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  By: Hughes H.B. No. 3804
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of certain health organizations
  certified by the Texas Medical Board; adding provisions subject to
  a criminal penalty.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 162.0021, Occupations Code, is amended
  to read as follows:
         Sec. 162.0021.  INTERFERENCE WITH PHYSICIAN'S PROFESSIONAL
  JUDGMENT PROHIBITED. (a) A health organization certified under
  Section 162.001(b) may not interfere with, control, or otherwise
  direct a physician's professional judgment in violation of this
  subchapter or any other provision of law, including board rules.
         (b)  A health organization that violates Subsection (a) is
  subject to the penalties prescribed by Section 162.003, including
  the revocation of a certification issued under Section 162.001 to
  that organization. 
         (c)  A physician or chief medical officer who provides
  professional medical services for a health organization that
  violates Subsection (a) shall report the violation to the board and
  the attorney general for investigation. 
         (d)  Any person who is employed by a health organization that
  violates Subsection (a) and is familiar with a chief medical
  officer's failure to report the violation as required by Subsection
  (c) shall report to the board and the attorney general the failure
  of the chief medical officer to report the violation.
         (e)  A chief medical officer, as a physician licensed by the
  board, is accountable to the board for the chief medical officer's
  failure to report.
         SECTION 2.  Section 162.0023, Occupations Code, is amended
  to read as follows:
         Sec. 162.0023.  DISCIPLINARY ACTION RESTRICTION. (a) A
  physician employed by a health organization certified under Section
  162.001(b) retains independent medical judgment in providing care
  to patients, and the health organization may not discipline the
  physician for reasonably advocating for patient care.
         (b)  A health organization that violates Subsection (a) is
  subject to the penalties prescribed by Section 162.003, including
  the revocation of a certification issued under Section 162.001 to
  that organization. 
         (c)  A physician or chief medical officer who provides
  professional medical services for a health organization that
  violates Subsection (a) shall report the violation to the board and
  the attorney general for investigation. 
         (d)  Any person who is employed by a health organization that
  violates Subsection (a) and is familiar with a chief medical
  officer's failure to report the violation as required by Subsection
  (c) shall report to the board and the attorney general the failure
  of the chief medical officer to report the violation.
         (e)  A chief medical officer, as a physician licensed by the
  board, is accountable to the board for the chief medical officer's
  failure to report.
         
         SECTION 3.  The changes in law made by this Act to Sections
  162.0021 and 162.0023, Occupations Code, apply only to a violation
  by a health organization that occurs on or after the effective date
  of this Act. A violation that occurs before the effective date of
  this Act is governed by the law in effect on the date the violation
  occurred, and the former law is continued in effect for that
  purpose.
         SECTION 4.  This Act takes effect September 1, 2015.