Texas Register Table of Contents
- 1 Texas State Board of Pharmacy
- 1.0.1 Proposed Rules Re:
- 1.0.1.1 Amending 22 TAC §281.2, to correct the chapter range in the definition of the Act.
- 1.0.1.2 Amending 22 TAC §291.9, to permit a pharmacist or pharmacy to deliver certain prescription drugs through a contract carrier or unmanned aircraft systems.
- 1.0.1.3 Amending 22 TAC §291.12, to set forth the requirements for the delivery of prescription drugs by contract carrier or unmanned aircraft systems.
- 1.0.1.4 Amending 22 TAC §291.32, to exclude central fill pharmacies from the required ratio of pharmacists to pharmacy technicians and pharmacy technician trainees.
- 1.0.1.5 Amending 22 TAC §291.55, to update a citation concerning a repealed statutory provision.
- 1.0.1.6 Amending 22 TAC §291.72, to add definitions.
- 1.0.1.7 Amending 22 TAC §291.102, to correct the chapter range in the definition of the Act.
- 1.0.1.8 Amending 22 TAC §291.120, to add new definitions.
- 1.0.1.9 Amending 22 TAC §315.13, to remove a recordkeeping requirement.
- 1.0.1 Proposed Rules Re:
- 2 Texas State Board of Examiners of Psychologists
- 3 Texas State Board of Examiners of Professional Counselors
- 3.0.1 Proposed Rules Re:
- 3.0.1.1 Amending 22 TAC §681.72, to remove the expiration provisions of supervision training courses required for applications for supervisor status.
- 3.0.1.2 Amending 22 TAC §681.140, to clarify the required professional development a licensee must receive when providing services to unique populations.
- 3.0.1 Proposed Rules Re:
- 4 Texas State Board of Social Worker Examiners
- 5 Texas State Board of Examiners of Marriage and Family Therapists
- 6 Texas Behavioral Health Executive Council
- 6.0.1 Proposed Rules Re:
- 6.0.1.1 Amending 22 TAC §882.50, to require license holders to use the online systems adopted by the Council for reporting continuing education hours.
- 6.0.1.2 Amending 22 TAC §884.10, to clarify when a licensee is subject to the jurisdiction of the Council.
- 6.0.1.3 Amending 22 TAC §885.1, to eliminate the fee requirement for verification.
- 6.0.1 Proposed Rules Re:
- 7 Texas Health and Human Services Commission
- 8 Texas Department of State Health Services
Texas State Board of Pharmacy
Proposed Rules Re:
Amending 22 TAC §281.2, to correct the chapter range in the definition of the Act.
CHAPTER 281. ADMINISTRATIVE PRACTICE AND PROCEDURES
SUBCHAPTER A. GENERAL PROVISIONS
22 TAC §281.2
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §281.2, concerning Definitions. The amendments, if adopted, correct the chapter range in the definition of the Act.
Amending 22 TAC §291.9, to permit a pharmacist or pharmacy to deliver certain prescription drugs through a contract carrier or unmanned aircraft systems.
CHAPTER 291. PHARMACIES
SUBCHAPTER A. ALL CLASSES OF PHARMACIES
22 TAC §291.9
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.9, concerning Prescription Pick Up Locations. The amendments, if adopted, allow a pharmacist or pharmacy to deliver prescription drugs by means of a contract carrier and certain prescription drugs by use of unmanned aircraft systems.
Amending 22 TAC §291.12, to set forth the requirements for the delivery of prescription drugs by contract carrier or unmanned aircraft systems.
CHAPTER 291. PHARMACIES
SUBCHAPTER A. ALL CLASSES OF PHARMACIES
22 TAC §291.12
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.12, concerning Delivery of Prescription Drugs. The amendments, if adopted, allow and specify requirements for delivery of prescription drugs by contract carriers and unmanned aircraft systems.
Amending 22 TAC §291.32, to exclude central fill pharmacies from the required ratio of pharmacists to pharmacy technicians and pharmacy technician trainees.
CHAPTER 291. PHARMACIES
SUBCHAPTER B. COMMUNITY PHARMACY (CLASS A)
22 TAC §291.32
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.32, concerning Personnel. The amendments, if adopted, exclude central fill pharmacies that have no patient-facing contact from the required minimum ratio of pharmacists to pharmacy technicians and pharmacy technician trainees.
Amending 22 TAC §291.55, to update a citation concerning a repealed statutory provision.
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, update a citation concerning a statutory provision that has been repealed.
Amending 22 TAC §291.72, to add definitions.
CHAPTER 291. PHARMACIES
SUBCHAPTER D. INSTITUTIONAL PHARMACY (CLASS C)
22 TAC §291.72
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.72, concerning Definitions. The amendments, if adopted, add definitions for the terms “common ownership” and “owner of record.”
Amending 22 TAC §291.102, to correct the chapter range in the definition of the Act.
CHAPTER 291. PHARMACIES
SUBCHAPTER F. NON-RESIDENT PHARMACY (CLASS E)
22 TAC §291.102
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.102, concerning Definitions. The amendments, if adopted, correct the chapter range in the definition of the Act.
Amending 22 TAC §291.120, to add new definitions.
CHAPTER 291. PHARMACIES
SUBCHAPTER G. SERVICES PROVIDED BY PHARMACIES
22 TAC §291.120
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §291.120, concerning General. The amendments, if adopted, add definitions for the terms “common ownership” and “owner of record.”
Amending 22 TAC §315.13, to remove a recordkeeping requirement.
CHAPTER 315. CONTROLLED SUBSTANCES
22 TAC §315.13
OVERVIEW
The Texas State Board of Pharmacy proposes amendments to §315.13, concerning Official Prescription Form – Effective September 1, 2016. The amendments, if adopted, remove a recordkeeping requirement concerning a statutory provision that has been repealed and the effective date from the short title.
Texas State Board of Examiners of Psychologists
Proposed Rules Re:
Amending 22 TAC §463.35, to clarify the required professional development a licensee must receive when providing services to unique populations.
CHAPTER 463. APPLICATIONS AND EXAMINATIONS
SUBCHAPTER F. PROFESSIONAL DEVELOPMENT
22 TAC §463.35
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Examiners of Psychologists proposes amendments to §463.35, relating to Professional Development.
BACKGROUND AND JUSTIFICATION
The proposed amendment will clarify the nature of professional development a licensee must receive related to maintaining competency when providing services to unique populations.
Amending 22 TAC §465.38, to update the description of the scope of practice for Licensed Specialists in School Psychology.
CHAPTER 465. RULES OF PRACTICE
22 TAC §465.38
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Examiners of Psychologists proposes amendments to §465.38, relating to Psychological Services for Schools.
BACKGROUND AND JUSTIFICATION
The proposed amendments will update the description of the scope of practice for Licensed Specialists in School Psychology to better reflect the full scope of practice and align with national standards, without substantively altering the scope of practice.
Texas State Board of Examiners of Professional Counselors
Proposed Rules Re:
Amending 22 TAC §681.72, to remove the expiration provisions of supervision training courses required for applications for supervisor status.
CHAPTER 681. PROFESSIONAL COUNSELORS
SUBCHAPTER C. APPLICATION AND LICENSING
22 TAC §681.72
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Examiners of Professional Counselors proposes amendments to §681.72, relating to Required Application Materials.
BACKGROUND AND JUSTIFICATION
The proposed amendment would remove the expiration provisions related to supervision training courses required for applications for supervisor status.
Amending 22 TAC §681.140, to clarify the required professional development a licensee must receive when providing services to unique populations.
CHAPTER 681. PROFESSIONAL COUNSELORS
SUBCHAPTER C. APPLICATION AND LICENSING
22 TAC §681.140
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Examiners of Professional Counselors proposes amendments to §681.140, relating to Requirements for Continuing Education.
BACKGROUND AND JUSTIFICATION
The proposed amendment will clarify the nature of professional development a licensee must receive related to maintaining competency when providing services to unique populations.
Texas State Board of Social Worker Examiners
Proposed Rules Re:
Amending 22 TAC §781.501, to clarify the required professional development a licensee must receive when providing services to unique populations.
CHAPTER 781. SOCIAL WORKER LICENSURE
SUBCHAPTER C. APPLICATION AND LICENSING
22 TAC §781.501
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Social Worker Examiners proposes amendments to §781.501, relating to Requirements for Continuing Education.
BACKGROUND AND JUSTIFICATION
The proposed amendment will clarify the nature of professional development a licensee must receive related to maintaining competency when providing services to unique populations.
Texas State Board of Examiners of Marriage and Family Therapists
Proposed Rules Re:
Amending 22 TAC §801.261, to clarify the required professional development a licensee must receive when providing services to unique populations.
CHAPTER 801. LICENSURE AND REGULATION OF MARRIAGE AND FAMILY THERAPISTS
SUBCHAPTER C. APPLICATIONS AND LICENSING
22 TAC §801.261
OVERVIEW
The Texas Behavioral Health Executive Council on behalf of the Texas State Board of Examiners of Marriage and Family Therapists proposes amendments to §801.261, relating to Requirements for Continuing Education.
BACKGROUND AND JUSTIFICATION
The proposed amendment will clarify the nature of professional development a licensee must receive related to maintaining competency when providing services to unique populations.
Texas Behavioral Health Executive Council
Proposed Rules Re:
Amending 22 TAC §882.50, to require license holders to use the online systems adopted by the Council for reporting continuing education hours.
CHAPTER 882. APPLICATIONS AND LICENSING
SUBCHAPTER E. CONTINUING EDUCATION
22 TAC §882.50
OVERVIEW
The Texas Behavioral Health Executive Council proposes amendments to §882.50, relating to Continuing Education and Audits.
BACKGROUND AND JUSTIFICATION
The proposed amendment will require license holders to use any online system adopted by the Council for reporting continuing education hours.
Amending 22 TAC §884.10, to clarify when a licensee is subject to the jurisdiction of the Council.
CHAPTER 884. COMPLAINTS AND ENFORCEMENT
SUBCHAPTER B. INVESTIGATIONS AND DISPOSITION OF COMPLAINTS
22 TAC §884.10
OVERVIEW
The Texas Behavioral Health Executive Council proposes amendments to §884.10, relating to Investigation of Complaints.
BACKGROUND AND JUSTIFICATION
The proposed amendments will clarify when a licensee is presumed to be engaging in the scope of practice of their license, and therefore subject to the jurisdiction of the Council, versus when conduct or statements by a licensee that are within the scope of practice will, nevertheless, be considered not done under the authority of their license.
Amending 22 TAC §885.1, to eliminate the fee requirement for verification.
CHAPTER 885. FEES
22 TAC §885.1
OVERVIEW
The Texas Behavioral Health Executive Council proposes amendments to §885.1, relating to Executive Council Fees.
BACKGROUND AND JUSTIFICATIOn
The proposed amendment would eliminate the fee requirement for a verification, which is available on the Council website.
Texas Health and Human Services Commission
Adopted Rules Re:
Adopting 1 TAC §355.8052, §355.8061, to add a paragraph with a list of services exempt from the inpatient hospital reimbursement methodology, amend language, and correct punctuation.
CHAPTER 355. REIMBURSEMENT RATES
SUBCHAPTER J. PURCHASED HEALTH SERVICES
DIVISION 4. MEDICAID HOSPITAL SERVICES
1 TAC §355.8052, §355.8061
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC) adopts amendments to §355.8052, concerning Inpatient Hospital Reimbursement, and §355.8061, concerning Outpatient Hospital Reimbursement.
The amendments to §355.8052 and §355.8061 are adopted without changes to the proposed text as published in the November 22, 2024, issue of the Texas Register (49 TexReg 9425). These rules will not be republished.
BACKGROUND AND JUSTIFICATION
The amendments specify that High-Cost Clinician Administered Drugs and Biologics (HCCADs), Long-Acting Reversible Contraceptive (LARC) devices, and Donor Human Milk Services will be reimbursed outside the all-patient refined diagnosis-related group (APR-DRG) inpatient reimbursement and filed on a separate outpatient claim. The non-risk payment will be paid at the lesser of billed charges or the fee-for-service reimbursement amount with the fee schedule acting as the upper-payment limit. A hospital administering these services will be reimbursed separately from the Inpatient Hospital APR-DRG reimbursement methodology. The amendments increase efficiency in the delivery of HCCADs, LARCs, and Human Breast milk.
In Addition Re:
Public Notice: Class Waiver Amendment
The Texas Health and Human Services Commission (HHSC) is submitting a request to the Centers for Medicare & Medicaid Services (CMS) to amend the CLASS waiver program. HHSC administers the CLASS Program under the authority of §1915(c) of the Social Security Act. CMS has approved the CLASS waiver application through August 31, 2030. The proposed effective date for the amendment is August 1, 2025.
Public Notice: Home and Community Based Services Waiver Amendment
The Texas Health and Human Services Commission (HHSC) is submitting a request to the Centers for Medicare & Medicaid Services (CMS) to amend the Home and Community-based Services (HCS) waiver program authorized under §1915(c) of the Social Security Act. CMS has approved the HCS waiver application through August 31, 2028. The proposed effective date for the amendment is August 1, 2025.
Texas Department of State Health Services
In Addition Re:
Correction of Error
The Executive Commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposed amendments to 25 TAC §289.230 in the February 21, 2025, issue of the Texas Register (50 TexReg 909). Due to an error by the Texas Register, numerous provisions in the original publication of the amendment were formatted incorrectly or were omitted from the original publication. The errors were corrected and the proposed rulemaking was republished in the March 7, 2025, issue (50 TexReg 1762).