Sec. 81.091.  OPHTHALMIA NEONATORUM PREVENTION;  CRIMINAL PENALTY.  (a)  A physician, nurse, midwife, or other person in attendance at childbirth shall use or cause to be used prophylaxis approved by the executive commissioner to prevent ophthalmia neonatorum.
(b)  A midwife is responsible for the administration of the prophylaxis to each infant the midwife delivers by:
(1)  administering the prophylaxis under standing delegation orders issued by a licensed physician;  or
(2)  requiring the prophylaxis to be administered by an appropriately licensed and trained individual under standing delegation orders issued by a licensed physician.
(c)  Subject to the availability of funds, the department shall furnish prophylaxis approved by the executive commissioner free of charge to:
(1)  health care providers if the newborn's financially responsible adult is unable to pay; and
(2)  a midwife identified under Chapter 203, Occupations Code, who requests prophylaxis for administration under standing delegation orders issued by a licensed physician under Subsection (b) and subject to the provisions of Subchapter A, Chapter 157, Occupations Code.
(d)  If a physician is not available to issue a standing delegation order or if no physician will agree to issue a standing delegation order, a midwife shall administer or cause to be administered by an appropriately trained and licensed individual prophylaxis approved by the executive commissioner to prevent ophthalmia neonatorum to each infant that the midwife delivers.
(e)  Administration and possession by a midwife of prophylaxis under this section is not a violation of Chapter 483.
(f)  A health care provider may not charge for prophylaxis received free from the department.
(g)  Except as provided by Subsection (g-1), a person commits an offense if the person is a physician or other person in attendance on a pregnant woman either during pregnancy or at delivery and fails to perform a duty required by this section.  An offense under this section is a Class B misdemeanor.
(g-1)  A physician, nurse, midwife, or other person in attendance at childbirth who is unable to apply the prophylaxis as required by this section due to the objection of a parent, managing conservator, or guardian of the newborn infant does not commit an offense under this section and is not subject to criminal, civil, or administrative liability or any professional disciplinary action for failure to administer the prophylaxis.  The physician, nurse, midwife, or person shall ensure that the objection of the parent, managing conservator, or guardian is entered into the medical record of the infant.
(h)  In this section, "financially responsible adult" means a parent, guardian, spouse, or any other person whom the laws of this state hold responsible for the debts incurred as a result of hospitalization or treatment.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1991, 72nd Leg., ch. 158, Sec. 24, eff. Sept. 1, 1991;  Acts 2001, 77th Leg., ch. 1420, Sec. 14.772, eff. Sept. 1, 2001.
Amended by: 
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0236, eff. April 2, 2015.
Acts 2017, 85th Leg., R.S., Ch. 504 (H.B. 2886), Sec. 1, eff. September 1, 2017.