81R3814 SJM-D
 
  By: Howard of Travis H.B. No. 506
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the establishment and implementation of a school-based
  influenza vaccination pilot program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  (a)  The Department of State Health Services and
  the Texas Education Agency shall jointly establish and implement
  for the 2009-2010 school year a school-based influenza vaccination
  pilot program using both killed vaccine and live attenuated vaccine
  in:
               (1)  a school district with a student population of
  50,000 or more that is at least 85 percent economically
  disadvantaged and located in a home-rule municipality with a
  population of more than 1.1 million;
               (2)  a school district with a student population that
  is less than five percent economically disadvantaged and located in
  a municipality with a population of more than 600,000 and less than
  one million; and
               (3)  two school districts selected by the Texas
  Immunization Stakeholder Working Group including:
                     (A)  one school district with a student population
  that is at least 90 percent economically disadvantaged and located
  in a county with a population of 50,000 or less; and
                     (B)  one school district with a student population
  that is at least 90 percent economically disadvantaged and located
  in a county on the international border.
         (b)  The Texas Immunization Stakeholder Working Group shall
  establish within the working group a pilot program subcommittee
  composed of representatives from:
               (1)  the Texas Pediatric Society;
               (2)  the Texas Academy of Family Physicians;
               (3)  each school district in which the pilot program
  will operate, after the selection of those districts under
  Subsection (a) of this section;
               (4)  the state Medicaid medical director; and
               (5)  each local health department that serves the
  geographic area in which a participating school district is
  located.
         (c)  Members of the Texas Immunization Stakeholder Working
  Group that do not serve on the pilot program subcommittee shall
  serve in an advisory role for the planning and implementation of the
  school-based influenza vaccination pilot program.
         (d)  The Department of State Health Services, the Texas
  Education Agency, and the pilot program subcommittee shall plan the
  school-based influenza vaccination pilot program established and
  implemented under this section.
         (e)  The Department of State Health Services, the Texas
  Education Agency, and the pilot program subcommittee shall:
               (1)  implement the school-based influenza vaccination
  pilot program in the school districts selected under Subsection (a)
  of this section for the 2009-2010 school year; and
               (2)  collect all relevant data related to the program
  during the 2009-2010 school year.
         (f)  Not later than December 1, 2010, the Department of State
  Health Services and the Texas Education Agency shall submit to the
  governor, lieutenant governor, speaker of the house of
  representatives, and presiding officers of each standing committee
  of the legislature with jurisdiction over the department and the
  agency a jointly written report on the implementation and results
  of the school-based influenza vaccination pilot program that
  includes:
               (1)  an analysis of the costs and benefits of
  implementing the school-based influenza vaccination pilot program
  in each school district listed by Subsection (a) of this section;
               (2)  identification of barriers to implementing the
  pilot program and recommendations for removing those barriers;
               (3)  a projection of the fiscal impact of implementing
  a statewide school-based influenza vaccination program; and
               (4)  an analysis of the pilot program's impact on
  private practice physicians who administer influenza vaccination
  in this state.
         (g)  The Department of State Health Services and the Texas
  Education Agency may seek, receive, and spend money received
  through an appropriation, grant, donation, or reimbursement from
  any public or private source to implement the school-based
  influenza vaccination pilot program.
         SECTION 2.  This Act expires September 1, 2011.
         SECTION 3.  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, 2009.