MISSISSIPPI LEGISLATURE

2018 Regular Session

To: Public Health and Welfare

By: Senator(s) Hill

Senate Bill 2902

AN ACT TO AMEND SECTIONS 73-25-38 AND 73-25-19, MISSISSIPPI CODE OF 1972, TO INCLUDE CERTAIN ADDITIONAL LICENSED HEALTH CARE PROFESSIONALS TO THE STATUTORY IMMUNITY FOR PROVIDING CHARITABLE MEDICAL CARE OR VOLUNTARY HEALTH CARE SERVICES WITHOUT A FEE, TO PROVIDE FOR CONTINUING EDUCATION CREDIT FOR HEALTH CARE PROFESSIONALS PROVING SUCH VOLUNTARY CARE, AND TO CLARIFY THE STATUS OF NONRESIDENT HEALTH CARE PROFESSIONALS PROVIDING SUCH VOLUNTARY CARE; AND FOR RELATED PURPOSES.

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

     SECTION 1.  Section 73-25-38, Mississippi Code of 1972, is amended as follows:

     73-25-38.  (1)  Any licensed physician, physician assistant, dentist, dental hygienist, optometrist 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 the person to pay for * * * said those services shall be immune from liability for any civil action arising out of the provision of * * * such those 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 * * * wherein in which the provisions of Section 73-25-37 apply, immunity under this section shall be extended only if the physician, physician assistant, dentist, dental hygienist, optometrist or * * * certified nurse * * * practitioner and patient execute a written waiver in advance of the rendering of * * * such those medical services specifying that * * * such those services are provided without the expectation of payment and that the licensed physician, physician assistant, dentist, dental hygienist, optometrist 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 or charitable nonprofit outpatient medical clinic that exists solely for the purpose of providing charitable medical services to persons who are unable to pay for * * * such those services, provided that the outpatient clinic receives less than Forty Thousand Dollars ($40,000.00) annually in patient payments.

     (2)  Any licensed physician, physician assistant, dentist, dental hygienist, optometrist 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, physician assistant, dentist, dental hygienist, optometrist 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)  (a)  Any licensed physician, physician assistant, dentist, dental hygienist, optometrist or nurse (hereinafter "medical professional") who voluntarily provides medical care and treatment to any person without expectation of payment as authorized in this section may fulfill one (1) credit hour of continuing education for each sixty (60) minutes of providing voluntary health services.  The licensing body that issues licenses to the medical professional shall permit the medical professional to satisfy up to one-third (1/3) of the medical professional's continuing education requirement by providing services to persons without expectation of payment as authorized by this section.

          (b)  For purposes of claiming a continuing education credit, the medical professional, or cooperating free clinic or charitable clinic, shall keep records indicating the following:

              (i)  The number of hours of donated care;

              (ii)  The number of qualified indigent or needy patients served; and

              (iii)  The estimated value of care donated under this section.

          (c)  The applicable licensing body shall have the right to verify the number of hours of donated care by the medical professional by reviewing patient schedules and tracked hours.

          (d)  Any adverse incidents and information regarding treatment outcomes for care donated under this section must be reported by the medical professional to the appropriate licensing body, which shall review the incident to determine whether it involves conduct by the medical professional that is subject to disciplinary action.  All patient medical records and identifying information contained in adverse incident reports and treatment outcomes are confidential.

     ( * * *45)  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 2.  Section 73-25-19, Mississippi Code of 1972, is amended as follows:

     73-25-19.  (1)  A nonresident * * * physicians licensed physician, physician assistant, dentist, dental hygienist, optometrist or nurse (hereinafter "medical professional") not holding a license from * * * the this state shall not be permitted to practice * * * medicine under any circumstances after remaining, unless he or she:

          (a)  Practices in the state for * * * five (5) less than fifteen (15) days * * *, except when called in consultation by a licensed physician residing in this state. per calendar year;

          (b)  Is called in consultation by a licensed medical professional residing in this state;

          (c)  Practices in an area that is under a state or federal declaration of emergency; or

          (d)  Is providing medical care and treatment to persons on a charitable basis without expectation of payment in coordination with:

              (i)  A free clinic organized and operating under the laws of the State of Mississippi; and is volunteering no more than sixteen (16) hours a week at the clinic;

              (ii)  A charitable clinic organized and operating under the laws of the State of Mississippi; and is volunteering no more than sixteen (16) hours a week at the clinic;

              (iii)  A nonprofit organization operating under the laws of another state that is conducting a medical mission in Mississippi that does not exceed five (5) consecutive days and is for the purpose of providing medical care and treatment on a charitable basis without expectation of payment.

     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.

     (2)  This section shall not apply to:

          (a)  Any person whose license or certificate is suspended or revoked under disciplinary proceedings in any jurisdiction; or

          (b)  A licensed medical professional who renders services outside the scope of practice authorized by the person's licensure, certification, or exception to that licensure or certification.

     (3)  Any nonresident medical professional providing temporary volunteer health services in this state through a Mississippi free clinic, Mississippi charitable clinic or medical mission operated by a nonprofit organization operating under the laws of another state shall be immune from liability for any civil action arising out of any act or omission resulting from the provision of those services unless the act or omission was the result of the nonresident medical professional's gross negligence or willful misconduct.

     SECTION 3.  This act shall take effect and be in force from and after July 1, 2018.