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89(R) SB 2721 - House Committee Report version - Bill Text
89R31791 JCG/EAS-F
By: Parker, et al.
S.B. No. 2721
(Bell of Kaufman)
Substitute the following for S.B. No. 2721:
No.
A BILL TO BE ENTITLED
AN ACT
relating to the deceased, including requirements for donating or
claiming bodies or anatomical specimens, the licensing and
regulation of persons who provide services or conduct education or
research in relation to the deceased, and responsibilities of
political subdivisions for certain bodies after death; creating
criminal offenses; authorizing administrative penalties; requiring
occupational licenses; authorizing fees.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subtitle B, Title 8, Health and Safety Code, is
amended by adding Chapter 691A to read as follows:
CHAPTER 691A.
DONATION OF BODIES AND ANATOMICAL SPECIMENS;
LICENSING OF ANATOMICAL SUPPLIERS AND RESEARCHERS
SUBCHAPTER A.
GENERAL PROVISIONS
Sec. 691A.001. DEFINITIONS. In this chapter:
(1)
"Advisory committee" means the State Anatomical
Advisory Committee established under Subchapter B.
(2)
"Anatomical specimen" means a part of the
corporeal remains of a human that is used for an education or
research purpose.
(3)
"Anatomical supplier" means a person who holds a
license issued under Subchapter E to acquire and distribute bodies
and anatomical specimens to researchers.
(4)
"Body" means the intact corporeal remains of a
human.
(5)
"Commission" means the Texas Funeral Service
Commission.
(6)
"Forensic science program" means an academic
program in forensic anthropology, forensic pathology, or another
similar discipline accredited by a nationally recognized body and
operated by an institution of higher education or private or
independent institution of higher education.
(7)
"Institution of higher education" and "private or
independent institution of higher education" have the meanings
assigned by Section 61.003, Education Code.
(8)
"Political subdivision" includes a municipality,
county, or special purpose district or authority.
(9)
"Researcher" means a person who holds a license
issued under Subchapter F to use a body or anatomical specimen for
education or research purposes.
(10)
"Search and rescue organization or recovery team"
means an organization or team that is exempt from federal taxation
under Section 501(c)(3), Internal Revenue Code of 1986, and uses
human remains detection canines with the authorization of a local
law enforcement agency, including a sheriff's office.
(11)
"Willed body program" means a program accredited
by a nationally recognized body and operated at an institution of
higher education or private or independent institution of higher
education in this state that allows the donation of an individual's
body or anatomical specimen for education or research purposes.
Sec.
691A.002.
CONFLICT OF LAW.
To the extent of any
conflict between this chapter and Chapter 692A, this chapter
controls.
SUBCHAPTER B.
ADVISORY COMMITTEE
Sec.
691A.051.
ESTABLISHMENT OF ADVISORY COMMITTEE.
The
State Anatomical Advisory Committee is established to advise and
provide expertise to the commission regarding the regulation and
operation of persons licensed under this chapter, including the
donation and use of bodies and anatomical specimens for education
or research purposes.
Sec.
691A.052.
COMPOSITION; QUALIFICATIONS.
(a)
The
advisory committee is composed of five members appointed as
follows:
(1) one member appointed by the governor;
(2)
two members appointed by the presiding officer of
the commission;
(3)
one member who represents institutions of higher
education or private or independent institutions of higher
education that operate willed body programs, appointed by the
commissioner of the Texas Higher Education Coordinating Board; and
(4)
one member appointed by the executive commissioner
of the Health and Human Services Commission.
(b)
Advisory committee members must have experience and
knowledge in the donation and use of whole bodies and anatomical
specimens for education and research.
(c)
Appointments to the advisory committee shall be made
without regard to the race, creed, sex, religion, or national
origin of the appointees.
Sec.
691A.053.
TERMS; REAPPOINTMENT.
(a) Members of the
advisory committee serve two-year terms.
(b) An advisory committee member may be reappointed.
Sec.
691A.054.
APPLICABILITY OF OTHER LAW. Sections
2110.002 and 2110.008, Government Code, do not apply to the
advisory committee.
Sec.
691A.055.
RULE PROPOSAL. Subject to Section 691A.102,
the advisory committee may propose rules for the administration and
enforcement of this chapter.
SUBCHAPTER C.
GENERAL POWERS AND DUTIES OF COMMISSION
Sec.
691A.101.
ADMINISTRATION AND ENFORCEMENT. The
commission shall administer and enforce this chapter.
Sec.
691A.102.
RULES.
(a) The commission, in consultation
with the advisory committee, may adopt rules consistent with this
chapter to regulate the acquisition, distribution, use, and
disposition of donated bodies and anatomical specimens, including
rules proposed by the advisory committee under Section 691A.055.
(b)
The commission shall adopt rules prescribing the
procedure by which the advisory committee may propose rules to the
commission.
Sec.
691A.103.
FEES. The commission, in consultation with
the advisory committee, by rule may set and collect fees in amounts
reasonable and necessary to cover the cost of administering this
chapter, including fees for:
(1)
authorizing the acquisition and distribution of
bodies and anatomical specimens, other than temporary custody of a
body or anatomical specimen on behalf of an anatomical supplier;
(2)
conducting inspections, audits, and other
verification activities authorized under this chapter; and
(3) licensing persons under this chapter.
Sec.
691A.104.
BACKGROUND CHECK FOR LICENSE APPLICANT. (a)
The commission by rule shall require a person who applies for a
license under this chapter to submit to a background check,
including a review of the person's criminal history record
information.
(b)
If the applicant is a business or nonprofit entity, the
commission by rule shall require the submission of fingerprints for
purposes of conducting a background check from each individual who:
(1) has a controlling interest in the entity;
(2) is an officer or manager of the entity;
(3)
is a member of the board of directors of the
entity; or
(4)
holds a substantial amount of stock or other
similar interest in the entity, as determined by commission rule.
Sec.
691A.105.
UNIQUE IDENTIFIER; RECORDKEEPING.
(a) The
commission by rule shall require a person licensed under this
chapter to:
(1)
subject to Subsection (c), issue a unique
identifier for each body or anatomical specimen donated to or
acquired by the person under this chapter;
(2)
maintain identification records of the body or
anatomical specimen; and
(3)
maintain records documenting the donation and each
transfer, as applicable, of the body or anatomical specimen,
including from whom the license holder acquired the body or
anatomical specimen.
(b)
In adopting rules under this section, the commission
shall develop a method for ensuring that a body or anatomical
specimen is not issued a duplicate identifier, which may include
the use of the license holder's name or other characteristic as part
of the identifier.
(c)
The commission shall maintain copies of records
submitted to the commission under this chapter in a searchable
database.
Sec.
691A.106.
REGULAR INSPECTIONS REQUIRED. (a)
The
commission shall inspect anatomical suppliers and researchers at
least once every three years to ensure the anatomical suppliers and
researchers maintain appropriate facilities in accordance with
this chapter and rules adopted under this chapter for activities
authorized under this chapter with respect to bodies and anatomical
specimens.
(b)
The commission may conduct unannounced inspections of
anatomical suppliers and researchers.
Sec.
691A.107.
AUDITS. The commission may audit the
records of any person licensed under this chapter in connection
with the person's activities under this chapter to ensure
compliance with this chapter and rules adopted under this chapter.
Sec.
691A.108.
OTHER COMPLIANCE PROCEDURES.
The commission
shall establish a process to periodically verify each anatomical
supplier's and researcher's compliance with applicable state laws
and rules.
Sec.
691A.109.
INFORMATIONAL DOCUMENT REGARDING ANATOMICAL
GIFT. The commission shall develop and publish on the commission's
Internet website a document to inform a person making a gift of a
decedent's body or anatomical specimen about the options for
donation authorized under this chapter, including the option to
make decisions regarding the final disposition of the body or
anatomical specimen.
Sec.
691A.110.
APPROVAL FOR EXPORT REQUIRED.
(a)
The
commission shall review and may approve applications for persons
located in other states to receive bodies or anatomical specimens
from individuals in this state. The commission may withdraw the
commission's approval of a person in another state who applies for
approval under this section.
(b) A person applying for approval under this section must:
(1)
be a postsecondary educational program accredited
by a nationally recognized accreditation organization acceptable
to the commission;
(2)
provide proof of accreditation by the applicable
accrediting organization; and
(3)
submit to inspection by the commission or by a
local designee of the commission at the person's expense.
(c)
An anatomical supplier may not distribute a body or
anatomical specimen to a person located in another state unless the
person has been approved by the commission under this section to
receive bodies or anatomical specimens.
SUBCHAPTER D.
PUBLIC INTEREST INFORMATION; COMPLAINTS
Sec.
691A.151.
PUBLIC INFORMATION AND PARTICIPATION;
COMPLAINTS. The commission shall prepare information of public
interest describing the functions of the commission under this
chapter and the commission's procedures for receiving and resolving
complaints filed with the commission. The commission shall make
the information available to the appropriate state agencies and
publish the information on the commission's Internet website.
Sec.
691A.152.
COMPLAINTS. (a)
The commission shall
provide to individuals who make an anatomical gift under this
chapter, or who receive services from the commission under this
chapter or from a person licensed under this chapter, the
commission's contact information for filing complaints related to
those services, including the commission's name, mailing address,
and telephone number. The commission may notify individuals by
including the commission's complaint contact information on each
written contract relating to bodies willed or donated to a person
licensed or regulated by the commission.
The commission shall
publish the commission's complaint contact information on the
commission's Internet website.
(b)
The commission shall maintain an information file on
each complaint filed with the commission relating to the
commission's functions under this chapter. If a complaint is filed
with the commission relating to a person licensed by the commission
under this chapter, the commission shall periodically notify the
parties to the complaint of the status of the complaint until final
disposition unless notice would jeopardize an undercover
investigation.
Sec.
691A.153.
PUBLIC COMMENT ON COMMISSION FUNCTIONS. The
commission shall develop and implement policies that provide the
public a reasonable opportunity to appear before the commission and
speak on any issue under the jurisdiction of the commission.
SUBCHAPTER E.
ANATOMICAL SUPPLIER LICENSE; SPECIAL PRACTICE
REQUIREMENTS
Sec.
691A.201.
LICENSE REQUIRED FOR ACQUIRING OR
DISTRIBUTING BODY OR ANATOMICAL SPECIMEN; USE BY ANATOMICAL
SUPPLIER PROHIBITED.
(a)
Except as provided by Section 691A.202, a
person may not:
(1)
acquire a body or anatomical specimen unless the
person holds an anatomical supplier or researcher license issued
under this chapter; or
(2)
distribute a body or anatomical specimen within
this state or to another jurisdiction, regardless of whether the
body or anatomical specimen was acquired within this state or from
another jurisdiction, unless the person:
(A)
holds an anatomical supplier license issued
under this subchapter; and
(B)
distributes the body or anatomical specimen
to a researcher or a person approved under Section 691A.110.
(b)
An anatomical supplier may not use a body or anatomical
specimen for any purpose other than distribution to a researcher or
a person approved under Section 691A.110.
Sec.
691A.202.
NONAPPLICABILITY. (a)
Section 691A.201
does not apply to a person who acquires a body or anatomical
specimen for law enforcement, cemetery, crematory, funeral,
embalming, hospital, transplantation, or therapy purposes if the
person acts within the scope of the person's license or other lawful
authorization in acquiring, distributing, using, and disposing of
the body or anatomical specimen, as applicable.
(b)
Section 691A.201 does not apply to a political
subdivision required by law to receive and bury:
(1) unclaimed bodies; or
(2) bodies required to be buried at public expense.
Sec.
691A.203.
LICENSE ELIGIBILITY. (a)
Except as
provided by Subsection (b), to be eligible for an anatomical
supplier license, an applicant for the license:
(1) must be of good professional character;
(2)
subject to Subsection (b), must maintain
facilities and conduct operations that meet the standards
applicable to anatomical facilities under Section 691A.253;
(3)
may not hold a researcher license issued under
this chapter or have a pending application with the commission for a
researcher license; and
(4)
must meet any other eligibility requirements
established by commission rule for an anatomical supplier license
under this subchapter.
(b)
An applicant for an anatomical supplier license may
satisfy the requirements of Subsection (a)(2) by holding an
accreditation issued by a nationally recognized accreditation
organization acceptable to the commission.
Sec.
691A.204.
APPLICATION. A person may apply for an
anatomical supplier license by submitting an application to the
commission in the form and manner prescribed by commission rule.
Sec.
691A.205.
LICENSE ISSUANCE. The commission shall
issue an anatomical supplier license to an applicant who:
(1) submits an application;
(2)
meets the eligibility requirements of Section
691A.203; and
(3) pays any required fee.
Sec.
691A.206.
PROVISIONAL ANATOMICAL SUPPLIER LICENSE.
(a)
The commission by rule shall establish a provisional
anatomical supplier license for an applicant for an anatomical
supplier license who:
(1)
has applied for the accreditation described by
Section 691A.203(b) but is not yet accredited; and
(2)
demonstrates to the satisfaction of the commission
that the applicant is making a good faith effort to:
(A)
obtain the accreditation described by
Section 691A.203(b); or
(B)
establish and maintain facilities and
conduct operations that meet the standards applicable to anatomical
facilities under Section 691A.253.
(b)
The commission shall issue a provisional anatomical
supplier license to an applicant who:
(1) submits an application for a provisional license;
(2)
meets the eligibility requirements under
Subsection (a); and
(3) pays any required fee.
(c)
A provisional anatomical supplier license issued under
this section expires not later than the 180th day after the date the
provisional license is issued.
On application, a provisional
anatomical supplier license may be renewed not more than once for a
renewal period not to exceed 180 days.
Sec.
691A.207.
SEROLOGICAL TESTING REQUIRED. For each body
or anatomical specimen an anatomical supplier acquires, the
anatomical supplier shall ensure:
(1)
the body or anatomical specimen receives full
serological testing from a testing laboratory that holds a
certificate issued by the federal Centers for Medicare and Medicaid
Services for compliance with the Clinical Laboratory Improvement
Amendments of 1988 (42 U.S.C. Section 263a);
(2)
the test results described by Subdivision (1) show
no indication of hepatitis B, hepatitis C, or HIV/AIDS; and
(3)
the medical and social history of the individual
whose body or anatomical specimen was donated accompanies the test
results described by Subdivision (1).
SUBCHAPTER F.
RESEARCHER LICENSE, STANDARDS, AND AUTHORIZED USES
Sec.
691A.251.
LICENSE REQUIRED FOR EDUCATION OR RESEARCH
USES. (a)
Except as provided by Subsection (b), a person may not
acquire a body or anatomical specimen to be used for education or
research purposes unless the person:
(1)
holds a researcher license issued under this
subchapter; and
(2)
acquires the body or anatomical specimen from an
anatomical supplier.
(b)
A willed body program that holds a researcher license
may acquire a body or anatomical specimen for uses related to
education or research purposes from any person.
(c)
A researcher may use a body or anatomical specimen only
for education or research purposes.
Sec.
691A.252.
LICENSE ELIGIBILITY. To be eligible for a
researcher license, an applicant must:
(1) be of good professional character;
(2)
comply with commission rules for handling bodies
and anatomical specimens for purposes of education and research;
(3) be:
(A) a willed body program;
(B) a forensic science program;
(C) an anatomical facility;
(D)
a
search and rescue organization or recovery
team;
(E) a surgical center;
(F) a medical device company;
(G) a fixed or mobile medical training facility;
(H) a hospital;
(I)
an organ procurement organization, an eye
bank, or a tissue bank, as defined by Section 692A.002; or
(J)
a meeting facility in a hotel or convention
center;
(4) pay any required fee; and
(5)
meet any other eligibility requirements
established by commission rule for a researcher license under this
subchapter.
Sec.
691A.253.
STANDARDS FOR LICENSING AND OPERATIONS OF
ANATOMICAL FACILITIES. (a)
The commission shall adopt minimum
standards for anatomical facilities licensed as researchers, and
anatomical facilities applying for that license, under this
subchapter.
(b) The standards must require a facility to:
(1)
meet the applicable building, fire safety, and
health standards imposed by this state, and if located in a
municipality, imposed by the municipality for similar facilities;
(2) be in a fixed location;
(3)
include a preparation room containing the
equipment and supplies required by commission rule to ensure the
provision of adequate services;
(4)
be designed to ensure security and respectful
treatment of bodies and anatomical specimens and to restrict public
view of and access to bodies and anatomical specimens;
(5)
include other facilities as necessary to comply
with the applicable sanitary codes of:
(A) this state; and
(B)
the municipality in which the facility is
located, if the facility is located in a municipality; and
(6)
include any other construction, health, and safety
provisions the commission determines necessary to protect the
public and donors.
Sec.
691A.254.
STANDARDS FOR LICENSING AND OPERATION OF
MEETING FACILITY IN HOTELS OR CONVENTION CENTERS. The commission
shall adopt minimum standards for a meeting facility in a hotel or
convention center with respect to:
(1)
the education or research that may be performed in
the facility and the researchers who may perform the education or
research; and
(2)
the facility in which the authorized education or
research may be performed.
Sec.
691A.255.
APPLICATION. A person may apply to the
commission for a researcher license under this subchapter in the
form and manner prescribed by commission rule.
Sec.
691A.256.
LICENSE ISSUANCE. The commission shall
issue a researcher license under this subchapter to an applicant
who:
(1) submits an application;
(2)
meets the applicable eligibility requirements of
this subchapter for the type of entity applying for the license; and
(3) pays any required fee.
Sec.
691A.257.
USE BY WILLED BODY PROGRAM OR FORENSIC
SCIENCE PROGRAM. A willed body program or forensic science program
that holds a researcher license issued under this subchapter may
only use a body or anatomical specimen for education or research
that is:
(1)
conducted by an accredited medical, dental, health
sciences, or forensic science training program supervised by
professionals in educational environments in which knowledge,
skills, and competencies are imparted in accordance with
accrediting standards;
(2)
designed to expand knowledge within one of the
fields listed in Subdivision (1); and
(3)
for research use, formally approved by a
recognized institutional review board or an equivalent ethical
oversight body.
Sec.
691A.258.
USE BY SEARCH AND RESCUE ORGANIZATION OR
RECOVERY TEAM. A search and rescue organization or recovery team
that holds a researcher license issued under this subchapter may
only use a body or anatomical specimen for education or research
purposes that relate to the organization's or team's functions,
including canine cadaver training.
SUBCHAPTER G.
LICENSE RENEWAL
Sec.
691A.301.
LICENSE TERM. A license issued under this
chapter expires not later than the second anniversary of the date
the license was issued, unless the commission establishes an
earlier expiration date for the purpose of staggering license
renewals.
Sec.
691A.302.
RENEWAL APPLICATION. A person who holds a
license under this chapter may apply to the commission to renew the
license.
Sec.
691A.303.
RENEWAL REQUIREMENTS. The commission may
adopt rules for the renewal of a license under this chapter.
SUBCHAPTER H. PRACTICE PROVISIONS FOR LICENSE HOLDERS
Sec.
691A.351.
TRANSPORTATION OF BODIES; RECORDS. (a) The
commission shall adopt rules to ensure that:
(1)
each body or anatomical specimen received or
distributed under this chapter is properly transported;
(2)
a label with a statement that a container's
contents are derived from human tissue is affixed to each container
in which a body or anatomical specimen is transported; and
(3)
each person who has control or possession of a body
or anatomical specimen:
(A)
satisfactorily completes a chain-of-custody
form prescribed by the commission to document the person's control
or possession of the body or anatomical specimen;
(B)
maintains a copy of the form for the person's
records; and
(C)
transfers the form to any other person to
whom control or possession of the body or anatomical specimen is
transferred.
(b)
An anatomical supplier and researcher shall maintain a
copy of each chain-of-custody form required by this section and
submit a copy of each form to the commission.
(c)
Each body or anatomical specimen transferred under this
chapter shall be carefully deposited and transported with the least
possible public display.
(d)
A person who transfers a body or anatomical specimen
under this chapter shall keep on permanent file records that:
(1)
contain a description of the body or anatomical
specimen, including if known the deceased person's name, race and
ethnicity, sex, age, and place and reported cause of death and any
other information available for identification of the body or
anatomical specimen, such as the existence of scars or deformities;
and
(2)
track the possession of the body or anatomical
specimen from intake to final disposition.
(e)
The person who transfers a body or anatomical specimen
under this chapter shall mail or otherwise safely convey to the
person to whom the body is sent a copy of the description of the body
or anatomical specimen required by Subsection (d)(1). The person
receiving the body or anatomical specimen shall immediately and
safely transmit to the transferor a receipt that:
(1)
acknowledges the person received the body or
anatomical specimen; and
(2)
contains the full description of the body or
anatomical specimen provided by the transferor.
(f)
The transferor and receiver of each body or anatomical
specimen shall:
(1)
maintain the records required under this section
in accordance with commission rule; and
(2)
allow the commission or a district or county
attorney to inspect the records described by Subdivision (1) at any
time.
(g)
The commission, in consultation with the advisory
committee, shall adopt rules to enforce the documentation and
labeling requirements of this section for each body and anatomical
specimen distributed or received under this chapter.
Sec.
691A.352.
COSTS OF DISTRIBUTION. A researcher
acquiring a body or anatomical specimen under this chapter from an
anatomical supplier shall pay the costs associated with the
distribution in a manner specified by agreement with the anatomical
supplier regarding the distribution.
Sec.
691A.353.
REQUIRED DOCUMENTATION OF INFORMED CONSENT.
(a) Before a body or anatomical specimen may be acquired under this
chapter, the anatomical supplier or researcher, as applicable,
must:
(1)
obtain verifiable documentation of the voluntary
donation of the body or anatomical specimen under either Section
691A.403 or 691A.404;
(2)
ensure the documentation described by Subdivision
(1) demonstrates clear, informed consent by the deceased, or a
representative of the deceased authorized by law to provide
consent, to donate the body or anatomical specimen for education or
research purposes; and
(3)
submit the documentation described by Subdivision
(1) to the commission.
(b)
The commission by rule may establish a time, not later
than a reasonable date before the date of acquisition, for the
submission of the documentation.
Sec.
691A.354.
FINAL DISPOSITION. (a)
Except as provided
by Subsection (b), a person licensed under this chapter shall
dispose of a body or anatomical specimen acquired under this
chapter after any authorized use either through a third-party
crematory licensed under Subchapter N, Chapter 651, Occupations
Code, or through a crematory owned and operated by a willed body
program.
A person licensed under this chapter may not dispose of a
body or anatomical specimen as medical waste or through the use of
alkaline hydrolysis.
(b)
A researcher shall return a donor's body or anatomical
specimen after use to any person the donor designates or otherwise
dispose of the body or anatomical specimen, in accordance with the
donor agreement.
(c) An anatomical supplier may only:
(1)
distribute a body or anatomical specimen to a
researcher, as provided by Section 691A.201, or to a person
approved under Section 691A.110; or
(2)
dispose of the body or anatomical specimen in
accordance with this section.
(d)
A researcher may only dispose of a body or anatomical
specimen in accordance with this section.
Sec.
691A.355.
INSPECTIONS AND AUDITS. A person licensed
under this chapter shall allow the commission to inspect or audit
the person's facilities, equipment, and records at any time in
connection with the person's activities under this chapter.
Sec.
691A.356.
ABUSE OF CORPSE: REPORT REQUIRED.
To aid
prosecutions under Section 42.08, Penal Code, as soon as possible
after a person becomes aware of the possible abuse of a corpse, the
person shall report the facts, as known, to the commission.
Sec.
691A.357.
LIMITATION OF LIABILITY. (a) A person who
acts in accordance with this chapter, the rules adopted under this
chapter, and the applicable laws for acquiring, distributing,
using, or disposing of bodies or anatomical specimens in this state
is not liable for those actions in a civil action, criminal
prosecution, or administrative proceeding.
(b)
A person who acts in accordance with this chapter and
the rules adopted under this chapter is not liable as a result of
those actions except in the case of an act or omission by the person
that is intentional or constitutes gross negligence.
(c)
A person donating a body or anatomical specimen,
including the person's estate, is not liable for any injury or
damage that results from the donation.
(d)
In determining whether a donation has been made,
amended, or revoked under this chapter, a person may rely on
representations of an individual listed in Section 691A.404(a)(2),
(3), (4), (5), (6), (7), or (8), relating to the individual's
relationship to the donor unless the person knows the
representation is untrue.
SUBCHAPTER I.
DONATION OF BODY OR ANATOMICAL SPECIMEN
Sec.
691A.401.
DONATION AUTHORIZED BEFORE DEATH. A person
may donate a body or anatomical specimen to the following
individuals or entities named in a will or other written
instrument:
(1) a willed body program;
(2) a forensic science program;
(3) a search and rescue organization or recovery team;
(4)
a physician licensed to practice medicine in this
state;
(5) an anatomical facility; or
(6) a person licensed or approved under this chapter.
Sec.
691A.402.
PROHIBITED DONATION OF CERTAIN BODIES;
LIMITED EXCEPTION FOR APPROVED EDUCATION AND RESEARCH. (a)
Notwithstanding any other provision of this chapter except
Subsections (b) and (c), a person is prohibited from donating a body
not claimed for burial or a body required to be buried at public
expense to another person for any reason.
(b)
A donor, by will or other written instrument in
accordance with Section 691A.403, may donate a donor's body to a
person described by Section 691A.401 for use in education or
research.
(c)
A person who is authorized to claim a decedent's body
for burial under Section 691A.452 may provide informed consent for
the body to be donated to a person described by Section 691A.401 for
use in education or research.
(d)
The commission shall adopt rules necessary to implement
this section.
Sec.
691A.403.
DONATION OF BODY OR ANATOMICAL SPECIMEN BY
WRITTEN INSTRUMENT. (a)
An adult living in this state who is of
sound mind may donate the adult's body or anatomical specimen by
will or other written instrument to a person described by Section
691A.401 as authorized by the commission to be used for education or
research purposes.
(b)
A donation is not effective under Subsection (a) unless
the donor provides written informed consent by signing a form
prescribed by the commission in the presence of two adult
witnesses. The form must clearly convey:
(1) the donor's intent; and
(2)
the donor's acknowledgment that the donor was
informed about:
(A)
the consequences of the anatomical donation
before providing consent, including the potential for dividing the
body into anatomical specimens for various uses by different
researchers;
(B)
the intended use of the donated body or
anatomical specimen by the person to whom the body or anatomical
specimen is donated, if known; and
(C)
if applicable, the condition in which the
body or anatomical specimen will be returned to the person
designated by the donor.
(c)
For purposes of Subsection (b), the donor must be
informed in writing about the information described by Subsection
(b)(2) in a clear manner on a single piece of paper that is 8-1/2 by
11 inches with 14-point type. The commission, in consultation with
the advisory committee, by rule shall design and adopt a form that
complies with this subsection and require persons licensed under
this chapter to use the form.
(d)
Appointment of an administrator or executor or issuance
of a court order is not necessary before the body or anatomical
specimen may be acquired under this chapter.
(e)
A donor may specify the use for which the donor's body or
anatomical specimen may be used, including whether the donor's body
is authorized to be divided into anatomical specimens.
(f)
A donor may revoke a donation made under this section by
executing a written instrument in a manner similar to the original
donation.
Sec.
691A.404.
DONATION OF BODY OR ANATOMICAL SPECIMEN
AFTER DONOR'S DEATH. (a) Any member of the following classes of
persons who are reasonably available, in the order of priority
listed, may donate the donor's body or anatomical specimen to a
person specified in Section 691A.401 for a purpose authorized by
this chapter, unless the donor or the donor's agent made a donation
under Section 691A.403, the donor indicated before death the donor
did not want the donor's body donated, or an anatomical gift has
been made in accordance with Section 692A.009:
(1)
an agent of the donor at the time of death who
could have donated the donor's body or anatomical specimen under
Section 691A.403;
(2) the donor's spouse;
(3) adult children of the donor;
(4) parents of the donor;
(5) adult siblings of the donor;
(6) adult grandchildren of the donor;
(7) grandparents of the donor; and
(8)
the persons who were acting as legal guardians of
the donor at the time of the donor's death.
(b)
If more than one member of a class listed in Subsection
(a)(1), (3), (4), (5), (6), (7), or (8) is entitled to donate the
donor's body or anatomical specimen, a member of that class may make
the donation unless that member or the representative of the person
licensed under this chapter who is coordinating the donation has
actual knowledge of an objection by another member of the class. If
an objection is known, the donation may be made only by a majority
of the members of the class who are reasonably available.
(c)
A person may not make a donation if, at the time of the
donor's death, a person in a class with higher priority under
Subsection (a) is reasonably available to make or to object to the
donation.
(d)
A donation is not effective under Subsection (a) unless
the person authorized to donate the donor's body or anatomical
specimen under this section provides written informed consent by
signing a form prescribed by the commission in the presence of two
adult witnesses.
The form must clearly convey:
(1) the person's intent; and
(2)
the person's acknowledgment that the person was
informed about:
(A)
the consequences of the donation before
providing consent;
(B)
the intended use of the donated body or
anatomical specimen by the person to whom the body or anatomical
specimen is donated, if known; and
(C)
if applicable, the condition in which the
body or anatomical specimen will be returned to the person.
(e)
For purposes of Subsection (d), the person or class of
persons authorized to donate the donor's body or anatomical
specimen under this section must be informed in writing about the
information described by Subsection (d)(2) in a clear manner on a
single piece of paper that is 8-1/2 by 11 inches with 14-point type.
The commission, in consultation with the advisory committee, by
rule shall design and adopt a form that complies with this
subsection and require persons licensed under this chapter to use
the form.
(f)
A person who makes a donation under this section may
specify the use for which the donated body or anatomical specimen
may be used, including whether the donated body is authorized to be
divided into anatomical specimens.
(g)
A donation under this section may be revoked orally or
in writing by any member of a class with higher priority under
Subsection (a) who is reasonably available. If more than one member
of the class with higher priority is reasonably available, the
donation may be revoked only if a majority of the reasonably
available members agree to the revocation or if the reasonably
available members are equally divided as to whether to revoke the
donation.
(h)
A revocation under Subsection (g) is effective only
before completion of the donation and the acceptance of the body or
anatomical specimen.
SUBCHAPTER J.
REGULATION OF UNCLAIMED BODIES; AUTOPSY
Sec.
691A.451.
DUTY TO DELIVER CERTAIN BODIES. An officer,
employee, or representative of the state, of a political
subdivision, or of an institution having charge or control of a body
not claimed for burial or a body required to be buried at public
expense shall:
(1)
notify the commission or the commission's
representative of the body's existence when the body comes into the
person's possession, charge, or control if the commission or the
commission's representative provides to the person written notice
of the notification requirement; and
(2)
deliver or dispose of the body in accordance with
the direction of the commission.
Sec.
691A.452.
PERSONS WHO MAY CLAIM BODY FOR BURIAL. (a)
An officer, employee, or representative of the state, of a
political subdivision, or of an institution is not required to give
notice or deliver a body as required by Section 691A.451 if the body
is claimed for burial.
(b)
A relative, bona fide friend, or representative of an
organization to which the deceased belonged may claim the body for
burial. The person in charge of the body shall release the body to
the claimant without requiring payment when the person is satisfied
that the claimed relationship exists.
(c)
A claimant alleging to be a bona fide friend or a
representative of an organization to which the deceased belonged
must present a written statement of the relationship under which
the claimant qualifies as a bona fide friend or organization
representative.
(d)
For purposes of this section, a bona fide friend means a
person who is like a member of the deceased person's family, and
does not include:
(1) an ordinary acquaintance;
(2)
an officer, employee, or representative of the
state or a political subdivision having charge of a body not claimed
for burial or a body required to be buried at public expense;
(3)
an employee of an entity listed in Subdivision (2)
with which the deceased was associated;
(4)
a patient, inmate, or ward of an institution with
which the deceased was associated;
(5)
an officer, employee, or representative of an
institution having charge of a body not claimed for burial or a body
required to be buried at public expense; or
(6)
an employee of an institution with which the
deceased was associated.
(e)
A person described by Subsection (d)(4), (5), or (6) may
qualify as a bona fide friend if the friendship existed before the
deceased entered the institution.
Sec.
691A.453.
PROCEDURE AFTER DEATH. (a) If a body is not
claimed for burial immediately after death, the body shall be
embalmed within 24 hours.
(b)
For 72 hours after death, the person in charge of the
institution having charge or control of the body shall make a
reasonable effort to find a relative of the deceased and notify the
relative of the death. If the person is not able to find a relative,
the person shall file with the county clerk an affidavit stating
that the person has made a diligent inquiry to find a relative and
stating the inquiry the person made.
Sec.
691A.454.
BODY OF TRAVELER. (a)
If an unclaimed body
is the body of a traveler who died suddenly, the commissioners court
of the county in which the traveler died shall retain possession of
the body until the earlier of the six months after the date of the
traveler's death or the date the body is identified and claimed.
(b)
The county may inter a body described by Subsection (a)
before the expiration of the period described by that subsection
provided the county disinters the body as necessary for
identification purposes during that period.
Sec.
691A.455.
AUTOPSY. Except as otherwise provided by
law, only the commission may grant permission to perform an autopsy
on an unclaimed body.
The commission may grant permission after
receiving a specific request for an autopsy that shows sufficient
evidence of medical urgency.
SUBCHAPTER K.
ENFORCEMENT
Sec.
691A.501.
LICENSE DENIAL, RENEWAL, SUSPENSION,
REVOCATION.
(a)
Under procedures provided by Chapter 651,
Occupations Code, the commission may refuse to issue or renew,
suspend, revoke, or probate the suspension of a license, or
reprimand a license holder, under this chapter if the commission
determines that:
(1)
a person violated this chapter or a rule adopted
under this chapter, including improper use of a body or anatomical
specimen; or
(2)
for an applicant for a license under this chapter,
the applicant fails to meet the eligibility requirements for the
license.
(b)
Notwithstanding this section or Section 2001.054,
Government Code, a license under this chapter is not valid during
the pendency of an appeal of a decision to refuse to issue, renew,
suspend, or revoke the license.
Sec.
691A.502.
CRIMINAL PENALTY: UNLICENSED PRACTICE;
ACQUISITION; DISTRIBUTION; USE.
(a)
A person commits an offense if
the person violates Section 691A.201 or 691A.251.
(b) An offense under this section is a state jail felony.
Sec.
691A.503.
ADMINISTRATIVE PENALTY. The commission may
assess an administrative penalty on a person who violates this
chapter or a rule adopted under this chapter in an amount not to
exceed $5,000 per violation under procedures provided by Subchapter
L, Chapter 651, Occupations Code.
Sec.
691A.504.
DEFENSE TO ABUSE OF CORPSE. It is a defense
to prosecution under Section 42.08, Penal Code, that the actor
engaged in activities authorized by this chapter in a manner that
complies with this chapter and the rules adopted under this
chapter.
SECTION 2. Section 692A.002, Health and Safety Code, is
amended by adding Subdivision (3-a) to read as follows:
(3-a)
"Commission" means the Texas Funeral Service
Commission.
SECTION 3. Chapter 692A, Health and Safety Code, is amended
by adding Section 692A.0035 to read as follows:
Sec.
692A.0035.
LICENSE REQUIRED FOR WILLED BODY PROGRAM.
A person may not acquire an anatomical gift as part of a willed body
program, as defined by Section 691A.001, in this state unless the
program is licensed under Chapter 691A.
SECTION 4. Section 692A.009(a), Health and Safety Code, is
amended to read as follows:
(a) Subject to Subsections (b) and (c) and unless barred by
Section 692A.007 or Section 692A.008, an anatomical gift of a
decedent's body or part for the purpose of transplantation
or
[
,
]
therapy[
, research, or education
] may be made by any member of the
following classes of persons who is reasonably available, in the
order of priority listed:
(1) an agent of the decedent at the time of death who
could have made an anatomical gift under Section 692A.004(2)
immediately before the decedent's death;
(2) the spouse of the decedent;
(3) adult children of the decedent;
(4) parents of the decedent;
(5) adult siblings of the decedent;
(6) adult grandchildren of the decedent;
(7) grandparents of the decedent;
(8) an adult who exhibited special care and concern
for the decedent;
(9) the persons who were acting as the guardians of the
person of the decedent at the time of death;
(10) the hospital administrator; and
(11) any other person having the authority to dispose
of the decedent's body.
SECTION 5. Sections 692A.011(a) and (b), Health and Safety
Code, are amended to read as follows:
(a) An anatomical gift may be made to the following persons
named in the document of gift:
(1) an organ procurement organization to be used for
transplantation, therapy, research, or education;
(2) a hospital to be used for research;
(3) subject to Subsection (d), an individual
designated by the person making the anatomical gift if the
individual is the recipient of the part;
(4) an eye bank or tissue bank[
, except that use of a
gift of a whole body must be coordinated through the Texas Funeral
Service Commission
];
(5) a forensic science program
licensed by the
commission under Chapter 691A
at:
(A) a general academic teaching institution as
defined by Section 61.003, Education Code; or
(B) a private or independent institution of
higher education as defined by Section 61.003, Education Code;
(6) a search and rescue organization or recovery team
licensed under Chapter 691A
[
that is recognized by the Texas
Funeral Service Commission, is exempt from federal taxation under
Section 501(c)(3), Internal Revenue Code of 1986, and uses human
remains detection canines with the authorization of a local or
county law enforcement agency
];
(7)
a willed body program licensed under Chapter 691A
[
the Texas Funeral Service Commission
]; or
(8)
an anatomical supplier licensed under Chapter 691A
[
a non-transplant anatomical donation organization
].
(b)
A person described by Subsection (a) may acquire
[
Except
for donations described by Subsections (a)(1) through (6), the
Texas Funeral Service Commission or a non-transplant anatomical
donation organization shall be the donee of
] gifts of bodies or
parts of bodies made for the purpose of education or research that
are subject to distribution [
by the commission or organization
]
under Chapter
691A only if the person holds the appropriate license
issued under that chapter
[
691
].
SECTION 6. Section 711.002, Health and Safety Code, is
amended by amending Subsection (k) and adding Subsection (k-1) to
read as follows:
(k) Any dispute among any of the persons listed in
Subsection (a) concerning their right to control the disposition,
including cremation, of a decedent's remains shall be resolved by a
court with jurisdiction over probate proceedings for the decedent,
regardless of whether a probate proceeding has been initiated.
(k-1)
A cemetery organization or funeral establishment
that
is aware of a dispute described by Subsection (k) is
[
shall
] not
[
be
] liable for refusing to accept the decedent's remains, or to
inter or otherwise dispose of the decedent's remains, until it
receives a court order or other suitable confirmation that the
dispute has been resolved or settled.
A cemetery organization or
funeral establishment that is unaware of a dispute described by
Subsection (k) is not liable for disposing of the decedent's
remains if the organization or establishment:
(1)
reasonably relies in good faith on the
representations of a person who states in writing that the person is
entitled to control the disposition of the decedent's remains;
(2)
disposes of the decedent's remains in accordance
with the written directions of the person described by Subdivision
(1); and
(3)
is unaware, after inquiring of the person
described by Subdivision (1), of another person who is listed in a
priority before the person described by Subdivision (1).
SECTION 7. Section 651.005, Occupations Code, is amended to
read as follows:
Sec. 651.005. REGULATION OF
CERTAIN LICENSED PERSONS
[
WILLED BODY PROGRAMS, NON-TRANSPLANT ANATOMICAL DONATION
ORGANIZATIONS, AND ANATOMICAL FACILITIES
]. The commission shall
regulate
persons licensed under Chapter 691A, Health and Safety
Code,
[
willed body programs, non-transplant anatomical donation
organizations,
] and anatomical facilities as provided by
that
chapter
[
Chapter 691, Health and Safety Code,
] and in accordance
with the powers and duties granted by this chapter to the extent
necessary to regulate
those persons
[
the programs, organizations,
and facilities under that chapter
].
SECTION 8. Section 651.202, Occupations Code, is amended by
adding Subsection (g) to read as follows:
(g)
Notwithstanding any other provision of this section, a
commission employee may dismiss a complaint without further
investigation under Subsection (c) if:
(1)
the subject matter of the complaint is a funeral
service provided under a contract with a license holder and the
complainant is not:
(A) a party to the contract; or
(B)
the person entitled under Section
711.002(a), Health and Safety Code, to control the disposition of
the remains of the decedent to whom the service relates; or
(2)
regardless of the subject matter of the complaint,
the complaint is not accompanied by substantial evidence of a
violation of a statute administered by the commission.
SECTION 9. Section 651.407(f), Occupations Code, is amended
to read as follows:
(f) This section does not apply to a dead human body
obtained by a school or college of mortuary science under Chapter
691A
[
691
] or 692A, Health and Safety Code.
SECTION 10. Subchapter I, Chapter 651, Occupations Code, is
amended by adding Section 651.411 to read as follows:
Sec.
651.411.
SCOPE OF SERVICE INVOLVING CERTAIN ANATOMICAL
GIFTS. The commission by rule may prescribe the minimum
requirements for a licensed funeral establishment to provide a
service in relation to an anatomical gift made under Chapter 691A or
692A, Health and Safety Code, that is not intended for
transplantation, including requirements for the storage or
transportation of the anatomical gift.
SECTION 11. Section 411.12507(a), Government Code, is
amended to read as follows:
(a) The Texas Funeral Service Commission is entitled to
obtain criminal history record information as provided by
Subsection (b) that relates to:
(1) a person who is:
(A) an applicant for a license or certificate
under Sections 651.259 and 651.302, Occupations Code; or
(B) the holder of a license or certificate under
Chapter 651, Occupations Code;
(2) an applicant for a license or a license holder
under
Chapter 691A, Health and Safety Code, or
Chapter 651,
Occupations Code;
(3) an applicant for employment at or current employee
of the Texas Funeral Service Commission; or
(4) a person authorized to access vital records or the
vital records electronic registration system under Chapter 191,
Health and Safety Code, or a funeral director.
SECTION 12. Chapter 691, Health and Safety Code, is
repealed.
SECTION 13. Chapter 691A, Health and Safety Code, as added
by this Act, applies to the donation of a body or anatomical
specimen by will or other written instrument executed on or after
the effective date of this Act. The donation of a body or
anatomical specimen by will or other written instrument that is
executed before the effective date of this Act is governed by the
law as it existed immediately before that date, and that law is
continued in effect for that purpose.
SECTION 14. Notwithstanding Section 691A.105, Health and
Safety Code, as added by this Act, the Texas Funeral Service
Commission is not required before December 1, 2027, to:
(1) adopt rules requiring license holders to comply
with that section with respect to issuing unique identifiers; or
(2) maintain records in a searchable database.
SECTION 15. As soon as practicable after the effective date
of this Act, but not later than March 1, 2026, the Texas Funeral
Service Commission shall adopt rules necessary to implement
Chapters 691A and 692A, Health and Safety Code, and Chapter 651,
Occupations Code, as added or amended by this Act.
SECTION 16. Sections 691A.501, 691A.502, and 691A.503,
Health and Safety Code, as added by this Act, take effect January 1,
2026.
SECTION 17. Except as otherwise provided by this Act, this
Act takes effect September 1, 2025.