HB 2676

relating to abnormal skin growth education for certain occupational
license holders and to the liability of those  license holders and
their employers for certain medical referrals.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Subchapter D, Chapter 201, Occupations Code, is
amended by adding Section 201.165 to read as follows:
Sec. 201.165.  COURSEWORK IN ABNORMAL SKIN GROWTH.  (a) The
board by rule shall approve coursework in abnormal skin growth for
(b)  Coursework approved under Subsection (a) must include
training in identifying melanoma.
(c)  An entity approved by the board to provide coursework
under Subsection (a) shall issue a certificate of completion to
each individual who successfully completes the coursework.
SECTION 2.  Subchapter H, Chapter 201, Occupations Code, is
amended by adding Section 201.357 to read as follows:
Sec. 201.357.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK
REQUIRED.  (a) Except as provided by Subsection (b), the board may
not issue an initial or renewal license to a person under this
chapter unless the person completes a course approved by the board
under Section 201.165 in abnormal skin growth education, including
training on identifying melanoma. Each applicant for issuance or,
if applicable, renewal of a license must provide proof of
(b)  A person who satisfies the requirements of Subsection
(a) is not required to complete additional coursework described by
that subsection for the subsequent renewal of that person's
SECTION 3.  Subchapter J, Chapter 201, Occupations Code, is
amended by adding Section 201.454 to read as follows:
Sec. 201.454.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
person licensed under this chapter who has completed coursework
approved by the board under Section 201.165 may refer an individual
to seek care from a medical professional regarding an abnormal skin
(b)  A person licensed under this chapter who has completed
coursework approved by the board under Section 201.165 or the
person's employer may not be civilly or criminally liable for
acting in good faith or for failing to act on information obtained
during the course of practicing the person's profession or acting
within the scope of the person's employment concerning potential
(c)  This section may not be construed to create a cause of
action or civil liability or to require or authorize a person
licensed under this chapter to practice medicine or otherwise
practice outside of the license holder's scope of practice.
SECTION 4.  Subchapter B, Chapter 455, Occupations Code, is
amended by adding Section 455.060 to read as follows:
Sec. 455.060.  COURSEWORK IN ABNORMAL SKIN GROWTH.  (a) The
commission by rule shall approve coursework in abnormal skin growth
for purposes of Section 455.162.
(b)  Coursework approved under Subsection (a) must include
training in identifying melanoma.
(c)  An entity approved by the commission to provide
coursework under Subsection (a) shall issue a certificate of
completion to each individual who successfully completes the
SECTION 5.  Subchapter D, Chapter 455, Occupations Code, is
amended by adding Section 455.162 to read as follows:
Sec. 455.162.  COMPLETION OF ABNORMAL SKIN GROWTH COURSEWORK
REQUIRED.  (a) Except as provided by Subsection (b), the commission
may not issue an initial or renewal license to a person under this
chapter unless the person completes a course approved by the
commission under Section 455.060 in abnormal skin growth education,
including training on identifying melanoma. Each applicant for
issuance or, if applicable, renewal of a license must provide proof
(b)  A person who satisfies the requirements of Subsection
(a) is not required to complete additional coursework described by
that subsection for the subsequent renewal of that person's
SECTION 6.  Subchapter E, Chapter 455, Occupations Code, is
amended by adding Section 455.208 to read as follows:
Sec. 455.208.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
person licensed under this chapter who has completed coursework
approved by the commission under Section 455.060 may refer an
individual to seek care from a medical professional regarding an
(b)  A person licensed under this chapter who has completed
coursework approved by the commission under Section 455.060 or the
person's employer may not be civilly or criminally liable for
acting in good faith or for failing to act on information obtained
during the course of practicing the person's profession or acting
within the scope of the person's employment concerning potential
(c)  This section may not be construed to create a cause of
action or civil liability or to require or authorize a person
licensed under this chapter to practice medicine or otherwise
practice outside of the license holder's scope of practice.
SECTION 7.  Subchapter C, Chapter 1603, Occupations Code, is
amended by adding Section 1603.107 to read as follows:
Sec. 1603.107.  COURSEWORK IN ABNORMAL SKIN GROWTH.  (a) The
commission by rule shall approve coursework in abnormal skin growth
for purposes of Section 1603.2110.
(b)  Coursework approved under Subsection (a) must include
training in identifying melanoma.
(c)  An entity approved by the commission to provide
coursework under Subsection (a) shall issue a certificate of
completion to each individual who successfully completes the
SECTION 8.  Subchapter E-1, Chapter 1603, Occupations Code,
is amended by adding Sections 1603.2110 and 1603.2111 to read as
Sec. 1603.2110.  COMPLETION OF ABNORMAL SKIN GROWTH
COURSEWORK REQUIRED.  (a) Except as provided by Subsection (b), the
commission may not issue an initial or renewal individual
practitioner license to a person under this chapter unless the
person completes a course approved by the commission under Section
1603.107 in abnormal skin growth education, including training on
identifying melanoma. Each applicant for issuance or, if
applicable, renewal of a license must provide proof of completion
(b)  A person who satisfies the requirements of Subsection
(a) is not required to complete additional coursework described by
that subsection for the subsequent renewal of that person's
Sec. 1603.2111.  REFERRAL TO MEDICAL PROFESSIONAL REGARDING
ABNORMAL SKIN GROWTH; LICENSE HOLDER AND EMPLOYER LIABILITY. (a) A
person licensed under this chapter who has completed coursework
approved by the commission under Section 1603.107 may refer an
individual to seek care from a medical professional regarding an
(b)  A person licensed under this chapter who has completed
coursework approved by the commission under Section 1603.107 or the
person's employer may not be civilly or criminally liable for
acting in good faith or for failing to act on information obtained
during the course of practicing the person's profession or acting
within the scope of the person's employment concerning potential
(c)  This section may not be construed to create a cause of
action or civil liability or to require or authorize a person
licensed under this chapter to practice medicine or otherwise
practice outside of the license holder's scope of practice.
SECTION 9.  Not later than December 1, 2025, the Texas Board
of Chiropractic Examiners and the Texas Commission of Licensing and
Regulation shall adopt the rules necessary to implement this Act.
SECTION 10.  Sections 201.357, 455.162, and 1603.2110,
Occupations Code, as added by this Act, apply only to the issuance
of a  license for which an application was submitted on or after
June 1, 2026, or to the renewal of a license that expires on or after
that date.  The issuance of a license for which an application was
submitted before June 1, 2026, or the renewal of a license that
expires before that date is governed by the law in effect on the
date the application was submitted or the license expired, and the
former law is continued in effect for that purpose.
SECTION 11.  This Act takes effect September 1, 2025.