Amend CSHB 7 by adding the following appropriately numbered 
ARTICLE to the bill and renumbering the remaining ARTICLES of the 
bill as appropriate:

ARTICLE ____.  IMMUNIZATIONS
	SECTION __.01.  Sections 38.001(c) and (f), Education Code, 
as amended by Chapter 198, Acts of the 78th Legislature, Regular 
Session, 2003, are amended to read as follows:
	(c)  Immunization is not required for a person's admission to 
any elementary or secondary school if the person applying for 
admission:
		(1)  submits to the admitting official:                                       
			(A)  an affidavit or a certificate signed by a 
physician who is duly registered and licensed to practice medicine 
in the United States, in which it is stated that, in the physician's 
opinion, the immunization required poses a significant risk to the 
health and well-being of the applicant or any member of the 
applicant's family or household; [or]
			(B)  an affidavit signed by the applicant or, if a 
minor, by the applicant's parent or guardian stating that the 
applicant declines immunization for reasons of conscience[, 
including a religious belief]; or
			(C)  an affidavit signed by the applicant or, if a 
minor, by the applicant's parent or guardian stating that the 
immunization conflicts with the tenets and practice of a recognized 
church or religious denomination of which the applicant is an 
adherent or member; or
		(2)  is a member of the armed forces of the United 
States and is on active duty.
	(f)  A person who has not received the immunizations required 
by this section for reasons of conscience or[, including] because 
of the person's religious beliefs[,] may be excluded from school in 
times of emergency or epidemic declared by the commissioner of 
public health.
	SECTION __.02.  Section 51.933(d), Education Code, as amended 
by Chapter 198, Acts of the 78th Legislature, Regular Session, 
2003, is amended to read as follows:
	(d)  No form of immunization is required for a person's 
admission to an institution of higher education if the person 
applying for admission:
		(1)  submits to the admitting official:                                       
			(A)  an affidavit or a certificate signed by a 
physician who is duly registered and licensed to practice medicine 
within the United States in which it is stated that, in the 
physician's opinion, the immunization required poses a significant 
risk to the health and well-being of the applicant or any member of 
the applicant's family or household; [or]
			(B)  an affidavit signed by the applicant or, if a 
minor, by the applicant's parent or guardian stating that the 
applicant declines immunization for reasons of conscience[, 
including a religious belief]; or
			(C)  an affidavit signed by the applicant or, if a 
minor, by the applicant's parent or guardian stating that the 
immunization conflicts with the tenets and practice of a recognized 
church or religious denomination of which the applicant is an 
adherent or member; or
		(2)  is a member of the armed forces of the United 
States and is on active duty.
	SECTION __.03.  Section 161.004(d), Health and Safety Code, 
as amended by Chapter 198, Acts of the 78th Legislature, Regular 
Session, 2003, is amended to read as follows:
	(d)  A child is exempt from an immunization required by this 
section if:     
		(1)  a parent, managing conservator, or guardian states 
that the immunization is being declined for reasons of conscience[, 
including a religious belief]; [or]
		(2)  the immunization is medically contraindicated 
based on the opinion of a physician licensed by any state in the 
United States who has examined the child; or
		(3)  the immunization conflicts with the tenets of an 
organized religion to which a parent, managing conservator, or 
guardian belongs.
	SECTION __.04. Section  161.0041(a), Health and Safety Code, 
as added by Chapter 198, Acts of the 78th Legislature, Regular 
Session, 2003, is amended to read as follows:
	(a)  A person claiming an exemption from a required 
immunization based on reasons of conscience[, including a religious 
belief,] under Section 161.004 of this code, Section 38.001 or 
51.933, Education Code, or Section 42.043, Human Resources Code, 
must complete an affidavit on a form provided by the department 
stating the reason for the exemption.
	SECTION __.05.  Section 42.043(d), Human Resources Code, as 
amended by Chapter 198, Acts of the 78th Legislature, Regular 
Session, 2003, is amended to read as follows:
	(d)  No immunization may be required for admission to a 
facility regulated under this chapter if a person applying for a 
child's admission submits one of the following affidavits:
		(1)  an affidavit signed by a licensed physician 
stating that the immunization poses a significant risk to the 
health and well-being of the child or a member of the child's family 
or household; [or]
		(2)  an affidavit signed by the child's parent or 
guardian stating that the applicant declines immunization for 
reasons of conscience; or
		(3)  an affidavit signed by the child's parent or 
guardian stating that the immunization conflicts with the tenets 
and practice of a recognized religious organization of which the 
applicant is an adherent or a member[, including a religious 
belief].