reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.3 - What Condition to Report and What Isolates to Report or Submit

Current through Reg. 49, No. 28; July 12, 2024
(a) Humans.
(1) Identification of notifiable conditions.
(A) A summary list of notifiable conditions
				  and reporting time frames is published on the Department of State Health
				  Services web site at
http://www.dshs.state.tx.us/idcu/investigation/conditions/
.
				  Copies are filed in the Emerging and Acute Infectious Disease Branch,
				  Department of State Health Services, 1100 West 49th Street, Austin, Texas
				  78756.
(B) Repetitive test results
				  from the same patient do not need to be reported except those for mycobacterial
				  infections.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.5 - Where to Report a Condition or Isolate; Where to Submit an Isolate

Current through Reg. 49, No. 28; July 12, 2024
(a) Humans.
(1) A physician, dentist, veterinarian,
				  chiropractor, reporting officer of a hospital, person in charge of a hospital
				  laboratory (if the laboratory reports independently), person permitted by law
				  to attend a pregnant woman during gestation or at the delivery of an infant, or
				  school authority shall report to the local health authority where the office,
				  clinic, hospital, or school is located. If there is no local health authority
				  appointed for the jurisdiction where the office, clinic, hospital, or school is
				  located, the report shall be made to the Department of State Health Services
				  (department) regional director. Public health emergencies shall be reported to
				  the department's central office if the local health authority or the
				  department's regional director is not immediately accessible.
(2) The administrative officer of a clinical
				  laboratory, blood bank, mobile unit, or other facility shall report a condition
				  or submit an isolate as follows:
(A) If the
				  laboratory examination was requested by a physician, notice shall be sent to
				  the local health authority for the jurisdiction where the physician's office is
				  located, to the department's regional director for the jurisdiction where the
				  physician's office is located if no local health authority exists, or to the
				  department's central office when the regional director or local health
				  authority are unknown to the laboratory.
(B) If the laboratory examination was not
				  requested by a physician, notice shall be sent to the local health authority
				  for the jurisdiction where the laboratory is located, to the department's
				  regional director for the jurisdiction where the laboratory is located if no
				  local health authority has been appointed, or to the department's central
				  office when the regional director or local health authority are unknown to the
				  laboratory.
(C) All diseases
				  requiring submission of cultures in §
												97.3(a)(4)
				  of this title (relating to What Condition to Report and What Isolates to Report
				  or Submit) shall be submitted to the Department of State Health Services,
				  Laboratory Services Section, 1100 West 49th Street, Austin, Texas 78756-3199 or
				  other public health laboratory as designated by the Department of State Health
				  Services.
(3) Sexually
				  transmitted diseases including HIV and AIDS shall be reported in accordance
				  with Subchapter F of this chapter (relating to Sexually Transmitted Diseases
				  Including Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency
				  Virus (HIV)).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.6 - Reporting and Other Duties of Local Health Authorities and Regional Directors

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose
				  of this section is to provide procedures for local health authorities and
				  regional directors to report a disease to the Department of State Health
				  Services (department) central office.
(b) Those notifiable conditions identified as
				  public health emergencies in §
										97.4(a)
				  of this title (relating to When to Report a Condition or Isolate) shall be
				  reported immediately to the department by telephone at (888)
				  963-7111.
(c) AIDS, chancroid,
Chlamydia trachomatis
infection, gonorrhea, HIV infection and
				  syphilis shall be reported in accordance with Subchapter F of this chapter
				  (relating to Sexually Transmitted Diseases Including Acquired Immune Deficiency
				  Syndrome (AIDS) and Human Immunodeficiency Virus (HIV)).
(d) For notifiable conditions not listed in
				  subsections (b) and (c) of this section, the local health authority or the
				  department's regional director shall collect reports of disease and transmit
				  the information listed in §
										97.3(a)(3)
				  of this title (relating to What Condition to Report and What Isolates to Report
				  or Submit) at weekly intervals as directed by the department.
(e) Transmittal may be by telephone, mail,
				  courier, or electronic transmission.
(1) If
				  by mail or courier, the reports shall be on a form provided by the department
				  and placed in a sealed envelope addressed to the attention of the appropriate
				  receiving source and marked "Confidential."
(2) Any electronic transmission of the
				  reports must provide at least the same degree of protection against
				  unauthorized disclosure as those of mail or courier transmittal.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.8 - General Control Measures for Notifiable Conditions

Current through Reg. 49, No. 28; July 12, 2024
Except for diseases for which equivalent measures of
					 investigation and control are specifically provided in other sections in this
					 chapter, the Commissioner of Health (commissioner), a health authority, or a
					 duly authorized representative of the commissioner or a health authority may
					 proceed as follows.
(1) Investigation
				  shall be made, as the circumstances may require, for verifying the diagnosis,
				  ascertaining the source of the causative agent, disclosing unreported cases,
				  and finding contacts. On request, a person shall provide the Department of
				  State Health Services (department) or health authority with records, data, and
				  other information according to the written instruction of the department or
				  health authority. The health authority and the department shall keep this
				  information confidential.
(2)
				  Laboratory specimens of the body tissues, fluids, or discharges and of
				  materials directly or indirectly associated with the case, as may be necessary
				  or desirable in confirmation of the diagnosis or for ascertaining the source of
				  the infection, shall be collected and submitted to a laboratory for
				  examination.
(3) Control
				  techniques, including disinfection, environmental sanitation, immunization,
				  chemoprophylaxis, isolation, preventive therapy, quarantine, education,
				  prevention, and other accepted measures shall be instituted as necessary to
				  reduce morbidity and mortality. In establishing quarantine or isolation, the
				  health authority shall designate and define the limits of the areas in which
				  the persons are quarantined or isolated.
(4) Information concerning the disease and
				  its prevention shall be given to the patient or a responsible member of the
				  patient's household to prevent further spread of the disease.
(5) Control measures implemented by the
				  health authority shall be consistent with and at least as stringent as those
				  control measure standards imposed by the department. Individual control
				  measures implemented by the health authority are subject to review and
				  modification or change by the commissioner.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.9 - Quarantine of Specific Premises and Application of Control Measures to Private and Common Carriers

Current through Reg. 49, No. 28; July 12, 2024
(a) A health
				  authority may declare a house, building, apartment, room, or place within the
				  health authority's jurisdiction to be a place of quarantine whenever a case of
				  communicable disease occurs therein, and, in the health authority's opinion, it
				  is necessary to do so in order to protect the public health. No person shall
				  leave or enter the place during the period of quarantine except with specific
				  permission of the health authority.
(b) The department or health authority may
				  investigate and apply control measures to private and common carriers and
				  private conveyances as authorized in Disease Prevention and Control Act (Act),
				  Health and Safety Code, §
										81.086,
				  when they have reasonable cause to believe that:
(1) it has departed from or traveled through
				  an area infected or contaminated with a communicable disease;
(2) it is or may be infected or contaminated
				  with a communicable disease;
(3) an
				  individual on board has been exposed to or is the carrier of a communicable
				  disease; or
(4) it has cargo or an
				  object on board that is or may be infected or contaminated with a communicable
				  disease.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.10 - Confidential Nature of Case Reporting and Records

Current through Reg. 49, No. 28; July 12, 2024
(a) All individual morbidity case reports
				  received by the health authority or the Department of State Health Services
				  (department) are confidential records and not public records.
(b) To implement disease control measures
				  authorized in these sections, it may be necessary for the health authority or
				  the department to investigate public or private health records including
				  patient medical records pertinent to the notifiable condition. On request, a
				  person shall provide the department with records, data, and other information
				  according to the written instruction of the department. The health authority
				  and the department shall keep this information confidential.
(c) The department may use information
				  obtained from reports or health records for statistical and epidemiological
				  studies which may be public information as long as the information does not
				  permit the identification of an individual.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.11 - Notification of Emergency Response Employees, Volunteers, or Other Persons Providing Emergency Care of Possible Exposure to a Disease

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The Communicable Disease
				  Prevention and Control Act (Act), §81.048, requires a licensed hospital to
				  notify a health authority and designated infection control officer in certain
				  instances when an emergency response employee or volunteer may have been
				  exposed to a reportable disease during the course of duty from a person
				  delivered to the hospital under conditions that were favorable for
				  transmission. A hospital that gives notice of a possible exposure under this
				  section or a local health authority or designated infection control officer
				  that receives notice of a possible exposure under this section may give notice
				  of the possible exposure to a person other than an emergency response employee
				  or volunteer if the person demonstrates that the person was exposed to the
				  reportable disease while providing emergency care.
(b) Definitions.
(1) Designated infection control officer--The
				  person serving as an entity's designated infection control officer under Health
				  and Safety Code, § 81.012, who has a health care professional license or
				  specific training in infection control, acts as liaison between the entity and
				  the destination hospital, and monitors all follow-up treatment provided to the
				  affected emergency response employee or volunteer.
(2) Emergency response employee or
				  volunteer--An individual acting in the course and scope of employment or
				  service as a volunteer as emergency medical service personnel, a peace officer,
				  a detention officer, a county jailer, or a fire fighter, as defined under
				  Health and Safety Code, §
											81.003.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.12 - Mandatory Testing of Persons Suspected of Exposing Certain Other Persons to Notifiable Conditions and Workers' Compensation Issues Relevant to Postexposure Management of Emergency Response Employees or Volunteers

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The Communicable Disease
				  Prevention and Control Act, Health and Safety Code, §
										81.050,
				  provides a mechanism by which an emergency response employee or volunteer or
				  correctional officer who receives a bona fide exposure that places him or her
				  at risk of a notifiable condition in the course of employment or volunteer
				  service may request the Department of State Health Services (department) or the
				  department's designee to order testing of the person who may have exposed the
				  worker.
(b) Definitions. For the
				  purposes of this section, the following words and/or terms will have the
				  following meanings, unless the context clearly indicates otherwise.
(1) Correctional officer--A worker whose
				  normal duties and responsibilities include management or supervision of
				  incarcerated or detained persons or an employee, contractor, or volunteer,
				  other than a correctional officer, who performs a service in a correctional
				  facility as defined by §
											1.07, Penal Code, or
				  a secure correctional facility or secure detention facility as defined by
				  §
											51.02, Family
				  Code.
(2) Emergency response
				  employee or volunteer--An individual acting in the course and scope of
				  employment or service as a volunteer as emergency medical service personnel, a
				  peace officer, a detention officer, a county jailer, or a fire fighter, as
				  defined under Health and Safety Code, §
											81.003.
(3) Requestor--An emergency response employee
				  or volunteer who presents a sworn affidavit to a health authority to request
				  testing of a person who may have exposed him/her to a notifiable condition in
				  the course of his/her duties.
(4)
				  Source--The person who may have exposed an emergency response employee or
				  volunteer to a notifiable condition during the emergency response employee or
				  volunteer's course of duties.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter A - CONTROL OF COMMUNICABLE DISEASES › Section 97.13 - Death of a Person with Certain Communicable Diseases

Current through Reg. 49, No. 28; July 12, 2024
(a) If a physician
				  has knowledge that a person had, at the time of death, a communicable disease
				  listed in subsection (c) of this section, then the hospital administrator,
				  clinic administrator, nurse, or the physician shall affix or cause to be
				  affixed a tag on the body, preferably the great toe.
(b) The tag shall be on card stock paper and
				  shall be no smaller than five centimeters by ten centimeters. The tag shall
				  include the words "COMMUNICABLE DISEASE--BLOOD/BODY SUBSTANCE PRECAUTIONS
				  REQUIRED" in letters no smaller than six millimeters in height. The name of the
				  deceased person shall be written on the tag. The tag shall remain affixed to
				  the body until the preparation of the body for burial has been
				  completed.
(c) Diseases that shall
				  require tagging are acquired immune deficiency syndrome (AIDS); anthrax;
				  brucellosis; cholera; Hantavirus pulmonary syndrome; hepatitis, viral; human
				  immunodeficiency virus (HIV) infection; novel coronavirus; novel influenza;
				  plague; prion diseases, such as Creutzfeldt-Jakob disease (CJD); Q fever;
				  rabies; Rocky Mountain spotted fever; smallpox; syphilis; tuberculosis
(Mycobacterium tuberculosis
complex); tularemia; and viral
				  hemorrhagic fever.
(d) All persons
				  should routinely practice standard infection control procedures when performing
				  postmortem care on a deceased person who is known or suspected of having a
				  communicable disease listed in subsection (c) of this section.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.61 - Children and Students Included in Vaccine Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) The vaccine requirements apply to all
				  children and students entering, attending, enrolling in, and/or transferring to
				  child-care facilities or public or private primary or secondary schools or
				  institutions of higher education.
(b) The vaccines required in this section are
				  also required for all children in the State of Texas, including children
				  admitted, detained, or committed in Texas Department of Criminal Justice,
				  Department of State Health Services, and the Texas Juvenile Justice Department
				  (TJJD) facilities.
(c) The vaccine
				  requirements are adopted as a statewide control measure for communicable
				  disease as defined in Health and Safety Code, §
										81.081 and
				  §
										81.082.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.62 - Exclusions from Compliance

Current through Reg. 49, No. 28; July 12, 2024
Exclusions from compliance are allowable on an individual
					 basis for medical contraindications, reasons of conscience, including a
					 religious belief, and active duty with the armed forces of the United States.
					 Children and students in these categories must submit evidence for exclusion
					 from compliance as specified in the Health and Safety Code, §
										161.004(d),
					 Health and Safety Code, §
										161.0041,
					 Education Code, Chapter 38, Education Code, Chapter 51, and the Human Resources
					 Code, Chapter 42.
(1) To claim an
				  exclusion for medical reasons, the child or student must present an exemption
				  statement to the school or child-care facility, dated and signed by a physician
				  (M.D. or D.O.), properly licensed and in good standing in any state in the
				  United States who has examined the child or student. The statement must state
				  that, in the physician's opinion, the vaccine required is medically
				  contraindicated or poses a significant risk to the health and well-being of the
				  child or student or any member of the child's or student's household. Unless it
				  is written in the statement that a lifelong condition exists, the exemption
				  statement is valid for only one year from the date signed by the
				  physician.
(2) To claim an
				  exclusion for reasons of conscience, including a religious belief, the child's
				  parent, legal guardian, or a student 18 years of age or older must present to
				  the school or child-care facility a completed, signed and notarized affidavit
				  on a form provided by the department stating that the child's parent, legal
				  guardian, or the student declines vaccinations for reasons of conscience,
				  including because of the person's religious beliefs. The affidavit will be
				  valid for a two-year period from the date of notarization. A child or student,
				  who has not received the required immunizations for reasons of conscience,
				  including religious beliefs, may be excluded from school in times of emergency
				  or epidemic declared by the commissioner of the department.
(A) A person claiming exclusion for reasons
				  of conscience, including a religious belief, from a required immunization may
				  only obtain the affidavit form by submitting a request (via online, fax, mail,
				  or hand-delivery) to the department. The request must include the following
				  information:
(i) full name of child or
				  student;
(ii) child's or student's
				  date of birth (month/day/year);
(iii) complete mailing address, including
				  telephone number; and
(iv) number
				  of requested affidavit forms (not to exceed 5).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.64 - Required Vaccinations for Students Enrolled in Health-Related and Veterinary Courses in Institutions of Higher Education

Current through Reg. 49, No. 28; July 12, 2024
(a) Students enrolled in (non-veterinary)
				  health-related courses. This section applies to all students enrolled in
				  health-related higher education courses which will involve direct patient
				  contact with potential exposure to blood or bodily fluids in educational,
				  medical, or dental care facilities.
(b) Vaccines Required. Students must have all
				  of the following vaccinations before they may engage in the course activities
				  described in subsection (a) of this section:
(1) Tetanus-Diphtheria Vaccine. Students must
				  show receipt of one dose of tetanus-diphtheria-pertussis vaccine (Tdap). In
				  addition, one dose of a tetanus-containing vaccine must have been received
				  within the last ten years. Td vaccine is an acceptable substitute, if Tdap
				  vaccine is medically contraindicated.
(2) Measles, Mumps, and Rubella Vaccines.
(A) Students born on or after January 1,
				  1957, must show, prior to patient contact, acceptable evidence of vaccination
				  of two doses of a measles-containing vaccine administered since January 1, 1968
				  (preferably MMR vaccine).
(B)
				  Students born on or after January 1, 1957, must show, prior to patient contact,
				  acceptable evidence of vaccination of two doses of a mumps vaccine.
(C) Students must show, prior to patient
				  contact, acceptable evidence of one dose of rubella vaccine.
(3) Hepatitis B Vaccine. Students
				  are required to receive a complete series of hepatitis B vaccine prior to the
				  start of direct patient care.
(4)
				  Varicella Vaccine. Students are required to have received two doses of
				  varicella (chickenpox) vaccine.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.65 - Exceptions to Immunization Requirements (Verification of Immunity/History of Illness)

Current through Reg. 49, No. 28; July 12, 2024
(a) Serologic
				  confirmations of immunity to measles, rubella, mumps, hepatitis A, hepatitis B,
				  or varicella, are acceptable. Evidence of measles, rubella, mumps, hepatitis A,
				  or hepatitis B, or varicella illnesses must consist of a valid laboratory
				  report that indicates confirmation of either immunity or infection.
(b) A written statement from a parent (or
				  legal guardian or managing conservator), school nurse, or physician attesting
				  to a child's/student's positive history of varicella disease (chickenpox), or
				  of varicella immunity, is acceptable in lieu of a vaccine record for that
				  disease (see form at
http://www.dshs.state.tx.us/immunize/docs/c-9.pdf
).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.66 - Provisional Enrollment for (Non-Higher Education; Non-Veterinary) Students and Children

Current through Reg. 49, No. 28; July 12, 2024
(a) The law
				  requires that children and students be fully vaccinated against the specified
				  diseases. A child or student may be enrolled provisionally if the child or
				  student has an immunization record that indicates the child or student has
				  received at least one dose of each specified age-appropriate vaccine required
				  by this rule. To remain enrolled, the child or student must complete the
				  required subsequent doses in each vaccine series on schedule and as rapidly as
				  is medically feasible and provide acceptable evidence of vaccination to the
				  child-care facility or school. A child-care provider, school nurse, or school
				  administrator shall review the immunization status of a provisionally enrolled
				  child or student every 30 days to ensure continued compliance in completing the
				  required doses of vaccination. If, at the end of the 30-day period, a child or
				  student has not received a subsequent dose of vaccine, the child or student is
				  not in compliance and the facility shall exclude the child or student from
				  attendance until the required dose is administered.
(b) A child or student who is homeless, as
				  defined by §103 of the McKinney Act,
				  42 USC §
											11302, shall be admitted temporarily for 30
				  days if acceptable evidence of vaccination is not available. The facility shall
				  promptly refer the student to an appropriate health provider to obtain the
				  required vaccinations.
(c) A child
				  or student who is a "child in foster care" as defined by
				  45
				  C.F.R. §
											1355.20(a)
				  shall be admitted temporarily for 30 days if acceptable evidence of vaccination
				  is not available. The facility shall promptly refer the child or student to an
				  appropriate health provider to obtain the required vaccinations.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.67 - School Records

Current through Reg. 49, No. 28; July 12, 2024
All schools and child-care facilities are required to
					 maintain immunization records sufficient for a valid audit or other assessment
					 to be completed by federal, state and/or local public health officials.
					 Immunization records may be maintained in paper and/or electronic
					 form.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.68 - Acceptable Evidence of Vaccination(s)

Current through Reg. 49, No. 28; July 12, 2024
(a) Vaccines administered after September 1,
				  1991, shall include the month, day, and year each vaccine was
				  administered.
(b) Documentation of
				  vaccines administered that include the signature or stamp of the physician or
				  physician's designee, or public health personnel, is acceptable. Immunization
				  records generated from electronic health record systems must include clinic
				  contact information and the provider's signature/stamp.
(c) An official immunization record generated
				  from a state or local health authority is acceptable.
(d) An official record received from school
				  officials, including a record from another state, is acceptable.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.69 - Transfer of Immunization Records

Current through Reg. 49, No. 28; July 12, 2024
(a) A student can be enrolled provisionally
				  for no more than 30 days if the student transfers from one Texas school to
				  another, and is awaiting the transfer of the immunization record.
(b) A dependent of a person who is on active
				  duty with the armed forces of the United States can be enrolled provisionally
				  for no more than 30 days if the student transfers from one school to another
				  and is awaiting the transfer of the immunization record.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.70 - Review of Records and Providing Assistance

Current through Reg. 49, No. 28; July 12, 2024
Representatives of the department and local health
					 authorities may advise and assist schools in meeting the requirements
					 delineated in this subchapter. The department shall conduct periodic review of
					 school immunization records in order to determine compliance with this
					 subchapter.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.71 - Annual Report of Immunization Status of Students

Current through Reg. 49, No. 28; July 12, 2024
All public school districts and accredited private schools
					 shall submit annual reports of the immunization status of students, in a format
					 prescribed by the department, to monitor compliance with the immunization
					 requirements.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter B - IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS AND INSTITUTIONS OF HIGHER EDUCATION › Section 97.72 - Additional Vaccination Requirements

Current through Reg. 49, No. 28; July 12, 2024
Under Texas Health and Safety Code, Chapter 81, Subchapter
					 E, additional vaccinations may be required by the department and/or the local
					 health authority in specific situations under the mechanism of a control order
					 containing control measures to prevent the spread of disease.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter C - CONSENT FOR IMMUNIZATION › Section 97.91 - Delegation of Authority to Give Informed Consent for Immunizations of a Minor

Current through Reg. 49, No. 28; July 12, 2024
(a) Certain
				  information must be obtained prior to immunizations of a minor when the
				  parent/legal guardian is not present and another adult purports to have consent
				  of that parent/legal guardian.
(b)
				  The information may be hand written or typed and should be completed on each
				  minor for each clinic visit when an adult other than the parent/legal guardian
				  is providing consent for the immunizations.
(c) The delegation of authority to consent
				  for immunization of a minor shall include the following information:
(1) the signature of parent, managing
				  conservator, legal guardian, or other person authorized to give
				  consent;
(2) the name and birthdate
				  of minor;
(3) the name of the adult
				  giving consent for immunizations of the minor; and
(4) the relationship of the adult to the
				  minor for whom they are giving consent.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter D - STATEWIDE IMMUNIZATION OF CHILDREN IN CERTAIN FACILITIES AND BY HOSPITALS, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS › Section 97.101 - Statewide Immunization of Children by Hospitals, Physicians, and Other Health Care Providers

Current through Reg. 49, No. 28; July 12, 2024
(a) All private
				  and public hospitals in Texas that provide health care to children shall:
(1) administer age-appropriate vaccines or
				  refer newborns for immunizations to other health care providers at the time of
				  the newborn screening test;
(2)
				  review the immunization history of every child admitted to the hospital,
				  examined in the hospital's emergency room, or outpatient clinic; and
(3) administer the needed vaccines or refer
				  the child to another health care provider for immunizations.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter D - STATEWIDE IMMUNIZATION OF CHILDREN IN CERTAIN FACILITIES AND BY HOSPITALS, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS › Section 97.102 - Immunizations Required upon Admission of a Child to the Texas Department of Criminal Justice, Department of Aging and Disability Services, Department of State Health Services, or the Texas Youth Commission

Current through Reg. 49, No. 28; July 12, 2024
(a) On admission of a child to a facility of
				  the Department of Aging and Disability Services, Department of State Health
				  Services, the Texas Department of Criminal Justice, or the Texas Youth
				  Commission, the facility physician shall review the immunization history of the
				  child, if available, and administer any needed immunization(s) or refer the
				  child for immunization(s) to another health care provider. Required
				  immunizations are those set out in §
										97.63
				  of this title (relating to Immunization Requirements in Child-care Facilities,
				  Pre-Kindergarten, Early Childhood Programs, and Texas Elementary and Secondary
				  Schools). Copies of Immunization Requirements in Texas Elementary and Secondary
				  Schools and Institutions of Higher Education may be obtained from the
				  Department of State Health Services, Mail Code 1946, P. O. Box 149347,
				  78714-9347, Austin, Texas 78714-9347, (512) 458-7284.
(b) The provisions of §
										97.62
				  of this title (relating to Exclusions of Compliance) and §
										97.66
				  and §
										97.69
				  of this title (relating to Provisional Enrollment for (Non-Higher Education;
				  Non-Veterinary) Students and relating to Transfer of Immunization Records)
				  apply to this section.
(c) The
				  facility covered by this section shall keep an individual's immunization record
				  during the child's period of admission, detention, or commitment in the
				  facility. Representatives of the department and local health authorities may
				  advise and assist these agencies in meeting these requirements. The department
				  may conduct periodic review of these agencies' identified immunization records
				  in order to allow public health officials to obtain information required for
				  public health purposes. The information, if available, must include at least
				  the name and date of birth of the child, the child's address, the name and
				  telephone number of a parent or guardian, the month, day, and year of vaccine
				  administration, the name or type of vaccines administered, the name and address
				  of the provider that administered the vaccines; or other evidence of immunity
				  to a vaccine-preventable disease.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter E - PROVISION OF ANTI-RABIES BIOLOGICALS › Section 97.121 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these sections is to provide anti-rabies
					 biologicals (vaccines and hyper-immune sera) in accordance with the recent
					 "Human Rabies Prevention, United States, Recommendations of the Advisory
					 Committee on Immunization Practices (ACIP)" of the U.S. Health
					 Services.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter E - PROVISION OF ANTI-RABIES BIOLOGICALS › Section 97.123 - Stocking, Issuing, and Returns

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Stocking. Anti-rabies biologicals may be procured and distributed by the
				  Department of State Health Services (department). The department may enroll
				  off-site depots for the storage and distribution of department-owned
				  anti-rabies biologicals. The depot will be licensed as defined by the Texas
				  Board of Pharmacy that allows for the storage and distribution of anti-rabies
				  biologicals to individuals presenting a signed order from a medical
				  practitioner licensed to practice in Texas. The products in each depot will
				  remain under the ownership of the department until issued.
(b) Issuing.
(1) Anti-rabies biologicals may only be
				  issued upon receipt of a signed order from a medical practitioner licensed to
				  practice in Texas.
(2) The
				  department has the right to refuse to provide anti-rabies biologicals if the
				  incident in question does not warrant rabies post-exposure prophylaxis
				  according to the recent ACIP's recommendations on human rabies
				  prevention.
(3) Partial issuance.
				  Issues may be less than the full regimen of treatment when:
(A) there is reason to believe that the
				  treatment may be terminated before completion; or
(B) in the event of a biological
				  shortage.
(4) For
				  individuals who are declined anti-rabies biologicals, the department will
				  provide a source from which biologicals may be purchased.
(5) At the time of issuance.
(A) A human rabies prophylaxis surveillance
				  report will be completed by the person issuing the anti-rabies biologicals and
				  forwarded to the appropriate health service region.
(B) An information sheet about rabies and
				  rabies biologicals will be provided by the department for use by the attending
				  medical practitioner to inform the patient of the risks and benefits of the
				  anti-rabies treatment.
(C) The
				  recent ACIP's recommendations on human rabies prevention will be provided to
				  the attending medical practitioner.
(D) An information sheet will be provided to
				  the patient or the patient's agent on the proper transport of the
				  biologicals.
(E) The patient or
				  patient's agent will receive and sign an information sheet pertaining to
				  payment responsibilities.
(F)
				  Anti-rabies materials may be obtained from the Department of State Health
				  Services, Immunization Branch, 1100 West 49th Street, Austin, Texas 78765-3199,
				  or by request by phoning, 1-800-252-9152.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter E - PROVISION OF ANTI-RABIES BIOLOGICALS › Section 97.124 - Payment for Anti-Rabies Biologicals

Current through Reg. 49, No. 28; July 12, 2024
The department is specifically authorized by law to
					 distribute anti-rabies biologicals and to receive reimbursement based on the
					 department's current contract.
(1)
				  Options for reimbursement will be in accordance with policies set by the
				  department, and are as follows:
(A) The
				  patient or patient's agent will provide the department proof of viable
				  insurance coverage. If the insurance does not pay or does not pay the entire
				  amount, the patient or patient's agent may be responsible for any outstanding
				  balance.
(B) Proof of inability to
				  pay. If a patient is unable to pay, the patient will be required to sign a
				  statement that he/she will provide the department with financial information to
				  pursue a reduced amount charged.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter E - PROVISION OF ANTI-RABIES BIOLOGICALS › Section 97.125 - Designation of Depots for Anti-Rabies Biologicals

Current through Reg. 49, No. 28; July 12, 2024
The department may enroll off-site depots for the storage
					 and dispensing of department-owned anti-rabies biologicals.
(1) The depots will be licensed as defined by
				  the Texas Board of Pharmacy that allows for the storage and distribution of
				  anti-rabies biological to individuals presenting a signed order from a medical
				  practitioner licensed to practice in Texas.
(2) The depot's designee will enroll as a
				  depot with the department and comply with the department's policy regarding
				  storage, distribution, and reporting requirements.
(3) Anti-rabies biologicals will be dispensed
				  at the price the department procures the vaccine under the current state
				  contract.
(4) Loss due to
				  negligence.
(A) The department will require a
				  letter outlining the reason for the loss and the corrective action to prevent
				  recurrence.
(B) The department will
				  review the letter and determine if billing is appropriate.
(C) If found to be at fault and reimbursement
				  does not occur, the department may pursue legal action.
(D) Failure to reimburse the department
				  within the specified time frame may result in revocation of the authority to
				  dispense anti-rabies biologicals.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter F - SEXUALLY TRANSMITTED DISEASES INCLUDING ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 97.131 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms when used in this subchapter
					 shall have the following meanings unless the context clearly indicates
					 otherwise.
(1) Acute HIV
				  Infection--The stage immediately following HIV infection, as identified by
				  clinical symptoms, history of exposure, and/or specific laboratory results.
				  This includes, but is not limited to, a case that has a documented negative or
				  indeterminate HIV test result that occurred no more than 180 days prior to the
				  initial positive HIV test result.
(2) AIDS and HIV Infection--Acquired Immune
				  Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) infection are
				  as defined by the Centers for Disease Control and Prevention (CDC) and in
				  accordance with the Health and Safety Code, §
										81.101.
(3) Contract Research Organization (CRO)--An
				  organization that is contracted by pharmaceutical, biotechnology, or medical
				  device industries to provide various aspects of the clinical research process.
				  A CRO may provide such services as clinical trials management and laboratory
				  testing.
(4) Drug Resistance
				  Testing--Genotypic testing that identifies the nucleotide sequence and uses the
				  resulting sequence to identify strains resistant to specific types of drug
				  therapies.
(5) Health
				  professional--An individual whose:
(A)
				  vocation or profession is directly or indirectly related to the maintenance of
				  the health of another individual or of an animal; and
(B) duties require a specified amount of
				  formal education and may require a special examination, certificate or license,
				  or membership in a regional or national association.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter F - SEXUALLY TRANSMITTED DISEASES INCLUDING ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 97.132 - Who Shall Report Sexually Transmitted Diseases

Current through Reg. 49, No. 28; July 12, 2024
(a) In addition to the reporting requirements
				  for communicable diseases found in §
										97.1
				  of this title, the following shall report cases and suspected cases of STD(s),
				  which includes HIV-exposed infants, in the manner described in §
										97.133
				  of this title (relating to Reporting Information for Sexually Transmitted
				  Diseases):
(1) A health professional, and any
				  other person mandated to report under Texas Health and Safety Code §
											81.042;
(2) Any person in charge of a clinical
				  laboratory, hospital laboratory, blood bank, mobile unit, or other facility
				  (such as a contract research organization laboratory) in which a laboratory
				  examination of a blood specimen, or any specimen derived from a human body,
				  yields microscopic, cultural, serological or any other evidence of a suspected
				  STD;
(3) The medical director or
				  other physician responsible for the medical oversight of a testing program, as
				  defined in Texas Health and Safety Code §
											85.002;
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 97 - COMMUNICABLE DISEASES › Subchapter F - SEXUALLY TRANSMITTED DISEASES INCLUDING ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 97.136 - Prophylaxis against Ophthalmia Neonatorum

Current through Reg. 49, No. 28; July 12, 2024
(a) A physician, nurse, midwife, or other
				  person in attendance at childbirth shall apply, or cause to be applied, to the
				  child's eyes a 0.5% ophthalmic erythromycin ointment in each eye within two
				  hours after birth. If this ointment is not available due to a disruption in
				  distribution or manufacturing, a physician, nurse, midwife, or other person
				  subject to this section shall apply or cause to be applied to the child's eyes
				  an alternative treatment included in guidance issued by the Department of State
				  Health Services (department) or the Centers for Disease Control and
				  Prevention.
(b) Except as provided
				  by subsection (c) of this section, a person commits an offense if the person is
				  a physician, nurse, midwife, or other person in attendance with a pregnant
				  woman either during pregnancy or at delivery and fails to perform a duty
				  required by subsection (a) of this section. An offense under this section is a
				  Class B misdemeanor under the Texas Health and Safety Code, §
										81.091(g).
(c) A physician, nurse, midwife, or other
				  person in attendance at childbirth who is unable to apply the prophylaxis as
				  required by this section due to the objection of a parent, managing
				  conservator, or guardian of the newborn infant does not commit an offense under
				  this section and is not subject to criminal, civil, or administrative liability
				  or any professional disciplinary action for failure to administer the
				  prophylaxis. The physician, nurse, midwife, or person shall ensure that the
				  objection of the parent, managing conservator, or guardian is entered into the
				  medical record of the infant.
(d)
				  The department may provide an approved prophylaxis without charge to
				  health-care providers if the newborn's financially responsible adult is unable
				  to pay. The health-care provider shall not charge for the prophylaxis that is
				  received free of charge from the department.
(e) Midwives shall follow the additional
				  requirements in Texas Health and Safety Code, §
										81.091.