89R4981 DNC-D
 
  By: Goodwin H.B. No. 2676
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to abnormal skin growth education for certain occupational
  license holders and to the liability of those license holders and
  their employers for certain medical referrals.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter D, Chapter 201, Occupations Code, is
  amended by adding Section 201.165 to read as follows:
         Sec. 201.165.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The
  board by rule shall approve coursework in abnormal skin growth for
  purposes of Section 201.357.
         (b)  Coursework approved under Subsection (a) must include
  training in identifying melanoma.
         (c)  An entity approved by the board to provide coursework
  under Subsection (a) shall issue a certificate of completion to
  each individual who successfully completes the coursework.
         SECTION 2.  Subchapter H, Chapter 201, Occupations Code, is
  amended by adding Section 201.357 to read as follows:
         Sec. 201.357.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK
  REQUIRED. (a) Except as provided by Subsection (b), the board may
  not issue an initial or renewal license to a person under this
  chapter unless the person completes a course approved by the board
  under Section 201.165 in abnormal skin growth education, including
  training on identifying melanoma. Each applicant for issuance or,
  if applicable, renewal of a license must provide proof of
  completion of the course.
         (b)  A person who satisfies the requirements of Subsection
  (a) is not required to complete additional coursework described by
  that subsection for the subsequent renewal of that person's
  license.
         SECTION 3.  Subchapter J, Chapter 201, Occupations Code, is
  amended by adding Section 201.454 to read as follows:
         Sec. 201.454.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
  ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
  person licensed under this chapter who has completed coursework
  approved by the board under Section 201.165 may refer an individual
  to seek care from a medical professional regarding an abnormal skin
  growth.
         (b)  A person licensed under this chapter who has completed
  coursework approved by the board under Section 201.165 or the
  person's employer may not be civilly or criminally liable for
  acting in good faith or for failing to act on information obtained
  during the course of practicing the person's profession or acting
  within the scope of the person's employment concerning potential
  abnormal skin growths.
         (c)  This section may not be construed to create a cause of
  action or civil liability or to require or authorize a person
  licensed under this chapter to practice medicine or otherwise
  practice outside of the license holder's scope of practice.
         SECTION 4.  Subchapter B, Chapter 455, Occupations Code, is
  amended by adding Section 455.060 to read as follows:
         Sec. 455.060.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The
  commission by rule shall approve coursework in abnormal skin growth
  for purposes of Section 455.162.
         (b)  Coursework approved under Subsection (a) must include
  training in identifying melanoma.
         (c)  An entity approved by the commission to provide
  coursework under Subsection (a) shall issue a certificate of
  completion to each individual who successfully completes the
  coursework.
         SECTION 5.  Subchapter D, Chapter 455, Occupations Code, is
  amended by adding Section 455.162 to read as follows:
         Sec. 455.162.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK
  REQUIRED. (a) Except as provided by Subsection (b), the commission
  may not issue an initial or renewal license to a person under this
  chapter unless the person completes a course approved by the
  commission under Section 455.060 in abnormal skin growth education,
  including training on identifying melanoma. Each applicant for
  issuance or, if applicable, renewal of a license must provide proof
  of completion of the course.
         (b)  A person who satisfies the requirements of Subsection
  (a) is not required to complete additional coursework described by
  that subsection for the subsequent renewal of that person's
  license.
         SECTION 6.  Subchapter E, Chapter 455, Occupations Code, is
  amended by adding Section 455.208 to read as follows:
         Sec. 455.208.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
  ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
  person licensed under this chapter who has completed coursework
  approved by the commission under Section 455.060 may refer an
  individual to seek care from a medical professional regarding an
  abnormal skin growth.
         (b)  A person licensed under this chapter who has completed
  coursework approved by the commission under Section 455.060 or the
  person's employer may not be civilly or criminally liable for
  acting in good faith or for failing to act on information obtained
  during the course of practicing the person's profession or acting
  within the scope of the person's employment concerning potential
  abnormal skin growths.
         (c)  This section may not be construed to create a cause of
  action or civil liability or to require or authorize a person
  licensed under this chapter to practice medicine or otherwise
  practice outside of the license holder's scope of practice.
         SECTION 7.  Subchapter C, Chapter 1603, Occupations Code, is
  amended by adding Section 1603.107 to read as follows:
         Sec. 1603.107.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The
  commission by rule shall approve coursework in abnormal skin growth
  for purposes of Section 1603.2110.
         (b)  Coursework approved under Subsection (a) must include
  training in identifying melanoma.
         (c)  An entity approved by the commission to provide
  coursework under Subsection (a) shall issue a certificate of
  completion to each individual who successfully completes the
  coursework.
         SECTION 8.  Subchapter E-1, Chapter 1603, Occupations Code,
  is amended by adding Sections 1603.2110 and 1603.2111 to read as
  follows:
         Sec. 1603.2110.  COMPLETION OF ABNORMAL SKIN GROWTH
  COURSEWORK REQUIRED. (a) Except as provided by Subsection (b), the
  commission may not issue an initial or renewal individual
  practitioner license to a person under this chapter unless the
  person completes a course approved by the commission under Section
  1603.107 in abnormal skin growth education, including training on
  identifying melanoma. Each applicant for issuance or, if
  applicable, renewal of a license must provide proof of completion
  of the course.
         (b)  A person who satisfies the requirements of Subsection
  (a) is not required to complete additional coursework described by
  that subsection for the subsequent renewal of that person's
  license.
         Sec. 1603.2111.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
  ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
  person licensed under this chapter who has completed coursework
  approved by the commission under Section 1603.107 may refer an
  individual to seek care from a medical professional regarding an
  abnormal skin growth.
         (b)  A person licensed under this chapter who has completed
  coursework approved by the commission under Section 1603.107 or the
  person's employer may not be civilly or criminally liable for
  acting in good faith or for failing to act on information obtained
  during the course of practicing the person's profession or acting
  within the scope of the person's employment concerning potential
  abnormal skin growths.
         (c)  This section may not be construed to create a cause of
  action or civil liability or to require or authorize a person
  licensed under this chapter to practice medicine or otherwise
  practice outside of the license holder's scope of practice.
         SECTION 9.  Not later than December 1, 2025, the Texas Board
  of Chiropractic Examiners and the Texas Commission of Licensing and
  Regulation shall adopt the rules necessary to implement this Act.
         SECTION 10.  Sections 201.357, 455.162, and 1603.2110,
  Occupations Code, as added by this Act, apply only to the issuance
  of a license for which an application was submitted on or after
  June 1, 2026, or to the renewal of a license that expires on or after
  that date. The issuance of a license for which an application was
  submitted before June 1, 2026, or the renewal of a license that
  expires before that date is governed by the law in effect on the
  date the application was submitted or the license expired, and the
  former law is continued in effect for that purpose.
         SECTION 11.  This Act takes effect September 1, 2025.