By:  Shapleigh                                                    S.B. No. 1148
	(In the Senate - Filed March 11, 2003; March 17, 2003, read 
first time and referred to Committee on Health and Human Services; 
April 22, 2003, reported adversely, with favorable Committee 
Substitute by the following vote:  Yeas 7, Nays 0; April 22, 2003, 
sent to printer.)


COMMITTEE SUBSTITUTE FOR S.B. No. 1148                                   By:  Gallegos

A BILL TO BE ENTITLED
AN ACT
relating to information provided to parents of newborn children relating to immunizations. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter A, Chapter 161, Health and Safety Code, is amended by adding Section 161.0045 to read as follows: Sec. 161.0045. INFORMATION ON IMMUNIZATION OF CHILDREN; DUTIES OF HOSPITALS AND BIRTHING CENTERS. (a) Before a newborn child is discharged after birth from a birthing center licensed under Chapter 244 or a hospital, the birthing center or hospital shall provide to the child's parent, managing conservator, or guardian an informational pamphlet describing immunizations available to protect the child from disease. A physician or certified nurse-midwife that attends the birth of a child outside of a birthing center or hospital shall provide the pamphlet to the child's parent, managing conservator, or guardian as soon as practicable following the birth of the child. An employee or volunteer of the birthing center or hospital, the physician, the certified nurse-midwife, or an employee or volunteer on behalf of the physician or certified nurse-midwife shall personally deliver the pamphlet to the child's parent, managing conservator, or guardian. (b) The department shall develop the informational pamphlet required by this section. (c) The informational pamphlet must describe: (1) the diseases for which the child may be immunized; (2) the appropriate schedule for administration of the immunizations to the child; (3) the reasons the immunizations would be beneficial for the child; (4) the potential risks and contraindications of the immunizations; (5) how to report a vaccine reaction to the federal Vaccine Adverse Event Reporting System; (6) the National Vaccine Injury Compensation Program of the United States Department of Health and Human Services, contact information for the program, and the applicable statute of limitations for filing a claim under the program; (7) any other information a parent, managing conservator, or guardian needs to make an informed consent to the immunizations; and (8) the immunization registry. (d) The department shall distribute the informational pamphlet to hospitals having a maternity unit, birthing centers, physicians, and certified nurse-midwives. (e) The Office of Early Childhood Coordination of the Health and Human Services Commission shall coordinate funding for the development, publication, and distribution of the informational pamphlet. The development, publication, and distribution of the pamphlet may be funded through means other than appropriations, which may include gifts and grants and sale of sponsorship or advertising. SECTION 2. Subsection (c), Section 241.022, Health and Safety Code, is amended to read as follows: (c) The department shall require that each hospital show evidence that: (1) at least one physician is on the medical staff of the hospital, including evidence that the physician is currently licensed; (2) the governing body of the hospital has adopted and implemented a patient transfer policy in accordance with Section 241.027; [and] (3) if the governing body has chosen to implement patient transfer agreements, it has implemented the agreements in accordance with Section 241.028; and (4) the hospital complies with Section 161.0045, as required by Section 241.029. SECTION 3. Subchapter B, Chapter 241, Health and Safety Code, is amended by adding Section 241.029 to read as follows: Sec. 241.029. INFORMATION ON IMMUNIZATION OF CHILDREN; DUTY OF HOSPITAL. A hospital shall comply with Section 161.0045. SECTION 4. Subsection (c), Section 244.005, Health and Safety Code, is amended to read as follows: (c) The application must contain evidence that: (1) the composition of the center's staff meets the standards adopted by the board under this chapter for the level of license for which the application is submitted; and (2) the center complies with Section 161.0045, as required by Section 244.0104. SECTION 5. Chapter 244, Health and Safety Code, is amended by adding Section 244.0104 to read as follows: Sec. 244.0104. INFORMATION ON IMMUNIZATION OF CHILDREN; DUTY OF BIRTHING CENTER. A birthing center shall comply with Section 161.0045. SECTION 6. Section 531.285, Government Code, is amended by adding Subsection (d) to read as follows: (d) The office shall coordinate funding for the development, publication, and distribution of the informational pamphlet relating to immunization of children as required by Section 161.0045, Health and Safety Code. SECTION 7. Not later than January 1, 2004, the Texas Department of Health shall make available the informational pamphlet described by Section 161.0045, Health and Safety Code, as added by this Act. In developing the informational pamphlet, the department may consider material contained in informational pamphlets previously prepared by the department and may use information previously compiled and available to the department. SECTION 8. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2003.
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