By: Nelson S.B. No. 1177
 
 
 
   
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to health care facilities' adoption of a policy on vaccine
  preventable diseases.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Subtitle A, Title 4, Health and
  Safety Code, is amended to read as follows:
  SUBTITLE A.  FINANCING, CONSTRUCTING, REGULATING, AND INSPECTING
  HEALTH FACILITIES
         SECTION 2.  Subtitle A, Title 4, Health and Safety Code, is
  amended by adding Chapter 224 to read as follows:
  CHAPTER 224.  POLICY ON VACCINE PREVENTABLE DISEASES
         Sec. 224.001.  DEFINITIONS.  In this chapter:
               (1)  "Health care facility" means a hospital or another
  facility licensed under Subtitle B of this title or under Chapter
  577 to provide inpatient medical care, health care, or mental
  health care services to patients in this state.
               (2)  "Hospital" has the meaning assigned by Section
  241.003.
               (3)  "Regulatory authority" means a state agency that
  regulates a health care facility under this code.
               (3)  "Vaccine preventable diseases" means the diseases
  included in the most current recommendations of the Advisory
  Committee on Immunization Practices of the Centers for Disease
  Control and Prevention.
         Sec. 224.002.  VACCINE PREVENTABLE DISEASES POLICY
  REQUIRED.  (a)  Each health care facility shall develop and
  implement a policy to protect its patients from vaccine preventable
  diseases.
         (b)  The policy must:
               (1)  require the employees of the health care facility
  to receive vaccines for the vaccine preventable diseases identified
  in the policy;
               (2)  include procedures for verifying whether a health
  care facility employee has complied with the policy;
               (3)  include procedures for a health care facility
  employee to be exempt from the required vaccines for medical
  reasons;
               (4)  for a health care facility employee who is exempt
  from the required vaccines, include procedures the employee must
  follow to protect facility patients from exposure to disease, such
  as wearing a mask, based on the level of risk the employee presents
  to patients by the employee's exposure to patients;
               (5)  require the health care facility to maintain a
  written or electronic record of each health care facility
  employee's compliance with or exemption from the policy; and
               (6)  include disciplinary actions the health care
  facility is authorized to take against a health care facility
  employee who fails to comply with the policy.
         (c)  The policy may include procedures for a health care
  facility employee to be exempt from the required vaccines based on
  reasons of conscience, including a religious belief.
         Sec. 224.003.  DISCIPLINARY ACTION.  A health care facility
  that violates this chapter is subject to an administrative or civil
  penalty in the same manner, and subject to the same procedures, as
  if the facility had violated a provision of this code that
  specifically governs the facility.
         Sec. 224.004.  RULES.  The appropriate rulemaking authority
  for each regulatory authority shall adopt rules necessary to
  implement this chapter.
         SECTION 3.  Not later than January 1, 2012, a state agency
  that regulates a health care facility subject to Chapter 224,
  Health and Safety Code, as added by this Act, shall adopt the rules
  necessary to implement that chapter.
         SECTION 4.  Notwithstanding Chapter 224, Health and Safety
  Code, as added by this Act, a health care facility subject to that
  chapter is not required to have a policy on vaccine preventable
  diseases in effect until September 1, 2012.
         SECTION 5.  This Act takes effect September 1, 2011.