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Amend CSHB 2292 by adding the following appropriately 
numbered SECTIONS to Article 2 of the bill and renumbering the 
remaining SECTIONS of the bill as appropriate:
	SECTION ____.  Section 38.001, Education Code, is amended by 
amending Subsection (c) and adding Subsection (f) 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 could [would] be injurious 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, where 
the applicant's sibling had an adverse reaction to the 
immunization, or because of a religious belief [conflicts with the 
tenets and practice of a recognized church or religious 
denomination of which the applicant is an adherent or member, 
except that this exemption does not apply in times of emergency or 
epidemic declared by the commissioner of public health]; 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, where the person's 
sibling had an adverse reaction to the immunization, or 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 ____.  Section 51.933(d), Education Code, 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 could [would] be 
injurious 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, where 
the applicant's sibling had an adverse reaction to the 
immunization, or because of a religious belief [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 ____.  Section 161.004(d), Health and Safety Code, 
is amended to read as follows:
	(d)  A child is exempt from an immunization required by this 
section if:     
(1)  [immunization conflicts with the tenets of an 
organized religion to which] a parent, managing conservator, or 
guardian states that the immunization is being declined for reasons 
of conscience, where the child's sibling had an adverse reaction to 
the immunization, or because of a religious belief [belongs]; or
(2)  the immunization is medically contraindicated 
based on the opinion of [an examination of the child by] a physician 
licensed by any state in the United States who has examined the 
child.
	SECTION ____.  Subchapter A, Chapter 161, Health and Safety 
Code, is amended by adding Section 161.0041 to read as follows:
	Sec. 161.0041.  IMMUNIZATION EXEMPTION AFFIDAVIT FORM.  (a)  
A person claiming an exemption from a required immunization based 
on reasons of conscience, where the person's sibling had an adverse 
reaction to the immunization, or because of 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.  The department shall develop the 
affidavit form.
	(b)  The affidavit form shall contain:                                  
(1)  a statement indicating that the person or, if a 
minor, the person's parent, managing conservator, or guardian 
understands the benefits and risks of immunizations and the 
benefits and risks of not being immunized; and
(2)  contact information for the department that may 
be used to request that a child's name be included in the registry.
	SECTION____.  Section 42.043(d), Human Resources Code, 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 could [would] be injurious 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, where the child's sibling had an adverse 
reaction to the immunization, or because of a religious belief 
[conflicts with the tenets and practices of a recognized religious 
organization of which the applicant is an adherent or a member].