89R4981 DNC-D     By: Goodwin H.B. No. 2676       A BILL TO BE ENTITLED   AN ACT   relating to abnormal skin growth education for certain occupational   license holders and to the liability of those license holders and   their employers for certain medical referrals.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subchapter D, Chapter 201, Occupations Code, is   amended by adding Section 201.165 to read as follows:          Sec. 201.165.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The   board by rule shall approve coursework in abnormal skin growth for   purposes of Section 201.357.          (b)  Coursework approved under Subsection (a) must include   training in identifying melanoma.          (c)  An entity approved by the board to provide coursework   under Subsection (a) shall issue a certificate of completion to   each individual who successfully completes the coursework.          SECTION 2.  Subchapter H, Chapter 201, Occupations Code, is   amended by adding Section 201.357 to read as follows:          Sec. 201.357.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK   REQUIRED. (a) Except as provided by Subsection (b), the board may   not issue an initial or renewal license to a person under this   chapter unless the person completes a course approved by the board   under Section 201.165 in abnormal skin growth education, including   training on identifying melanoma. Each applicant for issuance or,   if applicable, renewal of a license must provide proof of   completion of the course.          (b)  A person who satisfies the requirements of Subsection   (a) is not required to complete additional coursework described by   that subsection for the subsequent renewal of that person's   license.          SECTION 3.  Subchapter J, Chapter 201, Occupations Code, is   amended by adding Section 201.454 to read as follows:          Sec. 201.454.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING   ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A   person licensed under this chapter who has completed coursework   approved by the board under Section 201.165 may refer an individual   to seek care from a medical professional regarding an abnormal skin   growth.          (b)  A person licensed under this chapter who has completed   coursework approved by the board under Section 201.165 or the   person's employer may not be civilly or criminally liable for   acting in good faith or for failing to act on information obtained   during the course of practicing the person's profession or acting   within the scope of the person's employment concerning potential   abnormal skin growths.          (c)  This section may not be construed to create a cause of   action or civil liability or to require or authorize a person   licensed under this chapter to practice medicine or otherwise   practice outside of the license holder's scope of practice.          SECTION 4.  Subchapter B, Chapter 455, Occupations Code, is   amended by adding Section 455.060 to read as follows:          Sec. 455.060.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The   commission by rule shall approve coursework in abnormal skin growth   for purposes of Section 455.162.          (b)  Coursework approved under Subsection (a) must include   training in identifying melanoma.          (c)  An entity approved by the commission to provide   coursework under Subsection (a) shall issue a certificate of   completion to each individual who successfully completes the   coursework.          SECTION 5.  Subchapter D, Chapter 455, Occupations Code, is   amended by adding Section 455.162 to read as follows:          Sec. 455.162.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK   REQUIRED. (a) Except as provided by Subsection (b), the commission   may not issue an initial or renewal license to a person under this   chapter unless the person completes a course approved by the   commission under Section 455.060 in abnormal skin growth education,   including training on identifying melanoma. Each applicant for   issuance or, if applicable, renewal of a license must provide proof   of completion of the course.          (b)  A person who satisfies the requirements of Subsection   (a) is not required to complete additional coursework described by   that subsection for the subsequent renewal of that person's   license.          SECTION 6.  Subchapter E, Chapter 455, Occupations Code, is   amended by adding Section 455.208 to read as follows:          Sec. 455.208.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING   ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A   person licensed under this chapter who has completed coursework   approved by the commission under Section 455.060 may refer an   individual to seek care from a medical professional regarding an   abnormal skin growth.          (b)  A person licensed under this chapter who has completed   coursework approved by the commission under Section 455.060 or the   person's employer may not be civilly or criminally liable for   acting in good faith or for failing to act on information obtained   during the course of practicing the person's profession or acting   within the scope of the person's employment concerning potential   abnormal skin growths.          (c)  This section may not be construed to create a cause of   action or civil liability or to require or authorize a person   licensed under this chapter to practice medicine or otherwise   practice outside of the license holder's scope of practice.          SECTION 7.  Subchapter C, Chapter 1603, Occupations Code, is   amended by adding Section 1603.107 to read as follows:          Sec. 1603.107.  COURSEWORK IN ABNORMAL SKIN GROWTH. (a) The   commission by rule shall approve coursework in abnormal skin growth   for purposes of Section 1603.2110.          (b)  Coursework approved under Subsection (a) must include   training in identifying melanoma.          (c)  An entity approved by the commission to provide   coursework under Subsection (a) shall issue a certificate of   completion to each individual who successfully completes the   coursework.          SECTION 8.  Subchapter E-1, Chapter 1603, Occupations Code,   is amended by adding Sections 1603.2110 and 1603.2111 to read as   follows:          Sec. 1603.2110.  COMPLETION OF ABNORMAL SKIN GROWTH   COURSEWORK REQUIRED. (a) Except as provided by Subsection (b), the   commission may not issue an initial or renewal individual   practitioner license to a person under this chapter unless the   person completes a course approved by the commission under Section   1603.107 in abnormal skin growth education, including training on   identifying melanoma. Each applicant for issuance or, if   applicable, renewal of a license must provide proof of completion   of the course.          (b)  A person who satisfies the requirements of Subsection   (a) is not required to complete additional coursework described by   that subsection for the subsequent renewal of that person's   license.          Sec. 1603.2111.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING   ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A   person licensed under this chapter who has completed coursework   approved by the commission under Section 1603.107 may refer an   individual to seek care from a medical professional regarding an   abnormal skin growth.          (b)  A person licensed under this chapter who has completed   coursework approved by the commission under Section 1603.107 or the   person's employer may not be civilly or criminally liable for   acting in good faith or for failing to act on information obtained   during the course of practicing the person's profession or acting   within the scope of the person's employment concerning potential   abnormal skin growths.          (c)  This section may not be construed to create a cause of   action or civil liability or to require or authorize a person   licensed under this chapter to practice medicine or otherwise   practice outside of the license holder's scope of practice.          SECTION 9.  Not later than December 1, 2025, the Texas Board   of Chiropractic Examiners and the Texas Commission of Licensing and   Regulation shall adopt the rules necessary to implement this Act.          SECTION 10.  Sections 201.357, 455.162, and 1603.2110,   Occupations Code, as added by this Act, apply only to the issuance   of a license for which an application was submitted on or after   June 1, 2026, or to the renewal of a license that expires on or after   that date. The issuance of a license for which an application was   submitted before June 1, 2026, or the renewal of a license that   expires before that date is governed by the law in effect on the   date the application was submitted or the license expired, and the   former law is continued in effect for that purpose.          SECTION 11.  This Act takes effect September 1, 2025.