Bill not drafted by TLC or Senate E&E. Line and page numbers may not match official copy. By Berlanga H.B. No. 3054 A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to the creation of an immunization registry and to 1-3 reporting requirements concerning immunizations and providing 1-4 criminal penalties. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. Subchapter A, Chapter 161, Health and Safety 1-7 Code, is amended by adding Section 161.007 to read as follows: 1-8 Sec. 161.007. IMMUNIZATION REGISTRY; REPORTS TO DEPARTMENT. 1-9 (a) The department, for purposes of establishing and maintaining a 1-10 single repository of accurate, complete, and current immunization 1-11 records to be used in aiding, coordinating, and promoting effective 1-12 and cost-efficient childhood disease prevention and control 1-13 efforts, shall establish and maintain a childhood immunization 1-14 registry. 1-15 (b) Any person who administers a vaccine or vaccines 1-16 licensed for use in children by the United States Food and Drug 1-17 Administration to a child under the age of 18 shall for each such 1-18 immunization provide to the department such data as are deemed by 1-19 the department to be necessary and appropriate for purposes of the 1-20 immunization registry established pursuant to subsection (a) of 1-21 this section, including, without limitation: 1-22 (1) the name of the child; 1-23 (2) the child's date and place of birth; 1-24 (3) mother's maiden name; 2-1 (4) the names and addresses of the child's custodial 2-2 parents, managing conservators, or guardians; 2-3 (5) the date of the immunization and the specific type 2-4 or types of vaccine or vaccines administered to the child on that 2-5 date and 2-6 (6) the name and address of the health care provider 2-7 who administered the immunization. 2-8 (c) The department may utilize the registry to provide 2-9 notices, whether by mail, telephone, personal contact, or other 2-10 means, to parents, managing conservators, or guardians regarding 2-11 their children or wards who are due or overdue for a particular 2-12 type of immunization according to the department's immunization 2-13 schedules. The department shall consult with health care providers 2-14 to determine the most effective and efficient manner of using the 2-15 registry to provide such notices. 2-16 (d) Immunization records for any child included within the 2-17 immunization registry shall be maintained as part of the registry 2-18 until the child reaches the age of 18. 2-19 (e) Individually identifiable immunization information 2-20 regarding a child may be provided to the department by, or released 2-21 by the department to, a public health district, a local health 2-22 department, hospital, physician, or other health care provider to 2-23 the child or to a school or child care facility without the consent 2-24 of the child's parent, managing conservator, or guardian. However, 2-25 a parent may request a specific exemption to prohibit or restrict 2-26 the release of information. A parent or guardian may obtain and 2-27 upon request to the department shall be provided with individually 2-28 identifiable immunization registry information regarding his or her 2-29 child or ward. Except as provided otherwise by this section, 2-30 individually identifiable immunization registry information shall 3-1 be treated as confidential and shall not be released to a third 3-2 party without consent of a child's parent, managing or possessory 3-3 conservator, or guardian. 3-4 (f) Nothing in this section shall: 3-5 (1) prohibit the department from providing or 3-6 publishing registry information in aggregate form for scientific, 3-7 educational, or public health purposes, provided that such 3-8 information is published without releasing or identifying 3-9 individual names contained in the registry; 3-10 (2) prohibit the department or any health care 3-11 provider from notifying a parent, guardian, or child of the child's 3-12 immunization status or of a immunization that is due or overdue 3-13 according to the department's immunization schedules; or 3-14 (3) diminish a parent's, managing conservator's, or 3-15 guardian's responsibility for having a child immunized properly. 3-16 (g) Any person, including but not limited to health care 3-17 providers, submitting or obtaining in good faith immunization 3-18 reports or data to or from the department in compliance with the 3-19 provisions of this section and any rules adopted pursuant to this 3-20 section shall not be liable for any civil damages. 3-21 (h) The board shall adopt rules to implement this section. 3-22 (i) (1) A person commits an offense if, with criminal 3-23 negligence and in violation of this section, the person releases or 3-24 discloses immunization registry information. 3-25 (2) A person commits an offense if, with criminal 3-26 negligence, the person uses the information in the registry to 3-27 solicit new patients or clients or for other purposes which are not 3-28 associated with immunization purposes unless specified in this 3-29 section. 3-30 (3) An offense under this subsection is a Class A 4-1 misdemeanor. 4-2 SECTION 2. (a) Except as provided by subsection (b) of this 4-3 section, this Act takes effect September 1, 1997. 4-4 (b) Section 161.007(b), Health and Safety Code, as added by 4-5 this Act, takes effect January 1, 1999. 4-6 SECTION 3. The importance of this legislation and the 4-7 crowded condition of the calendars in both houses create an 4-8 emergency and an imperative public necessity that the 4-9 constitutional rule requiring bills to be read on three several 4-10 days in each house be suspended, and this rule is hereby suspended.