86R4808 GCB-F
 
  By: Thierry H.B. No. 1405
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the prescription of low-THC cannabis by certain
  qualified physicians for certain patients diagnosed with a terminal
  illness.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 169.001, Occupations Code, is amended by
  adding Subdivisions (1-a) and (6) to read as follows:
               (1-a)  "Hospice-eligible patient" means a person with a
  terminal illness whose life expectancy is six months or less, as
  determined by the person's treating physician.
               (6)  "Terminal illness" has the meaning assigned by
  Section 489.001, Health and Safety Code.
         SECTION 2.  Section 169.002, Occupations Code, is amended by
  adding Subsection (c) to read as follows:
         (c)  A physician is qualified to prescribe low-THC cannabis
  to a hospice-eligible patient if the physician is licensed under
  this subtitle and the physician:
               (1)  is certified in the subspecialty of medical
  oncology by the American Board of Internal Medicine or the American
  Osteopathic Board of Internal Medicine;
               (2)  is certified in the subspecialty of hospice and
  palliative medicine by the American Board of Internal Medicine; or
               (3)  dedicates a significant portion of clinical
  practice to the evaluation and treatment of patients with a
  terminal illness.
         SECTION 3.  Section 169.003, Occupations Code, is amended to
  read as follows:
         Sec. 169.003.  PRESCRIPTION OF LOW-THC CANNABIS.  A
  physician described by Section 169.002 may prescribe low-THC
  cannabis to alleviate a patient's symptoms [seizures] if:
               (1)  the patient is a permanent resident of the state;
               (2)  the physician complies with the registration
  requirements of Section 169.004; and
               (3)  the physician certifies to the department that:
                     (A)  the patient is diagnosed with:
                           (i)  intractable epilepsy; or
                           (ii)  a terminal illness and is a
  hospice-eligible patient;
                     (B)  the physician determines the risk of the
  medical use of low-THC cannabis by the patient is reasonable in
  light of the potential benefit for the patient; and
                     (C)  a second physician qualified to prescribe
  low-THC cannabis for that patient under Section 169.002 has
  concurred with the determination under Paragraph (B), and the
  second physician's concurrence is recorded in the patient's medical
  record.
         SECTION 4.  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, 2019.