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.