Bill Text: MS SB2799 | 2023 | Regular Session | Introduced


Bill Title: Volunteer Health Care Services Act; create.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2023-01-31 - Died In Committee [SB2799 Detail]

Download: Mississippi-2023-SB2799-Introduced.html

MISSISSIPPI LEGISLATURE

2023 Regular Session

To: Public Health and Welfare

By: Senator(s) McDaniel

Senate Bill 2799

AN ACT TO CREATE THE VOLUNTEER HEALTH CARE SERVICES ACT; TO AUTHORIZE CERTAIN LICENSED MEDICAL PROFESSIONALS WHO ARE IN GOOD STANDING TO PROVIDE VOLUNTARY HEALTH CARE SERVICES; TO PROVIDE CIVIL IMMUNITY FOR THOSE SERVICES; TO BRING FORWARD SECTION 73-25-19, MISSISSIPPI CODE OF 1972, WHICH LIMITS THE PRACTICE OF MEDICINE IN THIS STATE BY NONRESIDENT PHYSICIANS WHO ARE NOT LICENSED TO PRACTICE MEDICINE IN THIS STATE, FOR THE PURPOSES OF POSSIBLE AMENDMENT; TO BRING FORWARD SECTION 73-25-38, MISSISSIPPI CODE OF 1972, WHICH PROVIDES IMMUNITY TO MEDICAL PROFESSIONALS WHO VOLUNTARILY PROVIDE HEALTH CARE, FOR THE PURPOSES OF POSSIBLE AMENDMENT; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Sections 1 through 6 of this act shall be known and may be cited as the "Volunteer Health Care Services Act."

     SECTION 2.  (1)  The Legislature finds that:

          (a)  Access to high quality health care services is a concern of all persons;

          (b)  Access to such services is severely limited for some residents of this state, particularly those who reside in remote rural areas or in the inner city;

          (c)  Physicians and other health care professionals have traditionally worked to assure broad access to health care services; and

          (d)  Many health care providers from Mississippi and elsewhere are willing to volunteer their services to address the health care needs of Mississippians who may otherwise not be able to obtain such services.

     (2)  The Legislature further finds that it is the public policy of this state to encourage and facilitate voluntary provision of health care services.

     SECTION 3.  For the purposes of Sections 1 through 7 of this act, the following words and phrases shall have the meanings ascribed in this section unless the context clearly indicates otherwise:

          (a)  "Department" means the State Department of Health.

          (b)  "Free clinic" means a not-for-profit, out-patient, nonhospital facility in which a health care provider engages in the voluntary provision of health care services to patients without charge to the recipient of the services or to a third party.

          (c)  "Health care provider" means any physician, dentist or optometrist.

          (d)  "Licensed health care provider" means any health care provider holding a current license or certificate issued under:

              (i)  The applicable licensing law of this state for the provider; or

              (ii)  A comparable provision of the law of another state, territory, district or possession of the United States.

          (e)  "Regularly practice" means to practice for more than twenty (20) days within any ninety-day period.

          (f)  "Sponsoring organization" means any organization that organizes or arranges for the voluntary provision of health care services and that registers with the department as a sponsoring organization in accordance with Section 5 of this act and charges recipients based on one (1) of the following criteria:              (i)  On a sliding scale according to income;

              (ii)  A fee at the time of service of no more than Fifty Dollars ($50.00); or

              (iii)  No fee to the recipient.

          (g)  "Voluntary provision of health care services" means the providing of professional health care services by the health care provider either without charge to the recipient of the services or to a third party, or recipients are charged on a sliding scale according to income.  Nothing shall preclude a health care provider from collecting the charges described in subparagraph (f)(ii) on behalf of the sponsoring organization as long as the health care provider retains none of the payment and forwards all collections to the sponsoring organization.

     SECTION 4.  (1)   Notwithstanding any provision of law to the contrary, no additional license or certificate otherwise required under the applicable licensing laws of this state is necessary for the voluntary provision of health care services by any person who:

          (a)  Is a licensed health care provider; or

          (b)  Lawfully practices under an exception to the licensure or certification requirements of any state, territory, district or possession of the United States, provided that the person does not and will not regularly practice in Mississippi.

     (2)  Subsection (1) of this section does not apply to a person whose license or certificate is suspended or revoked pursuant to disciplinary proceedings in any jurisdiction.  In addition, subsection (1) of this section does not apply to a licensed health care provider who renders services outside the scope of practice authorized by the health care provider's licensure, certification or exception to that licensure or certification.

     SECTION 5.  (1)  (a)  Before providing volunteer medical services in this state, a sponsoring organization shall register with the department by submitting a registration fee of Fifty Dollars ($50.00) and filing a registration form.  The registration fee shall not apply to any sponsoring organization when providing volunteer health care services in cases of natural or man-made disasters.  The registration form shall contain:

              (i)  The name of the sponsoring organization;

              (ii)  The name of the principal individual or individuals who are the officers or organizational officials responsible for the operation of the sponsoring organization;

              (iii)  The address, including street, city, state, zip code and county, of the sponsoring organization's principal office address and the same address information for each principal or official listed in subparagraph (ii) of this paragraph (a);

              (iv)  Telephone numbers for the principal office of the sponsoring agency and each principal or official listed in subparagraph (ii) of this paragraph (a); and

              (v)  Any additional information required by the department.

          (b)  Upon any change in the information required under paragraph (a) of this subsection (1), the sponsoring organization shall notify the department in writing of such change within thirty (30) days of the change.

     (2)  The sponsoring organization shall file a quarterly voluntary services report with the department which lists all licensed health care providers who provided voluntary health care services during the preceding quarter.  The sponsoring organization shall maintain on file for five (5) years following the date of service additional information, including the date, place and type of services provided.

     (3)  The sponsoring organization shall maintain a list of health care providers associated with its provision of voluntary health care services.  For each health care provider, the organization shall maintain a copy of a current license, certificate or statement of exemption from licensure or certification or, in the event that the health care provider is currently licensed in the state of Mississippi, a copy of the health care provider's license verification obtained from a state-sponsored website.  The sponsoring organization shall maintain such records for a period of at least five (5) years following the provision of health care services and shall furnish the records to the department upon request of the department. 

     (4)  Compliance with subsections (1) and (2) of this section shall be prima facie evidence that the sponsoring organization exercised due care in its selection of health care providers.

     (5)  The department may revoke the registration of any sponsoring organization that fails to comply with the requirements of this section. 

     SECTION 6.  No contract of professional liability insurance covering a health care provider in this state, issued or renewed on or after July 1, 2023, shall exclude coverage to any health care provider who engages in the voluntary provision of health care services, provided that the sponsoring organization and the health care provider comply with the requirements of Sections 1 through 5 of this act.

     SECTION 7.  Section 73-25-19, Mississippi Code of 1972, is brought forward as follows:

     73-25-19.  Nonresident physicians not holding a license from the state shall not be permitted to practice medicine under any circumstances after remaining in the state for five (5) days, except when called in consultation by a licensed physician residing in this state or except as authorized under Sections 73-25-121 through 73-25-127.  This section shall not apply to any nonresident physician who holds a temporary license to practice medicine at a youth camp issued under the provisions of Section 75-74-8 and Section 73-25-17.

     SECTION 8.  Section 73-25-38, Mississippi Code of 1972, is brought forward as follows:

     73-25-38.  (1)  Any licensed physician, dentist, physician assistant or certified nurse practitioner who voluntarily provides needed medical or health services to any person without the expectation of payment due to the inability of such person to pay for such services shall be immune from liability for any civil action arising out of the provision of such medical or health services provided in good faith on a charitable basis.  This section shall not extend immunity to acts of willful or gross negligence.  Except in cases of rendering emergency care in which the provisions of Section 73-25-37 apply, immunity under this section shall be extended only if the physician, dentist, physician assistant or certified nurse practitioner and patient execute a written waiver in advance of the rendering of such medical or health services specifying that such services are provided without the expectation of payment and that the licensed physician, dentist, physician assistant or certified nurse practitioner shall be immune as provided in this subsection.  The immunity from liability granted by this subsection also shall extend to actions arising from a church-operated outpatient medical clinic that exists solely for the purpose of providing charitable medical services to persons who are unable to pay for such services, provided that the outpatient clinic receives less than Forty Thousand Dollars ($40,000.00) annually in patient payments.

     (2)  Any licensed physician, dentist, physician assistant or certified nurse practitioner assisting with emergency management, emergency operations or hazard mitigation in response to any emergency, man-made or natural disaster, who voluntarily provides needed medical or health services to any person without fee or other compensation, shall not be liable for civil damages on the basis of any act or omission if the physician, dentist, physician assistant or nurse practitioner was acting in good faith and within the scope of their license, education and training and the acts or omissions were not caused from gross, willful or wanton acts of negligence.

     (3)  Any physician who voluntarily renders any medical service under a special volunteer medical license authorized under Section 73-25-18 without any payment or compensation or the expectation or promise of any payment or compensation shall be immune from liability for any civil action arising out of any act or omission resulting from the rendering of the medical service unless the act or omission was the result of the physician's gross negligence or willful misconduct.  In order for the immunity under this subsection to apply, there must be a written or oral agreement for the physician to provide a voluntary noncompensated medical service before the rendering of the service by the physician.

     (4)  Any licensed physician, or any physician who is retired from active practice and who has been previously issued an unrestricted license to practice medicine in any state of the United States or who has been issued a special volunteer medical license under Section 73-25-18, shall be immune from liability for any civil action arising out of any medical care or treatment provided while voluntarily serving as "doctor of the day" for members of the Mississippi State Legislature, legislative or other state employees, or any visitors to the State Capitol on the date of such service.  This subsection shall not extend immunity to acts of willful or gross negligence or misconduct.

     SECTION 9.  This act shall take effect and be in force from and after July 1, 2023.


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