Amend HB 3054 as follows: (1) In Section 161.007, Health and Safety Code, as added by SECTION 1 of the bill (page 1, lines 16-42, Senate Committee Printing), strike Subsections (a), (b), (c), and (d) and substitute the following: (a) The department, for purposes of establishing and maintaining a single repository of accurate, complete, and current immunization records to be used in aiding, coordinating, and promoting efficient and cost-effective childhood communicable disease prevention and control efforts, shall establish and maintain a childhood immunization registry. The department by rule shall develop guidelines to: (1) protect the confidentiality of patients in accordance with Section 5.08, Medical Practice Act (Article 4495b, Vernon's Texas Civil Statutes); (2) inform a parent, managing conservator, or guardian of each patient about the registry; (3) require the written consent of a parent, managing conservator, or guardian of a patient before any information relating to the patient is included in the registry; and (4) permit a parent, managing conservator, or guardian to withdraw consent for the patient to be included in the registry. (b) The childhood immunization registry must contain information on the immunization history that is obtained by the department under this section of each person who is younger than 18 years of age and for whom consent has been obtained in accordance with guidelines adopted under Subsection (a). The department shall remove from the registry information for any person for whom consent has been withdrawn. (c) An insurance company, a health maintenance organization, or another organization that pays or reimburses a claim for an immunization of a person younger than 18 years of age shall provide an immunization history to the department. An insurance company, health maintenance organization, or other organization is not required to provide an immunization history to the department under this subsection for a person for whom consent has not been obtained in accordance with guidelines adopted under Subsection (a) or for whom consent has been withdrawn. (d) A health care provider who administers an immunization to a person younger than 18 years of age shall provide an immunization history to the department unless the immunization history is submitted to an insurance company, a health maintenance organization, or another organization that pays or reimburses a claim for an immunization to a person younger than 18 years of age. The report shall be in a format prescribed by the department, which may include submission in writing, by electronic means, or by voice. A health care provider is not required to provide an immunization history to the department under this subsection for a person for whom consent has not been obtained in accordance with guidelines adopted under Subsection (a) or for whom consent has been withdrawn. (2) In Section 161.007(h), Health and Safety Code, as added by SECTION 1 of the bill (page 1, lines 60-61, Senate Committee Printing), strike "as provided by Section 161.008 or". (3) In Section 161.008, Health and Safety Code, as added by SECTION 1 of the bill (page 2, lines 8-21, Senate Committee Printing), strike Subsection (c) and substitute the following: (c) The department, only with the consent of a child's parent, managing conservator, or guardian, may: (1) obtain the data constituting an immunization record for the child from a public health district, a local health department, or a physician to the child; or (2) release the data constituting an immunization record for the child to a public health district, a local health department, a physician to the child, or a school or child care facility in which the child is enrolled.