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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to prohibited acts for a physician or applicant for a  | 
      
      
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        medical license. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 164.052, Occupations Code, as effective  | 
      
      
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        September 1, 2017, is amended by amending Subsection (a) and adding  | 
      
      
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        Subsection (d) to read as follows: | 
      
      
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               (a)  A physician or an applicant for a license to practice  | 
      
      
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        medicine commits a prohibited practice if that person: | 
      
      
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                     (1)  submits to the board a false or misleading  | 
      
      
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        statement, document, or certificate in an application for a  | 
      
      
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        license; | 
      
      
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                     (2)  presents to the board a license, certificate, or  | 
      
      
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        diploma that was illegally or fraudulently obtained; | 
      
      
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                     (3)  commits fraud or deception in taking or passing an  | 
      
      
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        examination; | 
      
      
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                     (4)  uses alcohol or drugs in an intemperate manner  | 
      
      
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        that, in the board's opinion, could endanger a patient's life; | 
      
      
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                     (5)  commits unprofessional or dishonorable conduct  | 
      
      
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        that is likely to deceive or defraud the public, as provided by  | 
      
      
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        Section 164.053, or injure the public; | 
      
      
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                     (6)  uses an advertising statement that is false,  | 
      
      
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        misleading, or deceptive; | 
      
      
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                     (7)  advertises professional superiority or the  | 
      
      
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        performance of professional service in a superior manner if that  | 
      
      
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        advertising is not readily subject to verification; | 
      
      
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                     (8)  purchases, sells, barters, or uses, or offers to  | 
      
      
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        purchase, sell, barter, or use, a medical degree, license,  | 
      
      
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        certificate, or diploma, or a transcript of a license, certificate,  | 
      
      
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        or diploma in or incident to an application to the board for a  | 
      
      
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        license to practice medicine; | 
      
      
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                     (9)  alters, with fraudulent intent, a medical license,  | 
      
      
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        certificate, or diploma, or a transcript of a medical license,  | 
      
      
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        certificate, or diploma; | 
      
      
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                     (10)  uses a medical license, certificate, or diploma,  | 
      
      
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        or a transcript of a medical license, certificate, or diploma that  | 
      
      
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        has been: | 
      
      
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                           (A)  fraudulently purchased or issued; | 
      
      
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                           (B)  counterfeited; or | 
      
      
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                           (C)  materially altered; | 
      
      
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                     (11)  impersonates or acts as proxy for another person  | 
      
      
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        in an examination required by this subtitle for a medical license; | 
      
      
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                     (12)  engages in conduct that subverts or attempts to  | 
      
      
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        subvert an examination process required by this subtitle for a  | 
      
      
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        medical license; | 
      
      
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                     (13)  impersonates a physician or permits another to  | 
      
      
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        use the person's license or certificate to practice medicine in  | 
      
      
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        this state; | 
      
      
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                     (14)  directly or indirectly employs a person whose  | 
      
      
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        license to practice medicine has been suspended, canceled, or  | 
      
      
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        revoked; | 
      
      
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                     (15)  associates in the practice of medicine with a  | 
      
      
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        person: | 
      
      
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                           (A)  whose license to practice medicine has been  | 
      
      
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        suspended, canceled, or revoked; or | 
      
      
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                           (B)  who has been convicted of the unlawful  | 
      
      
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        practice of medicine in this state or elsewhere; | 
      
      
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                     (16)  performs or procures a criminal abortion, aids or  | 
      
      
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        abets in the procuring of a criminal abortion, attempts to perform  | 
      
      
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        or procure a criminal abortion, or attempts to aid or abet the  | 
      
      
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        performance or procurement of a criminal abortion; | 
      
      
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                     (17)  directly or indirectly aids or abets the practice  | 
      
      
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        of medicine by a person, partnership, association, or corporation  | 
      
      
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        that is not licensed to practice medicine by the board; | 
      
      
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                     (18)  performs an abortion on a woman who is pregnant  | 
      
      
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        with a viable unborn child during the third trimester of the  | 
      
      
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        pregnancy unless: | 
      
      
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                           (A)  the abortion is necessary to prevent the  | 
      
      
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        death of the woman; | 
      
      
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                           (B)  the viable unborn child has a severe,  | 
      
      
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        irreversible brain impairment; or | 
      
      
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                           (C)  the woman is diagnosed with a significant  | 
      
      
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        likelihood of suffering imminent severe, irreversible brain damage  | 
      
      
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        or imminent severe, irreversible paralysis; | 
      
      
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                     (19)  performs an abortion on an unemancipated minor  | 
      
      
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        without the written consent of the child's parent, managing  | 
      
      
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        conservator, or legal guardian or without a court order, as  | 
      
      
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        provided by Section 33.003 or 33.004, Family Code, unless the  | 
      
      
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        abortion is necessary due to a medical emergency, as defined by  | 
      
      
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        Section 171.002, Health and Safety Code; | 
      
      
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                     (20)  otherwise performs an abortion on an  | 
      
      
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        unemancipated minor in violation of Chapter 33, Family Code; [or] | 
      
      
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                     (21)  performs or induces or attempts to perform or  | 
      
      
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        induce an abortion in violation of Subchapter C, F, or G, Chapter  | 
      
      
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        171, Health and Safety Code; or | 
      
      
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                     (22)  notwithstanding Subdivisions (18)-(21) or any  | 
      
      
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        other law: | 
      
      
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                           (A)  performs an abortion on a woman or diagnoses  | 
      
      
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        or treats an abortion complication; and | 
      
      
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                           (B)  fails to comply with any reporting  | 
      
      
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        requirement prescribed by law for a procedure described by  | 
      
      
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        Paragraph (A). | 
      
      
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               (d)  In this section "abortion complication" means any  | 
      
      
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        harmful event or adverse outcome with respect to a patient related  | 
      
      
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        to an abortion that is performed on the patient and that is  | 
      
      
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        diagnosed or treated by a health care practitioner or at a health  | 
      
      
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        care facility and includes: | 
      
      
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                     (1)  shock; | 
      
      
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                     (2)  uterine perforation; | 
      
      
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                     (3)  cervical laceration; | 
      
      
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                     (4)  hemorrhage; | 
      
      
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                     (5)  aspiration or allergic response; | 
      
      
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                     (6)  infection; | 
      
      
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                     (7)  sepsis; | 
      
      
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                     (8)  death of the patient; | 
      
      
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                     (9)  incomplete abortion; | 
      
      
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                     (10)  damage to the uterus; or | 
      
      
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                     (11)  an infant born alive after the abortion. | 
      
      
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               SECTION 2.  Section 164.055, Occupations Code, as effective  | 
      
      
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        September 1, 2017, is amended to read as follows: | 
      
      
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               Sec. 164.055.  PROHIBITED ACTS REGARDING ABORTION.  (a)  The  | 
      
      
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        board shall take an appropriate disciplinary action against a  | 
      
      
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        physician who violates Section 170.002 or Chapter 171, Health and  | 
      
      
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        Safety Code, and shall revoke the license of a physician who  | 
      
      
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        violates Section 164.052(a)(22) of this code.  The board shall  | 
      
      
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        refuse to admit to examination or refuse to issue a license or  | 
      
      
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        renewal license to a person who violates any of those provisions  | 
      
      
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        [that section or chapter]. | 
      
      
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               (b)  The sanctions provided by Subsection (a) are in addition  | 
      
      
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        to any other grounds for refusal to admit persons to examination  | 
      
      
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        under this subtitle or to issue a license or renew a license to  | 
      
      
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        practice medicine under this subtitle.  The criminal penalties  | 
      
      
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        provided by Section 165.152 do not apply to a violation of Section  | 
      
      
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        170.002, Health and Safety Code, [or] Subchapter C, F, or G, Chapter  | 
      
      
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        171, Health and Safety Code, or Section 164.052(a)(22) of this  | 
      
      
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        code. | 
      
      
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               SECTION 3.  Sections 164.052 and 164.055, Occupations Code,  | 
      
      
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        as amended by this Act, apply only to an abortion performed or an  | 
      
      
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        abortion complication diagnosed or treated on or after the  | 
      
      
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        effective date of this Act.  An abortion performed or an abortion  | 
      
      
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        complication diagnosed or treated before the effective date of this  | 
      
      
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        Act is governed by the law applicable to the abortion on the date  | 
      
      
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        the abortion is performed or the abortion complication is diagnosed  | 
      
      
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        or treated, and that law is continued in effect for that purpose. | 
      
      
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               SECTION 4.  This Act takes effect on the 91st day after the  | 
      
      
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        last day of the legislative session. |