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  By: Huffman  S.B. No. 1186
         (In the Senate - Filed March 6, 2013; March 12, 2013, read
  first time and referred to Committee on Health and Human Services;
  April 8, 2013, reported adversely, with favorable Committee
  Substitute by the following vote:  Yeas 9, Nays 0; April 8, 2013,
  sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 1186 By:  Huffman
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the use by a medical examiner of certain medical waste
  and autopsy records.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Article 49.25, Code of Criminal Procedure, is
  amended by adding Section 13B to read as follows:
         Sec. 13B.  EDUCATION AND RESEARCH. (a)  For purposes of
  this section, "medical waste" has the meaning assigned to the term
  "special waste from health care-related facilities" by Department
  of State Health Services rule, except that the term does not
  include:
               (1)  waste produced on a farm or ranch as defined by
  Section 151.316, Tax Code; or
               (2)  artificial, nonhuman materials removed from a
  patient and requested by the patient, including orthopedic devices
  and breast implants.
         (b)  Except as provided by Subsection (d), a medical examiner
  may use tissue that is removed from a body during an autopsy to
  perform educational, diagnostic, or research activities after the
  autopsy is completed if the tissue is medical waste.  These
  activities may be conducted in collaboration with a nationally
  recognized research or educational institution.  Tissue that is
  used must be anonymized in accordance with applicable federal
  research standards.
         (c)  Research activities conducted in collaboration with a
  nationally recognized research or educational institution must be
  reviewed, in each case, by an institutional review board for
  compliance with applicable state and federal law, including laws
  requiring informed consent and anonymization of tissue and
  prohibiting the sale of body parts.
         (d)  A medical examiner may not use tissue under Subsection
  (b) to perform educational, diagnostic, or research activities
  after the autopsy is completed unless informed consent has been
  obtained from the decedent or a guardian, next of kin, or person
  authorized to make an anatomical gift of the decedent's body under
  Section 692A.009, Health and Safety Code.  Informed consent for use
  of the tissue is not required if at the completion of the autopsy
  and release of the body the decedent does not have a known guardian,
  next of kin, or person authorized to make an anatomical gift of the
  decedent's body.  In the event the overseeing medical examiner or
  medical examiner's office is unable to contact the decedent's
  guardian, next of kin, or a person who is authorized to make an
  anatomical gift of the decedent's body within 90 days of the
  decedent's death, informed consent for use of the tissue is not
  required.
         SECTION 2.  This Act takes effect September 1, 2013.
 
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