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        |  | A BILL TO BE ENTITLED | 
      
        |  | AN ACT | 
      
        |  | relating to exemptions from immunization requirements for public | 
      
        |  | school students and students at public institutions of higher | 
      
        |  | education. | 
      
        |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
        |  | SECTION 1.  Sections 38.001(c) and (f), Education Code, are | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  Immunization is not required for a person's admission to | 
      
        |  | any elementary or secondary school if the person applying for | 
      
        |  | admission: | 
      
        |  | (1)  submits to the admitting official: | 
      
        |  | (A)  an affidavit or a certificate signed by a | 
      
        |  | physician who is duly registered and licensed to practice medicine | 
      
        |  | in the United States, in which it is stated that, in the physician's | 
      
        |  | opinion, the immunization required poses a significant risk to the | 
      
        |  | health and well-being of the applicant or any member of the | 
      
        |  | applicant's family or household; or | 
      
        |  | (B)  an affidavit signed by the applicant or, if a | 
      
        |  | minor, by the applicant's parent or guardian stating that the | 
      
        |  | applicant declines immunization for a specified and verifiable | 
      
        |  | religious-based reason and that the immunization conflicts with the | 
      
        |  | tenets and practices of a recognized church or religious | 
      
        |  | denomination of which the applicant is an adherent or member | 
      
        |  | [ reasons of conscience, including a religious belief]; or | 
      
        |  | (2)  is a member of the armed forces of the United | 
      
        |  | States and is on active duty. | 
      
        |  | (f)  A person who has not received the immunizations required | 
      
        |  | by this section [ for reasons of conscience, including] because of | 
      
        |  | the person's specified and verifiable religious-based reason | 
      
        |  | [ religious beliefs,] may be excluded from school in times of | 
      
        |  | emergency or epidemic declared by the commissioner of public | 
      
        |  | health. | 
      
        |  | SECTION 2.  Section 51.9192, Education Code, is amended by | 
      
        |  | amending Subsections (c), (d), (d-1), (d-2), (d-3), (d-4), and | 
      
        |  | (d-6) and adding Subsection (c-1) to read as follows: | 
      
        |  | (c)  Except as provided by Subsection (c-1) or (d), a student | 
      
        |  | to whom this section applies or a parent or guardian of the student | 
      
        |  | must provide to the institution, at the time and in the manner | 
      
        |  | prescribed by rules adopted by the Texas Higher Education | 
      
        |  | Coordinating Board, a certificate signed by a health practitioner | 
      
        |  | or an official immunization record evidencing that the student has | 
      
        |  | received a bacterial meningitis vaccination dose or booster during | 
      
        |  | the five-year period preceding the date established by the | 
      
        |  | coordinating board under Subsection (e). | 
      
        |  | (c-1)  A student to whom this section applies who is an | 
      
        |  | entering student at an institution of higher education, or a parent | 
      
        |  | or guardian of the student, is not required to comply with | 
      
        |  | Subsection (c) if the student or a parent or guardian of the student | 
      
        |  | submits to the institution: | 
      
        |  | (1)  an affidavit or a certificate signed by a | 
      
        |  | physician who is duly registered and licensed to practice medicine | 
      
        |  | in the United States in which it is stated that, in the physician's | 
      
        |  | opinion, the vaccination required would be injurious to the health | 
      
        |  | and well-being of the student; or | 
      
        |  | (2)  an affidavit signed by the student stating that | 
      
        |  | the student declines the vaccination for bacterial meningitis for | 
      
        |  | a specified and verifiable religious-based reason and that the | 
      
        |  | immunization conflicts with the tenets and practices of a | 
      
        |  | recognized church or religious denomination of which the student is | 
      
        |  | an adherent or member or confirmation that the student has | 
      
        |  | completed the Internet-based process described by Subsection (d-3) | 
      
        |  | for declining the vaccination on that basis, if applicable to the | 
      
        |  | student. | 
      
        |  | (d)  A student to whom this section applies who is an | 
      
        |  | entering student at a private or independent institution of higher | 
      
        |  | education, or a parent or guardian of the student, is not required | 
      
        |  | to comply with Subsection (c) if the student or a parent or guardian | 
      
        |  | of the student submits to the institution: | 
      
        |  | (1)  an affidavit or a certificate signed by a | 
      
        |  | physician who is duly registered and licensed to practice medicine | 
      
        |  | in the United States in which it is stated that, in the physician's | 
      
        |  | opinion, the vaccination required would be injurious to the health | 
      
        |  | and well-being of the student; or | 
      
        |  | (2)  an affidavit signed by the student stating that | 
      
        |  | the student declines the vaccination for bacterial meningitis for | 
      
        |  | reasons of conscience, including a religious belief [ , or  | 
      
        |  | confirmation that the student has completed the Internet-based  | 
      
        |  | process described by Subsection (d-3) for declining the vaccination  | 
      
        |  | on that basis, if applicable to the student]. | 
      
        |  | (d-1)  The exemptions [ exemption] provided by Subsection | 
      
        |  | (c-1)(2) and (d)(2) do [ does] not apply during a disaster or public | 
      
        |  | health emergency, terrorist attack, hostile military or | 
      
        |  | paramilitary action, or extraordinary law enforcement emergency | 
      
        |  | declared by an appropriate official or other authority and in | 
      
        |  | effect for the location of the institution the student attends. | 
      
        |  | (d-2)  An affidavit submitted under Subsection (c-1)(2) or | 
      
        |  | (d)(2) must be: | 
      
        |  | (1)  on a form described by Section 161.0041, Health | 
      
        |  | and Safety Code; and | 
      
        |  | (2)  submitted to the appropriate admitting official | 
      
        |  | not later than the 90th day after the date the affidavit is | 
      
        |  | notarized. | 
      
        |  | (d-3)  The Department of State Health Services shall develop | 
      
        |  | and implement a secure, Internet-based process to be used | 
      
        |  | exclusively at those public junior colleges that elect to use the | 
      
        |  | process to allow an entering student to apply online for an | 
      
        |  | exemption from the vaccination requirement under this section for a | 
      
        |  | religious-based reason described by Subsection (c-1)(2) [ reasons  | 
      
        |  | of conscience].  The online process portal must be designed to | 
      
        |  | ensure that duplicate exemption requests are avoided to the | 
      
        |  | greatest extent possible.  The exemption form used by a student to | 
      
        |  | claim an exemption under the process must contain a statement | 
      
        |  | indicating that the student understands the benefits and risks of | 
      
        |  | the immunization and the benefits and risks of not receiving the | 
      
        |  | immunization. | 
      
        |  | (d-4)  A public junior college may require an entering | 
      
        |  | student to use the Internet-based process under Subsection (d-3) as | 
      
        |  | the exclusive method to apply for an exemption from the vaccination | 
      
        |  | required under this section for a religious-based reason described | 
      
        |  | by Subsection (c-1)(2) [ reasons of conscience]. | 
      
        |  | (d-6)  An institution of higher education or private or | 
      
        |  | independent institution of higher education shall provide, with the | 
      
        |  | registration materials that the institution provides to a student | 
      
        |  | to whom this section applies before the student's initial | 
      
        |  | enrollment in the institution, written notice of the right of the | 
      
        |  | student or of a parent or guardian of the student to claim an | 
      
        |  | exemption from the vaccination requirement in the manner prescribed | 
      
        |  | by Subsection (c-1) or (d), as applicable to the institution, and of | 
      
        |  | the importance of consulting a physician about the need for | 
      
        |  | immunization to prevent the disease. | 
      
        |  | SECTION 3.  Section 51.933(d), Education Code, is amended to | 
      
        |  | read as follows: | 
      
        |  | (d)  No form of immunization is required for a person's | 
      
        |  | admission to an institution of higher education if the person | 
      
        |  | applying for admission: | 
      
        |  | (1)  submits to the admitting official: | 
      
        |  | (A)  an affidavit or a certificate signed by a | 
      
        |  | physician who is duly registered and licensed to practice medicine | 
      
        |  | within the United States in which it is stated that, in the | 
      
        |  | physician's opinion, the immunization required poses a significant | 
      
        |  | risk to the health and well-being of the applicant or any member of | 
      
        |  | the applicant's family or household; or | 
      
        |  | (B)  an affidavit signed by the applicant or, if a | 
      
        |  | minor, by the applicant's parent or guardian stating that the | 
      
        |  | applicant declines immunization for a specified and verifiable | 
      
        |  | religious-based reason and that the immunization conflicts with the | 
      
        |  | tenets and practices of a recognized church or religious | 
      
        |  | denomination of which the student is an adherent or member [ reasons  | 
      
        |  | of conscience, including a religious belief]; or | 
      
        |  | (2)  is a member of the armed forces of the United | 
      
        |  | States and is on active duty. | 
      
        |  | SECTION 4.  Section 161.004, Health and Safety Code, is | 
      
        |  | amended by adding Subsection (d-1) to read as follows: | 
      
        |  | (d-1)  Subsection (d) does not authorize an exemption based | 
      
        |  | on conscience for a student subject to Section 38.001, | 
      
        |  | 51.9192(c-1), or 51.933, Education Code. | 
      
        |  | SECTION 5.  Section 161.0041, Health and Safety Code, is | 
      
        |  | amended by amending Subsection (a) and adding Subsection (a-1) to | 
      
        |  | read as follows: | 
      
        |  | (a)  A person claiming an exemption from a required | 
      
        |  | immunization [ based on reasons of conscience, including a religious  | 
      
        |  | belief, under Section 161.004 of this code, Section 38.001,  | 
      
        |  | 51.9192, or 51.933, Education Code, or Section 42.043, Human  | 
      
        |  | Resources Code,] must complete an affidavit on a form provided by | 
      
        |  | the department stating the [ reason for the] exemption is based on: | 
      
        |  | (1)  reasons of conscience, including a religious | 
      
        |  | belief, under Section 161.004 of this code, Section 51.9192(d)(2), | 
      
        |  | Education Code, or Section 42.043, Human Resources Code; or | 
      
        |  | (2)  a specified and verifiable religious-based reason | 
      
        |  | under Section 38.001, 51.9192(c-1)(2), or 51.933, Education Code. | 
      
        |  | (a-1)  Subsection (a) [ This subsection] does not apply to a | 
      
        |  | person claiming an [ the] exemption using the Internet-based process | 
      
        |  | under Section 51.9192(d-3), Education Code. | 
      
        |  | SECTION 6.  The changes in law made by this Act to Section | 
      
        |  | 38.001, Education Code, relating to public school students apply | 
      
        |  | beginning with the 2015-2016 school year. | 
      
        |  | SECTION 7.  The changes in law made by this Act to Sections | 
      
        |  | 51.9192 and 51.933, Education Code, apply only to entering students | 
      
        |  | enrolling in public institutions of higher education in this state | 
      
        |  | beginning with the 2015 fall semester. | 
      
        |  | SECTION 8.  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, 2015. |