83R2414 NAJ-D
 
  By: S. Davis of Harris H.B. No. 631
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to establishing an advance directive registry.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 166, Health and Safety Code, is amended
  by adding Subchapter E to read as follows:
  SUBCHAPTER E. ADVANCE DIRECTIVE REGISTRY
         Sec. 166.201.  ADVANCE DIRECTIVE REGISTRY.  (a) The
  department shall establish and maintain an advance directive
  registry that is accessible through an Internet website.
         (b)  The registry must be used to store advance directives
  made under this chapter that are filed with the department.
         (c)  The department shall ensure that the registry is
  maintained in a secure database that is designed to provide
  authorized health care providers with immediate access to the
  registry at all times but prevent unauthorized access to the
  registry.
         Sec. 166.202.  CONTRACT WITH PRIVATE ENTITY. The department
  may contract with a public or private entity to develop and maintain
  the advance directive registry.
         Sec. 166.203.  FEES. The department may not charge a fee to:
               (1)  register an advance directive in the registry; or
               (2)  access an advance directive maintained in the
  registry.
         Sec. 166.204.  EVIDENCE OF REGISTRATION. The department
  shall provide a method by which a notation indicating that an
  individual has an advance directive registered with the department
  may be placed on the individual's driver's license or
  identification card.
         Sec. 166.205.  REMOVAL FROM REGISTRY. If the department
  receives notice that an advance directive that is contained in the
  registry has been revoked or that the individual who is the subject
  of an advance directive contained in the registry is deceased, the
  department shall remove the advance directive from the registry.
         Sec. 166.206.  REGISTRATION NOT REQUIRED. (a) Failure to
  file an advance directive with the registry does not affect the
  validity of the advance directive.
         (b)  Failure to notify the department of a revocation of an
  advance directive does not affect the validity of the revocation.
         Sec. 166.207.  CONFIDENTIALITY.  Information obtained by
  the department for the advance directive registry is confidential
  and may be disclosed only with the written consent of the declarant
  of the advanced directive or a person authorized to make health care
  decisions on the declarant's behalf.
         Sec. 166.208.  GIFTS AND GRANTS. The department may accept
  gifts, grants, donations, bequests, and other forms of voluntary
  contributions to support, promote, and maintain the advance
  directive registry.
         Sec. 166.209.  RULES. (a)  The executive commissioner of the
  Health and Human Services Commission shall adopt rules to implement
  the creation and maintenance of the advance directive registry,
  including rules to:
               (1)  protect the confidentiality of individuals in
  accordance with Section 159.002, Occupations Code;
               (2)  inform the public about the registry;
               (3)  require the written consent of the declarant of
  the advance directive or a person authorized to make health care
  decisions on the declarant's behalf before any information relating
  to the declarant is included in the registry; and
               (4)  ensure the authenticity of an advance directive
  submitted to the department for inclusion in the advance directive
  registry.
         (b)  The rules governing use or disclosure of information in
  the registry must be at least as stringent as the Health Insurance
  Portability and Accountability Act and Privacy Standards, as
  defined by Section 181.001.
         SECTION 2.  This Act takes effect September 1, 2013.