4 | 9 | | |
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5 | 10 | | |
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6 | 11 | | A BILL TO BE ENTITLED |
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7 | 12 | | AN ACT |
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8 | 13 | | relating to the administration of immunizations to children, |
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9 | 14 | | including required written informed consent to those immunizations |
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10 | 15 | | and civil liability for failure to obtain the consent; providing an |
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11 | 16 | | administrative penalty. |
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12 | 17 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 18 | | SECTION 1. The legislature finds that when a health care |
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14 | 19 | | provider accepts a bonus, kickback, or any other form of |
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15 | 20 | | remuneration from a vaccine manufacturer for administering an |
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16 | 21 | | immunization to a person, the health care provider has a conflict of |
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17 | 22 | | interest and is less likely to counsel a person on the benefits and |
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18 | 23 | | risks of immunization before obtaining the person's written |
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19 | 24 | | informed consent as required by law. |
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20 | 25 | | SECTION 2. The heading to Section 32.102, Family Code, is |
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21 | 26 | | amended to read as follows: |
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22 | 27 | | Sec. 32.102. WRITTEN INFORMED CONSENT TO IMMUNIZATION; |
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23 | 28 | | CERTAIN REMUNERATION PROHIBITED; ADMINISTRATIVE PENALTY; CIVIL |
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24 | 29 | | LIABILITY. |
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25 | 30 | | SECTION 3. Section 32.102, Family Code, is amended by |
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26 | 31 | | amending Subsections (a) and (c) and adding Subsections (d), (e), |
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27 | 32 | | (f), (g), and (h) to read as follows: |
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28 | 33 | | (a) Before administering an immunization to a child, a |
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29 | 34 | | health care provider must obtain the written informed consent of a |
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30 | 35 | | [A] person authorized to consent to [the] immunization of the [a] |
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31 | 36 | | child [has the responsibility to ensure that the consent, if given, |
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32 | 37 | | is an informed consent]. The person authorized to consent is not |
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33 | 38 | | required to be present when [the] immunization of the child is |
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34 | 39 | | requested if a consent form that meets the requirements of Section |
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35 | 40 | | 32.002 has been given to the health care provider. |
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36 | 41 | | (c) As part of the information given in the counseling for |
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37 | 42 | | informed consent, the health care provider shall provide |
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38 | 43 | | [information to inform] the person authorized to consent to |
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39 | 44 | | immunization with information regarding: |
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40 | 45 | | (1) the benefits and risks of immunization, including |
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41 | 46 | | any vaccine information statement required by the National |
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42 | 47 | | Childhood Vaccine Injury Act of 1986 (42 U.S.C. Section 300aa-1 et |
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43 | 48 | | seq.); and |
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44 | 49 | | (2) [of] the procedures available under the National |
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45 | 50 | | Childhood Vaccine Injury Act of 1986 (42 U.S.C. Section 300aa-1 et |
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46 | 51 | | seq.) to seek possible recovery for unreimbursed expenses for |
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47 | 52 | | certain injuries arising out of the administration of certain |
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48 | 53 | | vaccines. |
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49 | 54 | | (d) If a health care provider fails to obtain the written |
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50 | 55 | | informed consent required by Subsection (a) and the child has an |
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51 | 56 | | adverse reaction to the immunization that is required by federal |
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52 | 57 | | law to be reported to the federal Vaccine Adverse Event Reporting |
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53 | 58 | | System, the provider is liable to the person authorized to consent |
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54 | 59 | | to the immunization for damages in an amount not to exceed $10,000. |
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55 | 60 | | In an action brought under this subsection, a claimant may also |
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56 | 61 | | recover reasonable expenses incurred in bringing the action, |
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57 | 62 | | including court costs, reasonable attorney's fees, investigation |
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58 | 63 | | costs, witness fees, and deposition expenses. |
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59 | 64 | | (e) Sections 41.003 and 41.004, Civil Practice and Remedies |
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60 | 65 | | Code, do not apply to an action brought under this section. |
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61 | 66 | | (f) A health care provider may not accept a bonus, kickback, |
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62 | 67 | | or any other form of remuneration from a vaccine manufacturer for |
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63 | 68 | | administering an immunization to a child, except for the necessary |
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64 | 69 | | costs of administering the immunization. |
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65 | 70 | | (g) If a health care provider violates Subsection (f), |
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66 | 71 | | written informed consent obtained by the provider under Subsection |
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67 | 72 | | (a) is not valid. |
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68 | 73 | | (h) A health care provider who violates Subsection (f) is |
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69 | 74 | | subject to disciplinary action by the state licensing agency that |
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70 | 75 | | regulates the provider. On determining the provider committed a |
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71 | 76 | | violation, the agency shall impose an administrative penalty |
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72 | 77 | | against the provider in an amount that equals the greater of: |
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73 | 78 | | (1) $5,000; or |
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74 | 79 | | (2) 10 times the monetary value of the remuneration |
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75 | 80 | | the provider received from the vaccine manufacturer in relation to |
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76 | 81 | | the immunization that is the subject of the violation. |
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77 | 82 | | SECTION 4. Section 32.103(b), Family Code, is amended to |
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78 | 83 | | read as follows: |
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79 | 84 | | (b) A person consenting to immunization of a child, a |
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80 | 85 | | physician, nurse, or other health care provider, or a public health |
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81 | 86 | | clinic, hospital, or other medical facility is not liable for |
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82 | 87 | | damages arising from an immunization administered to a child |
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83 | 88 | | authorized under this subchapter except for injuries resulting from |
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84 | 89 | | the person's or facility's own acts of negligence. For purposes of |
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85 | 90 | | this subsection, an immunization administered to a child is not |
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86 | 91 | | authorized under this subchapter if the physician, nurse, or other |
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87 | 92 | | health care provider failed to obtain written informed consent as |
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88 | 93 | | required by Section 32.102. |
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89 | 94 | | SECTION 5. The changes in law made by this Act apply only to |
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90 | 95 | | a cause of action that accrues on or after the effective date of |
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91 | 96 | | this Act. |
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92 | 97 | | SECTION 6. This Act takes effect immediately if it receives |
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93 | 98 | | a vote of two-thirds of all the members elected to each house, as |
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94 | 99 | | provided by Section 39, Article III, Texas Constitution. If this |
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95 | 100 | | Act does not receive the vote necessary for immediate effect, this |
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96 | 101 | | Act takes effect September 1, 2025. |
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