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  83R1315 KKR-D
 
  By: Dukes H.B. No. 446
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to information about fetal alcohol syndrome to be provided
  to pregnant patients.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 161, Health and Safety Code, is amended
  by adding Subchapter V to read as follows:
  SUBCHAPTER V. INFORMATION FOR PREGNANT PATIENTS
         Sec. 161.601.  DEFINITIONS. In this subchapter:
               (1)  "Department" means the Department of State Health
  Services.
               (2)  "Health care provider" means:
                     (A)  a physician licensed to practice medicine in
  this state;
                     (B)  a physician assistant licensed under Chapter
  204, Occupations Code;
                     (C)  a midwife licensed under Chapter 203,
  Occupations Code;
                     (D)  an advanced practice nurse as defined by
  Section 301.152, Occupations Code;
                     (E)  a hospital licensed under Chapter 241; or
                     (F)  a birthing center licensed under Chapter 244.
         Sec. 161.602.  INFORMATIONAL PAMPHLET PROVIDED TO PREGNANT
  PATIENT.  (a)  A health care provider that provides care to a
  pregnant patient shall, during the patient's first visit with the
  provider:
               (1)  counsel the patient about the risks of drinking
  alcohol while pregnant, including fetal alcohol syndrome;
               (2)  provide the patient with an informational pamphlet
  that includes information about the risks of drinking alcohol while
  pregnant, including fetal alcohol syndrome;
               (3)  document in the patient's medical record that the
  provider complied with Subdivisions (1) and (2), and have the
  patient sign an acknowledgment that the patient was counseled and
  received the informational pamphlet; and
               (4)  retain the documentation in the provider's records
  for at least five years.
         (b)  A health care provider may use the informational
  pamphlet provided on the department's Internet website or an
  alternative pamphlet that provides the information required by
  Subsection (a).
         Sec. 161.603.  DUTIES OF DEPARTMENT. (a) The department
  shall:
               (1)  establish guidelines for the provision of the
  information required by Section 161.602;
               (2)  make available on the department's Internet
  website a printable version of the informational pamphlet required
  by Section 161.602(a); and
               (3)  make the informational pamphlet required by
  Section 161.602 available for distribution to health care
  providers.
         (b)  The department may make available online and distribute
  an existing publication created by the department or another health
  and human services agency as the informational pamphlet required by
  Section 161.602.
         Sec. 161.604.  LIABILITY NOT CREATED. This subchapter does
  not create civil or criminal liability.
         SECTION 2.  Not later than October 1, 2013, the Department of
  State Health Services shall make available the informational
  pamphlet required by Subchapter V, Chapter 161, Health and Safety
  Code, as added by this Act.
         SECTION 3.  Notwithstanding Subchapter V, Chapter 161,
  Health and Safety Code, as added by this Act, a health care provider
  is not required to comply with the requirements of Section 161.602,
  Health and Safety Code, as added by this Act, before January 1,
  2014.
         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, 2013.