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.