S.B. No. 1353 AN ACT relating to the content of certain immunization records and of certain biennial legislative reports on immunizations issued by the Department of State Health Services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 161.0074, Health and Safety Code, is amended by adding Subsection (d) to read as follows: (d) If a public health disaster was declared under Chapter 81 during the preceding two years, in addition to the information required under Subsection (c), for immunizations that immunize an individual against the communicable disease subject to the declaration the report must: (1) include information by county on the accessibility to the immunizations of county residents by age, race, and geographic location, provided the information does not personally identify any individual; (2) identify and assess disparities in access to the immunizations by age, race, and geographic location, including an assessment of immunization accessibility in each county; (3) include the estimated economic benefit to this state of reducing disparities in immunization accessibility; (4) include recommendations for reducing disparities in immunization accessibility; and (5) include recommendations for legislative action to increase immunization rates. SECTION 2. Section 161.008, Health and Safety Code, is amended by adding Subsection (b-1) to read as follows: (b-1) An immunization record provided by a health care provider as required by Section 161.00705 for inclusion in the immunization registry during a public health disaster declared under Chapter 81 must contain the race, age, ethnicity, and county of residence of the individual immunized. This subsection applies only to immunizations that immunize an individual against the communicable disease subject to the declaration. 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, 2021. ______________________________ ______________________________ President of the Senate Speaker of the House I hereby certify that S.B. No. 1353 passed the Senate on May 3, 2021, by the following vote: Yeas 27, Nays 3. ______________________________ Secretary of the Senate I hereby certify that S.B. No. 1353 passed the House on May 26, 2021, by the following vote: Yeas 103, Nays 44, two present not voting. ______________________________ Chief Clerk of the House Approved: ______________________________ Date ______________________________ Governor