88R3804 LRM-D
 
  By: Hall S.B. No. 305
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to vaccine administration requirements and protection of
  immunization exemptions for health reasons.
         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 Sections 161.0035 and 161.0045 to read as
  follows:
         Sec. 161.0035.  VACCINATION ADMINISTRATION REQUIREMENTS.
  (a)  A person administering a vaccine to a patient shall:
               (1)  before administering the vaccine, provide to the
  patient written information on the vaccine's benefits and risks,
  including any vaccine information statement required by the
  National Childhood Vaccine Injury Act of 1986 (42 U.S.C. Section
  300aa-1 et seq.);
               (2)  for each vaccine the person administers, maintain
  a permanent record of the vaccine manufacturer and lot number;
               (3)  record each serious health problem, including
  hospitalization, injury, or death, a patient sustains following a
  vaccine the person administers and place that information in the
  patient's record;
               (4)  report to the federal Vaccine Adverse Event
  Reporting System any serious health problem, including
  hospitalization, injury, or death, a patient sustains following a
  vaccine the person administers; and
               (5)  for each vaccine administered, provide to the
  patient the Vaccine Excipient Summary published by the Centers for
  Disease Control and Prevention.
         (b)  Reporting an adverse event associated with the
  administration of a vaccine to the vaccine manufacturer does not
  satisfy the requirements of Subsection (a)(4).
         (c)  A person who violates this section and holds a license
  or other certification issued by this state that authorizes the
  person to administer a vaccine is subject to disciplinary action by
  the appropriate licensing or certifying authority as if the person
  violated the applicable licensing or certification law.
         (d)  A person may bring a civil action to enjoin a violation
  of this section against a person who violates this section and who
  is not subject to disciplinary action under Subsection (c). A
  claimant who prevails in the action may recover attorney's fees and
  costs associated with bringing the action.
         Sec. 161.0045.  IMMUNIZATION HEALTH EXEMPTION PROTECTIONS.
  (a) In this section, "health exemption" means an affidavit or
  certificate a health care practitioner signs stating that, in the
  practitioner's opinion, an immunization poses a significant risk to
  the health and well-being of the practitioner's patient.
         (b)  A governmental official, including an official for a
  licensing or certification authority, may not question or sanction
  a health care practitioner for granting a health exemption to the
  practitioner's patient.
         (c)  Notwithstanding any other law, a person, including a
  state public health official, child-care facility, school,
  institution of higher education, public or private employer, and
  medical service or long-term care provider, shall:
               (1)  accept a health exemption:
                     (A)  provided by a health care practitioner; and
                     (B)  filed by an individual on behalf of the
  individual or the individual's minor child for education,
  employment, medical or long-term care, or another activity
  necessary for the individual's quality of life; and
               (2)  exempt the individual described by the health
  exemption from an immunization requirement imposed by the person or
  under the laws of this state.
         (d)  A person who violates Subsection (c) and holds a license
  or other certification issued by this state is subject to
  disciplinary action by the appropriate licensing or certifying
  authority as if the person violated the applicable licensing or
  certification law.
         (e)  A person may bring a civil action to enjoin a violation
  of this section against a person who violates this section and who
  is not subject to disciplinary action under Subsection (d). A
  claimant who prevails in the action may recover attorney's fees and
  costs associated with bringing the action.
         SECTION 2.  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, 2023.