Texas Register Table of Contents
- 1 Texas Optometry Board
- 1.0.1 Proposed Rules Re:
- 1.0.1.1 Amending 22 TAC §279.1, to require that an optometrist or therapeutic optometrist personally examine the patient for three of the ten findings during an initial visit for contact lenses.
- 1.0.1.2 Amending 22 TAC §279.3, to require that an optometrist or therapeutic optometrist personally examine the patient for three of the ten findings during an initial visit for a spectacle prescription.
- 1.0.1 Proposed Rules Re:
- 2 Texas Health and Human Services Commission
- 3 Texas Department of State Health Services
- 4 Department of Aging and Disability Services
- 4.0.1 Proposed Rule Reviews Re:
- 4.0.1.1 Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Use of General Revenue for Services Exceeding the Individual Cost Limit of a Waiver Program.
- 4.0.1.2 Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Service Responsibility Option.
- 4.0.1.3 Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Contracting to Provide Home-Delivered Meals.
- 4.0.1.4 Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Contracting to Provide Programs of All-Inclusive Care for the Elderly (PACE).
- 4.0.1 Proposed Rule Reviews Re:
Texas Optometry Board
Proposed Rules Re:
Amending 22 TAC §279.1, to require that an optometrist or therapeutic optometrist personally examine the patient for three of the ten findings during an initial visit for contact lenses.
CHAPTER 279. INTERPRETATIONS
22 TAC §279.1
OVERVIEW
The Texas Optometry Board proposes amendments to 22 TAC Title 14 Chapter 279, §279.1 – Contact Lens Examination.
The rules in the Chapter 279 were reviewed as a result of the Board’s general rule review under Texas Government Code §2001.039. Notice of the review was published in the June 10, 2022, issue of the Texas Register (47 TexReg 3487). No comments were received regarding the Board’s notice of review.
The Board has determined that there continues to be a need for the rules in Chapter 279. The Board has also determined that changes to §279.1 as currently in effect are necessary to clarify the statute.
BACKGROUND AND JUSTIFICATION
This section of the Board’s rules clarifies Texas Optometry Act §351.353 which requires ten specific findings to be made and recorded during an initial examination of a patient in which an ophthalmic contact lens prescription is to be made. As outlined in statute, these ten findings are to ensure the adequate examination of a patient. The rule does not set guidance for medical or routine refraction visits between a patient and an optometrist – only the initial visit for a prescription for contacts. The rule as currently written sets out that three of the ten findings during an initial visit must be performed by the licensed optometrist while the other seven findings may be delegated to an assistant with oversight by the licensed optometrist. Additionally, Texas Optometry Act §351.453 states “an optometrist or therapeutic optometrist may not sign, or cause to be signed, an ophthalmic lens prescription without first personally examining the eyes of the person for whom the prescription is made.”
Amending 22 TAC §279.3, to require that an optometrist or therapeutic optometrist personally examine the patient for three of the ten findings during an initial visit for a spectacle prescription.
CHAPTER 279. INTERPRETATIONS
22 TAC §279.3
OVERVIEW
The Texas Optometry Board proposes amendments to 22 TAC Title 14 Chapter 279, §279.3 – Spectacle Examination.
The rules in the Chapter 279 were reviewed as a result of the Board’s general rule review under Texas Government Code §2001.039. Notice of the review was published in the June 10, 2022, issue of the Texas Register (47 TexReg 3487). No comments were received regarding the Board’s notice of review.
The Board has determined that there continues to be a need for the rules in Chapter 279. The Board has also determined that changes to §279.3 as currently in effect are necessary to clarify the statute.
BACKGROUND AND JUSTIFICATION
This section of the Board’s rules clarifies Texas Optometry Act §351.353 which requires ten specific findings to be made and recorded during an initial examination of a patient in which an ophthalmic spectacle prescription is to be made. As outlined in statute, these ten findings are to ensure the adequate examination of a patient. The rule does not set guidance for medical or routine refraction visits between a patient and an optometrist – only the initial visit for a prescription for spectacles (glasses). The rule as currently written sets out that three of the ten findings during an initial visit must be performed by the licensed optometrist while the other seven findings may be delegated to an assistant with oversight by the licensed optometrist. Additionally, Texas Optometry Act §351.453 states “an optometrist or therapeutic optometrist may not sign, or cause to be signed, an ophthalmic lens prescription without first personally examining the eyes of the person for whom the prescription is made.”
Texas Health and Human Services Commission
Proposed Rule Reviews Re:
OVERVIEW
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 1, Part 15, of the Texas Administrative Code:
Chapter 356, Medicaid and CHIP Electronic Health Information
Subchapter A Medicaid Electronic Health Record
Subchapter B Medicaid Electronic Health Record Incentive Payment Program
Texas Department of State Health Services
Proposed Rule Reviews Re:
Reviewing Title 25, Part 1, to consider for readoption, revision, or repeal the chapter pertaining to End Stage Renal Disease Facilities.
OVERVIEW
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 25, Part 1, of the Texas Administrative Code:
Chapter 117, End Stage Renal Disease Facilities
Subchapter A General Provisions
Subchapter B Application and Issuance of a License
Subchapter C Minimum Standards for Equipment, Water Treatment and Reuse, And Sanitary and Hygienic Conditions
Subchapter D Minimum Standards for Patient Care and Treatment
Subchapter E Dialysis Technicians
Subchapter F Corrective Action Plan and Enforcement
Subchapter G Fire Prevention and Safety Requirements
Subchapter H Physical Plant and Construction Requirements
Reviewing Title 25, Part 1, to consider for readoption, revision, or repeal the chapter pertaining to Standard of Care.
OVERVIEW
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 25, Part 1, of the Texas Administrative Code:
Chapter 448, Standard of Care
Subchapter A Definitions
Subchapter B Standard of Care Applicable to All Providers
Subchapter D Facility Licensure Information
Subchapter E Facility Requirements
Subchapter F Personnel Practices and Development
Subchapter G Client Rights
Subchapter H Screening and Assessment
Subchapter I Treatment Program Services
Subchapter J Medication
Subchapter K Food and Nutrition
Subchapter L Residential Physical Plant Requirements
Subchapter M Court Commitment Services
Subchapter N Therapeutic Communities
Subchapter O Faith Based Chemical Dependency Programs
In Addition Re:
Licensing Actions for Radioactive Materials
For more information, please visit this week’s edition of the Texas Register at 49 Tex Reg 70.
Licensing Actions for Radioactive Materials
For more information, please visit this week’s edition of the Texas Register at 49 Tex Reg 76.
Licensing Actions for Radioactive Materials
For more information, please visit this week’s edition of the Texas Register at 49 Tex Reg 81.
Department of Aging and Disability Services
Proposed Rule Reviews Re:
Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Use of General Revenue for Services Exceeding the Individual Cost Limit of a Waiver Program.
OVERVIEW
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 40, Part 1, of the Texas Administrative Code:
Chapter 40, Use of General Revenue for Services Exceeding the Individual Cost Limit of a Waiver Program
Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Service Responsibility Option.
OVERVIEW
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 40, Part 1, of the Texas Administrative Code:
Chapter 43, Service Responsibility Option
Subchapter A Introduction
Subchapter B Responsibilities of Individuals Choosing to Participate In The SRO
Subchapter C Responsibilities of An SRO Provider
Subchapter D Termination of the SRO
Subchapter E Support Consultation
Subchapter F Budget
Subchapter G Reporting Allegations
Subchapter H Oversight
Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Contracting to Provide Home-Delivered Meals.
OVERVIEW
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 40, Part 1, of the Texas Administrative Code:
Chapter 55, Contracting to Provide Home-Delivered Meals
Reviewing Title 40, Part 1, to consider for readoption, revision, or repeal the chapter concerning Contracting to Provide Programs of All-Inclusive Care for the Elderly (PACE).
OVERVIEW
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 40, Part 1, of the Texas Administrative Code:
Chapter 60, Contracting to Provide Programs of All-Inclusive Care for the Elderly (PACE)