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4 | 8 | | |
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5 | 9 | | |
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6 | 10 | | |
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7 | 11 | | A BILL TO BE ENTITLED |
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8 | 12 | | AN ACT |
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9 | 13 | | relating to required reports of certain vaccine-related or |
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10 | 14 | | drug-related adverse events. |
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11 | 15 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 16 | | SECTION 1. Subchapter A, Chapter 161, Health and Safety |
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13 | 17 | | Code, is amended by adding Section 161.0103 to read as follows: |
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14 | 18 | | Sec. 161.0103. REQUIRED REPORT OF CERTAIN VACCINE-RELATED |
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15 | 19 | | ADVERSE EVENTS. (a) In this section, "serious adverse event" means |
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16 | 20 | | an event that: |
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17 | 21 | | (1) results in death; |
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18 | 22 | | (2) is considered life-threatening; |
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19 | 23 | | (3) results in inpatient hospitalization or an |
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20 | 24 | | extension of the duration of an existing hospitalization; |
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21 | 25 | | (4) results in a persistent or significant incapacity |
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22 | 26 | | or substantial disruption of an individual's ability to perform |
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23 | 27 | | normal life functions; |
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24 | 28 | | (5) results in a congenital anomaly or birth defect; |
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25 | 29 | | or |
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26 | 30 | | (6) results in a medically important condition that, |
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27 | 31 | | based on the physician's reasonable medical judgment, may require |
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28 | 32 | | medical or surgical intervention to prevent an outcome described by |
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29 | 33 | | Subdivisions (1) through (5). |
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30 | 34 | | (b) This section applies only to a vaccine that is: |
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31 | 35 | | (1) experimental or investigational; or |
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32 | 36 | | (2) approved or authorized for emergency use by the |
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33 | 37 | | United States Food and Drug Administration. |
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34 | 38 | | (c) Notwithstanding Subsection (b), this section does not |
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35 | 39 | | apply to a vaccine administered as part of a clinical trial. |
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36 | 40 | | (d) Notwithstanding any other law, a physician shall report |
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37 | 41 | | to the federal Vaccine Adverse Event Reporting System any serious |
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38 | 42 | | adverse event the physician's patient suffers if: |
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39 | 43 | | (1) the physician: |
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40 | 44 | | (A) diagnoses the patient with a condition |
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41 | 45 | | related to the serious adverse event; and |
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42 | 46 | | (B) knows the patient received a vaccination to |
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43 | 47 | | which this section applies; and |
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44 | 48 | | (2) the patient suffers the serious adverse event |
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45 | 49 | | before the first anniversary of the date the patient was |
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46 | 50 | | vaccinated. |
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47 | 51 | | (e) A physician who violates this section is subject to: |
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48 | 52 | | (1) for an initial violation, non-disciplinary |
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49 | 53 | | corrective action by the Texas Medical Board; and |
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50 | 54 | | (2) for each subsequent violation, disciplinary |
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51 | 55 | | action by the Texas Medical Board as if the physician violated |
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52 | 56 | | Subtitle B, Title 3, Occupations Code. |
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53 | 57 | | (f) For purposes of non-disciplinary corrective action or |
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54 | 58 | | disciplinary action imposed under Subsection (e), the Texas Medical |
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55 | 59 | | Board may not consider a violation of this section after the third |
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56 | 60 | | anniversary of the date of the violation. The Texas Medical Board |
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57 | 61 | | shall retain information on each violation of this section in the |
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58 | 62 | | physician's permanent record. |
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59 | 63 | | (g) The executive commissioner shall adopt rules necessary |
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60 | 64 | | to implement this section. |
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61 | 65 | | SECTION 2. Subchapter E, Chapter 431, Health and Safety |
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62 | 66 | | Code, is amended by adding Section 431.1145 to read as follows: |
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63 | 67 | | Sec. 431.1145. REQUIRED REPORT OF CERTAIN DRUG-RELATED |
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64 | 68 | | ADVERSE EVENTS. (a) In this section, "serious adverse event" means |
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65 | 69 | | an event that: |
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66 | 70 | | (1) results in death; |
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67 | 71 | | (2) is considered life-threatening; |
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68 | 72 | | (3) results in inpatient hospitalization or an |
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69 | 73 | | extension of the duration of an existing hospitalization; |
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70 | 74 | | (4) results in a persistent or significant incapacity |
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71 | 75 | | or substantial disruption of an individual's ability to perform |
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72 | 76 | | normal life functions; |
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73 | 77 | | (5) results in a congenital anomaly or birth defect; |
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74 | 78 | | or |
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75 | 79 | | (6) results in a medically important medical condition |
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76 | 80 | | that, based on the physician's reasonable medical judgment, may |
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77 | 81 | | require medical or surgical intervention to prevent an outcome |
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78 | 82 | | described by Subdivisions (1) through (5). |
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79 | 83 | | (b) This section applies only to a drug that is: |
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80 | 84 | | (1) experimental or investigational; or |
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81 | 85 | | (2) approved or authorized for emergency use by the |
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82 | 86 | | United States Food and Drug Administration. |
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83 | 87 | | (c) Notwithstanding Subsection (b), this section does not |
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84 | 88 | | apply to a drug that is administered or used as part of a clinical |
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85 | 89 | | trial. |
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86 | 90 | | (d) Notwithstanding any other law, a physician shall report |
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87 | 91 | | to the United States Food and Drug Administration through the |
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88 | 92 | | MedWatch reporting program any serious adverse event the |
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89 | 93 | | physician's patient suffers if: |
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90 | 94 | | (1) the physician: |
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91 | 95 | | (A) diagnoses the patient with a condition |
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92 | 96 | | related to the serious adverse event; and |
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93 | 97 | | (B) knows the patient was administered or used a |
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94 | 98 | | drug to which this section applies; and |
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95 | 99 | | (2) the patient suffers the serious adverse event |
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96 | 100 | | before the first anniversary of the date the patient was |
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97 | 101 | | administered or used the drug. |
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98 | 102 | | (e) A physician who violates this section is subject to: |
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99 | 103 | | (1) for an initial violation, non-disciplinary |
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100 | 104 | | corrective action by the Texas Medical Board; and |
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101 | 105 | | (2) for each subsequent violation, disciplinary |
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102 | 106 | | action by the Texas Medical Board as if the physician violated |
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103 | 107 | | Subtitle B, Title 3, Occupations Code. |
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104 | 108 | | (f) For purposes of non-disciplinary corrective action or |
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105 | 109 | | disciplinary action imposed under Subsection (e), the Texas Medical |
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106 | 110 | | Board may not consider a violation of this section after the third |
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107 | 111 | | anniversary of the date of the violation. The Texas Medical Board |
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108 | 112 | | shall retain information on each violation of this section in the |
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109 | 113 | | physician's permanent record. |
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110 | 114 | | (g) The executive commissioner shall adopt rules necessary |
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111 | 115 | | to implement this section. |
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112 | 116 | | SECTION 3. As soon as practicable after the effective date |
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113 | 117 | | of this Act, the executive commissioner of the Health and Human |
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114 | 118 | | Services Commission shall adopt rules necessary to implement the |
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115 | 119 | | changes in law made by this Act. |
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116 | 120 | | SECTION 4. This Act takes effect September 1, 2025. |
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