By: Carona  S.B. No. 479
         (In the Senate - Filed January 14, 2009; February 17, 2009,
  read first time and referred to Committee on Health and Human
  Services; March 17, 2009, reported adversely, with favorable
  Committee Substitute by the following vote:  Yeas 9, Nays 0;
  March 17, 2009, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 479 By:  Deuell
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to requiring the Department of State Health Services to
  implement a provider choice system.
         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 161.0109 to read as follows:
         Sec. 161.0109.  PROVIDER CHOICE SYSTEM.  (a)  The department
  shall implement a provider choice system for the vaccines for
  children program operated by the department under authority of 42
  U.S.C. Section 1396s and the adult safety net vaccination program.
         (b)  The department shall ensure that eligible health care
  providers participating in the vaccines for children program or the
  adult safety net vaccination program may select any licensed
  vaccine, including combination vaccines and any dosage forms that:
               (1)  are recommended by the federal Advisory Committee
  on Immunization Practices;
               (2)  are made available to the department by the United
  States Centers for Disease Control and Prevention; and
               (3)  for adult vaccines, are on the department-approved
  list of vaccines offered by the adult safety net vaccination
  program.
         (c)  For the purposes of this section, "equivalent vaccines"
  means two or more vaccines, excluding the influenza vaccine, that
  meet all of the following:
               (1)  protect a recipient of a vaccine against the same
  infection or infections;
               (2)  require the same number of doses;
               (3)  have similar safety and efficacy profiles; and
               (4)  are recommended for comparable populations by the
  United States Centers for Disease Control and Prevention.
         (d)  If equivalent vaccines that meet the requirements of
  Subsection (c) are available and the cost of one or more of those
  equivalent vaccines exceeds 115 percent of the lowest-priced
  equivalent vaccine, the department shall distribute the
  lowest-priced equivalent vaccine or vaccines.
         (e)  This section does not apply in the event of a disaster or
  public health emergency, terrorist attack, hostile military or
  paramilitary action, or extraordinary law enforcement emergency.
         (f)  The department shall convene the immunization work
  group established under Section 161.0095 and solicit its
  recommendations regarding development of a plan for the
  implementation of the provider choice system under this section.
  The plan shall include the education of:
               (1)  participating health care providers about United
  States Centers for Disease Control and Prevention procedures and
  distribution systems; and
               (2)  participating providers about vaccine options,
  the enrollment process, ordering, accountability, and reporting
  procedures.
         SECTION 2.  The Department of State Health Services shall
  implement all or part of the provider choice system under Section
  161.0109, Health and Safety Code, as added by this Act, as soon as
  it is determined to be feasible, provided, however, that the
  department shall complete implementation of the system not later
  than August 31, 2010.
         SECTION 3.  Effective September 1, 2010, Section 161.0103,
  Health and Safety Code, is repealed.
         SECTION 4.  This Act takes effect September 1, 2009.
 
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