Texas Register June 26, 2026 Volume: 51 Number: 26

Texas Register Table of Contents

1 Governor
- - 1.0.1 Appointments Re:
    - 1.0.1.1 Appointed to the Texas Medical Board District Three Review Committee for a term to expire January 15, 2032, Sharon E. Carr of Canadian, Texas (Ms. Carr is being reappointed).
    - 1.0.1.2 Appointed to the Texas Medical Board District Three Review Committee for a term to expire January 15, 2032, Surendra K. Varma, M.D. of Lubbock, Texas (Dr. Varma is being reappointed).
2 Texas Education Agency
- - 2.0.1 Proposed Rules Re:
    - 2.0.1.1 Proposing new 19 TAC §103.1105, to implement SB 12 (89th Legislature) by establishing a procedure requiring school districts and open-enrollment charter schools to notify the parent of an enrolled student of any change in services provided to or monitoring of the student related to the student’s mental, emotional, or physical health or well-being, including definitions, criteria for notification, parent rights, consent requirements, exceptions, and documentation requirements.
3 Texas Optometry Board
- - 3.0.1 Proposed Rules Re:
4 Texas State Board of Pharmacy
- - 4.0.1 Proposed Rules Re:
5 Texas Department of State Health Services
- - 5.0.1 Proposed Rules Re:
    - 5.0.1.1 Amending 25 TAC §31.1, to update the Texas Mother-Friendly Worksite program name and contact information, introduce a redesignation process, update voluntary Silver and Gold standard criteria to align with current worksite lactation best practices, and modernize application processes.
6 Texas Health and Human Services Commission
- - 6.0.1 Proposed Rules Re:
    - 6.0.1.1 Amending 26 TAC §370.1, to implement HB 742, HB 754, and HB 1778 (89th Legislature) by adding medical assistants, first responders, and tattoo or body piercing studio employees to the list of professions required to complete HHSC-approved human trafficking prevention training.
  - 6.0.2 In Addition Re:
    - 6.0.2.1 Licensing Actions for Radioactive Materials
7 Texas Department of Licensing and Regulation
- - 7.0.1 Adopted Rules Re:
8 Texas Diabetes Council
- - 8.0.1 Adopted Rules Re:
    - 8.0.1.1 Adopting amendments to 25 TAC §§651.1 – 651.5, to make necessary updates identified during the four-year rule review, including updating statutory references, clarifying the role DSHS plays in providing administrative support, specifying voting eligibility, and updating public participation best practices.

Governor

Appointments Re:

Appointed to the Texas Medical Board District Three Review Committee for a term to expire January 15, 2032, Sharon E. Carr of Canadian, Texas (Ms. Carr is being reappointed).

Appointed to the Texas Medical Board District Three Review Committee for a term to expire January 15, 2032, Surendra K. Varma, M.D. of Lubbock, Texas (Dr. Varma is being reappointed).

Texas Education Agency

Proposed Rules Re:

Proposing new 19 TAC §103.1105, to implement SB 12 (89th Legislature) by establishing a procedure requiring school districts and open-enrollment charter schools to notify the parent of an enrolled student of any change in services provided to or monitoring of the student related to the student’s mental, emotional, or physical health or well-being, including definitions, criteria for notification, parent rights, consent requirements, exceptions, and documentation requirements.

CHAPTER 103. HEALTH AND SAFETY
SUBCHAPTER BB. COMMISSIONER’S RULES CONCERNING GENERAL PROVISIONS FOR HEALTH AND SAFETY
19 TAC §103.1105

OVERVIEW

The Texas Education Agency (TEA) proposes new §103.1105, concerning the procedure related to notification to a student’s parent regarding the student’s mental, emotional, or physical health or well-being. The proposed new rule would implement the procedure required by Senate Bill (SB) 12, 89th Texas Legislature, Regular Session, 2025, for school districts and open-enrollment charter schools to notify the parent of a student enrolled in the district of any change in services provided or monitoring related to a student’s mental, emotional, or physical health or well-being.

BACKGROUND AND JUSTIFICATION

Subsection (a) would establish the statutory authority for the rule and the responsibilities of school districts and open-enrollment charter schools to implement SB 12, 89th Texas Legislature, Regular Session, 2025.

Subsection (b) would establish definitions applicable to the rule.

Subsection (c) would establish parent rights and access to information about a child that schools may not restrict.

Subsection (d) would require school districts to provide parental notification regarding health-related and health-care services available at the campus the student attends.

Subsections (e) and (f) would establish criteria for school districts related to parental notification when health-related services or health-care services change.

Subsection (g) would establish timelines for parental notification when a school district changes monitoring of a student’s mental, emotional, or physical health or well-being.

Subsection (h) would require that services and monitoring related to a student’s mental, emotional, or physical health or well-being reinforce a parent’s right to make decisions for the parent’s child.

Subsection (i) would require timely parental notification when a student discloses behaviors indicating an adverse change in the student’s mental, emotional, or physical health or well-being.

Subsection (j) would prohibit school district procedures that encourage withholding information from parents or interfere with a parent’s ability to access information or participate in decision making regarding the parent’s child.

Subsection (k) would preserve parental choice by requiring opt-in or opt-out decisions to be made on an individual service basis.

Subsection (l) would require school districts to allow parents to opt out of any health-related service provided to their child.

Subsection (m) would specify a parent’s statutory right to exempt their child from a service or monitoring.

Subsection (n) would require parental consent before a student receives specified services, including psychological or psychiatric examinations or treatments (except as otherwise permitted by law), health-care services (except in emergencies), or the administration of certain well-being questionnaires or health screening forms.

Subsection (o) would establish when a health-related service also meets the definition of a health-care service for purposes of this rule and would require parental consent before a student participates in such a service.

Subsection (p) would require schools to provide parents with a copy of any well-being questionnaire or health screening form before it is administered to a student.

Subsection (q) would limit the use of opt-in practices by school districts for first aid and routine health-related services reasonably expected to be provided in schools.

Subsection (r) would establish the duration of parental consent for health-related and health-care services, providing that consent remains effective through the end of the school year unless otherwise specified by the parent.

Subsection (s) would require school districts to maintain written parental consent in a student’s education records.

Subsection (t) would allow school personnel to make routine, non-service-based inquiries regarding a student’s daily or general well-being without parental consent.

Subsection (u) would clarify that general caretaking provided by a school district is not considered a health-related service or a health-care service.

Subsection (v) would specify that parental notification and any opt-out rights for health screenings required by law are governed by those laws and related rules.

Subsection (w) would specify that consent for services provided through an individualized education program or as part of an evaluation to determine eligibility under the Individuals with Disabilities Education Act (IDEA) is governed by IDEA requirements related to informed consent, consent revocation, and consent expiration.

Subsection (x) would preserve existing requirements to report and investigate child abuse or neglect.

Subsection (y) would establish exceptions to required parental notification when disclosure would likely result in abuse or neglect or when conducting behavioral threat assessments, while requiring compliance with other applicable notification and consent laws.

Texas Optometry Board

Proposed Rules Re:

Amending 22 TAC §277.1, to clarify the Board’s complaint process by simplifying the complaint classification system, reducing word count, and repealing language related to options for disposition of complaints that are already found in statute, following the Board’s quadrennial rule review and recommendations by the Texas Regulatory Efficiency Office.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.1

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.1 – Complaint Procedures.

The rules in the Chapter 277 were reviewed as a result of the Board’s general rule review under Texas Government Code Section 2001.039. Notice of the review was published in the March 6, 2026, issue of the Texas Register (51 TexReg 1429). One comment was received regarding the Board’s notice of review related to Rule 277.1. The commenter suggested 277.1(d)(3) be repealed. However, the Board disagrees with the comment as the statute related to that section does not expire until September 1, 2027.

BACKGROUND AND JUSTIFICATION

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.1 as currently in effect are necessary.

In conjunction with the quadrennial review, the rule was reviewed by the Texas Regulatory Efficiency Office (TREO). These amendments incorporate many recommendations by TREO to reduce regulatory burdens; eliminate waste, fraud, and unnecessary rules; and increase transparency for Texas taxpayers.

The amendments clarify the Board’s complaint process for the public and licensees by reducing the word count and simplifying the classification system. The rule repeals current (e)(3) related to options the Board has regarding the disposition of complaint as these options are found in statute and do not need to be repeated in the rule.

Amending 22 TAC §277.2, to clarify the Board’s disciplinary proceedings process by reducing word count, ensuring proceedings comply with the Administrative Procedures Act by reference, and adding a provision referencing Alternative Dispute Resolution in connection with the proposed repeal of §277.9.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.2

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.2 – Disciplinary Proceedings.

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.2 as currently in effect are necessary.

BACKGROUND AND JUSTIFICATION

The amendments clarify the Board’s disciplinary proceedings process for the public and licensees by reducing word count and ensuring the Board’s proceedings comply with the Administrative Procedures Act (APA). By referencing compliance with the APA, the Board does not need to amend its rule if the APA is amended by the Texas Legislature at a future date. Additionally, the rule adds a section referencing the option for Alternative Dispute Resolution as that rule is being repealed in a separate rule submission.

Amending 22 TAC §277.3, to update terminology from “practitioner” to “licensee” and clarify that the Board may probate a licensee without the unnecessary language requiring a majority vote, as a majority vote is needed for all Board actions.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.3

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.3 – Probation.

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.3 as currently in effect are necessary.

BACKGROUND AND JUSTIFICATION

The amendment simply updates the terminology found in the rule from “practitioner” to “licensee” to clarify that the Board may offer probation to a licensee. It further clarifies that the Board “may” act without the unnecessary language related to a majority vote as a majority vote is needed for all Board actions.

Amending 22 TAC §277.4, to update terminology from “practitioner” to “person” to clarify that the person seeking reinstatement should not be practicing, and to provide that the Board may make the reinstatement decision without a hearing at the State Office of Administrative Hearings.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.4

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.4 – Reinstatement.

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.4 as currently in effect are necessary.

BACKGROUND AND JUSTIFICATION

The amendment simply updates the terminology found in the rule from “practitioner” to “person” to clarify that the person seeking reinstatement of a license should not be practicing. Additionally, it provides that the Board may make the decision to reinstate a license without holding a hearing at the State Office of Administrative Hearings (SOAH). Implied is that if the Board makes an adverse action, the person may appeal the decision to SOAH under the provisions of the Administrative Procedures Act.

Amending 22 TAC §277.5, to remove unnecessary language that only restates statute or provides subjective commentary regarding criminal convictions as grounds for license denial or disciplinary action.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.5

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.5 – Convictions.

BACKGROUND AND JUSTIFICATION

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.5 as currently in effect are necessary.

The amendment removes unnecessary language which only restates statute or provides subjective commentary about the rule.

Amending 22 TAC §277.8, to provide the Board chair with discretion in appointing the emergency disciplinary panel without full Board approval, and to allow the panel to meet by video or telephone call when immediate action is required.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.8

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.8 – Emergency Temporary Suspension or Restriction.

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.8 as currently in effect are necessary.

BACKGROUND AND JUSTIFICATION

The amendment provides the Chair of the Board has discretion when appointing the emergency committee and the appointments would not need to be approved by the full Board. Finally, the amendment allows the committee to meet by video or telephone call if necessary.

Repealing 22 TAC §277.9, to remove the Alternative Dispute Resolution rule as unnecessary, as the Board is amending §277.2 to reference ADR procedures in connection with the repeal.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.9

OVERVIEW

The Texas Optometry Board proposes to repeal 22 TAC Part 14 Chapter 277 Administration – Rule 277.9 – Alternative Dispute Resolution.

BACKGROUND AND JUSTIFICATION

In 2025, the Texas Legislature created the Texas Regulatory Efficiency Office (TREO) to review state agency rules and procedures to reduce regulatory burdens; eliminate waste, fraud, and unnecessary rules; and increase transparency for Texas taxpayers. In conjunction with the TREO review, the Board is proposing the repeal of Rule 277.9.

This rule is derived from Texas Government Code Chapter 2009 which outlines the Alternative Dispute Resolution process for government agencies. In conjunction with the repeal of this rule, the Board is in the process of amending Rule 277.2-Disciplinary Proceedings to state the “Board may seek to resolve a contested matter through any Alternative Dispute Resolution (ADR) procedure. Such procedures may include, but are not limited to, those applied to resolve matters pending at the State Office of Administrative Hearing (SOAH) and in the state’s district courts.”

Amending 22 TAC §277.12, to simplify and clarify the Board’s authority to discipline a licensee or applicant by removing language that restates Texas Occupations Code §351.501, and to define “wilful” violation based on a recent State Office of Administrative Hearings ruling.

CHAPTER 277. PRACTICE AND PROCEDURE
22 TAC §277.12

OVERVIEW

The Texas Optometry Board proposes amendments to 22 TAC Chapter 277, §277.12 – Denial Of License And Disciplinary Action By Board.

BACKGROUND AND JUSTIFICATION

The Board has determined that there continues to be a need for the rules in Chapter 277. The Board has also determined that changes to §277.12 as currently in effect are necessary.

As currently written, the rule simply restates Texas Occupations Code §351.501 which is redundant and could be confusing for stakeholders. This proposed amendment simplifies and clarifies the Board’s authority to discipline a licensee or applicant.

Additionally, based on a recent State Office of Administrative Hearing’s ruling, the Board is attempting to define “wilful” by stating “An applicant or license holder is considered to have committed a wilful violation if the person intentionally disregarded the Optometry Act. Unless the person can prove he or she did not know how to review and understand the law, the Board deems every violation as intentional as each person is required to take and pass the Board’s jurisprudence exam prior to licensure and to take one hour of continuing education related to professional responsibility each year once licensed.”

Texas State Board of Pharmacy

Proposed Rules Re:

Amending 22 TAC §283.7, to allow an applicant for pharmacist licensure by examination who has completed the three didactic years of pharmacy education to take the Texas Pharmacy Jurisprudence Examination a maximum of one time prior to graduation, and to remove outdated examination requirements.

CHAPTER 283. LICENSING REQUIREMENTS FOR PHARMACISTS
22 TAC §283.7

OVERVIEW

The Texas State Board of Pharmacy proposes amendments to §283.7, concerning Examination Requirements. The amendments, if adopted, allow an applicant for licensure by examination who has completed the three didactic years of pharmacy education to take the Texas Pharmacy Jurisprudence Examination a maximum of one time prior to graduation from a college/school of pharmacy and remove outdated examination requirements.

BACKGROUND AND JUSTIFICATION

The public benefit anticipated as a result of enforcing the amendments will be to streamline the pharmacist licensure process, reduce testing stress and workload, and clear and correct regulatory language.

Amending 22 TAC §291.3, to clarify the meaning of “fire, flood, or natural disaster” for purposes of required board notification, cross-reference an existing notification requirement, and update terminology in accordance with House Bill 1500.

CHAPTER 291. PHARMACIES
SUBCHAPTER A. ALL CLASSES OF PHARMACIES
22 TAC §291.3

OVERVIEW

The Texas State Board of Pharmacy proposes amendments to §291.3, concerning Required Notifications. The amendments, if adopted, clarify the meaning of a “fire, flood, or natural disaster” for purposes of required notification to the board, cross-reference an existing notification requirement, and update terminology in accordance with House Bill 1500.

BACKGROUND AND JUSTIFICATION

The public benefit anticipated as a result of enforcing the amendments will be clear and correct regulatory language that more accurately reflects the Board’s requirements for the continuous operation of a pharmacy.

Amending 22 TAC §291.11, to clarify that a pharmacy may not discontinue operating for a period of 30 days or longer unless the pharmacy has timely notified the board of a fire, flood, or natural disaster.

CHAPTER 291. PHARMACIES
SUBCHAPTER A. ALL CLASSES OF PHARMACIES
22 TAC §291.11

OVERVIEW

The Texas State Board of Pharmacy proposes amendments to §291.11, concerning Operation of a Pharmacy. The amendments, if adopted, clarify that a pharmacy may not discontinue operating for a period of 30 days or longer unless the pharmacy has timely notified the board of a fire, flood, or natural disaster.

BACKGROUND AND JUSTIFICATION

Proposing new 22 TAC §291.13, to establish documentation and retention requirements for a patient’s informed consent to treatment, data collection, and data sharing for telehealth services provided by a pharmacist, in accordance with House Bill 1700.

CHAPTER 291. PHARMACIES
SUBCHAPTER A. ALL CLASSES OF PHARMACIES
22 TAC §291.13

OVERVIEW

The Texas State Board of Pharmacy proposes new rule §291.13, concerning Telehealth Services Provided by a Pharmacist. The new rule, if adopted, establishes the documentation and retention requirements regarding a patient’s consent to treatment, data collection, and data sharing for telehealth services provided by a pharmacist, in accordance with House Bill 1700.

BACKGROUND AND JUSTIFICATION

The public benefit anticipated as a result of enforcing the rule will be to provide consistency between state law and Board rules regarding the recordkeeping and retention requirements for telehealth services provided by a pharmacist.

Amending 22 TAC §291.55, to require the pharmacist-in-charge of a Class B (nuclear) pharmacy to notify the board in writing of any significant loss of information from the pharmacy’s data processing system within 10 days of discovery.

CHAPTER 291. PHARMACIES
SUBCHAPTER C. NUCLEAR PHARMACY (CLASS B)
22 TAC §291.55

OVERVIEW

The Texas State Board of Pharmacy proposes amendments to §291.55, concerning Records. The amendments, if adopted, require the pharmacist-in-charge of a Class B pharmacy to notify the board of a significant loss of information from the pharmacy’s data processing system.

BACKGROUND AND JUSTIFICATION

The public benefit anticipated as a result of enforcing the amendments will be improved assistance to individuals affected by data loss events and regulatory consistency across pharmacy classes.

Texas Department of State Health Services

Proposed Rules Re:

Amending 25 TAC §31.1, to update the Texas Mother-Friendly Worksite program name and contact information, introduce a redesignation process, update voluntary Silver and Gold standard criteria to align with current worksite lactation best practices, and modernize application processes.

CHAPTER 31. NUTRITION SERVICES
SUBCHAPTER A. REGISTER OF TEXAS MOTHER-FRIENDLY WORKSITES
25 TAC §31.1

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposes an amendment to §31.1, concerning Register of Mother-Friendly Businesses.

BACKGROUND AND JUSTIFICATION

The Texas Department of State Health Services (DSHS) created the “Mother-Friendly” business designation as directed by Texas Health and Safety Code Chapter 165, Breast-feeding. The Texas Mother-Friendly Worksite program provides required basic minimum criteria for the designation in Title 25 Texas Administrative Code §31.1 and maintains a listing of designated worksites.

The proposal updates the rule to reflect the program name, Texas Mother-Friendly Worksite Program; updates program contact information and application processes; introduces a redesignation process to ensure program integrity; and updates voluntary Silver and Gold standards for level designation criteria to align with worksite lactation best practices that reflect changes in business practice and technology.

SECTION-BY-SECTION SUMMARY

The proposal updates the title of Subchapter A and the title of the rule to Register of Texas Mother-Friendly Worksites. The proposed amendment includes non-substantive editorial and plain-language changes and revisions to improve clarity that are not specifically enumerated here.

The proposed amendment to subsection (a) updates definitions for clarity and adds the definition for “Texas Mother-Friendly Worksite.”

The proposed amendment to subsection (b) updates program required basic minimum standards; adds reference to Texas Health and Safety Code §165.003; meets current worksite lactation program best practices; and adds language in support of a dispute resolution process.

The proposed amendment to subsection (c) updates voluntary program Silver and Gold standards for level designation criteria to align with worksite lactation best practices that reflect changes in business practice and technology; meets current worksite lactation program best practices; and increases worksite resource options made available to breastfeeding and breast pumping employees and their family members.

The proposed amendment to subsection (d) updates program contact information, and updates application guidance.

The proposed amendment to subsection (e) updates program contact information; clarifies standards for worksite maintenance of Texas Mother-Friendly Worksite designation; and updates compliance and monitoring of designated worksites.

Texas Health and Human Services Commission

Proposed Rules Re:

Amending 26 TAC §370.1, to implement HB 742, HB 754, and HB 1778 (89th Legislature) by adding medical assistants, first responders, and tattoo or body piercing studio employees to the list of professions required to complete HHSC-approved human trafficking prevention training.

CHAPTER 370. HUMAN TRAFFICKING RESOURCE CENTER
26 TAC §370.1

OVERVIEW

The executive commissioner of the Texas Health and Human Services Commission (HHSC) proposes an amendment to §370.1, concerning Human Trafficking Prevention Training Requirements.

BACKGROUND AND JUSTIFICATION

The proposal is necessary to comply with House Bill (HB) 742, HB 754, and HB 1778, 89th Legislature, Regular Session, 2025, which requires HHSC to include medical assistants, first responders, and tattoo or body piercing studio employees, to the list of professions required to take HHSC-approved human trafficking prevention training.

HB 742 and HB 754 amended Texas Health and Safety Code (HSC) Chapter 763 to require human trafficking prevention training for first responders and medical assistants, respectively. HB 1778 added HSC §146.0075 to require each employee of a tattoo studio or body piercing studio to complete human trafficking prevention training.

SECTION-BY-SECTION SUMMARY

The proposed amendment to §370.1(a) includes minor grammatical revisions, subsection (b) consolidation, and plain language revisions.

The proposed amendment to §370.1(c) includes plain language revisions.

Proposed new §370.1(c) adds human trafficking prevention training requirements for medical assistants.

Proposed new §370.1(d) adds human trafficking prevention training requirements for first responders.

Proposed new §370.1(e) adds human trafficking prevention training requirements for tattoo and body piercing studio employees.

The proposed amendment to renumbered §370.1(f) clarifies that the training standards and the list of approved courses are posted on the HHSC Texas Human Trafficking Resource Center website.

In Addition Re:

Licensing Actions for Radioactive Materials

For more information, please visit this week’s edition of the Texas Register at 51 Tex Reg 4234.

Texas Department of Licensing and Regulation

Adopted Rules Re:

Adopting amendments to 16 TAC §118.3, to correct a grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility,” in connection with a broader set of amendments to the Laser Hair Removal program implementing SB 748 (89th Legislature).

CHAPTER 118. LASER HAIR REMOVAL
SUBCHAPTER A. GENERAL PROVISIONS
16 TAC §118.3

OVERVIEW

The Texas Commission of Licensing and Regulation (Commission) adopts amendments to existing rules at 16 Texas Administrative Code (TAC), Chapter 118, Subchapter A, §118.3; Subchapter B, §118.12 and §118.13; Subchapter C, §§118.26, 118.28, and 118.29; Subchapter F, §118.50; and Subchapter H, §118.70, regarding the Laser Hair Removal program, without changes to the proposed text as published in the March 6, 2026, issue of the Texas Register (51 TexReg 1364). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The rules under 16 TAC, Chapter 118, implement Health and Safety Code Chapter 401.

The adopted rules are necessary to implement Senate Bill (SB) 748, 89th Legislature, Regular Session (2025), specifically, Section 2. These adopted rules also include grammatical changes and other changes recommended by Department staff during the Department’s four-year rule review of Chapter 118.

The adopted rules remove size and font size requirements from the warning signs required to be posted at laser hair removal facilities and remove the requirement that the signage include verbiage about the hazards of electromagnetic radiation.

The adopted rules also clarify that an applicant for an apprentice-in-training certification must submit proof of successful completion of a training program approved by the department covering the topics listed in §118.26(a)(3) in addition to §118.26(a)(2).

Finally, the adopted rules amend a consistent grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

Adopting amendments to 16 TAC §118.12 and §118.13, to remove size and font size requirements from warning signs required to be posted at laser hair removal facilities, remove the requirement that signage include language about electromagnetic radiation hazards, update the Department’s complaint phone number, and correct a grammatical error throughout the chapter.

CHAPTER 118. LASER HAIR REMOVAL
SUBCHAPTER B. LASER HAIR REMOVAL FACILITY
16 TAC §118.12, §118.13

OVERVIEW

The adopted rules amend §118.12, LHR Facility–Responsibilities; and §118.13, LHR Facility–Consulting Physician. The adopted rules amend §118.12(k) by removing size and font size requirements from the warning signs required to be posted at laser hair removal facilities. The adopted rules also remove the requirement that the signage include verbiage about the hazards of electromagnetic radiation and update the Department’s current contact phone number for complaints.

BACKGROUND AND JUSTIFICATION

The adopted rules are adopted under Texas Occupations Code, Chapter 51, which authorizes the Texas Commission of Licensing and Regulation, the Department’s governing body, to adopt rules as necessary to implement that chapter and any other law establishing a program regulated by the Department. The statutory provisions affected by the adopted rules are those set forth in Health and Safety Code, Chapter 401.

Adopting amendments to 16 TAC §§118.26, 118.28, and 118.29, to clarify that an applicant for an apprentice-in-training certification must submit proof of successful completion of a training program covering the topics listed in §118.26(a)(3) in addition to §118.26(a)(2), and to correct a grammatical error throughout the chapter.

CHAPTER 118. LASER HAIR REMOVAL
SUBCHAPTER C. LASER HAIR REMOVAL INDIVIDUAL CERTIFICATION
16 TAC §§118.26, 118.28, 118.29

OVERVIEW

The adopted rules amend §118.26, LHR Individual Certification–Apprentice-in-Training; §118.28, LHR Individual Certification–Senior LHR Technician; and §118.29, LHR Individual Certification–LHR Professional. The adopted rules amend §118.26(b) by clarifying that an applicant for an apprentice-in-training certification must submit proof of successful completion of a training program approved by the department covering the topics listed in §118.26(a)(3) in addition to §118.26(a)(2).

The adopted rules also correct a consistent grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

BACKGROUND AND JUSTIFICATION

Adopting amendments to 16 TAC §118.50, to correct a grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

CHAPTER 118. LASER HAIR REMOVAL
SUBCHAPTER F. LASER HAIR REMOVAL DEVICES
16 TAC §118.50

OVERVIEW

The adopted rules amend §118.50, LHR Devices–General and Operating Requirements. The adopted rules correct a consistent grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

BACKGROUND AND JUSTIFICATION

Adopting amendments to 16 TAC §118.70, to correct a grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

CHAPTER 118. LASER HAIR REMOVAL
SUBCHAPTER H. FEES
16 TAC §118.70

OVERVIEW

The adopted rules amend §118.70, Fees. The adopted rules correct a consistent grammatical error in Chapter 118 by changing all references from “a LHR facility” to “an LHR facility.”

BACKGROUND AND JUSTIFICATION

Texas Diabetes Council

Adopted Rules Re:

Adopting amendments to 25 TAC §§651.1 – 651.5, to make necessary updates identified during the four-year rule review, including updating statutory references, clarifying the role DSHS plays in providing administrative support, specifying voting eligibility, and updating public participation best practices.

CHAPTER 651. CONDUCT OF COUNCIL MEETINGS
25 TAC §§651.1 – 651.5

OVERVIEW

The Texas Diabetes Council (TDC) adopts amendments to §651.1, concerning Introduction; §651.2, concerning Applicability of Texas Open Meetings Act; §651.3, concerning Notice of Meetings; §651.4, concerning Transaction of Business; and §651.5 concerning Public Participation. Sections 651.1 – 651.5 are adopted without changes to the proposed text as published in the March 20, 2026, issue of the Texas Register (51 TexReg 1792). These rules will not be republished.

BACKGROUND AND JUSTIFICATION

The amendments are make necessary updates to the rules that were identified during the rule review required by Texas Government Code Chapter §2001.039. The amendments include updating the reference of appropriate statute, clarifying the role DSHS has in providing administrative support, specifying voting eligibility, and updating public participation best practice.