TITLE GOVERNOR

Executive Order

RP 25

Relating to increasing the immunization rates for children in Texas

WHEREAS, immunization from vaccine preventable diseases protects children who receive the vaccines as well as the people around them, including their parents, siblings, friends, and playmates who may not have been vaccinated; and

WHEREAS, vaccines save lives if enough people in a community are vaccinated, making it more difficult for a vaccine preventable disease to spread; and

WHEREAS, a child who begins and remains on a regular vaccination schedule will have greater protection from serious diseases such as diphtheria, tetanus, pertussis, polio, measles, mumps, rubella and other potentially life threatening diseases; and

WHEREAS, as Governor, I have supported legislation to improve the Texas Department of Health's Immunization Program, and have directed the Department to improve the policies and outreach programs to help more Texas children receive protection from vaccine preventable diseases; and

WHEREAS, also last session, I signed five pieces of legislation designed to comprehensively reform the Immunization Program directed by the Texas Department of Health; and

WHEREAS, Texas has consistently maintained an immunization rate ranging from 69.5 percent to 74.9 percent since 1995; and

WHEREAS, the Centers for Disease Control and Prevention has announced that the 2002 immunization rate for Texas is 71.3 percent, down from 74.9 percent in 2001, and that the decrease in immunization rates in Texas is unacceptable; and

WHEREAS, every single public health partner, every partner in the education and daycare community, and every Texan is affected by Texas' immunization rates in our state;

NOW, THEREFORE, I, Rick Perry, Governor of the State of Texas, by virtue of the power and authority vested in me by the Constitution and laws of the State of Texas, do hereby order the following:

1. Focus on Immunizations. The Texas Department of Health shall expedite the implementation of legislation, which I signed and supported, that was passed by the 78th Regular Session of the Texas Legislature, to create comprehensive reforms to the public health infrastructure through which the immunization program in Texas is implemented. This legislation includes:

•House Bill No. 1920 which will improve access to immunizations by simplifying physicians' enrollment into the Vaccines for Children (VFC) program for which more than 70 percent of Texas children qualify. This legislation will increase access to immunizations by encouraging provider participation in VFC and directing the Texas Department of Health to develop education materials and continuing medical education programs relating to immunizations for physicians.

•House Bill No. 1921 which will improve access to immunizations by allowing the Department to improve the ImmTrac registry. This bill will help the Department target efforts to increase immunizations and will help consenting parents monitor their children's immunization records.

•Senate Bill No. 40 which will require the Department to develop an ongoing statewide education program to educate the public about the importance of fully immunizing children as well as the risks and contra-indications that may be presented by immunizations.

•Senate Bill No. 43 which requires the Department to report to the Legislature by October 1, 2005, on the results of pilot programs designed to educate physicians regarding increasing immunization rates in communities that currently have lower than average immunization rates.

•Senate Bill No. 486 which will supplement the efforts of S.B. No. 40, by requiring the Department to develop new public-private partnerships and work with existing public-private partnerships to increase awareness of and support for early childhood immunizations. The Department and the Texas Education Agency will jointly apply for federal funds to create these partnerships with private and public, health, service and education organizations including parent-teacher associations, the United Way, chambers of commerce and athletic booster clubs. In addition, the bill will encourage other state agencies that have contact with families to include strategies for increasing childhood immunizations awareness within their strategic plans.

2. Business Improvement. The Texas Department of Health will continue and expedite the implementation of the recommendations for improvement of the Immunization Program, developed in the Business Improvement Review, developed by the Office of Business Improvement at the Texas Department of Health.

3. Emergency Rule Making. The Texas Department of Health shall implement through an emergency rule-making process the adoption by the Board of Health of the shot diptheria, tetanus and pertussis childhood vaccination schedule recommended by the Advisory Committee on Immunization Practices, which advises the U. S. Department of Health and Human Services and the Centers for Disease Control and Prevention on the most effective means to prevent vaccine-preventable diseases.

4. "Back to School." The Texas Department of Health will work with existing local community partners, partners in the medical community, partners in the education community, partners in the private business community, and partners in the pre-kindergarten and daycare communities to help educate the public on the importance of receiving childhood immunizations for children returning to school and their younger siblings through a "Back to School for Children and their Siblings" public awareness outreach effort throughout August 2003 and the coming 2004/2005 school year.

5. Increasing Public Awareness. The Texas Department of Health will unveil a public awareness and media campaign for television and radio to educate the public on the importance of children receiving appropriate immunizations for vaccine-preventable diseases. This campaign will initiate the statewide effort required under S.B. No. 40.

6. Cooperation. All affected agencies and other public entities that work with Texas families shall cooperate fully with the Texas Department of Health during the implementation and execution of this comprehensive plan to increase childhood immunizations.

This executive order supersedes all previous orders inconsistent with its terms and shall remain in effect and in full force until modified, amended, rescinded, or superseded by me or by a succeeding Governor.

Given under my hand this the 31st day of July, 2003.

Rick Perry, Governor

TRD-200305100


PROCLAMATION 41-2969

TO ALL TO WHOM THESE PRESENTS SHALL COME:

WHEREAS, federal law requires state legislatures to redraw congressional district lines after each decennial census; and

WHEREAS, the Texas legislature has not drawn new district lines to reflect the changes in Texas population since the results of the last census were released; and

WHEREAS, the people have placed the power to call and convene the legislature into special session in the hands of the Chief Executive Office of the State;

NOW, THEREFORE, I, RICK PERRY, GOVERNOR OF THE STATE OF TEXAS, by the authority vested in me by Article IV, Section 8, of the Texas Constitution, do hereby call a special session of the 78th Legislature, to be convened in the city of Austin, commencing at 3:15 p.m., Monday, the 28th day of July, 2003, for the following purpose:

To consider legislation relating to congressional redistricting.

The Secretary of State will take notice of this action and will notify the members of the Legislature.

IN TESTIMONY WHEREOF, I have hereto signed my name and have officially caused the Seal of State to be affixed at my Office in the City of Austin, Texas, this the 28th day of July, 2003.

Rick Perry, Governor

Attested By: Gwyn Shea, Secretary of State

Message

TO THE SENATE AND HOUSE OF REPRESENTATIVES OF THE SEVENTY-EIGHTH TEXAS LEGISLATURE, SECOND CALLED SESSION:

WHEREAS, the people of Texas through their state Constitution have placed the power to call the legislature into special session in the hands of the Chief Executive Officer of the State; and

WHEREAS, the members of the Seventy-Eighth Texas Legislature, Second Called Session, have now convened to consider items presented to them by the Governor;

NOW, THEREFORE, I, RICK PERRY, Governor of the State of Texas, by the authority vested in me by Article IV, Section 8 and Article III, Section 40 of the Texas Constitution, do hereby present the following matter to the Seventy-Eighth Texas Legislature, Second Called Session for consideration:

Legislation relating to the financing, construction, improvement, maintenance, and operation of toll facilities by the Texas Department of Transportation and the disposition of money generated by the driver responsibility program, fines imposed for certain traffic offenses, and certain fees collected by the Department of Public Safety of the State of Texas; making an appropriation.

IN TESTIMONY WHEREOF, I have signed my name officially and caused the Seal of the State to be affixed hereto at Austin, this 28th day of July, 2003.

Rick Perry, Governor

Attested By: Gwyn Shea, Secretary of State

Message

TO THE SENATE AND HOUSE OF REPRESENTATIVES OF THE SEVENTY-EIGHTH TEXAS LEGISLATURE, SECOND CALLED SESSION:

WHEREAS, the people of Texas through their state Constitution have placed the power to call the legislature into special session in the hands of the Chief Executive Officer of the State; and

WHEREAS, the members of the Seventy-Eighth Texas Legislature, Second Called Session, have now convened to consider items presented to them by the Governor;

NOW, THEREFORE, I, RICK PERRY, Governor of the State of Texas, by the authority vested in me by Article IV, Section 8 and Article III, Section 40 of the Texas Constitution, do hereby present the following matter to the Seventy-Eighth Texas Legislature, Second Called Session for consideration:

Legislation relating to state fiscal management, including adjustments to certain school district fiscal matters made necessary by recent changes in state fiscal management; making related appropriations.

IN TESTIMONY WHEREOF, I have signed my name officially and caused the Seal of the State to be affixed hereto at Austin, this 28th day of July, 2003.

Rick Perry, Governor

Attested By: Gwyn Shea, Secretary of State

Message

TO THE SENATE AND HOUSE OF REPRESENTATIVES OF THE SEVENTY-EIGHTH TEXAS LEGISLATURE, SECOND CALLED SESSION:

WHEREAS, the people of Texas through their state Constitution have placed the power to call the legislature into special session in the hands of the Chief Executive Officer of the State; and

WHEREAS, the members of the Seventy-Eighth Texas Legislature, Second Called Session, have now convened to consider items presented to them by the Governor;

NOW, THEREFORE, I, RICK PERRY, Governor of the State of Texas, by the authority vested in me by Article IV, Section 8 and Article III, Section 40 of the Texas Constitution, do hereby present the following matter to the Seventy-Eighth Texas Legislature, Second Called Session for consideration:

To consider legislation relating to the reorganization of, efficiency in, and other reform measures applying to state government.

IN TESTIMONY WHEREOF, I have signed my name officially and caused the Seal of the State to be affixed hereto at Austin, this 28th day of July, 2003.

Rick Perry, Governor

Attested By: Gwyn Shea, Secretary of State

Message

TO THE SENATE AND HOUSE OF REPRESENTATIVES OF THE SEVENTY-EIGHTH TEXAS LEGISLATURE, SECOND CALLED SESSION:

WHEREAS, the people of Texas through their state Constitution have placed the power to call the legislature into special session in the hands of the Chief Executive Officer of the State; and

WHEREAS, the members of the Seventy-Eighth Texas Legislature, Second Called Session, have now convened to consider items presented to them by the Governor;

NOW, THEREFORE, I, RICK PERRY, Governor of the State of Texas, by the authority vested in me by Article IV, Section 8 and Article III, Section 40 of the Texas Constitution, do hereby present the following matter to the Seventy-Eighth Texas Legislature, Second Called Session for consideration:

Legislation relating to the dates of certain elections, the procedures for canvassing the ballots for an election, and the counting of certain ballots voted by mail.

IN TESTIMONY WHEREOF, I have signed my name officially and caused the Seal of the State to be affixed hereto at Austin, this 29th day of July, 2003.

Rick Perry, Governor

Attested By: Gwyn Shea, Secretary of State

TRD-200305102