S.B. No. 1565         AN ACT   relating to the procedure for ordering medical or dental services   for certain persons admitted to or committed to care at certain   state facilities.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 551.041, Health and Safety Code, is   amended by amending Subsection (c) and adding Subsection (e) to   read as follows:          (c)  If a department requests consent to perform medical or   dental treatment or services from a person or the guardian of the   person whose consent is considered necessary and a reply is not   obtained immediately, or if there is no guardian or responsible   relative of the person to whom a request can be made, the   superintendent or director of a department facility shall order:                (1)  medical treatment or services for the person on   the advice and consent of three primary care providers, at least two   of whom are physicians licensed by the Texas Medical Board[, at   least one of whom is primarily engaged in the private practice of   medicine]; or                (2)  dental treatment or services for the person on the   advice and consent of two dentists [a dentist] licensed by the State   Board of Dental Examiners and of one physician [two physicians]   licensed by the Texas Medical Board[, at least one of whom is   primarily engaged in the private practice of medicine].          (e)  For purposes of this section, "primary care provider"   means a health care professional who provides health care services   to a defined population of residents.  The term includes a physician   licensed by the Texas Medical Board, an advanced practice   registered nurse licensed by the Texas Board of Nursing, and a   physician assistant licensed by the Texas Physician Assistant   Board.          SECTION 2.  The changes in law made by this Act apply only to   a medical or dental procedure performed on or after the effective   date of this Act.  A medical or dental procedure performed before   the effective date of this Act is governed by the law as it existed   immediately before the effective date of this Act, and that law is   continued in effect for that purpose.          SECTION 3.  This Act takes effect September 1, 2017.             ______________________________ ______________________________      President of the Senate Speaker of the House                 I hereby certify that S.B. No. 1565 passed the Senate on   April 26, 2017, by the following vote:  Yeas 31, Nays 0.       ______________________________   Secretary of the Senate                I hereby certify that S.B. No. 1565 passed the House on   May 19, 2017, by the following vote:  Yeas 144, Nays 0, two   present not voting.       ______________________________   Chief Clerk of the House            Approved:     ______________________________                Date       ______________________________              Governor