Texas Statutes
Subchapter A. Immunizations
Section 161.004. Statewide Immunization of Children

Sec. 161.004. STATEWIDE IMMUNIZATION OF CHILDREN. (a) Every child in the state shall be immunized against vaccine preventable diseases caused by infectious agents in accordance with the immunization schedule adopted in department rules.
(b) Hospitals shall be responsible for:
(1) referring newborns for immunization at the time the newborn screening test is performed;
(2) reviewing the immunization history of every child admitted to the hospital or examined in the hospital's emergency room or outpatient clinic; and
(3) administering needed vaccinations or referring the child for immunization.
(c) Physicians shall be responsible for reviewing the immunization history of every child examined and administering any needed vaccinations or referring the child for immunization.
(d) A child is exempt from an immunization required by this section if:
(1) a parent, managing conservator, or guardian states that the immunization is being declined for reasons of conscience, including a religious belief; or
(2) the immunization is medically contraindicated based on the opinion of a physician licensed by any state in the United States who has examined the child.
(e) For purposes of this section, "child" means a person under 18 years of age.
(f) The executive commissioner shall adopt rules that are necessary to administer this section.
(g) A parent, managing conservator, or guardian may choose the health care provider who administers the vaccine or immunizing agent under this chapter.
Added by Acts 1993, 73rd Leg., ch. 43, Sec. 3, eff. Sept. 1, 1993. Amended by Acts 2003, 78th Leg., ch. 198, Sec. 2.162, eff. Sept. 1, 2003.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0455, eff. April 2, 2015.

Structure Texas Statutes

Texas Statutes

Health and Safety Code

Title 2 - Health

Subtitle H - Public Health Provisions

Chapter 161 - Public Health Provisions

Subchapter A. Immunizations

Section 161.0001. Definitions

Section 161.001. Liability of Person Who Orders or Administers Immunization

Section 161.002. Inadmissibility of Immunization Survey Information

Section 161.003. Immunization Reminder Notices

Section 161.004. Statewide Immunization of Children

Section 161.0041. Immunization Exemption Affidavit Form

Section 161.005. Immunizations Required

Section 161.0051. Required Immunizations for Nursing Homes

Section 161.0052. Immunization of Elderly Persons by Hospitals, End Stage Renal Disease Facilities, and Physicians' Offices

Section 161.006. Department Immunization Service

Section 161.007. Immunization Registry; Reports to Department

Section 161.00705. Recording Administration of Immunization and Medication for Disasters and Emergencies

Section 161.00706. First Responder Immunization Information

Section 161.00707. Information and Education for First Responders

Section 161.00708. Access to First Responder Immunization History

Section 161.0071. Notice of Receipt of Registry Data; Exclusion From Registry

Section 161.0072. Providing Immunization Information to Department

Section 161.0073. Registry Confidentiality

Section 161.00735. Release and Receipt of Registry Data in Disaster

Section 161.0074. Report to Legislature

Section 161.0075. Immunity From Liability

Section 161.0076. Compliance With Federal Law

Section 161.008. Immunization Record

Section 161.0085. Covid-19 Vaccine Passports Prohibited

Section 161.009. Penalties for Disclosure of Information

Section 161.0095. Education Programs and Information

Section 161.010. Immunization Education; Statewide Coalition

Section 161.0101. Increase Immunization Awareness

Section 161.01035. Provider Choice System

Section 161.0104. Disaster Preparation

Section 161.0105. Limitation on Liability

Section 161.0106. Respiratory Syncytial Virus; Immunization

Section 161.0107. Electronic Medical Records Systems

Section 161.0108. Injunction

Section 161.0109. Human Papillomavirus; Vaccines Education Materials