HB 4255 Introduced

Relating to the regulation of physicians and the disciplinary authority of the Texas Medical Board. 

​ 
 

 

A BILL TO BE ENTITLED

 

AN ACT

 

relating to the regulation of physicians and the disciplinary

 

authority of the Texas Medical Board.

 

       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 

       SECTION 1.  Section 164.051, Occupations Code is amended by

 

amending Subsection (a) and adding Subsections (f) and (g) to read

 

as follows:

 

       (a)  Except as provided in Subsection (f), the [The] board

 

may refuse to admit a person to its examination or refuse to issue a

 

license to practice medicine and may take disciplinary action

 

against a person if the person:

 

             (1)  commits an act prohibited under Section 164.052;

 

             (2)  is convicted of, or is placed on deferred

 

adjudication community supervision or deferred disposition for:

 

                   (A)  a felony; or

 

                   (B)  a misdemeanor involving moral turpitude;

 

             (3)  commits or attempts to commit a direct or indirect

 

violation of a rule adopted under this subtitle, either as a

 

principal, accessory, or accomplice;

 

             (4)  is unable to practice medicine with reasonable

 

skill and safety to patients because of:

 

                   (A)  illness;

 

                   (B)  drunkenness;

 

                   (C)  excessive use of drugs, narcotics,

 

chemicals, or another substance; or

 

                   (D)  a mental or physical condition;

 

             (5)  is found by a court judgment to be of unsound mind;

 

             (6)  fails to practice medicine in an acceptable

 

professional manner consistent with public health and welfare;

 

             (7)  is removed, suspended, or is subject to

 

disciplinary action taken by the person’s peers in a local,

 

regional, state, or national professional medical association or

 

society, or is disciplined by a licensed hospital or medical staff

 

of a hospital, including removal, suspension, limitation of

 

hospital privileges, or other disciplinary action, if the board

 

finds that the action:

 

                   (A)  was based on unprofessional conduct or

 

professional incompetence that was likely to harm the public; and

 

                   (B)  was appropriate and reasonably supported by

 

evidence submitted to the board;

 

             (8)  is subject to repeated or recurring meritorious

 

health care liability claims that in the board’s opinion evidence

 

professional incompetence likely to injure the public; or

 

             (9)  except as provided by Subsections (d) and (e),

 

holds a license to practice medicine subject to disciplinary action

 

by another state, or subject to disciplinary action by the

 

uniformed services of the United States, based on acts by the person

 

that are prohibited under Section 164.052 or are similar to acts

 

described by this subsection.

 

       (b)  Action taken by a professional medical association,

 

society, or hospital medical staff under Subsection (a)(7) does not

 

constitute state action.

 

       (c)  A certified copy of the record of another state that

 

takes action described by Subsection (a)(9) or (d) is conclusive

 

evidence of that action.

 

       (d)  Except as provided in Subsection (f), the [The] board

 

shall refuse to issue a license under this subtitle if the applicant

 

held a license to practice medicine in another state that has been

 

revoked by the licensing authority in that state for a reason that

 

would be grounds for the board to revoke a license to practice

 

medicine in this state.

 

       (e)  Except as provided in Subsection (f), the [The] board

 

shall revoke a license issued under this subtitle if the license

 

holder, while holding the license under this subtitle, held a

 

license to practice medicine in another state that has been revoked

 

by the licensing authority in that state for a reason that would be

 

grounds for the board to revoke a license to practice medicine in

 

this state.

 

       (f)  The board may issue a license to practice medicine to a

 

person convicted of, or placed on deferred adjudication community

 

supervision or deferred disposition for a felony if:

 

             (1)  prior to the conviction, deferred adjudication

 

community supervision, or deferred disposition, the person was

 

licensed to practice medicine in this state;

 

             (2)  the person has:

 

                   (A)  served any sentence resulting from the felony

 

conviction;

 

                   (B)  completed any deferred adjudication

 

community service or deferred disposition ordered in connection

 

with the felony; and

 

                   (C)  paid any fines applicable, or restitution

 

ordered by a court, in connection with the sentencing for the

 

felony;

 

             (3)  the felony was a nonviolent property felony; and

 

             (4)  the person is otherwise eligible to hold a license

 

to practice medicine under this subtitle.

 

       (g)  In this section, “Nonviolent property felony” means a

 

felony offense under state law, federal law, or the laws of a

 

federally recognized Indian tribe that does not have as an element

 

the intentional or knowing use, attempted use, or threatened use of

 

force or deadly force against any person, including or similar to a

 

felony offense under Chapters 31 through 35A, or 37, Penal Code.

 

       SECTION 2.  This Act takes effect on the 91st day after the

 

last day of the legislative session. 

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