date the
  practitioner or facility takes possession of the machine.
         (b)  The notification required under Subsection (a) must be
  on the form prescribed by the department and must include:
               (1)  the name, address, and telephone number of the
  licensed practitioner or health care facility that took possession
  of the machine and the date the practitioner or facility took
  possession of the machine;
               (2)  the type of machine;
               (3)  the address of the premises where the machine is
  used; and
               (4)  the name of each licensed practitioner who uses
  the machine.
         (c)  A licensed practitioner or health care facility that has
  possession of an ultrasound machine shall notify the department of
  any change in the information provided to the department under
  Subsection (b) not later than the seventh day after the date of the
  change.
         Sec. 325.004.  ESTABLISHMENT OF REGISTRY. The department
  shall establish a central registry of ultrasound machines and
  include in the registry the information submitted to the department
  under Section 325.003.
         Sec. 325.005.  INSPECTION; RECORDS. (a) The department or
  the department's representative may enter public or private
  property at reasonable times to determine whether, in a matter
  under the department's jurisdiction, a person is complying with
  this chapter and department rules.
         (b)  A licensed practitioner or health care facility
  required to submit notification under Section 325.003 shall retain
  a copy of all maintenance records and records relating to the use,
  receipt, storage, transfer, or disposal of an ultrasound machine as
  provided by department rules.
         Sec. 325.006.  RULES. The executive commissioner shall
  adopt rules necessary to implement this chapter, including rules on
  inspections and on maintenance of records.
         Sec. 325.007.  CIVIL PENALTY. (a) A person who violates
  this chapter or any rule adopted under this chapter is liable to
  this state for a civil penalty of $1,000 for each violation. Each
  day a violation continues constitutes a separate violation.
         (b)  The amount of the penalty shall be based on:
               (1)  the seriousness of the violation;
               (2)  the history of previous violations;
               (3)  the amount necessary to deter a future violation;
  and
               (4)  any other matter that justice may require.
         (c)  The department or the attorney general may sue to
  collect a civil penalty under this section. In the suit the state
  may recover the reasonable expenses incurred in obtaining the
  penalty, including investigation and court costs, reasonable
  attorney's fees, witness fees, and other expenses.
         SECTION 2.  (a) Not later than November 1, 2009, the
  executive commissioner of the Health and Human Services Commission
  shall adopt the rules required by Chapter 325, Health and Safety
  Code, as added by this Act.
         (b)  Not later than December 31, 2009, the Department of
  State Health Services shall prescribe the form required under
  Section 325.003, Health and Safety Code, as added by this Act, and
  establish the registry required by Section 325.004, Health and
  Safety Code, as added by this Act.
         SECTION 3.  Notwithstanding Chapter 325, Health and Safety
  Code, as added by this Act, a licensed practitioner or health care
  facility is not required to submit the notification required by
  Section 325.003, Health and Safety Code, as added by this Act,
  before January 1, 2010.
         SECTION 4.  This Act takes effect September 1, 2009.