By: Nelson S.B. No. 291 (In the Senate - Filed November 12, 2008; February 11, 2009, read first time and referred to Committee on Health and Human Services; March 2, 2009, reported adversely, with favorable Committee Substitute by the following vote: Yeas 9, Nays 0; March 2, 2009, sent to printer.) COMMITTEE SUBSTITUTE FOR S.B. No. 291 By: Nelson A BILL TO BE ENTITLED AN ACT relating to hepatitis B vaccination for students enrolled in certain health-related courses of study at an institution of higher education. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 51.933, Education Code, is amended by adding Subsection (b-1) to read as follows: (b-1) A rule adopted under Subsection (b) that requires a hepatitis B vaccination for students may apply only to students enrolled in a course of study that involves potential exposure to human or animal blood or bodily fluids. SECTION 2. Not later than November 1, 2009, the executive commissioner of the Health and Human Services Commission shall adopt rules as required by Section (b-1), Section 51.933, Education Code, as added by this Act. 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. * * * * *