Texas Register Table of Contents
- 1 State Board of Dental Examiners
- 1.0.1 Adopted Rules Re:
- 1.0.1.1 Adopting 22 TAC §§108.2, 108.7, and 108.8, to implement House Bill 4070, 89th Texas Legislature, Regular Session, 2025, by updating professional conduct, minimum standard of care, and records requirements pertaining to the sale, design, and manufacture of orthodontic devices.
- 1.0.1.2 Adopting 22 TAC §114.12, to allow registered dental assistants to complete continuing education hours, including clinical hours, through Board-approved self-study, interactive computer courses, or lecture courses.
- 1.0.1.3 Repealing 22 TAC §115.20, to implement Senate Bill 313, 85th Texas Legislature, Regular Session, 2017, by repealing the rule concerning the dental hygiene advisory committee, which the Legislature dissolved and the Board no longer uses.
- 1.0.2 Proposed Rule Reviews Re:
- 1.0.1 Adopted Rules Re:
- 2 Texas Department of State Health Services
- 3 Adopted Rule Reviews Re:
- 4 Texas Health and Human Services Commission
- 4.0.1 Proposed Rule Reviews Re:
- 4.0.1.1 Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning Preadmission Screening and Resident Review (PASRR).
- 4.0.1.2 Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning LIDDA Service Coordination.
- 4.0.1.3 Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning Independent Living Services Program.
- 4.0.2 Adopted Rule Reviews Re:
- 4.0.1 Proposed Rule Reviews Re:
State Board of Dental Examiners
Adopted Rules Re:
Adopting 22 TAC §§108.2, 108.7, and 108.8, to implement House Bill 4070, 89th Texas Legislature, Regular Session, 2025, by updating professional conduct, minimum standard of care, and records requirements pertaining to the sale, design, and manufacture of orthodontic devices.
CHAPTER 108. PROFESSIONAL CONDUCT
SUBCHAPTER A. PROFESSIONAL RESPONSIBILITY
22 TAC §108.2, §108.7, §108.8
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §108.2, pertaining to fair dealing. The amendment pertains to the sale, design, and manufacture of orthodontic devices as set out in House Bill 4070 of the 89th Texas Legislature, Regular Session (2025), and codified at Section 431.024 of the Health and Safety Code. The bill seeks to protect patients from unsafe practices by establishing requirements for a person selling an orthodontic device or providing a service related to the design or manufacture of such a device to patients in Texas. The amendment also includes grammatical changes. The amendment is adopted without changes to the proposed text as published in the April 3, 2026, issue of the Texas Register (51 TexReg 2179) and will not be republished.
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §108.7, pertaining to the minimum standard of care. The amendment pertains to the sale, design, and manufacture of orthodontic devices as set out in House Bill 4070 of the 89th Texas Legislature, Regular Session (2025), and codified at Section 431.024 of the Health and Safety Code. The bill seeks to protect patients from unsafe practices by establishing requirements for a person selling an orthodontic device or providing a service related to the design or manufacture of such a device to patients in Texas, including requiring an in-person examination. The amendment is adopted without changes to the proposed text as published in the April 3, 2026, issue of the Texas Register (51 TexReg 2180) and will not be republished.
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §108.8, pertaining to the records of the dentist. The amendment pertains to the sale, design, and manufacture of orthodontic devices as set out in House Bill 4070 of the 89th Texas Legislature, Regular Session (2025), and codified at Section 431.024 of the Health and Safety Code. The bill seeks to protect patients from unsafe practices by establishing requirements for a person selling an orthodontic device or providing a service related to the design or manufacture of such a device to patients in Texas. The amendment also corrects a grammatical error. The amendment is adopted without changes to the proposed text as published in the April 3, 2026, issue of the Texas Register (51 TexReg 2181) and will not be republished.
Adopting 22 TAC §114.12, to allow registered dental assistants to complete continuing education hours, including clinical hours, through Board-approved self-study, interactive computer courses, or lecture courses.
CHAPTER 114. EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL ASSISTANTS
22 TAC §114.12
OVERVIEW
The State Board of Dental Examiners (Board) adopts this amendment to 22 TAC §114.12, pertaining to continuing education for registered dental assistant (RDA) certificate holders. The adopted amendment will allow RDAs to complete their continuing education hours, including clinical hours, through Board-approved self-study, interactive computer courses, or lecture courses. The Board has required clinical hours to be completed through a live course; however, allowing clinical hours to be completed through self-paced or online formats will improve accessibility, efficiency, and affordability while maintaining educational quality. The amendment is adopted without changes to the proposed text as published in the April 3, 2026, issue of the Texas Register (51 TexReg 2183) and will not be republished.
Repealing 22 TAC §115.20, to implement Senate Bill 313, 85th Texas Legislature, Regular Session, 2017, by repealing the rule concerning the dental hygiene advisory committee, which the Legislature dissolved and the Board no longer uses.
CHAPTER 115. EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL HYGIENE
22 TAC §115.20
OVERVIEW
The State Board of Dental Examiners (Board) adopts the repeal of 22 TAC §115.20, concerning the dental hygiene advisory committee. The adopted rule repeal implements Senate Bill 313 of the 85th Texas Legislature, Regular Session (2017). The bill repealed Subchapter B, Chapter 262 of the Texas Occupations Code, which pertained to the dental hygiene advisory committee. The Board no longer uses the committee. This repeal is adopted with no changes to the proposed text as published in the April 3, 2026 issue of the Texas Register (51 TexReg 2184), and will not be republished.
Proposed Rule Reviews Re:
Reviewing Title 22, Part 5, to consider for readoption, revision, or repeal the chapters concerning Faculty and Students in Accredited Dental Schools, Special Areas of Dental Practice, and Applications for Special Consideration or Exception to Board Rules.
The Texas State Board of Dental 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 5, of the Texas Administrative Code. This review is being conducted in accordance with Texas Government Code §2001.039.
Rule Chapters Under Review
Chapter 117, Faculty and Students in Accredited Dental Schools
Chapter 119, Special Areas of Dental Practice
Chapter 125, Applications for Special Consideration or Exception to Board Rules
During the review, the Board will assess whether the reasons for adopting or readopting the rules in these chapters continue to exist. The Board will review each rule to determine whether it is obsolete, whether the rule reflects current legal and policy considerations, and whether the rule reflects current Board procedures. This review is required every four years.
Written comments regarding the review of these chapters may be submitted to Carol Pepper, Legal Assistant at 1801 Congress Avenue, Suite 8.600, Austin, Texas 78701; by facsimile to (512) 649-2482; or by email to official_rules_comments@tsbde.texas.gov. The deadline for comments is 30 days after publication in the Texas Register.
Any proposed changes to the rules in these chapters as a result of the rule review will be published in the Proposed Rules section of the Texas Register. The proposed rules will be open for public comment before final adoption by the Board in accordance with the requirements of the Administrative Procedure Act, Texas Government Code, Chapter 2001.
Texas Department of State Health Services
Proposed Rule Reviews Re:
Reviewing Title 25, Part 1, to consider for readoption, revision, or repeal the chapter concerning Training and Certification of Promotores or Community Health Workers.
The Texas Health and Human Services Commission (HHSC), on behalf of the Texas Department of State Health Services (DSHS), 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 146, Training and Certification of Promotores or Community Health Workers
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 146, Training and Certification of Promotores or Community Health Workers, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov.
When emailing comments, please indicate “Comments on Proposed Rule Review Chapter 146” in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 25, Part 1, of the Texas Administrative Code or on the Secretary of State’s website at State Rules and Open Meetings (www.sos.texas.gov).
Adopted Rule Reviews Re:
Adopting Title 25, Part 1, concerning Communicable Diseases.
The Texas Health and Human Services Commission (HHSC), in its own capacity and 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 97, Communicable Diseases
Notice of the review of this chapter was published in the February 27, 2026, issue of the Texas Register (51 TexReg 1313) for public comment.
The 31-day comment period ended March 30, 2026. During this period, HHSC did not receive any comments regarding the proposed rule review.
HHSC has reviewed Chapter 97 in accordance with Texas Government Code §2001.039, which requires state agencies to assess, every four years, whether the initial reasons for adopting a rule continue to exist.
The agency determined that the original reasons for adopting all rules in the chapter continue to exist and readopts Chapter 97. Any amendments, if applicable, to Chapter 97 identified by HHSC in the rule review will be proposed in a future issue of the Texas Register.
This concludes HHSC’s review of 25 TAC Chapter 97 as required by Texas Government Code §2001.039.
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 3652.
Texas Health and Human Services Commission
Proposed Rule Reviews Re:
Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning Preadmission Screening and Resident Review (PASRR).
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 303, Preadmission Screening And Resident Review (PASRR)
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 303, Preadmission Screening And Resident Review (PASRR), may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov. When emailing comments, please indicate “Comments on Proposed Rule Review Chapter 303” in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State’s website at State Rules and Open Meetings (www.sos.texas.gov).
Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning LIDDA Service Coordination.
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 331, LIDDA Service Coordination
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 331, LIDDA Service Coordination, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov.
When emailing comments, please indicate “Comments on Proposed Rule Review Chapter 331” in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State’s website at State Rules and Open Meetings (www.sos.texas.gov).
Reviewing Title 26, Part 1, to consider for readoption, revision, or repeal the chapter concerning Independent Living Services Program.
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 357, Independent Living Services Program
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 357, Independent Living Services Program, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov.
When emailing comments, please indicate “Comments on Proposed Rule Review Chapter 357” in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State’s website at State Rules and Open Meetings (www.sos.texas.gov).
Adopted Rule Reviews Re:
Adopting Title 26, Part 1, concerning Texas Home Living (TXHML) Program and Community First Choice (CFC) Certification Standards.
The Texas Health and Human Services Commission (HHSC) adopts the review of the chapter below in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 566, Texas Home Living (TXHML) Program and Community First Choice (CFC) Certification Standards
Notice of the review of this chapter was published in the March 13, 2026, issue of the Texas Register (51 TexReg 1720) for public comment.
The 31-day comment period ended April 13, 2026. During this period, HHSC did not receive any comments regarding the proposed rule review.
HHSC has reviewed Chapter 566 in accordance with Texas Government Code §2001.039, which requires state agencies to assess, every four years, whether the initial reasons for adopting a rule continue to exist.
The agency determined that the original reasons for adopting all rules in the chapter continue to exist and readopts Chapter 566. Any amendments, if applicable, to Chapter 566 identified by HHSC in the rule review will be proposed in a future issue of the Texas Register.
This concludes HHSC’s review of 26 TAC Chapter 566 as required by Texas Government Code §2001.039.