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H.B. 399 Enrolled





Chief Sponsor: Bradley G. Last

Senate Sponsor: Ralph Okerlund

             7      LONG TITLE
             8      General Description:
             9          This bill amends the Health Care Providers Immunity from Liability Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    makes technical amendments;
             13          .    amends the definition of health care provider; and
             14          .    amends the definition of remuneration to clarify that a charitable contribution is not
             15      considered payment to the facility.
             16      Monies Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          None
             20      Utah Code Sections Affected:
             21      AMENDS:
             22          58-13-3, as last amended by Laws of Utah 2006, Chapter 239
             24      Be it enacted by the Legislature of the state of Utah:
             25          Section 1. Section 58-13-3 is amended to read:
             26           58-13-3. Qualified immunity -- Health professionals -- Charity care.
             27          (1) (a) (i) The Legislature finds many residents of this state do not receive medical
             28      care and preventive health care because they lack health insurance or because of financial
             29      difficulties or cost.

             30          (ii) The Legislature also finds that many physicians, charity health care facilities, and
             31      other health care professionals in this state would be willing to volunteer medical and allied
             32      services without compensation if they were not subject to the high exposure of liability
             33      connected with providing these services.
             34          (b) The Legislature therefore declares that its intention in enacting this section is to
             35      encourage the provision of uncompensated volunteer charity health care in exchange for a
             36      limitation on liability for the health care facilities and health care professionals who provide
             37      those volunteer services.
             38          (2) As used in this section:
             39          (a) "Health care facility" means any clinic or hospital, church, or organization whose
             40      primary purpose is to sponsor, promote, or organize uncompensated health care services for
             41      people unable to pay for health care services.
             42          (b) "Health care professional" means [individuals licensed under Title 58, Occupations
             43      and Professions, as physicians and surgeons, osteopaths, physician assistants, podiatrists,
             44      optometrists, chiropractors, dentists, dental hygienists, registered nurses, certified nurse
             45      midwives, other nurses licensed under Section 58-31b-301 , and licensed Direct-entry
             46      midwives.] a person licensed under:
             47          (i) Chapter 5a, Podiatric Physician Licensing Act;
             48          (ii) Chapter 16a, Utah Optometry Practice Act;
             49          (iii) Chapter 17b, Pharmacy Practice Act;
             50          (iv) Chapter 24a, Physical Therapist Practice Act;
             51          (v) Chapter 31b, Nurse Practice Act;
             52          (vi) Chapter 40, Recreational Therapist Practice Act;
             53          (vii) Chapter 41, Speech-language Pathology and Audiology Licensing Act;
             54          (viii) Chapter 42a, Occupational Therapy Practice Act;
             55          (ix) Chapter 44a, Nurse Midwife Practice Act;
             56          (x) Chapter 49, Dietician Certification Act;
             57          (xi) Chapter 60, Mental Health Professional Practice Act;

             58          (xii) Chapter 67, Utah Medical Practice Act;
             59          (xiii) Chapter 68, Utah Osteopathic Medical Practice Act;
             60          (xiv) Chapter 69, Dentist and Dental Hygienist Practice Act;
             61          (xv) Chapter 70a, Physician Assistant Act; and
             62          (xvi) Chapter 73, Chiropractic Physician Practice Act.
             63          (c) "Remuneration or compensation":
             64          (i) (A) means direct or indirect receipt of any payment by [the physician and surgeon,
             65      health care facility, other] a health care professional[,] or [organization,] health care facility on
             66      behalf of the patient, including payment or reimbursement under medicare or medicaid, or
             67      under the state program for the medically indigent on behalf of the patient; and
             68          (B) compensation, salary, or reimbursement to the health care professional from any
             69      source for the health care professional's services or time in volunteering to provide
             70      uncompensated health care; and
             71          (ii) does not mean:
             72          (A) any grant or donation to the health care facility used to offset direct costs
             73      associated with providing the uncompensated health care such as:
             74          (I) medical supplies [or];
             75          (II) drugs[.]; or
             76          (III) a charitable donation that is restricted for charitable services at the health care
             77      facility; or
             78          (B) incidental reimbursements to the volunteer such as:
             79          (I) food supplied to the volunteer;
             80          (II) clothing supplied to the volunteer to help identify the volunteer during the time of
             81      volunteer services;
             82          (III) mileage reimbursement to the volunteer; or
             83          (IV) other similar support to the volunteer.
             84          (3) A health care professional who provides health care treatment at or on behalf of a
             85      health care facility is not liable in a medical malpractice action if:

             86          (a) the treatment was within the scope of the health care professional's license under
             87      this title;
             88          (b) neither the health care professional nor the health care facility received
             89      compensation or remuneration for the treatment;
             90          (c) the acts or omissions of the health care professional were not grossly negligent or
             91      willful and wanton; and
             92          (d) prior to rendering services, the health care professional disclosed in writing to the
             93      patient, or if a minor, to the patient's parent or legal guardian, that the health care professional
             94      is providing the services without receiving remuneration or compensation and that in
             95      exchange for receiving uncompensated health care, the patient consents to waive any right to
             96      sue for professional negligence except for acts or omissions which are grossly negligent or are
             97      willful and wanton.
             98          (4) A health care facility which sponsors, promotes, or organizes the uncompensated
             99      care is not liable in a medical malpractice action for acts and omissions if:
             100          (a) the health care facility meets the requirements in Subsection (3)(b);
             101          (b) the acts and omissions of the health care facility were not grossly negligent or
             102      willful and wanton; and
             103          (c) the health care facility has posted, in a conspicuous place, a notice that in
             104      accordance with this section the health care facility is not liable for any civil damages for acts
             105      or omissions except for those acts or omissions that are grossly negligent or are willful and
             106      wanton.
             107          (5) Immunity from liability under this section does not extend to the use of general
             108      anesthesia or care that requires an overnight stay in a general acute or specialty hospital
             109      licensed under Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act.

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