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  81R27404 TJS-F
 
  By: Leibowitz H.B. No. 4249
 
  Substitute the following for H.B. No. 4249:
 
  By:  Hartnett C.S.H.B. No. 4249
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to expert reports in a health care liability claim.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 74.351, Civil Practice and Remedies
  Code, is amended by amending Subsections (a) and (k) and adding
  Subsections (d) and (s-1) to read as follows:
         (a)  In a health care liability claim, a claimant shall, not
  later than the 120th day after the date each defendant's [the]
  original answer is [petition was] filed, serve on that [each] party
  or the party's attorney one or more expert reports, with a
  curriculum vitae of each expert listed in the report for each
  physician or health care provider against whom a liability claim is
  asserted.  The date for serving the report may be extended by
  written agreement of the affected parties.  Each defendant
  physician or health care provider whose conduct is implicated in a
  report must file and serve any objection to the sufficiency of the
  report not later than the later of the 21st day after the date the
  report is [it was] served or the 21st day after the defendant's
  answer is filed, failing which all objections are waived.
         (d)  An objection to the sufficiency of an expert report must
  clearly state the specific elements of the report that are alleged
  to be deficient. An objection that is conclusory or that fails to
  state the specific elements of the report that are alleged to be
  deficient shall be overruled and any deficiency in the report is
  considered waived.
         (k)  Subject to Subsection (t), an expert report served under
  this section:
               (1)  is not admissible in evidence by any party;
               (2)  shall not be used in a deposition, trial, or other
  proceeding; [and]
               (3)  shall not be referred to by any party during the
  course of the action for any purpose; and
               (4)  does not limit a party to allegations or opinions
  expressed in the report.
         (s-1)  Notwithstanding Subsection (s), a claimant may
  proceed with discovery if:
               (1)  the citation has been served on the defendant but
  the defendant has not answered in a timely manner; or
               (2)  the claimant has made a reasonable effort to serve
  the expert report on the defendant in the manner provided by Rule
  106(a), Texas Rules of Civil Procedure, but service has failed.
         SECTION 2.  The change in law made by this Act applies to a
  cause of action that accrues on or after the effective date of this
  Act. A cause of action that accrues before the effective date of
  this Act is governed by the law as it existed before that date, and
  that law is continued in effect for that purpose.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2009.