Texas Register Table of Contents
- 1 Texas Health and Human Services Commission
- 1.0.1 Proposed Rules Re:
- 1.0.2 Withdrawn Rules Re:
- 1.0.3 Proposed Rule Reviews Re:
- 1.0.4 In Addition Re:
- 1.0.4.1 Public Notice: Mandatory Coverage for Eligible Juveniles who are Inmates of a Public Institution and Post Adjudication of Charges
- 1.0.4.2 Revised Public Notice: Texas Medicaid State Plan Amendment to Make Changes to the Language for Existing Medicaid Clinic Services Benefit and the Clinic Services Benefit Four Walls Requirement for Indian Health Services (IHS) and Tribal Clinics
- 2 Texas Board of Physical Therapy Examiners
- 2.0.1 Proposed Rules Re:
- 2.0.1.1 Amending 22 TAC §322.1, to change the number of a days a physical therapist who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from no more than “10 consecutive business days” to no more than “30 consecutive calendar days.”
- 2.0.1.2 Amending 22 TAC §322.5, to standardize the format and retention of records related to a patient’s consent to treatment, data collection, and data sharing when providing physical therapy services via telehealth.
- 2.0.1.3 Amending 22 TAC §329.1, §329.7, to correct an omission of military spouses from exemption of the non-refundable application fee.
- 2.0.1.4 Amending 22 TAC §341.2, to amend the development and maintenance of an online repository for storing and tracking of continuing competence activities for Request for Approval (RFP) for the continuing competence approval program.
- 2.0.1 Proposed Rules Re:
- 3 State Board of Dental Examiners
- 3.0.1 Adopted Rules Re:
- 3.0.1.1 Adopting 22 TAC §101.1, to require applicants to submit a National Practitioner Data Bank self-query report upon initial licensure.
- 3.0.1.2 Adopting 22 TAC §101.2, to revise the remediation requirements by increasing flexibility on when to take a remediation course and allowing Board staff to approve the remediation course.
- 3.0.1.3 Adopting 22 TAC §103.1, to require applicants to submit a National Practitioner Data Bank self-query report upon initial licensure.
- 3.0.1.4 Adopting 22 TAC §103.2, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
- 3.0.1.5 Adopting 22 TAC §104.1, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
- 3.0.1.6 Adopting 22 TAC §104.2, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
- 3.0.1.7 Adopting 22 TAC §114.6, to require applicants to submit a National Practitioner Data Bank self-query report upon initial registration.
- 3.0.1.8 Adopting 22 TAC §117.2, to require faculty license holders to submit an employment affidavit form upon renewal of their license.
- 3.0.1.9 Adopting 22 TAC §117.3, to conform to the statutory language in the Texas Occupations Code, which requires faculty license holders to submit an employment affidavit form upon renewal of their license.
- 3.0.2 Adopted Rule Reviews Re:
- 3.0.1 Adopted Rules Re:
Texas Health and Human Services Commission
Proposed Rules Re:
Amending 1 TAC §372.355, to increase the exclusionary amount for vehicles from $15,000 to $22,500 for the highest valued vehicle, and from $4,650 to $8,700 for all other countable vehicles when determining a household’s eligibility to apply, recertify, or report a change to SNAP benefits.
CHAPTER 372. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAMS
SUBCHAPTER B. ELIGIBILITY
DIVISION 6. RESOURCES
1 TAC §372.355
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC) proposes an amendment to §372.355, concerning Treatment of Resources in SNAP.
BACKGROUND AND PURPOSE
The proposal is necessary to comply with Texas Human Resources Code §33.021, which requires HHSC to increase the excluded amounts of a vehicle’s fair market value (FMV) when determining Supplemental Nutrition Assistance Program (SNAP) eligibility. Texas Human Resources Code §33.021 was amended by House Bill 1287, 88th Legislature, Regular Session, 2023. The proposed amendment updates the excluded amount of FMV from the first and additional vehicle when determining the value of countable resources.
Households qualify to receive SNAP benefits by meeting eligibility requirements when they apply, recertify, or report a change. One requirement limits the amount of certain financial resources SNAP recipients may have on hand (e.g., cash, vehicles). To meet the resource test, the household’s countable liquid resources plus excess vehicle value must be $5,000 or less.
SECTION-BY-SECTION SUMMARY
The proposed amendment updates the exclusionary amount for vehicles from $15,000 to $22,500 for the highest valued vehicle and $4,650 to $8,700 for all other countable vehicles. This change will allow HHSC to implement the state law.
Withdrawn Rules Re:
Withdrawing 1 TAC §353.1415, to expand the minimum qualifications of Behavioral Health and Physical Services Network providers.
CHAPTER 353. MEDICAID MANAGED CARE
SUBCHAPTER P. MENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
1 TAC §353.1415
OVERVIEW
The Texas Health and Human Services Commission withdraws proposed amendments to §353.1415 which appeared in the February 7, 2025, issue of the Texas Register (50 TexReg 713).
Proposed Rule Reviews Re:
Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal of the chapter concerning licensing standards for prescribed pediatric extended care centers.
The Texas Health and Human Services Commission (HHSC) proposes to review and consider for readoption, revision, or repeal the chapter listed below, in its entirety, contained in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 550, Licensing Standards For Prescribed Pediatric Extended Care Centers
In Addition Re:
Public Notice: Mandatory Coverage for Eligible Juveniles who are Inmates of a Public Institution and Post Adjudication of Charges
The Texas Health and Human Services Commission (HHSC) announces its intent to submit transmittal number 25-0029 to the Texas State Plan for the Children’s Health Insurance Program, under Title XXI of the Social Security Act.
Revised Public Notice: Texas Medicaid State Plan Amendment to Make Changes to the Language for Existing Medicaid Clinic Services Benefit and the Clinic Services Benefit Four Walls Requirement for Indian Health Services (IHS) and Tribal Clinics
The original notice regarding changes to the Medicaid clinic services benefit language and the clinic services benefit four walls requirement for Indian Health Services (IHS) and Tribal clinics request was posted in the Texas Register on April 4, 2025. This revised notice reflects a correction to remove language under the clinic services benefits that is no longer applicable in the state plan.
Texas Board of Physical Therapy Examiners
Proposed Rules Re:
Amending 22 TAC §322.1, to change the number of a days a physical therapist who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from no more than “10 consecutive business days” to no more than “30 consecutive calendar days.”
CHAPTER 322. PRACTICE
22 TAC §322.1
OVERVIEW
The Texas Board of Physical Therapy Examiners (board) proposes amending 22 TAC §322.1(a)(2)(D)-(G) relating to exceptions to referral requirement.
The following amendment is necessary to implement changes to Texas Occupations Code §453.301(a)(3)(B) and (b) pursuant Tex. H.B. 4099, 89th R.S. (2025). Specifically, the amendment changes the number of days a physical therapist (PT) who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from “for not more than 10 consecutive business days” to “for not more than 30 consecutive calendar days.”
Additionally, the requirement for a PT to possess a doctoral degree and either has completed a physical therapy residency or fellowship or is certified by an entity approved by the board to treat a patient without a referral for not more than 15 consecutive business days has been eliminated.
CHAPTER 322. PRACTICE
22 TAC §322.5
OVERVIEW
The Texas Board of Physical Therapy Examiners (Board) proposes amending 22 TAC §322.5(e) relating to standardize formats for and retention of records related to a patient’s consent to treatment, data collection, and data sharing when providing physical therapy services via telehealth.
The following amendment is necessary to implement changes to Texas Occupations Code §111.004 pursuant to Tex. H.B. 1700, 89th R.S. (2025) which requires each agency with regulatory authority over a health professional providing telehealth service to adopt rules necessary to standardize formats for and retention of records related to a patient’s consent to treatment, data collection, and data sharing.
Amending 22 TAC §329.1, §329.7, to correct an omission of military spouses from exemption of the non-refundable application fee.
CHAPTER 329. LICENSING PROCEDURE
22 TAC §329.1, §329.7
OVERVIEW
The Texas Board of Physical Therapy Examiners (Board) proposes amending 22 TAC §329.1(a)(2) relating to the exemption of the non-refundable application fee for active U.S. military service members, military spouses, or military veterans. Additionally, the Board proposes amending 22 TAC §329.7(b)(5) and (c) relating to exemptions from licensure for active military service members and military spouses and relating to a license in good standing with another state’s licensing authority.
Specifically, the amendment to §329.1(a)(2) corrects an omission of military spouses from exemption of the non-refundable application fee, and the amendment to §329.7(b)(5) and (c) align with the changes to Texas Occupations Code §55.0041 effective September 1, 2025 and to the provisions in 50 USC 4025a: Portability of professional licenses of servicemembers and their spouses.
The following amendments are necessary to implement changes to Texas Occupations Code §55.004 and §55.0041 pursuant to Tex. H.B. 5629, 89th R.S. (2025) relating to the occupational licensing of military service members, military veterans, and military spouses.
Amending 22 TAC §341.2, to amend the development and maintenance of an online repository for storing and tracking of continuing competence activities for Request for Approval (RFP) for the continuing competence approval program.
CHAPTER 341. LICENSE RENEWAL
22 TAC §341.2
OVERVIEW
The Texas Board of Physical Therapy Examiners (Board) proposes amending 22 TAC §341.2(h) relating to the development and maintenance of an online repository for storing and tracking of continuing competence activities as part of any Request for Approval (RFP) for the continuing competence approval program.
The following amendment is in response to the provision in Tex. S.B. 912, 89th R.S. (2025) that allows a licensing entity that has an agreement in place with a continuing education tracking system provider that is able to implement the requirements of Subchapter C, Chapter 112, Occupations Code may maintain that agreement and any costs associated with implementation of the agreement.
The Board has a Memorandum of Understanding (MOU) with the Texas Physical Therapy Association (TPTA) as the result of an RFP in 2018 and 2022 to develop, administer, and maintain a continuing competence approval system including an online repository for storing and tracking of continuing competence completion documents by licensees of Texas.
State Board of Dental Examiners
Adopted Rules Re:
Adopting 22 TAC §101.1, to require applicants to submit a National Practitioner Data Bank self-query report upon initial licensure.
CHAPTER 101. DENTAL LICENSURE
22 TAC §101.1
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §101.1, pertaining to general qualifications for dental licensure. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3615) and will not be republished. The adopted amendment requires applicants to submit a National Practitioner Data Bank self-query report upon initial licensure. Initial applicants currently submit this report to the Board as part of the licensing application process. This amendment is adopted to reflect the Board’s current process.
Adopting 22 TAC §101.2, to revise the remediation requirements by increasing flexibility on when to take a remediation course and allowing Board staff to approve the remediation course.
CHAPTER 101. DENTAL LICENSURE
22 TAC §101.2
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §101.2, pertaining to dental licensure by examination. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3616) and will not be republished. The adopted amendment reflects the merger of Central Regional Dental Testing Service (CRDTS) with the States Resources for Testing and Assessments (SRTA). The adopted amendment also changes the remediation requirements by (1) allowing applicants to take a remediation course before or after passing an examination to give applicants flexibility on when to take the course, and (2) allowing Board staff to approve the remediation course.
Adopting 22 TAC §103.1, to require applicants to submit a National Practitioner Data Bank self-query report upon initial licensure.
CHAPTER 103. DENTAL HYGIENE LICENSURE
22 TAC §103.1
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §103.1, pertaining to general qualifications for hygiene licensure. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3617) and will not be republished. The adopted amendment requires applicants to submit a National Practitioner Data Bank self-query report upon initial licensure. Initial applicants currently submit this report to the Board as part of the licensing application process. This amendment is adopted to reflect the Board’s current process.
Adopting 22 TAC §103.2, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
CHAPTER 103. DENTAL HYGIENE LICENSURE
22 TAC §103.2
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §103.2, pertaining to dental hygiene licensure by examination. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3618) and will not be republished. The adopted amendment reflects the merger of Central Regional Dental Testing Service (CRDTS) with the States Resources for Testing and Assessments (SRTA).
Adopting 22 TAC §104.1, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
CHAPTER 104. CONTINUING EDUCATION
22 TAC §104.1
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §104.1, pertaining to continuing education requirements. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3619) and will not be republished. The adopted amendment reflects the merger of Central Regional Dental Testing Service (CRDTS) with the States Resources for Testing and Assessments (SRTA).
Adopting 22 TAC §104.2, to reflect the broader merger of Central Regional Dental Testing Service (CRDT) with the States Resources for Testing and Assessments (SRTA).
CHAPTER 104. CONTINUING EDUCATION
22 TAC §104.2
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §104.2, pertaining to continuing education providers. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3621) and will not be republished. The adopted amendment reflects the merger of Central Regional Dental Testing Service (CRDTS) with the States Resources for Testing and Assessments (SRTA).
Adopting 22 TAC §114.6, to require applicants to submit a National Practitioner Data Bank self-query report upon initial registration.
CHAPTER 114. EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL ASSISTANTS
22 TAC §114.6
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §114.6, pertaining to general qualifications for registration or certification of dental assistants. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3622) and will not be republished. The adopted amendment requires applicants to submit a National Practitioner Data Bank self-query report upon initial registration. Initial applicants currently submit this report to the Board as part of the licensing application process. This amendment is adopted to reflect the Board’s current process. The adopted amendment also specifies the name of 22 TAC §101.8.
Adopting 22 TAC §117.2, to require faculty license holders to submit an employment affidavit form upon renewal of their license.
CHAPTER 117. FACULTY AND STUDENTS IN ACCREDITED DENTAL SCHOOLS
22 TAC §117.2
OVERVIEW
The State Board of Dental Examiners (Board) adopts these amendments to 22 TAC §117.2, pertaining to dental faculty licensure. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3623) and will not be republished. The adopted amendments: (1) require that faculty license holders submit an employment affidavit form upon renewal to show that they are still currently employed by their employer school, and (2) correct a grammatical error.
Adopting 22 TAC §117.3, to conform to the statutory language in the Texas Occupations Code, which requires faculty license holders to submit an employment affidavit form upon renewal of their license.
CHAPTER 117. FACULTY AND STUDENTS IN ACCREDITED DENTAL SCHOOLS
22 TAC §117.3
OVERVIEW
The State Board of Dental Examiners (Board) adopts these amendments to 22 TAC §117.3, pertaining to dental hygiene faculty licensure. The amendment is adopted without changes to the proposed text as published in the June 20, 2025, issue of the Texas Register (50 TexReg 3624) and will not be republished. The adopted amendments: (1) conform the rule to the statutory language in Texas Occupations Code §267.003, (2) require that faculty license holders submit an employment affidavit form upon renewal to show that they are still currently employed by their employer school, and (3) correct grammatical and punctuation errors.
Adopted Rule Reviews Re:
Adopting Title 22, Part 5, concerning sedation and anesthesia, as well as requirements for dental offices.
The Texas State Board of Dental Examiners (Board) adopts the review of the chapters below in Title 22, Part 5, of the Texas Administrative Code (TAC):
Chapter 110, Sedation and Anesthesia; and
Chapter 113, Requirements for Dental Offices.