Amend Amendment No. 1 to CSHB 2171 (house committee printing) as follows:

(1)  On page 1, line 8, between "(a-6)" and "to" by inserting ", and amending Subsection (a-3), as amended by SB 219, Acts of the 84th Legislature, Regular Session, 2015,".

(2)  On page 2, between lines 22 and 23, insert the following:

(a-3)  The executive commissioner by rule shall develop guidelines and procedures for obtaining consent from an individual after the individual's 18th birthday, including procedures for retaining immunization information in a separate database that is inaccessible by any person other than the department during the eight-year [one-year] period during which an individual who is 18 years of age or older [an 18-year-old] may consent to inclusion in the registry under Subsection (a-2).

(4)  On page 4, strike lines 26-27 and renumber subsequent SECTIONS of the bill accordingly.