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HB 1134

Relating to the prohibited maintenance of certain vaccine exemption records by the Department of State Health Services.

89th Legislature (2025) Introduced by Andy Hopper and 3 co-sponsors

Texas bill prohibits state health department from maintaining vaccine exemption records, limiting centralized tracking of medical, religious, and philosophical exemptions.

Referred to Public Health
#health--general(i0385) #health--otherdiseases&medicalconditions(i0383) #immunizations(s4341) #statehealthservices #departmentof(v0463)
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Bill Summary · HB 1134

Legislative bill overview

HB 1134 prohibits the Texas Department of State Health Services (DSHS) from maintaining records of vaccine exemptions, including medical, religious, and philosophical exemptions. The bill appears designed to prevent centralized tracking or storage of exemption data by the state health department.

Why is this important

Vaccine exemption records affect school enrollment policies, public health surveillance, and disease outbreak response capabilities. This bill would impact how Texas tracks vaccination status and exemptions across the state, potentially affecting both individual privacy and public health authorities' ability to monitor immunization coverage rates in schools and communities.

Potential points of contention

  • Public health surveillance trade-off: Eliminating centralized exemption records may hinder disease outbreak investigations and epidemiological tracking, though proponents argue it protects privacy
  • School enrollment verification: Schools may struggle to verify legitimate exemptions without state records, creating administrative burdens or inconsistent enforcement
  • Federal health data requirements: Potential conflicts with CDC reporting requirements or federal health data collection standards that states typically participate in

Compiled from official sources — confirm details with the bill’s official record.

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