By: Parker S.B. No. 2517               A BILL TO BE ENTITLED   AN ACT   relating to the regulation of human body acquisition services and   authorized recipients.          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 692B to read as follows:   CHAPTER 692B. HUMAN BODY ACQUISITION SERVICES AND AUTHORIZED    RECIPIENTS           Sec. 692B.001.  DEFINITIONS. In this chapter:                 (1)  "Authorized recipient" means a person or facility   located in this state that in accordance with state law obtains a   whole body, body segment, or nontransplant anatomical part from a   human body acquisition service.                (2)  "Commission" means the Funeral Service Commission   of the State of Texas.                 (3)  "Body" means the intact corporeal remains of a   human.                (4)  "Body segment" means a portion of a whole body   detached for purposes of study, evaluation, education, or research   and composed of contiguous mixed tissues with relationships altered   only at the segment boundaries.                (5)  "Human body acquisition service" means a person or   facility that solicits, retrieves, performs donor selection on,   preserves, transports, allocates, distributes, acquires,   processes, stores, or arranges storage for whole bodies, body   segments, or nontransplant anatomical parts, solely for education   or research purposes.                (6)  "Nontransplant anatomical part" means a part   donated for a purpose other than transplantation.                (7)  "Part" has the meaning assigned by Section   692A.002.           Sec. 692B.002.  RULES. To protect the public health,   safety, and welfare, the commission may adopt the rules necessary   to implement and enforce this chapter.           Sec. 692B.003.  INFORMED CONSENT REQUIRED. (a) A human body   acquisition service may accept a donation of a whole body, body   segment, or nontransplant anatomical part only if the service   obtains documented informed consent to the donation from a person   authorized to consent to the donation in accordance with Chapter   692A.           (b)  The informed consent document for a donation governed by   this chapter must:                 (1)  identify the authorized recipient of the donation;                 (2)  indicate whether the gift is of the whole body or   is limited to specified identifiable body segments or nontransplant   anatomical parts; and                 (3)  clearly specify the authorized uses of the donated   body, segments, or parts.          (c)  The human body acquisition service shall electronically   record or document in writing any consent obtained by telephone.   The service shall transcribe an electronically recorded telephone   consent into a written consent document before using a whole body,   body segment, or nontransplant anatomical part for education or   research.           (d)  Except as provided by Section 692B.004, a human body   acquisition service may only use or transfer a whole body, body   segment, or nontransplant anatomical part for a purpose specified   in the informed consent document.           Sec. 692B.004.  PRESUMPTION FOR RECIPIENT OF UNSPECIFIED   DONATION.  (a)  Unless specific direction is provided in an informed   consent document for a donation of a whole body, body segment, or   nontransplant anatomical part, the donated body, segment, or part   is presumed to be donated to the commission or another person   authorized to receive the body of a deceased person under Chapter   691 or 692A.           (b)  The commission or person may transfer or authorize the    transfer of the whole body, body segment, or nontransplant   anatomical part to another person authorized to receive an   anatomical gift under Chapter 691 or 692A for purposes of:                 (1)  medical or dental education;                 (2)  medical or dental research; or                 (3)  the advancement of medical or dental science,   therapy, or transplantation.           Sec. 692B.005.  RETRIEVAL AND ACQUISITION OF NONTRANSPLANT   ANATOMICAL PARTS.  (a) A nontransplant anatomical part may be   retrieved only on the premises of:                (1)  a hospital licensed under Chapter 241; or                 (2)  a human body acquisition service in accordance   with this section.           (b)  A whole body, body segment, or nontransplant anatomical   part may be retrieved, acquired, distributed, transported, or used   only for a purpose authorized by Chapter 691 or 692A. For the   purposes of this section, the term "research" as used in Section   692A.011 is limited to research conducted in accordance with   accepted research protocols designed to improve the public health,   safety, and welfare.           Sec. 692B.006.  HUMAN BODY ACQUISITION SERVICE: PERSONNEL,   SPACE, AND RECORD REQUIREMENTS.  (a)  A human body acquisition   service shall employ:                 (1)  a director who holds a graduate degree in anatomy   or the health sciences;                 (2)  a technician, morgue attendant, diener, or   licensed funeral director who is responsible for the preparation,   care, and maintenance of whole bodies, body segments, and   nontransplant anatomical parts; and                (3)  at least one support staff member other than the   director, but who may be an individual described by Subdivision   (2), who is responsible for recordkeeping.          (b)  A human body acquisition service must have a dedicated,   secure, and restricted space to prepare whole bodies and body   segments for research or education purposes. The service shall   limit access to the space to only individuals directly associated   with receipt and preparation of whole bodies or body segments. The   space must include:                 (1)  a working sink and adequate counter space for   preparation of whole bodies or body segments;                 (2)  suitable space to store chemicals and materials   used in preparation of whole bodies or body segments;                 (3)  counters, tables, and cabinetry built of material   easily disinfected and cleaned;                 (4)  a refrigerated storage room, walk-in cooler, or   cadaver drawer cooler, dedicated solely to storage of whole bodies   or body segments and with lockable access doors and alarms to signal   intrusion or unacceptable temperature deviation;                 (5)  a device approved by the Occupational Safety and   Health Administration for handling, lifting, and internal   transportation of whole bodies or body segments;                 (6)  eye wash stations approved by the Occupational   Safety and Health Administration;                 (7)  if embalming is performed, a morgue compliant with   federal and state standards; and                 (8)  if cremation is performed, a crematory compliant   with federal and state standards.           (c)  A human body acquisition service shall maintain   complete and accurate records of each donation made to the service.   The records must include:                 (1)  for:                      (A)  a whole body, identification of the deceased   individual; or                      (B)  a body segment, a description and source of   the body segment;                 (2)  documentation of unclaimed acquisitions, death   certificates, and burial transit permits associated with receipt   and use of a whole body or body segment;                 (3)  documentation of the facilities and institutions   to which the whole bodies or body segments are transferred or of any   other disposition;                 (4)  a copy of any contract or letter of agreement   between the service and an authorized recipient; and                (5)  documentation of the intended method of final   disposition of the whole body or body segment.           Sec. 692B.007.  TRANSFER OF WHOLE BODIES, BODY SEGMENTS, AND   NONTRANSPLANT ANATOMICAL PARTS. (a) A transfer of a whole body,   body segment, or nontransplant anatomical part shall be conducted   in compliance with existing state laws and standards. The   burial-transit permit issued under Section 193.008, or written   documentation of the source and a description of the body segment   or nontransplant anatomical part, shall accompany each whole body,   body segment, or nontransplant anatomical part.           (b)  A human body acquisition service shall maintain a copy   of the properly executed burial transit permit for each whole body   transferred to or by the service.           Sec. 692B.008.  AUTHORIZED RECIPIENT:  PERSONNEL, SPACE, AND   RECORD REQUIREMENTS. (a) An authorized recipient shall store and   use whole bodies and body segments solely for education or research   purposes. Unless another lawful donee is specified in the donor   informed consent document, the authorized recipient of a whole   body donated for education purposes shall be a person authorized to   receive the bodies of deceased persons under Chapter 691.           (b)  An authorized recipient may not transfer a whole body or   body segment to any other entity, except as authorized in writing by   the commission or the human body acquisition service from which the   body or segment was obtained.           (c)  An authorized recipient shall employ at least one staff   member who holds a graduate degree in the health sciences and has   successfully completed training specific to human dissection or the   activity to be performed.           (d)  The dissection or other authorized use of a whole body   or body segment may occur only in dedicated rooms on the premises   listed on the certificate of formation of the authorized recipient   or at an off-site location approved by the commission or the   director of the human body acquisition service from which a whole   body or body segment was obtained. The rooms must:                       (1)  be equipped with lockable doors and acces   restricted to only individuals directly associated with the   dissection or other authorized use;                      (2)  be isolated from public view;                       (3)  be of sufficient size and construction with   equipment suitable to ensure safe and respectful handling of whole   bodies and body segments;                       (4)  be equipped with tables designed for   dissection of whole bodies or other work spaces appropriate for the   specific authorized activity to be performed;                       (5)  contain a working sink and adequate counter   space to ensure the safety of individuals involved in using whole   bodies and body segments in dissection or another authorized use;                       (6)  contain surfaces constructed of nonporous   materials;                       (7)  include eye wash stations approved by the   Occupational Safety and Health Administration; and                       (8)  include facilities to store any necessary   chemicals in accordance with Occupational Safety and Health   Administration guidelines.           (e)  An authorized recipient shall maintain complete and   accurate records of receipt, use, and disposition of whole bodies,   body segments, and nontransplant anatomical parts. The records must   include:                 (1)  for:                       (A)  a whole body, an identification of the   deceased individual; or                       (B)  a body segment or nontransplant anatomical   part, a description and source of the segment or part;                 (2)  a copy of any contract or letter of agreement   between the human body acquisition service and authorized   recipient;                 (3)  documentation of the final disposition method for   a whole body or body segment; and                 (4)  for a whole body transfer, a copy of a properly   executed burial-transit permit.           Sec. 692B.009.  DISPOSITION OF WHOLE BODIES, BODY SEGMENTS,   AND NONTRANSPLANT ANATOMICAL PARTS. (a) An authorized recipient   shall dispose of whole body remains, body segments, and   nontransplant anatomical parts in accordance with existing state   laws and standards for disposition of regulated medical waste.                 (b)  An authorized recipient may return a whole body or   body segment to the human body acquisition service from which the   recipient originally obtained the body or segment.                (c)  Disposition of a whole body or body segment shall   be consistent with instructions provided in the informed consent   document.           Sec. 692B.010.  SAFETY AND INFECTION CONTROL POLICIES AND   PROCEDURES. (a) A human body acquisition service or authorized   recipient shall implement written safety and infection control   policies and procedures to ensure protection from unnecessary   physical, chemical, and biological hazards.           (b)  A human body acquisition service or authorized   recipient shall implement decontamination and disposal techniques   for regulated medical waste and ensure hazardous and regulated   waste materials are handled, stored, and discarded in accordance   with Section 361.0905 and any other applicable state law.           (c)  A human body acquisition service or authorized   recipient shall record and maintain the pressure, temperature, and   duration of each autoclave sterilization cycle until at least the   first anniversary of the sterilization date. The service or   recipient shall:                 (1)  ensure the pressure, temperature, and duration for   each cycle is within the manufacturer's recommended operating   procedures and if any parameter falls outside the manufacturer's   standards, rerun the cycle for all material included in the cycle;   and                (2)  use chemical, biological, and physical detection   systems in conjunction with the other autoclave performance   measurements listed in Subdivision (1).                 (d)  A staff member may not eat, drink, smoke, apply   cosmetics, or apply contact lenses in a work area subject to this   section of a human body acquisition service or authorized   recipient.                 (e)  A human body acquisition service or authorized   recipient may not use for any other purpose a refrigerator or   freezer used to store nontransplant anatomical parts or reagents.           (f)  Each staff member who handles a nontransplant   anatomical part:                      (1)  shall wear gloves and laboratory coats,   gowns, or other protective clothing sufficient to protect against   the transmission of disease and exposure to toxic substances;                       (2)  may not wear protective clothing outside the   work area; and                      (3)  shall dispose of protective clothing in an   appropriate receptacle.           Sec. 692B.011.  REPORT TO COMMISSION. On request, a human   body acquisition service or authorized recipient shall submit to   the commission reports on the service's or user's activities as may   be required by this chapter or commission rule.  The director of the   human body acquisition service or authorized recipient shall sign   each report.           Sec. 692B.012. ENFORCEMENT AND PENALTIES. (a)  Each human   body acquisition service and authorized recipient is subject to   regulation, including commission investigations and enforcement,   under Chapter 691.           (b)  A person who violates this chapter is subject to the   enforcement and penalties authorized under Chapter 691 as if the   person violated or failed to perform a duty imposed under that   chapter.           SECTION 2.  Chapter 692B, Health and Safety Code, as added by   this Act, applies only to conduct that is subject to regulation,   enforcement, and penalties under that chapter that occurs on or   after the effective date of this Act. Conduct that occurs before   that date is governed by the law in effect on the date the conduct   occurred, and the former law is continued in effect for that   purpose.          SECTION 3.  This Act takes effect September 1, 2023.