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.