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          AN ACT
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        relating to cardiac assessments of high school participants in  | 
      
      
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        extracurricular athletic activities sponsored or sanctioned by the  | 
      
      
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        University Interscholastic League. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subchapter D, Chapter 33, Education Code, is  | 
      
      
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        amended by adding Section 33.096 to read as follows: | 
      
      
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               Sec. 33.096.  CARDIAC ASSESSMENTS OF HIGH SCHOOL  | 
      
      
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        PARTICIPANTS IN EXTRACURRICULAR ATHLETIC ACTIVITIES.  (a)  A school  | 
      
      
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        district must provide a district student, who is required under  | 
      
      
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        University Interscholastic League rule or policy to receive a  | 
      
      
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        physical examination before being allowed to participate in an  | 
      
      
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        athletic activity sponsored or sanctioned by the University  | 
      
      
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        Interscholastic League, the following: | 
      
      
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                     (1)  information about sudden cardiac arrest and  | 
      
      
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        electrocardiogram testing; and | 
      
      
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                     (2)  notification of the option of the student to  | 
      
      
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        request the administration of an electrocardiogram, in addition to  | 
      
      
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        the physical examination. | 
      
      
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               (b)  A student may request an electrocardiogram from any  | 
      
      
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        health care professional, including a health care professional  | 
      
      
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        provided through the student's patient-centered medical home, as  | 
      
      
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        defined by Section 533.0029, Government Code, a health care  | 
      
      
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        professional provided through a school district program, or another  | 
      
      
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        health care professional chosen by the parent or person standing in  | 
      
      
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        parental relation to the student, provided that the health care  | 
      
      
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        professional is: | 
      
      
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                     (1)  appropriately licensed in this state; and | 
      
      
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                     (2)  authorized to administer and interpret  | 
      
      
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        electrocardiograms under the health care professional's scope of  | 
      
      
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        practice, as established by the health care professional's Texas  | 
      
      
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        licensing act. | 
      
      
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               (c)  The University Interscholastic League shall adopt rules  | 
      
      
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        as necessary to administer this section. | 
      
      
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               (d)  The rules adopted under Subsection (c) must include: | 
      
      
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                     (1)  criteria under which a school district may request  | 
      
      
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        an exemption from the requirements of Subsection (a); | 
      
      
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                     (2)  variances that allow for a delay of the  | 
      
      
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        implementation of the requirement to notify students of the option  | 
      
      
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        to request an electrocardiogram under this section; | 
      
      
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                     (3)  procedures to ensure students receiving the  | 
      
      
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        required annual physical examination are notified of the option to  | 
      
      
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        request an electrocardiogram; and | 
      
      
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                     (4)  provisions to ensure that the requirements under  | 
      
      
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        this section are minimum standards that provide a school district  | 
      
      
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        with the option to implement a program that exceeds the standards  | 
      
      
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        required by this section. | 
      
      
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               (e)  This section does not create a cause of action or  | 
      
      
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        liability or a standard of care, obligation, or duty that provides a  | 
      
      
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        basis for a cause of action or liability against a health care  | 
      
      
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        professional described by Subsection (b), the University  | 
      
      
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        Interscholastic League, a school district, or a district officer or  | 
      
      
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        employee for: | 
      
      
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                     (1)  the injury or death of a student participating in  | 
      
      
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        or practicing for an athletic activity sponsored or sanctioned by  | 
      
      
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        the University Interscholastic League based on or in connection  | 
      
      
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        with the administration or interpretation of or reliance on an  | 
      
      
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        electrocardiogram; or | 
      
      
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                     (2)  the content or distribution of the information  | 
      
      
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        required under Subsection (a) or the failure to distribute the  | 
      
      
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        required information under this section. | 
      
      
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               SECTION 2.  This Act applies beginning with the 2019-2020  | 
      
      
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        school year. | 
      
      
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               SECTION 3.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2019. | 
      
      
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        ______________________________ | 
        ______________________________ | 
      
      
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           President of the Senate | 
        Speaker of the House      | 
      
      
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               I certify that H.B. No. 76 was passed by the House on March  | 
      
      
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        26, 2019, by the following vote:  Yeas 145, Nays 0, 1 present, not  | 
      
      
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        voting; and that the House concurred in Senate amendments to H.B.  | 
      
      
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        No. 76 on May 23, 2019, by the following vote:  Yeas 139, Nays 0, 1  | 
      
      
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        present, not voting. | 
      
      
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        ______________________________ | 
      
      
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        Chief Clerk of the House    | 
      
      
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               I certify that H.B. No. 76 was passed by the Senate, with  | 
      
      
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        amendments, on May 20, 2019, by the following vote:  Yeas 20, Nays  | 
      
      
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        11. | 
      
      
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        ______________________________ | 
      
      
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        Secretary of the Senate    | 
      
      
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        APPROVED: __________________ | 
      
      
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                        Date        | 
      
      
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                 __________________ | 
      
      
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                      Governor        |