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consent has been withdrawn.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whom consent has been withdrawn.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.