By Berlanga                                           H.B. No. 2209
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to who may consent for the immunization of a minor.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  Sections 35.011(a), (c), and (d), Family Code,
    1-5  are amended to read as follows:
    1-6        (a)  Any of the following may consent to the immunization of
    1-7  a minor in the absence of <if> a parent, managing conservator,
    1-8  guardian of the minor, or other person who, under the law of
    1-9  another state or a court order, may consent for the minor <cannot
   1-10  be contacted> and the authority to consent is not denied under
   1-11  Subsection (b) of this section:
   1-12              (1)  a grandparent;
   1-13              (2)  an adult brother or sister;
   1-14              (3)  an adult aunt or uncle;
   1-15              (4)  a stepparent;
   1-16              (5)  an educational institution in which the minor is
   1-17  enrolled and that has written authorization to consent for the
   1-18  minor from a parent, managing conservator, guardian of the minor,
   1-19  or other person who, under the law of another state or a court
   1-20  order, may consent for the minor;
   1-21              (6)  another adult who has care and control of the
   1-22  minor and has written authorization to consent for the minor from a
   1-23  parent, managing conservator, guardian of the minor, or other
    2-1  person who, under the law of another state or a court order, may
    2-2  consent for the minor;
    2-3              (7)  a court having jurisdiction of a suit affecting
    2-4  the parent-child relationship of which the minor is the subject;
    2-5              (8)  an adult having care and control of the minor
    2-6  under an order of a juvenile court or by commitment by a juvenile
    2-7  court to the care of an agency of the state or county, if the adult
    2-8  reasonably believes the minor needs immunization; or
    2-9              (9)  an adult having care and control of the minor as
   2-10  the primary caregiver of the minor<, if the adult is granted the
   2-11  right to consent to immunization of the minor by order of a
   2-12  district court as provided in Section 35.015 of this code>.
   2-13        (c)  The Texas Youth Commission may consent, for a minor
   2-14  committed to it, to the immunization of the minor if a parent,
   2-15  managing conservator, guardian of the minor, or other person who,
   2-16  under the law of another state or a court order, may consent for
   2-17  the minor has been contacted and:
   2-18              (1)  refuses to consent or fails to carry out consent
   2-19  for the minor <or refuses delegation or fails to carry out a
   2-20  delegation under Section 35.012 of this code>; and
   2-21              (2)  does not expressly deny to the Texas Youth
   2-22  Commission the authority to consent for the minor.
   2-23        <(d)  For the purposes of section, a person cannot be
   2-24  contacted if:>
   2-25              <(1)  the location of the person is unknown;>
    3-1              <(2)  a reasonable effort made by a grandparent, adult
    3-2  brother or sister, or another person listed in Subsection (a) of
    3-3  this section to locate and communicate with the person for the
    3-4  purpose of obtaining the consent has failed and not more than 90
    3-5  days have passed since the date that the effort was made; or>
    3-6              <(3)  the person who may consent has been contacted and
    3-7  the person:>
    3-8                    <(A)  refuses to consent or fails to carry out
    3-9  consent for the minor or refuses delegation or fails to carry out a
   3-10  delegation under Section 35.012 of this code; and>
   3-11                    <(B)  does not expressly deny authority to the
   3-12  grandparent, adult brother or sister, or another person listed in
   3-13  Subsection (a) of this section to consent for the minor.>
   3-14        SECTION 2.  Section 35.013, Family Code, is amended to read
   3-15  as follows:
   3-16        Sec. 35.013.  Consent for Immunization; Informed Consent.
   3-17  (a)  A person authorized under Section 35.011 <or 35.012 of this
   3-18  code> to consent to the immunization of a minor has the
   3-19  responsibility to ensure that the consent, if given, is an informed
   3-20  consent.  The person authorized to give consent need not be present
   3-21  at the time the immunization of the minor is requested if a consent
   3-22  form that meets the requirements of Section  35.02 has been given
   3-23  to the health care provider.
   3-24        (b)  The responsibility of a health care provider to provide
   3-25  information to a person consenting under Section 35.011 <or 35.012
    4-1  of this code> is the same as the provider's responsibility to a
    4-2  parent.
    4-3        (c)  As part of the information given in the counseling for
    4-4  informed consent, the health care provider shall provide
    4-5  information to inform the person authorized under Section 35.011
    4-6  <or 35.012 of this code> to consent to the immunization of a minor
    4-7  of the procedures available under the National Childhood Vaccine
    4-8  Injury Act of 1986 (Pub. L. 99-660)  to seek possible recovery for
    4-9  unreimbursed expenses for certain injuries arising out of the
   4-10  administration of certain vaccines.
   4-11        SECTION 3.  Section 35.014(b), Family Code, is amended to
   4-12  read as follows:
   4-13        (b)  A person consenting under Section 35.011 <or 35.012 of
   4-14  this code>, a physician, nurse, other health care provider licensed
   4-15  to practice in this state, or a public health clinic, hospital, or
   4-16  other medical facility is not liable for damages arising from an
   4-17  immunization administered to a minor as authorized under Section
   4-18  35.011 <or 35.012 of this code> except for the person's or
   4-19  facility's own acts of negligence.
   4-20        SECTION 4.  (a)  Section 35.012, Family Code, is repealed.
   4-21        (b)  Section 35.015, Family Code, is repealed.
   4-22        SECTION 5.  The importance of this legislation and the
   4-23  crowded condition of the calendars in both houses create an
   4-24  emergency and an imperative public necessity that the
   4-25  constitutional rule requiring bills to be read on three several
    5-1  days in each house be suspended, and this rule is hereby suspended.