Bill Text: TX SB193 | 2011-2012 | 82nd Legislature | Comm Sub

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Bill Title: Relating to the regulation of the practice of nursing.

Spectrum: Slight Partisan Bill (Republican 2-1)

Status: (Passed) 2011-06-17 - Effective on 9/1/11 [SB193 Detail]

Download: Texas-2011-SB193-Comm_Sub.html

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By: Nelson S.B. No. 193
(In the Senate - Filed November 9, 2010; January 31, 2011,
read first time and referred to Committee on Health and Human
Services; March 14, 2011, reported adversely, with favorable
Committee Substitute by the following vote: Yeas 9, Nays 0;
March 14, 2011, sent to printer.)
COMMITTEE SUBSTITUTE FOR S.B. No. 193 By: Nelson

A BILL TO BE ENTITLED
AN ACT
relating to the regulation of the practice of nursing.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 301.207, Occupations Code, is amended to
read as follows:
Sec. 301.207. CONFIDENTIALITY OF [HEALTH] INFORMATION
PROVIDED FOR LICENSURE. The following information [Information
regarding a person's diagnosis or treatment for a physical
condition, mental condition, or chemical dependency] that a [the]
person submits to the board for a petition for a declaratory order
of eligibility for a license or for an application for an initial
license or a license renewal under this chapter is confidential to
the same extent information collected on a nurse as part of an
investigation of a complaint is confidential under Section 301.466:
(1) information, including diagnosis and treatment,
regarding a person's physical or mental condition, intemperate use
of drugs or alcohol, or chemical dependency;
(2) information regarding a person's criminal history;
and
(3) any other information in the petition for
declaratory order of eligibility.
SECTION 2. Subsection (e), Section 301.261, Occupations
Code, is amended to read as follows:
(e) The board by rule shall permit a person whose license is
on inactive status and who was in good standing with the board on
the date the license became inactive [is 65 years or older] to use,
as applicable, the title "Registered Nurse Retired," "R.N.
Retired," "Licensed Vocational Nurse Retired," "Vocational Nurse
Retired," "L.V.N. Retired," or "V.N. Retired" or another
appropriate title approved by the board.["]
SECTION 3. Subsection (b), Section 301.352, Occupations
Code, is amended to read as follows:
(b) An act by a person under Subsection (a) does not
constitute a violation of this section if a nursing peer review
committee under Chapter 303 determines:
(1) that the act or omission the nurse refused to
engage in was not:
(A) [not] conduct reportable to the board under
Section 301.403;
(B) a minor incident; or
(C) a violation of this chapter or a board rule;
or
(2) that:
(A) the act or omission in which the nurse
refused to engage was conduct reportable to the board, a minor
incident, or a violation of this chapter or a board rule; and
(B) the person:
(i) rescinds any disciplinary or
discriminatory action taken against the nurse;
(ii) compensates the nurse for lost wages;
and
(iii) restores to the nurse any lost
benefits.
SECTION 4. Subsection (j), Section 301.4521, Occupations
Code, is amended to read as follows:
(j) The results of an evaluation under this section are:
(1) confidential and not subject to disclosure under
Chapter 552, Government Code; and
(2) not subject to disclosure by discovery, subpoena,
or other means of legal compulsion for release to anyone, except
that the results may be:
(A) introduced as evidence in a proceeding before
the board or a hearing conducted by the State Office of
Administrative Hearings under this chapter; [or]
(B) included in the findings of fact and
conclusions of law in a final board order; and
(C) disclosed to a peer assistance program
approved by the board under Chapter 467, Health and Safety Code, and
to which the board has referred the nurse.
SECTION 5. Subsection (c), Section 301.455, Occupations
Code, is amended to read as follows:
(c) The State Office of Administrative Hearings shall hold a
preliminary hearing not later than the 17th [14th] day after the
date of the temporary suspension or restriction to determine
whether probable cause exists that a continuing and imminent threat
to the public welfare exists. The probable cause hearing shall be
conducted as a de novo hearing.
SECTION 6. Section 301.4551, Occupations Code, is amended
to read as follows:
Sec. 301.4551. TEMPORARY LICENSE SUSPENSION FOR DRUG OR
ALCOHOL USE. (a) The board shall temporarily suspend the license
of a nurse as provided by Section 301.455 if the nurse is under a
board order prohibiting the use of alcohol or a drug or requiring
the nurse to participate in a peer assistance program, and the
nurse:
(1) tests positive for alcohol or a prohibited drug;
(2) refuses to comply with a board order to submit to a
drug or alcohol test; or
(3) fails to participate in the peer assistance
program and the program issues a letter of dismissal and referral to
the board for noncompliance.
(b) For the purposes of Section 301.455(c), proof of the
elements required for the board to suspend a license under this
section is proof that probable cause of a continuing and imminent
threat to the public welfare exists.
SECTION 7. Chapter 303, Occupations Code, is amended by
adding Section 303.012 to read as follows:
Sec. 303.012. ERROR CLASSIFICATION SYSTEM. (a) The board
may develop a standardized error classification system for use by a
nursing peer review committee in evaluating the conduct of a nurse.
The board shall make the system available to the committee at no
cost.
(b) Information collected as part of an error
classification system is a record of the nursing peer review
committee and is confidential under Section 303.006.
(c) A nursing peer review committee may report the
information collected using the error classification system to the
board. The committee may not report to the board under this section
information that includes the identity of an individual nurse or
patient.
(d) Information the board receives under this section that
contains information identifying a specific patient, nurse, or
health care facility, the committee, or the sponsoring organization
of the committee is confidential and is not subject to disclosure
under Chapter 552, Government Code. The board must remove the
identifying information from the information before making the
remaining information available to the public.
(e) This section does not affect the obligation or authority
of a nursing peer review committee to disclose information under
Section 303.007.
SECTION 8. Section 301.355, Occupations Code, is repealed.
SECTION 9. (a) The change in law made by this Act to
Subsection (b), Section 301.352, Occupations Code, applies only to
an act or omission that occurs on or after the effective date of
this Act. An act or omission that occurs before the effective date
of this Act is covered by the law in effect when the act or omission
occurred, and the former law is continued in effect for that
purpose.
(b) The change in law made by this Act to Subsection (c),
Section 301.455, Occupations Code, applies only to a temporary
suspension or restriction of a license issued by the Texas Board of
Nursing that is imposed on or after the effective date of this Act.
A temporary suspension or restriction imposed before the effective
date of this Act is covered by the law in effect when the suspension
or restriction was imposed, and the former law is continued in
effect for that purpose.
(c) The change in law made by this Act to Section 301.4551,
Occupations Code, applies only to a violation of an order issued by
the Texas Board of Nursing that occurs on or after the effective
date of this Act. A violation of an order that occurs before the
effective date of this Act is covered by the law in effect when the
order was violated, and the former law is continued in effect for
that purpose.
SECTION 10. This Act takes effect September 1, 2011.
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