HBA-JRA, DMD H.B. 580 76(R)BILL ANALYSIS


Office of House Bill AnalysisH.B. 580
By: Janek
Public Health
7/15/1999
Enrolled



BACKGROUND AND PURPOSE 

Currently, more than 1,000 people die every day from cardiac arrests.  H.B.
580 establishes training and maintenance procedures for persons who acquire
and use automated external defibrillators (AEDs) in places other than a
hospital or a medical setting.  This bill also limits the liability of a
person who is trained to use AEDs provided that the person is acting in
good faith. 

RULEMAKING AUTHORITY

It is the opinion of the Office of House Bill Analysis that rulemaking
authority is expressly delegated to the Texas Department of Health in
SECTION 1 (Section 779.002, Health and Safety Code) of this bill. 

SECTION BY SECTION ANALYSIS

SECTION 1.  Amends Subtitle B, Title 9, Health and Safety Code, by adding
Chapter 779, as follows: 

CHAPTER 779.  AUTOMATED EXTERNAL DEFIBRILLATORS

Sec. 779.001.  DEFINITION.  Defines "automated external defibrillator"
(AED). 

Sec. 779.002.  TRAINING.  Requires a person or entity that acquires an AED
to ensure that each user of the AED receives training, given or approved by
the Texas Department of Health (TDH), in cardiopulmonary resuscitation and
the use of the defibrillator.  Requires a person who acquires an AED to
ensure that a licensed physician is involved in the training program to
assure compliance with the requirements in this chapter.  Requires TDH to
adopt rules establishing the minimum requirements for the training, taking
into consideration the training guidelines approved the American Heart
Association, the American Red Cross, or another nationally recognized
institution. 

Sec. 779.003.  MAINTENANCE OF AUTOMATED EXTERNAL DEFIBRILLATOR. Requires a
person who owns or leases an AED to maintain and test it in accordance with
the manufacturer's guidelines. 

Sec. 779.004.  USING AN AUTOMATED EXTERNAL DEFIBRILLATOR.  Requires a
person who uses an AED when providing emergency care to a person in a
cardiac arrest to promptly notify the local emergency medical services
provider. 

Sec. 779.005.  NOTIFYING LOCAL EMERGENCY MEDICAL SERVICES PROVIDER.
Requires a person, when acquiring a defibrillator, to notify the provider
of the existence, location, and type of AED that the person has acquired. 

Sec. 779.006.  LIABILITY EXEMPTION.  Establishes that the prescribing
physician who authorizes the acquisition of an AED, a person who provides
training in the use of a AED, and the person responsible for the AED are
not liable for civil damages for such prescription, training or
acquisition, unless the conduct is wilfully or wantonly negligent.
Provides that any person or entity that acquires an AED and negligently
fails to comply with the  requirements of this chapter is liable for civil
damages caused by such negligence. 

Sec. 779.007.  POSSESSION OF AUTOMATED EXTERNAL DEFIBRILLATORS. Requires
each person who acquires an AED, other than a licensed practitioner, to
ensure that: 

(1) the AED has been delivered to that person by a licensed practitioner in
the course of his professional practice or upon a prescription or other
order lawfully issued in the course of his professional practice; or 

(2) the person is required, if the AED is acquired for the purpose of sale
or lease, to be in conformance with the applicable requirements found in
Section 483.041 (Possession of Dangerous Drug), Health and Safety Code. 

Sec. 779.008.  HOSPITAL EXEMPTION.  Prohibits this chapter from applying to
hospitals licensed under Chapter 241 (Hospitals), Health and Safety Code.  

SECTION 2.  Amends Section 74.001(a), Civil Practice and Remedies Code, to
include the use of an AED when a person or entity administers emergency
care at the scene of an emergency as an action for which that person is not
liable in civil damages unless the act is wilfully or wantonly negligent. 

SECTION 3.Effective date: September 1, 1999.
  Makes application of this Act prospective.

SECTION 4.Emergency clause.