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|
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A BILL TO BE ENTITLED
|
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AN ACT
|
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relating to recovery of damages in civil actions. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 18.001, Civil Practice and Remedies |
|
Code, is amended by amending Subsections (b), (e), (e-1), (h), and |
|
(i) and adding Subsections (b-1) and (b-2) to read as follows: |
|
(b) Unless notice of intent to controvert the |
|
reasonableness of the amounts charged or the necessity for health |
|
care services [a controverting affidavit] is served as provided by |
|
this section, an affidavit complying with this section and stating |
|
that the amount a person charged for a service was reasonable at the |
|
time and place that the service was provided and that the service |
|
was necessary is sufficient evidence to support a finding of fact by |
|
judge or jury that the amount charged was reasonable or that the |
|
service was necessary. |
|
(b-1) Except as provided by Section 18.0011, if notice of |
|
intent to controvert the reasonableness of the amounts charged or |
|
necessity for health care services is served as provided by this |
|
section, an affidavit served under Subsection (b) has no effect |
|
except the affidavit may prove the authenticity of the health care |
|
records described by the affidavit. |
|
(b-2) An [The] affidavit described by Subsection (b) is not |
|
evidence of and does not support a finding of the causation element |
|
of the cause of action that is the basis for the civil action. |
|
(e) A party intending to controvert the reasonableness of |
|
the amounts charged or necessity for health care services [a claim |
|
reflected by the affidavit] must serve notice of that intent [a copy |
|
of the counteraffidavit] on each other party or the party's |
|
attorney of record by the earlier of: |
|
(1) 120 days after the date the defendant files its |
|
answer; |
|
(2) the date the party serving notice [offering the |
|
counteraffidavit] must designate expert witnesses under a court |
|
order; or |
|
(3) the date the party serving notice [offering the |
|
counteraffidavit] must designate any expert witness as required by |
|
the Texas Rules of Civil Procedure. |
|
(e-1) Notwithstanding Subsection (e), if the party offering |
|
the affidavit [in evidence] serves a copy of the affidavit under |
|
Subsection (d-1), notice of intent to controvert the reasonableness |
|
of the amounts charged or necessity for health care services must be |
|
served [the party offering the counteraffidavit in evidence or the |
|
party's attorney must serve a copy of the counteraffidavit] on each |
|
other party to the case by the later of: |
|
(1) 30 days after service of the affidavit on the party |
|
serving notice [offering the counteraffidavit in evidence]; |
|
(2) the date the party serving notice [offering the |
|
counteraffidavit] must designate any expert witness under a court |
|
order; or |
|
(3) the date the party serving notice [offering the |
|
counteraffidavit in evidence] must designate any expert witness as |
|
required by the Texas Rules of Civil Procedure. |
|
(h) If health care [continuing] services are provided after |
|
a relevant deadline under this section: |
|
(1) a party may supplement an affidavit served by the |
|
party under Subsection (d) or (d-1) on or before the 60th day before |
|
the date the trial commences; and |
|
(2) a party that served notice [a counteraffidavit] |
|
under Subsection (e) or (e-1) may serve notice related to the |
|
supplemental affidavit [supplement the counteraffidavit] on or |
|
before the 30th day before the date the trial commences. |
|
(i) Notwithstanding Subsections (d), (d-1), (d-2), (e), |
|
(e-1), [(g),] and (h), a deadline under this section may be altered |
|
by all parties to an action by agreement or with leave of the court. |
|
SECTION 2. Subchapter A, Chapter 18, Civil Practice and |
|
Remedies Code, is amended by adding Section 18.0011 to read as |
|
follows: |
|
Sec. 18.0011. AFFIDAVIT OF HEALTH CARE FACILITY OR |
|
PROVIDER. (a) A party may not controvert the reasonableness of the |
|
charges for health care services stated in an affidavit served |
|
under Section 18.001 if, as to each health care service provided by |
|
the health care facility or provider: |
|
(1) the affidavit states one of the following amounts |
|
as the reasonable charge for the service: |
|
(A) the amounts received from all sources by the |
|
facility or provider to pay for the service provided to the person |
|
whose injury or death is the subject of the action; or |
|
(B) an amount that does not exceed 150 percent of |
|
the median amount paid by nongovernmental third-party payors to |
|
health care facilities or providers for the same type of service |
|
provided to the person whose injury or death is the subject of the |
|
action during the month in which the service was provided, as drawn |
|
from the Texas All Payor Claims Database established under |
|
Subchapter I, Chapter 38, Insurance Code, for the geozip: |
|
(i) in which the service was provided, if |
|
the service was provided in this state; or |
|
(ii) in which The University of Texas |
|
Health Science Center at Houston is located, if the service was |
|
provided outside of this state; and |
|
(2) the affidavit is accompanied by an invoice for the |
|
service that would comply with the clean claim requirements of |
|
Chapter 1301, Insurance Code. |
|
(b) If an affidavit of a health care facility or provider |
|
served under Section 18.001 complies with Subsection (a) and |
|
includes a statement that the facility or provider does not intend |
|
to appear at trial to testify regarding the reasonableness of the |
|
facility's or provider's charges or the necessity for the facility's |
|
or provider's services, then: |
|
(1) a party may not seek to obtain through any pretrial |
|
discovery procedure information from the facility or provider about |
|
the reasonableness of the facility's or provider's charges or the |
|
necessity for the facility's or provider's services; and |
|
(2) the trial court shall exclude trial testimony by |
|
the facility or provider regarding the reasonableness of the |
|
facility's or provider's charges or the necessity for the facility's |
|
or provider's services unless: |
|
(A) the court finds there is good cause to allow |
|
the testimony; |
|
(B) the testimony will not unfairly surprise or |
|
unfairly prejudice any party to the action; and |
|
(C) a party opposing admission of the testimony |
|
into evidence is given a reasonable opportunity to conduct |
|
discovery and present evidence relevant to the testimony to be |
|
offered by the facility or provider. |
|
(c) An affidavit of a health care facility or provider |
|
described by Subsection (a) and the statements made in the |
|
affidavit may be used only in the civil action in which the |
|
affidavit is served and not in other actions or for other purposes. |
|
SECTION 3. Chapter 41, Civil Practice and Remedies Code, is |
|
amended by designating Sections 41.001, 41.002, 41.008, 41.009, |
|
41.0105, and 41.014 as Subchapter A and adding a subchapter heading |
|
to read as follows: |
|
SUBCHAPTER A. GENERAL PROVISIONS |
|
SECTION 4. Section 41.001, Civil Practice and Remedies |
|
Code, is amended by amending Subdivisions (9), (10), and (12) and |
|
adding Subdivisions (11-a) and (14) to read as follows: |
|
(9) "Future damages" means damages that in reasonable |
|
probability can be expected to be [are] incurred after the date of |
|
the judgment. The term does [Future damages do] not include |
|
exemplary damages. |
|
(10) "Future loss of earnings" means a pecuniary loss |
|
from reductions in income, wages, or earning capacity that in |
|
reasonable probability can be expected to be incurred after the |
|
date of the judgment. The term does not include [, including: |
|
[(A) loss of income, wages, or earning capacity; |
|
and |
|
[(B)] loss of inheritance. |
|
(11-a) "Mental or emotional pain or anguish" means |
|
grievous and debilitating angst, distress, torment, or emotional |
|
suffering or turmoil that: |
|
(A) causes a substantial disruption in a person's |
|
daily routine; and |
|
(B) arises from loss of consortium, loss of |
|
companionship and society, loss of enjoyment of life, or a similar |
|
mental or emotional injury. |
|
(12) "Noneconomic damages" means damages awarded for |
|
the purpose of compensating a claimant for nonpecuniary losses for |
|
physical pain and suffering, mental or emotional pain or anguish, |
|
and [loss of consortium, disfigurement, physical impairment, loss |
|
of companionship and society, inconvenience, loss of enjoyment of |
|
life,] injury to reputation[, and all other nonpecuniary losses of |
|
any kind other than exemplary damages]. The term does not include |
|
economic or exemplary damages. |
|
(14) "Physical pain and suffering" means a painful or |
|
distressing sensation associated with an injury or damage to a part |
|
of a person's body that: |
|
(A) is consciously felt; |
|
(B) is significant in magnitude; and |
|
(C) arises from an observable injury or |
|
impairment or is shown to exist through objectively verifiable |
|
medical evaluation or testing. |
|
SECTION 5. Section 41.002(d), Civil Practice and Remedies |
|
Code, is amended to read as follows: |
|
(d) Notwithstanding any provision to the contrary, the |
|
provisions of this chapter regarding exemplary damages do [does] |
|
not apply to: |
|
(1) Section 15.21, Business & Commerce Code (Texas |
|
Free Enterprise and Antitrust Act of 1983); |
|
(2) an action brought under the Deceptive Trade |
|
Practices-Consumer Protection Act (Subchapter E, Chapter 17, |
|
Business & Commerce Code) except as specifically provided in |
|
Section 17.50 of that Act; |
|
(3) an action brought under Chapter 36, Human |
|
Resources Code; or |
|
(4) an action brought under Chapter 21, Insurance |
|
Code. |
|
SECTION 6. Chapter 41, Civil Practice and Remedies Code, is |
|
amended by adding Subchapter B, and a heading is added to that |
|
subchapter to read as follows: |
|
SUBCHAPTER B. EXEMPLARY DAMAGES |
|
SECTION 7. Sections 41.003, 41.004, 41.005, 41.006, 41.007, |
|
41.010, 41.011, 41.0115, 41.012, and 41.013, Civil Practice and |
|
Remedies Code, are transferred to Subchapter B, Chapter 41, Civil |
|
Practice and Remedies Code, as added by this Act, redesignated as |
|
Sections 41.051, 41.052, 41.053, 41.054, 41.055, 41.056, 41.057, |
|
41.058, 41.059, and 41.060, Civil Practice and Remedies Code, |
|
respectively, and amended to read as follows: |
|
Sec. 41.051 [41.003]. STANDARDS FOR RECOVERY [OF |
|
EXEMPLARY DAMAGES]. (a) Except as provided by Subsection (c), |
|
exemplary damages may be awarded only if the claimant proves by |
|
clear and convincing evidence that the harm with respect to which |
|
the claimant seeks recovery of exemplary damages results from: |
|
(1) fraud; |
|
(2) malice; or |
|
(3) gross negligence. |
|
(b) The claimant must prove by clear and convincing evidence |
|
the elements of exemplary damages as provided by this section. This |
|
burden of proof may not be shifted to the defendant or satisfied by |
|
evidence of ordinary negligence, bad faith, or a deceptive trade |
|
practice. |
|
(c) If the claimant relies on a statute establishing a cause |
|
of action and authorizing exemplary damages in specified |
|
circumstances or in conjunction with a specified culpable mental |
|
state, exemplary damages may be awarded only if the claimant proves |
|
by clear and convincing evidence that the damages result from the |
|
specified circumstances or culpable mental state. |
|
(d) Exemplary damages may be awarded only if the jury was |
|
unanimous in regard to finding liability for and the amount of |
|
exemplary damages. |
|
(e) In all cases where the issue of exemplary damages is |
|
submitted to the jury, the following instruction shall be included |
|
in the charge of the court: |
|
"You are instructed that, in order for you to find exemplary |
|
damages, your answer to the question regarding the amount of such |
|
damages must be unanimous." |
|
Sec. 41.052 [41.004]. FACTORS PRECLUDING RECOVERY. (a) |
|
Except as provided by Subsection (b), exemplary damages may be |
|
awarded only if damages other than nominal damages are awarded. |
|
(b) Exemplary damages may not be awarded to a claimant who |
|
elects to have his recovery multiplied under another statute. |
|
Sec. 41.053 [41.005]. HARM RESULTING FROM CRIMINAL ACT. |
|
(a) In an action arising from harm resulting from an assault, |
|
theft, or other criminal act, a court may not award exemplary |
|
damages against a defendant because of the criminal act of another. |
|
(b) The exemption provided by Subsection (a) does not apply |
|
if: |
|
(1) the criminal act was committed by an employee of |
|
the defendant; |
|
(2) the defendant is criminally responsible as a party |
|
to the criminal act under the provisions of Chapter 7, Penal Code; |
|
(3) the criminal act occurred at a location where, at |
|
the time of the criminal act, the defendant was maintaining a common |
|
nuisance under the provisions of Chapter 125, Civil Practice and |
|
Remedies Code, and had not made reasonable attempts to abate the |
|
nuisance; or |
|
(4) the criminal act resulted from the defendant's |
|
intentional or knowing violation of a statutory duty under |
|
Subchapter D, Chapter 92, Property Code, and the criminal act |
|
occurred after the statutory deadline for compliance with that |
|
duty. |
|
(c) In an action arising out of a criminal act committed by |
|
an employee, the employer may be liable for punitive damages but |
|
only if: |
|
(1) the principal authorized the doing and the manner |
|
of the act; |
|
(2) the agent was unfit and the principal acted with |
|
malice in employing or retaining the agent [him]; |
|
(3) the agent was employed in a managerial capacity |
|
and was acting in the scope of employment; or |
|
(4) the employer or a manager of the employer ratified |
|
or approved the act. |
|
Sec. 41.054 [41.006]. AWARD SPECIFIC TO DEFENDANT. In any |
|
action in which there are two or more defendants, an award of |
|
exemplary damages must be specific as to a defendant, and each |
|
defendant is liable only for the amount of the award made against |
|
that defendant. |
|
Sec. 41.055 [41.007]. PREJUDGMENT INTEREST. Prejudgment |
|
interest may not be assessed or recovered on an award of exemplary |
|
damages. |
|
Sec. 41.056 [41.010]. CONSIDERATIONS IN MAKING AWARD. (a) |
|
Before making an award of exemplary damages, the trier of fact shall |
|
consider the definition and purposes of exemplary damages as |
|
provided by Section 41.001. |
|
(b) Subject to Section 41.008, the determination of whether |
|
to award exemplary damages and the amount of exemplary damages to be |
|
awarded is within the discretion of the trier of fact. |
|
Sec. 41.057 [41.011]. EVIDENCE RELATING TO AMOUNT OF |
|
EXEMPLARY DAMAGES. (a) In determining the amount of exemplary |
|
damages, the trier of fact shall consider evidence, if any, |
|
relating to: |
|
(1) the nature of the wrong; |
|
(2) the character of the conduct involved; |
|
(3) the degree of culpability of the wrongdoer; |
|
(4) the situation and sensibilities of the parties |
|
concerned; |
|
(5) the extent to which such conduct offends a public |
|
sense of justice and propriety; and |
|
(6) the net worth of the defendant. |
|
(b) Evidence that is relevant only to the amount of |
|
exemplary damages that may be awarded is not admissible during the |
|
first phase of a bifurcated trial. |
|
Sec. 41.058 [41.0115]. DISCOVERY OF EVIDENCE OF NET WORTH |
|
FOR EXEMPLARY DAMAGES CLAIM. (a) On the motion of a party and after |
|
notice and a hearing, a trial court may authorize discovery of |
|
evidence of a defendant's net worth if the court finds in a written |
|
order that the claimant has demonstrated a substantial likelihood |
|
of success on the merits of a claim for exemplary damages. Evidence |
|
submitted by a party to the court in support of or in opposition to a |
|
motion made under this subsection may be in the form of an affidavit |
|
or a response to discovery. |
|
(b) If a trial court authorizes discovery under Subsection |
|
(a), the court's order may only authorize use of the least |
|
burdensome method available to obtain the net worth evidence. |
|
(c) When reviewing an order authorizing or denying |
|
discovery of net worth evidence under this section, the reviewing |
|
court may consider only the evidence submitted by the parties to the |
|
trial court in support of or in opposition to the motion described |
|
by Subsection (a). |
|
(d) If a party requests net worth discovery under this |
|
section, the court shall presume that the requesting party has had |
|
adequate time for the discovery of facts relating to exemplary |
|
damages for purposes of allowing the party from whom net worth |
|
discovery is sought to move for summary judgment on the requesting |
|
party's claim for exemplary damages under Rule 166a(i), Texas Rules |
|
of Civil Procedure. |
|
Sec. 41.059 [41.012]. JURY INSTRUCTIONS. In a trial to a |
|
jury, the court shall instruct the jury with regard to Sections |
|
41.001, 41.051 [41.003], 41.056 [41.010], and 41.057 [41.011]. |
|
Sec. 41.060 [41.013]. JUDICIAL REVIEW OF AWARD. (a) |
|
Except as provided for in Subsection (b), an appellate court that |
|
reviews the evidence with respect to a finding by a trier of fact |
|
concerning liability for exemplary damages or with respect to the |
|
amount of exemplary damages awarded shall state, in a written |
|
opinion, the court's reasons for upholding or disturbing the |
|
finding or award. The written opinion shall address the evidence or |
|
lack of evidence with specificity, as it relates to the liability |
|
for or amount of exemplary damages, in light of the requirements of |
|
this chapter. |
|
(b) This section does not apply to the supreme court with |
|
respect to its consideration of a petition for review [an |
|
application for writ of error]. |
|
SECTION 8. Chapter 41, Civil Practice and Remedies Code, is |
|
amended by adding Subchapters C and D to read as follows: |
|
SUBCHAPTER C. RECOVERY OF HEALTH CARE EXPENSES AS ECONOMIC DAMAGES |
|
Sec. 41.101. DEFINITIONS. In this subchapter: |
|
(1) "Database" means the Texas All Payor Claims |
|
Database established under Subchapter I, Chapter 38, Insurance |
|
Code. |
|
(2) "Health care expenses" means amounts paid or owed |
|
or that may be paid or owed to a provider for health care services, |
|
supplies, or devices provided to a patient. |
|
(3) "Health care services" means services provided by |
|
a provider to an individual to diagnose, prevent, alleviate, cure, |
|
treat, or heal the individual's condition, illness, or injury, |
|
including: |
|
(A) rehabilitative services provided to the |
|
individual; or |
|
(B) personal care provided to the individual on a |
|
short-term or long-term basis. |
|
(4) "Injured individual" means the individual whose |
|
injury or death is the subject of a civil action to which this |
|
subchapter applies. |
|
(5) "Letter of protection" means an agreement, |
|
regardless of the name, that includes an express or implied promise |
|
of payment to a health care provider from a judgment or settlement |
|
of an injured individual's civil action or that makes a payment to |
|
the provider contingent on the resolution of the action. |
|
(6) "Physician" means: |
|
(A) an individual licensed to practice medicine; |
|
and |
|
(B) a professional association, partnership, |
|
limited liability partnership, or other type of entity formed or |
|
organized by an individual physician or group of physicians to |
|
provide medical care to patients. |
|
(7) "Provider" means a person, including an |
|
individual, partnership, professional association, corporation, |
|
facility, or institution, who is licensed, certified, registered, |
|
chartered, or otherwise authorized, in this state or elsewhere, to |
|
provide health care services, including: |
|
(A) an acupuncturist; |
|
(B) a chiropractor; |
|
(C) a dentist; |
|
(D) a health care institution of a type described |
|
by Section 74.001(11); |
|
(E) a health care collaborative; |
|
(F) a nonprofit health organization; |
|
(G) a nurse, including a licensed vocational |
|
nurse, nurse practitioner, and registered nurse; |
|
(H) an occupational therapist; |
|
(I) an ophthalmologist; |
|
(J) an optometrist; |
|
(K) a pharmacist; |
|
(L) a physical therapist; |
|
(M) a physician; |
|
(N) a physician's assistant; and |
|
(O) a podiatrist. |
|
(8) "Third-party payor" means an entity, plan, or |
|
program that has a legal or contractual obligation to pay, |
|
reimburse, or otherwise contract with a provider to pay the |
|
provider for the provision of a health care service, supply, or |
|
device to a patient, including: |
|
(A) an insurance company providing health or |
|
dental insurance; |
|
(B) an employer-provided plan or any other |
|
sponsor or administrator of a health or dental plan; |
|
(C) a health maintenance organization operating |
|
under Chapter 843, Insurance Code, an insurer providing a preferred |
|
provider benefit plan under Chapter 1301, Insurance Code, or other |
|
similar entity; |
|
(D) Medicare; |
|
(E) the state Medicaid program, including the |
|
Medicaid managed care program operating under Chapter 540, |
|
Government Code; and |
|
(F) workers' compensation insurance or insurance |
|
provided instead of subscribing to workers' compensation |
|
insurance. |
|
Sec. 41.102. APPLICABILITY OF SUBCHAPTER. This subchapter |
|
applies to any civil action in which the claimant seeks recovery of |
|
health care expenses as economic damages in a personal injury or |
|
wrongful death action. |
|
Sec. 41.103. CONFLICT WITH OTHER LAW. If there is a |
|
conflict between this subchapter and Section 41.0105, this |
|
subchapter controls. |
|
Sec. 41.104. LIMITATIONS ON AMOUNT OF RECOVERY. (a) In |
|
addition to any other limitation provided by law, the economic |
|
damages that may be awarded to a claimant for health care services |
|
provided in the past to an injured individual are limited to the sum |
|
of: |
|
(1) amounts third-party payors paid to providers for |
|
health care services provided to the injured individual; |
|
(2) amounts paid by the injured individual or paid on |
|
behalf of the injured individual by non-third-party payors to |
|
providers for health care services provided to the injured |
|
individual, but not to purchase an account receivable, if paid |
|
without a formal or informal agreement for the provider to refund, |
|
rebate, or remit money to the payor, injured individual, claimant, |
|
or claimant's attorney or anyone associated with the payor, injured |
|
individual, claimant, or claimant's attorney; and |
|
(3) if Subdivisions (1) and (2) do not apply, an amount |
|
that does not exceed 150 percent of the median amount paid by |
|
nongovernmental third-party payors to health care providers for the |
|
same types of services provided to the injured individual during |
|
the month in which the services were provided, as drawn from the |
|
database for the geozip: |
|
(A) in which the services were provided, if the |
|
services were provided in this state; or |
|
(B) in which The University of Texas Health |
|
Science Center at Houston is located, if the services were provided |
|
outside of this state. |
|
(b) In addition to any other limitation provided by law, |
|
economic damages awarded for health care expenses that in |
|
reasonable probability can be expected to be incurred by the |
|
injured individual in the future because of the injury-causing |
|
event shall be limited to the reasonable value of necessary |
|
services, determined in the manner provided by Subsection (a)(3) |
|
for determination of past health care expenses, except that the |
|
determination must use data from the database for the month |
|
preceding the date the trial commenced. |
|
(c) Health care provider statements or invoices presented |
|
for purposes of Subsection (a) or (b) must be in a form that would |
|
comply with the clean claim requirements of Chapter 1301, Insurance |
|
Code. If a service does not have an industry-recognized billing |
|
code, no amount of money may be awarded to the claimant for that |
|
service. |
|
(d) The failure of the injured individual to use available |
|
health benefit coverage shall be considered a failure to mitigate |
|
damages. |
|
Sec. 41.105. CLAIMANT DISCLOSURE REQUIREMENTS. (a) In |
|
addition to other items required to be provided by law, in an action |
|
to which this subchapter applies, the claimant shall provide to |
|
each other party a copy of: |
|
(1) all statements or invoices generated by health |
|
care providers showing health care services provided to the injured |
|
individual because of the injury-causing event that is the basis |
|
for the action; |
|
(2) any letter of protection related to the action; |
|
and |
|
(3) any written agreement under which a provider may |
|
refund, rebate, or remit money to a payor, injured individual, |
|
claimant, claimant's attorney, or person associated with the payor, |
|
injured individual, claimant, or claimant's attorney. |
|
(b) In a civil action to which this subchapter applies, the |
|
claimant shall, in addition to other requirements of law: |
|
(1) identify any provider who provided health care |
|
services to the injured individual in relation to the injury caused |
|
to the injured individual in the event giving rise to the action and |
|
provide an authorization to all other parties to the case that will |
|
allow those parties to obtain from the provider all of the injured |
|
individual's medical records; |
|
(2) identify any third-party payor that may have had a |
|
legal or contractual obligation to pay for health care services |
|
provided to the injured individual, regardless of whether the third |
|
party was legally or contractually obligated to pay for the |
|
specific services provided to the injured individual; |
|
(3) disclose any unwritten agreement under which a |
|
provider may refund, rebate, or remit money to a payor, injured |
|
individual, claimant, claimant's attorney, or person associated |
|
with the payor, injured individual, claimant, or claimant's |
|
attorney; and |
|
(4) if the injured individual was referred to a |
|
provider for services, disclose: |
|
(A) the name, address, and telephone number of |
|
the person who made the referral, regardless of whether that person |
|
is the injured individual's attorney; |
|
(B) if the person making the referral was not the |
|
injured individual's attorney, the relationship between the person |
|
making the referral and the injured individual or the injured |
|
individual's attorney; and |
|
(C) if the person making the referral was the |
|
injured individual's attorney: |
|
(i) an anonymized list of persons referred |
|
by the attorney to the provider in the preceding two years; |
|
(ii) the date and amount of each payment |
|
made to the provider in the preceding two years by or at the |
|
direction of the attorney; |
|
(iii) if applicable, each person |
|
anonymously described under Subparagraph (i) on whose behalf a |
|
payment described by Subparagraph (ii) was made; and |
|
(iv) other aspects of any financial |
|
relationship between the attorney and the provider. |
|
(c) For purposes of Subsection (b)(4)(C), a referral is |
|
considered to have been made by the injured individual's attorney |
|
even if made by another person when the injured individual's |
|
attorney knew or had reason to know that the referral would be made. |
|
Sec. 41.106. CLAIMANT'S OBLIGATION OF PROOF NOT AFFECTED. |
|
Nothing in this subchapter affects the claimant's obligation to |
|
prove that the health care services provided to the injured |
|
individual were necessary and causally connected to a defendant's |
|
acts or omissions. |
|
Sec. 41.107. MATTERS ADMISSIBLE INTO EVIDENCE. In an |
|
action to which this subchapter applies, the following matters are |
|
admissible into evidence by any party: |
|
(1) a document or information provided, disclosed, or |
|
obtained under Section 41.105(a) or (b); |
|
(2) an injured individual's health care expenses |
|
incurred as a result of the injury-causing event, regardless of |
|
whether the claimant seeks to recover health care expenses in the |
|
action; |
|
(3) evidence of health benefit plan coverage that is |
|
available to the injured individual to pay for past or future health |
|
care services; and |
|
(4) treatment guidelines and drug formularies |
|
approved by the Workers' Compensation Division of the Texas |
|
Department of Insurance as evidence relating to the necessity of |
|
health care services provided to the injured individual. |
|
SUBCHAPTER D. NONECONOMIC DAMAGES |
|
Sec. 41.151. STANDARDS FOR RECOVERY OF CERTAIN NONECONOMIC |
|
DAMAGES. (a) Damages for physical pain and suffering or for mental |
|
or emotional pain or anguish may be awarded only if the trier of |
|
fact is unanimous in finding the amount of money that will fairly |
|
and reasonably compensate the claimant for those injuries. |
|
(b) An award of damages for physical pain and suffering or |
|
mental or emotional pain or anguish: |
|
(1) must provide fair and reasonable compensation to a |
|
claimant for the claimant's injury for the period of time the pain, |
|
suffering, or anguish has persisted or reasonably can be expected |
|
to persist in the future; |
|
(2) must be based on evidence of the nature, duration, |
|
and severity of the injury and reflect a rational connection, |
|
grounded in the evidence, between the injury suffered and the |
|
dollar amount necessary to provide fair and reasonable compensation |
|
to a claimant; |
|
(3) may not be used to penalize or punish a defendant, |
|
make an example to others, or serve a social good; and |
|
(4) may not include amounts that are properly |
|
considered economic losses, such as lost earnings caused by |
|
physical impairment or medical expenses incurred for emotional or |
|
psychological care. |
|
(c) In an action to which this chapter applies, it is |
|
reversible error for a court to allow an attorney, witness, or other |
|
person through argument, the introduction of evidence, or otherwise |
|
to: |
|
(1) state or suggest that the trier of fact should |
|
determine the amount of damages to award to a claimant for physical |
|
pain and suffering or mental or emotional pain or anguish by |
|
referring to objects, values, or repeating metrics having no |
|
rational connection to the facts of the case; or |
|
(2) characterize an award of damages for physical pain |
|
and suffering or mental or emotional pain or anguish as |
|
establishing a valuation of human life. |
|
(d) Except to the extent of a conflict, this section |
|
supplements court decisions and rules of procedure and evidence. |
|
Sec. 41.152. JURY INSTRUCTIONS. In a trial to a jury in |
|
which noneconomic damages are sought, the court shall provide the |
|
jury definitions and instructions required by this chapter and |
|
other law and ask the jury, if appropriate, to determine the amount |
|
of money that will fairly and reasonably compensate the claimant |
|
for: |
|
(1) past physical pain and suffering; |
|
(2) future physical pain and suffering; |
|
(3) past mental or emotional pain or anguish; |
|
(4) future mental or emotional pain or anguish; |
|
(5) past injury to reputation; and |
|
(6) future injury to reputation. |
|
Sec. 41.153. MOTION TO REMIT NONECONOMIC DAMAGES IN CERTAIN |
|
ACTIONS. (a) Except in an action in which another law limits |
|
recovery of noneconomic damages, in a trial to a jury in a personal |
|
injury or wrongful death action, a trial court shall state the legal |
|
and factual support for the amount of noneconomic damages awarded |
|
to a claimant in a judgment if a defendant requests remittitur of |
|
noneconomic damages awarded to the claimant and the award exceeds: |
|
(1) $1 million for past and future mental or emotional |
|
pain or anguish in a wrongful death action; |
|
(2) for past and future damages for physical pain and |
|
suffering in a personal injury action, the lesser of: |
|
(A) three times the amount awarded for past and |
|
future health care expenses; or |
|
(B) $100,000 per year for each year of the |
|
claimant's life expectancy; |
|
(3) $1 million for past and future mental or emotional |
|
pain or anguish in a personal injury action arising from an event |
|
primarily causing emotional injury to a claimant; or |
|
(4) $250,000 for past and future mental or emotional |
|
pain or anguish in a personal injury action arising from an event |
|
primarily causing bodily injury to the claimant. |
|
(b) In a statement of legal support for the amount of |
|
noneconomic damages awarded in the judgment, the court shall |
|
include references to judgments rendered in this state and affirmed |
|
on appeal of comparable amounts awarded under comparable facts. |
|
SECTION 9. Section 304.102, Finance Code, is amended to |
|
read as follows: |
|
Sec. 304.102. PREJUDGMENT INTEREST REQUIRED IN CERTAIN |
|
CASES. A judgment in a wrongful death, personal injury, or property |
|
damage case earns prejudgment interest on amounts awarded in the |
|
judgment for economic losses, calculated from the date: |
|
(1) the health care expenses are actually paid by the |
|
claimant, if applicable; or |
|
(2) other economic losses are actually suffered by the |
|
claimant. |
|
SECTION 10. Sections 18.001(f) and (g), Civil Practice and |
|
Remedies Code, are repealed. |
|
SECTION 11. The changes in law made by this Act apply only |
|
to an action commenced on or after the effective date of this Act. |
|
An action commenced before the effective date of this Act is |
|
governed by the law applicable to the action immediately before the |
|
effective date of this Act, and that law is continued in effect for |
|
that purpose. |
|
SECTION 12. 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, 2025. |