Texas Register January 30, 2026 Volume 51 Number 5


Texas Register Table of Contents

Council on Cardiovascular Disease and Stroke

Proposed Rules Re:

Amending 25 TAC §1051.1, to update the language to reflect DSHS’s role in publish a notice of each meeting and clarify language related to voting and public participation.

CHAPTER 1051. RULES
25 TAC §1051.1

OVERVIEW

The Texas Council on Cardiovascular Disease and Stroke proposes an amendment to §1051.1, concerning Conduct of Meetings.

BACKGROUND AND PURPOSE

The purpose of the proposal is to make necessary revisions to the rule identified during the four-year rule review required by Texas Government Code §2001.039. The amendment to the rule specifies voting eligibility, clarifies the role the Texas Department of State Health Services (DSHS) has in providing administrative support to the Texas Council on Cardiovascular Disease and Stroke (Council), and updates public participation best practices.

SECTION-BY-SECTION SUMMARY

The proposed amendment to §1051.1 updates the language to indicate that DSHS will be responsible for publishing a notice of each meeting. In addition, the language is updated to indicate DSHS will provide notice of the public meeting to Council members. The proposed amendment also clarifies language regarding voting and reflects public participation best practices.


Texas Department of State Health Services

Adopted Rules Re:

Adopting 25 TAC §3.8, to improve public access to DSH advisory committee, council, and board rules by consolidating the rules into a single chapter.

CHAPTER 3. ADVISORY COMMITTEES, COUNCILS, AND BOARDS
25 TAC §3.8

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts new §3.8, concerning Youth Camp Advisory Committee (YCAC).

Section 3.8 is adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7676). This rule will not be republished.

BACKGROUND AND JUSTIFICATION

New §3.8 is necessary to improve public access to DSHS advisory committee, council, and board rules by moving all advisory committee, council, and board rules into a single chapter. Section 265.29, concerning Youth Camp Committee, is repealed from 25 Texas Administrative Code (TAC) Chapter 265, concerning General Sanitation. The repeal is adopted elsewhere in this issue of the Texas Register.

The YCAC provides an important function advising DSHS and the executive commissioner regarding youth camp standards and rules. New Section 3.8 amends the membership composition of the YCAC to provide the agency with valuable insights to improve health and safety standards for campers.


Adopting 25 TAC §§265.11, 265.18, 265.23, 265.24, 265.28 – 265.34, to update definitions, add requirements for implementation, and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios.

CHAPTER 265. GENERAL SANITATION
SUBCHAPTER B. TEXAS YOUTH CAMPS SAFETY AND HEALTH
25 TAC §§265.11, 265.18, 265.23, 265.24, 265.28 – 265.34

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §265.29 and §§265.31 – 265.34, concerning Texas Youth Camps Safety and Health.

Sections 265.18, 265.23, and 265.24 are adopted with changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will be republished. Sections 265.11 and 265.28 – 265.35 are adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The adoption is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amend Texas Health and Safety Code (HSC) Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new Youth Camp Safety Multidisciplinary Team (YCSMT). The adoption also implements SB 5, 89th Legislature, Second Special Session, 2025, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.

The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee (YCAC) section is published elsewhere in this issue of the Texas Register.

The proposed repeal of §§265.31 – 265.35 is necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code (TAC), Chapter 90.


Adopting 25 TAC §265.29, to repeal the section.

CHAPTER 265. GENERAL SANITATION
SUBCHAPTER B. TEXAS YOUTH CAMPS SAFETY AND HEALTH
25 TAC §265.29

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §265.29 and §§265.31 – 265.34, concerning Texas Youth Camps Safety and Health.

Sections 265.18, 265.23, and 265.24 are adopted with changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will be republished. Sections 265.11 and 265.28 – 265.35 are adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The adoption is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amend Texas Health and Safety Code (HSC) Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new Youth Camp Safety Multidisciplinary Team (YCSMT). The adoption also implements SB 5, 89th Legislature, Second Special Session, 2025, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.

The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee (YCAC) section is published elsewhere in this issue of the Texas Register.

The proposed repeal of §§265.31 – 265.35 is necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code (TAC), Chapter 90.


Adopting 25 TAC §§265.31 – 265.35, to repeal the following sections, as authorized under the Texas Health and Safety Code §141.008, Texas Government Code §524.0151, and Texas Health and Safety Code §1001.075.

CHAPTER 265. GENERAL SANITATION
SUBCHAPTER C. MIGRANT LABOR HOUSING FACILITIES
25 TAC §§265.31 – 265.35

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §265.29 and §§265.31 – 265.34, concerning Texas Youth Camps Safety and Health.

Sections 265.18, 265.23, and 265.24 are adopted with changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will be republished. Sections 265.11 and 265.28 – 265.35 are adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The adoption is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amend Texas Health and Safety Code (HSC) Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new Youth Camp Safety Multidisciplinary Team (YCSMT). The adoption also implements SB 5, 89th Legislature, Second Special Session, 2025, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.

The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee (YCAC) section is published elsewhere in this issue of the Texas Register.

The proposed repeal of §§265.31 – 265.35 is necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code (TAC), Chapter 90.


Adopting 25 TAC §265.36, to add new floodplain safety requirements.

CHAPTER 265. GENERAL SANITATION
SUBCHAPTER B. TEXAS YOUTH CAMPS SAFETY AND HEALTH
25 TAC §265.36

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §265.29 and §§265.31 – 265.34, concerning Texas Youth Camps Safety and Health.

Sections 265.18, 265.23, and 265.24 are adopted with changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will be republished. Sections 265.11 and 265.28 – 265.35 are adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The adoption is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amend Texas Health and Safety Code (HSC) Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new Youth Camp Safety Multidisciplinary Team (YCSMT). The adoption also implements SB 5, 89th Legislature, Second Special Session, 2025, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.

The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee (YCAC) section is published elsewhere in this issue of the Texas Register.

The proposed repeal of §§265.31 – 265.35 is necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code (TAC), Chapter 90.


Adopting 25 TAC §265.37, to add new requirements for youth camp operators to provide and maintain internet services.

CHAPTER 265. GENERAL SANITATION
SUBCHAPTER B. TEXAS YOUTH CAMPS SAFETY AND HEALTH
25 TAC §265.37

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §265.29 and §§265.31 – 265.34, concerning Texas Youth Camps Safety and Health.

Sections 265.18, 265.23, and 265.24 are adopted with changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will be republished. Sections 265.11 and 265.28 – 265.35 are adopted without changes to the proposed text as published in the November 28, 2025, issue of the Texas Register (50 TexReg 7678). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The adoption is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amend Texas Health and Safety Code (HSC) Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new Youth Camp Safety Multidisciplinary Team (YCSMT). The adoption also implements SB 5, 89th Legislature, Second Special Session, 2025, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.

The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee (YCAC) section is published elsewhere in this issue of the Texas Register.

The proposed repeal of §§265.31 – 265.35 is necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code (TAC), Chapter 90.


Adopted Rule Reviews Re:

Adopting Title 25, Part 1, concerning meat safety assurance.

The Texas Health and Human Services Commission (HHSC), on behalf of the Texas Department of State Health Services (DSHS), adopts the review of the chapter below in Title 25, Part 1, of the Texas Administrative Code (TAC):

Chapter 221, Meat Safety Assurance


Texas Board of Veterinary Medical Examiners

Proposed Rule Reviews Re:

Reviewing Title 22, Part 24, to consider for readoption, revision, or repeal the chapter concerning licensing, rules of professional conduct, practice and procedure, as well as general administrative duties.

The Texas Board of Veterinary Medical Examiners (Board) files this Notice of Intent to Review to consider for re-adoption, revision, or repeal the chapters listed below, in their entirety, contained in Title 22, Part 24, of the Texas Administrative Code. This review is being conducted in accordance with Texas Government Code §2001.039.

Rule Chapters Under Review

Chapter 571, Licensing

Chapter 573, Rules of Professional Conduct

Chapter 575, Practice and Procedure

Chapter 577, General Administrative Duties


Texas Health and Human Services Commission

Adopted Rule Reviews Re:

Adopting Title 26, Part, concerning electronic monitoring in an individual’s bedroom in a state supported living center.

The Texas Health and Human Services Commission (HHSC) adopts the review of the chapter below in Title 2, Part 1, of the Texas Administrative Code (TAC):

Chapter 965, Electronic Monitoring in an Individual’s Bedroom in a State Supported Living Center


In Addition Re:

Criminal History Requirements for Child Care Operations

26 TAC §745.661 (relating to What types of criminal convictions may affect a person’s ability to be present at an operation?) states that HHSC will review the three criminal history requirements charts with information regarding specific crimes that may affect a person’s ability to be present at a child care operation annually to determine whether any changes are needed. HHSC will then publish any changes as an “In Addition” document in the Texas Register and make them available on the Child Care Regulation public website. The three charts are titled: (1) Licensed or Certified Child Care Operations: Criminal History Requirements; (2) Foster or Adoptive Placements: Criminal History Requirements; and (3) Registered Child Care Homes and Listed Family Homes: Criminal History Requirements.


Texas Department of Insurance

In Addition Re:

Company Licensing

Application for Pharmacists Mutual Insurance Company, a foreign fire and/or casualty company, to change its name to Pharmacists Insurance Company. The home office is in Algona, Iowa.