TITLE health-services

Part VII. Texas Medical Disclosure Panel

Chapter 601. Informed Consent

25 TAC §§601.4, 601.6, 601.8

The Texas Medical Disclosure Panel (panel), by majority vote of the panel on January 13, 1998, enters this order finally adopting amendments to §601.4 and §601.6, and adopting new §601.8, concerning informed consent with changes to text as published in the October 31, 1997, issue of the Texas Register (22 TexReg 10615). The proposed amendments and new section were published in the October 17, 1997, issue of the Texas Register (22 TexReg 10236) in error without the proposed disclosure and consent forms, and with the wrong certifying official. The proposal was republished correctly in the October 31, 1997.

Section 601.4 adopts the form to be used to inform a patient or person authorized to consent for the patient of the possible risks and hazards involved in the medical treatments and surgical procedures named on the form. The amendment to §601.4 adds language providing exceptions to using the general disclosure and consent form. The language addresses the exceptions to using the general disclosure and consent form for radiation therapy, electroconvulsive therapy, and the new exception, hysterectomy procedures. There are no changes to the disclosure and consent form for medical and surgical procedures. Section 601.4(a) is adopted with minor clarification changes.

Section 601.6 provides a history of rule actions. The amendment to §601.6 updates the history of rules changes, by including the rules adopted by the panel effective October 3, 1995, as stated in new subsection (g); the rules adopted by the panel effective October 23, 1997, as stated in new subsection (h); and these rules which were adopted by the panel on January 13, 1998, with an effective date of February 18, 1998, as stated in new subsection (i). Section 601.6 (g), (h), and (i) is adopted with minor clarification changes. The panel clarified language in subsection (i) to include the effective date of the adoption and to include the legislative directive that the section applies to hysterectomies performed at least 90 days following publication of the adopted section in the Texas Register.

New §601.8 establishes a new disclosure and consent form which shall be used by a physician or health care provider to inform a patient or person authorized to consent for the patient of the possible risks and hazards involved in performing a hysterectomy. The form was established in response to House Bill 723, which amended the Medical Liability and Insurance Improvement Act of Texas (Act), Texas Civil Statutes, Article 4590i, Subchapter F, by adding §6.08, which requires the panel to develop and prepare written materials to inform a patient or person authorized to consent for a patient of the possible risks and hazards of a hysterectomy. The form includes the information required by HB 723 and incorporates current language from the general disclosure and consent form to meet the requirements of §6.08(d) of the Act, which requires a physician or health care provider to obtain informed consent under both §6.05 and §6.08 of the Act from a patient or person authorized to consent for the patient before performing a hysterectomy. The form also incorporates the risks associated with the use of blood and blood byproducts previously adopted by the panel. Sections 6.08(a)-(b) of the Medical Liability and Insurance Act required the panel to develop and prepare the materials to be available in English, Spanish, and any other language the panel considers appropriate. The panel determined that it was only appropriate to prepare the form in English and Spanish at this time. The English form is published as part of the rule. Both English and Spanish versions of the form will be available from the Texas Department of Health. In response to a comment received during the comment period, the panel has included a designation for hysterectomies performed using endoscopy/laparoscopy, together with the risks and hazards for same, to the consent form. The panel has also added clarifying language to specify that the form is required for hysterectomies performed at least 90 days after publication of the adopted section, and that the Spanish version is available from the Texas Department of Health.

The following is a summary of written comments received during the comment period ending December 1, 1997. All comments concern the disclosure and consent form for a hysterectomy in §601.8.

COMMENT: A commenter suggested that the language contained in the "NOTICE" portion of the form be changed to read, "Refusal to consent to a hysterectomy will not result in the withdrawal or withholding of any benefits provided by programs or projects receiving federal funds or state funds or otherwise affect your right to future care or treatment." The commenter also suggested changing the language in the third sentence of paragraph six of the consent form to read, "I understand that I have the right to seek a second opinion from a second physician if I so desire."

RESPONSE: The panel appreciates the comment but determined that the suggested changes would exceed the panel's statutory authority since the language in the proposed rule is mandated by House Bill 723. No change was made as a result of the comments.

COMMENT: A commenter stated that "Section 1 of House Bill 723, §§6.08(a)-(b) of the Medical Liability Insurance Act requires the panel to develop and prepare materials available in English, Spanish, and any other language the panel considers appropriate. While the proposed form includes the required statutory material in English, it does not provide the material in Spanish as required by §6.08(b). Also, the proposed rule does not specify if the panel considers any other language as appropriate." The commenter asked, since proposed §601.8 provided that, "the form shall be available in both English and Spanish," whether it is assumed that the panel has determined that no other language is appropriate at this time." The commenter further recommended that, since §2 of House Bill 723 states that the panel shall prescribe the form and content of the materials required to be distributed under §6.08, the panel should also publish the required form in Spanish.

RESPONSE: No comments were received suggesting that the form be made available in any other languages. The panel has determined that the form shall be available only in English and Spanish at this time. However, the provider must present the information in a manner understandable to the individual patient regardless of what languages the panel has deemed be made available pursuant to House Bill 723. In response to the commenter's recommendation that the panel publish the form in Spanish, on advice of the Texas Department of Health's Office of General Counsel (OGC), House Bill 723 does not require the panel to publish the form in Spanish. Both the English and the Spanish version of the form will be provided by the Texas Department of Health. The OGC believes that this meets the intent of House Bill 723. No change was made as a result of the comments.

COMMENT: One commenter suggested that the panel include a Spanish version of the form for Spanish speaking patients as required by House Bill 723, and add a signature line for an interpreter to sign if the patient is in need of an interpreter to understand the consent form. The commenter further stated that by adding these components the form would meet the federal Medicaid requirement.

RESPONSE: The panel appreciates the comments and, as previously noted, is not publishing the form in Spanish. The Spanish version of the form will be available from the Texas Department of Health. In response to the commenter's other concern, providers are free to include additional documentation when an interpreter is used. No change was made as a result of the comments.

COMMENT: One commenter expressed concern, "that as a result of the new law it appears a facility may need three consents prior to performing a hysterectomy," referencing the new Texas Medical Disclosure Panel consent form, the consent form with National Heritage Insurance Corporation (NHIC) language, and the "routine facility consent form." The commenter wanted the panel to be aware of these factors when considering the implementation of the consent form. The commenter is in favor of streamlining the process.

RESPONSE: The panel appreciates the commenter's concern, however, the panel has promulgated the form required by House Bill 723. The form meets the requirements of §6.05 and §6.08, as set forth in House Bill 723. While the panel supports attempts to streamline the process of obtaining consent, it would exceed the panel's charge to attempt to incorporate language required by NHIC and the panel is not aware of the content or purpose of a "routine facility consent form." No change was made as a result of the comment.

COMMENT: One commenter suggested, "that a designation for endoscopy/laparoscopy, together with the risks and hazards for same, be added to the proposed consent form." The commenter believes that, if the suggested change is made, a patient undergoing a laparoscopically assisted vaginal hysterectomy (LAVH), for example, will only need to sign one form. "Otherwise, practitioners will either have to have the patient sign the standard form in addition to the hysterectomy form, or else they will have to write in the endoscopy/laparoscopy information on the hysterectomy form. Neither of these latter choices would seem preferable to the signing of one, completely pre-printed form."

RESPONSE: The panel agrees and has revised the form to list the additional risks associated with endoscopy/laparoscopy.

COMMENT: Concerning §601.8, a commenter asked if the rules included a Spanish version of the form as required by House Bill 723.

RESPONSE: As previously stated, the Spanish version of the form will be available from the Texas Department of Health. No change was made as a result of the comment.

The commenters include a representative from Representative Dawnna M. Duke's office; Texas Hospital Association, Austin, Texas; Hermann Hospital, Houston, Texas; Providence Health Center, Waco, Texas; Texas State Board of Medical Examiners, Austin, Texas; and an individual. The commenters were generally in favor of the rules, but expressed concerns, asked questions, and made recommendations as previously mentioned.

The amendments and new section are adopted under the Medical Liability and Insurance Improvement Act of Texas, Texas Civil Statutes, Article 4590i, §6.04, which provides the Texas Medical Disclosure Panel with the authority to prepare lists of medical treatments and surgical procedures that do and do not require disclosure by physicians and health care providers of the possible risks and hazards and to prepare the form(s) for the treatments and procedures which do require disclosure; and §6.08 which requires the panel to develop and prepare written materials to inform a patient or person authorized to consent for a patient of the risks and hazards of a hysterectomy.

§601.4.Disclosure and Consent Form.

(a)

The Texas Medical Disclosure Panel adopts the following form which shall be used by a physician or health care provider to inform a patient or person authorized to consent for the patient of the possible risks and hazards involved in the medical treatments and surgical procedures named in the form. Except for the procedures shown in subsection (b) of this section, the following form shall be used for the medical treatments and surgical procedures described in §601.2 of this title (relating to Procedures Requiring Full Disclosure--List A).

Figure 1: 25 TAC §601.4(a)

(b)

Informed consent for:

(1)

radiation therapy shall be provided in accordance with §601.5 of this title (relating to Radiation Therapy Disclosure and Consent Form);

(2)

electroconvulsive therapy shall be provided in accordance with §601.7 of this title (relating to Informed Consent for Electroconvulsive Therapy); and

(3)

hysterectomy procedures shall be provided in accordance with §601.8 of this title (relating to Hysterectomy Disclosure and Consent Form).

§601.6. History.

(a)-(f)

(No change.)

(g)

Effective October 3, 1995, §601.1 - 601.4 of this title were repealed and replaced with new §601.1 of this title (relating to General), §601.2 of this title (relating to Procedures Requiring Full Disclosure (List A), §601.3 of this title (relating to Procedures Requiring No Disclosure (List B), and §601.4 of this title (relating to Disclosure and Consent Form), §601.5 of this title (relating to Radiation Therapy Disclosure and Consent Form), this section, and §601.7 of this title (relating to Informed Consent for Electroconvulsive Therapy). The sections were repealed to incorporate List A and List B into Texas Register format. In addition, sections were added to include general provisions; to provide a history of the rules of the panel; and to adopt a section which addresses informed consent for electroconvulsive therapy.

(h)

Effective October 23, 1997, §601.2 of this title was amended to update risks and hazards requiring full disclosure prior to performing abdominal endoscopic/laparoscopy procedures and endoscopic surgery of the thorax.

(i)

Effective February 18, 1998, §601.4 of this title and this section were amended and new §601.8 of this title (relating to Hysterectomy Disclosure and Consent Form) was added to address legislative requirements relating to informed consent for hysterectomies. Section 601.8 of this title adopts a form to be used in providing informed consent prior to performing a hysterectomy and applies to hysterectomies performed at least 90 days after the date of publication of adopted §601.8 of this title in the Texas Register.

§601.8.Hysterectomy Disclosure and Consent Form.

The Texas Medical Disclosure Panel adopts the following form which shall be used to provide informed consent to a patient or person authorized to consent for the patient of the possible risks and hazards involved in the hysterectomy surgical procedure named in the form. This form is to be used in lieu of the general disclosure and consent form adopted in §601.4 of this title (relating to Disclosure and Consent Form) for disclosure and consent relating to only hysterectomy procedures. Providers are required to use the form to obtain consent for hysterectomies performed at least 90 days following publication of this adopted section in the Texas Register. Providers shall have the form available in both English and Spanish language. The Spanish version is available from the Texas Department of Health.

Figure 1: 25 TAC §601.8

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on January 29, 1998.

TRD-9801382

Melba W. Swafford, M.D.

Chairperson

Texas Medical Disclosure Panel

Effective date: February 18, 1998

Proposal publication date: October 31, 1997

For further information, please call: (512) 458-7236