Bill Text: TX HB2085 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to general procedures and requirements for a nonopioid directive.

Spectrum: Bipartisan Bill

Status: (Introduced) 2019-03-06 - Referred to Public Health [HB2085 Detail]

Download: Texas-2019-HB2085-Introduced.html
  86R7572 SCL-D
 
  By: Dean H.B. No. 2085
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to general procedures and requirements for a nonopioid
  directive.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 166, Health and Safety Code, is amended
  by adding Subchapter F to read as follows:
  SUBCHAPTER F. NONOPIOID DIRECTIVE
         Sec. 166.251.  DEFINITIONS. In this subchapter:
               (1)  "Adult," "agent," and "health care provider" have
  the meanings assigned by Section 166.151.
               (2)  "Nonopioid directive" means a directive executed
  under this subchapter.
               (3)  "Opioid" means opium and opiate and any salt,
  compound, derivative, or preparation of opium or opiate.
               (4)  "Pharmacist" means an individual licensed under
  Chapter 558, Occupations Code.
         Sec. 166.252.  EXECUTION. (a)  A competent adult, a parent
  or legal guardian of a minor, or an individual's guardian or agent
  may at any time execute a nonopioid directive for the adult, minor,
  or individual, respectively, that prohibits the administration or
  prescription of opioids.
         (b)  A nonopioid directive must be in the form prescribed by
  rules adopted under this subchapter and be available
  electronically.
         Sec. 166.253.  REVOCATION. An individual executing a
  nonopioid directive under Section 166.252 may, orally or in
  writing, at any time revoke the directive.
         Sec. 166.254.  SUBMISSION; DUTIES OF HEALTH CARE PROVIDERS.
  (a) A competent adult, a parent or legal guardian of a minor, or an
  individual's guardian or agent may submit the adult's, minor's, or
  individual's nonopioid directive to a health care provider in
  accordance with rules adopted under this subchapter.
         (b)  Except as provided by this subchapter, a health care
  provider receiving a nonopioid directive may not administer or
  prescribe an opioid to the adult, minor, or individual who is the
  subject of the directive.
         Sec. 166.255.  LIMITATION OF LIABILITY. (a) A health care
  provider is not subject to disciplinary action by the appropriate
  licensing authority for and is not civilly or criminally liable
  for:
               (1)  failing to administer, prescribe, or dispense an
  opioid in accordance with a nonopioid directive submitted to the
  provider; or
               (2)  administering an opioid in violation of a
  nonopioid directive for which the provider has no knowledge.
         (b)  A prescription presented to a pharmacy is presumed
  valid. A pharmacist is not subject to disciplinary action by the
  Texas State Board of Pharmacy and is not civilly or criminally
  liable for dispensing an opioid in violation of a nonopioid
  directive and in accordance with a prescription.
         Sec. 166.256.  EXCEPTIONS. This subchapter does not apply
  to:
               (1)  emergency medical personnel; or
               (2)  a person using an opioid for the treatment of
  substance abuse or opioid dependence if the person is authorized to
  provide that treatment.
         Sec. 166.257.  CONSTRUCTION OF SUBCHAPTER. This subchapter
  may not be construed to:
               (1)  alter an advance directive executed under this
  chapter;
               (2)  limit the prescribing, administering, or
  dispensing of an opioid used to treat an overdose; or
               (3)  limit an authorized health care provider or
  pharmacist from prescribing, administering, or dispensing an
  opioid for treatment of substance abuse or opioid dependence.
         Sec. 166.258.  RULES. The executive commissioner shall
  adopt rules to implement this subchapter. The rules must:
               (1)  require a health care provider to verify a
  nonopioid directive to the extent practicable;
               (2)  require a health care provider to comply with 42
  U.S.C. Section 290dd-2(b) in obtaining written consent;
               (3)  provide standard procedures for a competent adult,
  a parent or legal guardian of a minor, or an individual's guardian
  or agent to submit a nonopioid directive under Section 166.254;
               (4)  provide any necessary procedures for an exemption
  under Section 16.256; and
               (5)  ensure the confidentiality of a nonopioid
  directive.
         Sec. 166.259.  ENFORCEMENT. A health care provider who
  violates this subchapter or a rule adopted under this subchapter is
  subject to disciplinary action by the appropriate licensing
  authority.
         SECTION 2.  The executive commissioner of the Health and
  Human Services Commission shall adopt rules necessary to implement
  Subchapter F, Chapter 166, Health and Safety Code, as added by this
  Act, as soon as practicable after the effective date of this Act.
         SECTION 3.  This Act takes effect September 1, 2019.
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