HB 2755

relating to requirements for and transparency of epidemiological
reports and immunization exemption information and reports.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 81.047, Health and Safety Code, is
Sec. 81.047.  EPIDEMIOLOGICAL REPORTS.  (a) Subject to the
confidentiality requirements of this chapter, the department shall
require epidemiological reports of disease outbreaks and of
individual cases of disease suspected or known to be of importance
to the public health, including vaccine preventable diseases.  The
department shall evaluate the reports to determine the trends
involved and the nature and magnitude of the hazards.
(b)  The department shall prepare and submit to the
legislature and the governor not later than December 1 of each
even-numbered year a biennial report that contains:
(1)  a report of outbreaks of vaccine preventable
(2)  de-identified immunization exemption information,
including the number of persons claiming an exemption from the
immunization requirements of Section 161.004 of this code, Sections
38.001, 51.9192, and 51.933, Education Code, and Section 42.043,
SECTION 2.  Section 38.002, Education Code, is amended by
amending Subsections (a) and (c) and adding Subsections (d), (e),
(f), and (g) to read as follows:
(a)  Each public school shall keep an individual
immunization record during the period of attendance for each
student admitted.  The records shall be open for inspection at all
reasonable times by the agency [Texas Education Agency] or by
representatives of local health departments or the [Texas]
Department of State Health Services.
(c)  The agency [Texas Education Agency] and the [Texas]
Department of State Health Services shall develop the form for a
required annual report of the immunization status of students that
includes de-identified immunization exemption information.  The
report shall be submitted by all schools at the time and in the
manner indicated in the instructions printed on the form.
(d)  Each school district shall provide to the Department of
State Health Services the information required by Subsection (c)
for the district and each school campus in the district.
(e)  The Department of State Health Services shall post on
the department's public Internet website the required annual report
submitted under Subsection (c) on the immunization status of
students for each school district and each school campus.
(f)  On request of a student's parent or legal guardian, a
school district or school campus shall provide to the parent or
guardian a copy of the following information for the campus at which
(1)  the immunization rate disaggregated by type of
(2)  the information submitted under Subsection (c),
(A)  de-identified immunization exemption
(B)  the number of students provisionally
enrolled pending documentation of immunization;
(C)  the number of students claiming an exemption
for reasons of conscience, including a religious belief;
(D)  the number of students claiming an exemption
(E)  the number of students whose vaccinations are
(g)  The commissioner and the executive commissioner of the
Health and Human Services Commission shall adopt rules as necessary
to ensure a report of the immunization status of students provided
under Subsections (e) and (f) complies with federal law regarding
confidentiality of student medical or educational information,
including the Health Insurance Portability and Accountability Act
of 1996 (42 U.S.C. Section 1320d et seq.) and the Family Educational
Rights and Privacy Act of 1974 (20 U.S.C. Section 1232g).
SECTION 3.  As soon as practicable after the effective date
of this Act, the Texas Education Agency shall update the form
required by Section 38.002(c), Education Code, as amended by this
Act, to comply with that subsection.
SECTION 4.  This Act applies beginning with the 2025-2026
SECTION 5.  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, 2025.