Texas Register May 31, 2024 Volume: 49 Number: 22


Texas Register Table of Contents

Governor

Appointments Re:

Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2027, Barbara R. Knighton of Spring, Texas.
Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2029, Beatrice T. Degree of Missouri City, Texas.
Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2029, Roni Ko Frazier of Porter, Texas.
Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2029, Shana P. Halvorsen of Houston, Texas.
Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2029, Lisa V. Marenco of El Paso, Texas.
Appointed to the Texas Council for Developmental Disabilities for a term to expire February 1, 2029, Robert R. Schier, III of Elgin, Texas.
Appointed to the Task Force on Infectious Disease Preparedness and Response for a term to expire at the pleasure of the Governor, Jennifer A. Shuford, M.D. of West Lake Hills, Texas.
Designated as presiding officer of the Task Force on Infectious Disease Preparedness and Response for a term to expire at the pleasure of the Governor, Jennifer A. Shuford, M.D. of West Lake Hills, Texas.
Designated as presiding officer of the Texas Council for Developmental Disabilities for a term to expire at the pleasure of the Governor, Andrew D. Crim of Fort Worth, Texas.

Office of the Attorney General

Requests for Opinions Re:

Requesting opinions regarding the enforceability of HB 1763 and HB 1919 against a health benefit plan issuer and a pharmacy benefit manager responsible for administering the health benefit plan in certain circumstances.

OVERVIEW

Whether HB 1763 and HB 1919 are enforceable against a health benefit plan issuer and a pharmacy benefit manager administering the pharmacy benefits of the health benefit plan in certain circumstances (RQ-0539-KP)

BACKGROUND INFORMATION

Requestor:

  • The Honorable Charles Schwertner
  • Chair, Senate Committee on Business & Commerce
  • Texas State Senate

Briefs requested by June 17, 2024


Texas Animal Health Commission

Proposed Rules Re:

Amending 4 TAC §59.4, to detail the requirements of any memorandum of understanding entered into by the commission with DPS or local authorities.

CHAPTER 59. GENERAL PRACTICES AND PROCEDURES
4 TAC §59.4

OVERVIEW

The Texas Animal Health Commission (commission) proposes amendments to Title 4, Texas Administrative Code, Chapter 59 titled “General Practices and Procedures.” Specifically, amendments to §59.4 regarding Cooperation with the Texas Department of Public Safety Regarding Enforcement of Entry Requirements.

BACKGROUND AND JUSTIFICATION

The commission is tasked with the enforcement of livestock entry requirements. To carry out that mission, commission staff routinely cooperate with Texas Department of Public Safety (DPS) officers and local law enforcement. Recognizing the importance of this partnership, the Legislature enacted 161.051 and 161.052 of the Texas Agriculture Code which details the requirements of any memorandum of understanding entered into by the commission with DPS or local authorities. Section 59.4 of the commission’s administrative rules sets forth the responsibilities of commission staff when partnering with DPS. The proposed amendments add similar language regarding the responsibilities of commission staff when partnering with local law enforcement.

SECTION-BY-SECTION SUMMARY

Section 59.4 sets forth the responsibilities of commission staff when partnering with DPS to enforce entry requirements. The proposed amendments add similar guidance on the responsibilities of commission staff when working with local law enforcement authorities to enforce entry requirements.


Cancer Prevention and Research Institute of Texas

Proposed Rules Re:

Amending 25 TAC §701.11, to remove the requirement that CPRIT provide a hard copy of the Texas Cancer Plan.

CHAPTER 701. POLICIES AND PROCEDURES
25 TAC §701.11

OVERVIEW

The Cancer Prevention and Research Institute of Texas (“CPRIT” or “the Institute”) proposes amending 25 Texas Administrative Code §701.11(5) by removing the hard copy option for the Texas Cancer Plan.

BACKGROUND AND JUSTIFICATION

Texas Health & Safety Code Chapter 102 charges CPRIT with the responsibility of facilitating the development of the Texas Cancer Plan, which aims to reduce the cancer burden across the state to improve the lives of Texans. CPRIT maintains a link to a portable document file (PDF) of the most recent Texas Cancer Plan on its website that is available to the public at any time. Although a member of the public may request that CPRIT provide the requester with a printed copy of the Texas Cancer Plan, CPRIT has received no such requests. CPRIT plans to present the next version of the Texas Cancer Plan as a fully online, dynamic resource available to the public. The proposed amendment removes the requirement that CPRIT provide a hard copy of the Texas Cancer Plan.


Adopted Rules Re:

Adopting 25 TAC §701.3, to define the term “tranche” in the Institute’s defined terms.

CHAPTER 701. POLICIES AND PROCEDURES
25 TAC §701.3

OVERVIEW

The Cancer Prevention and Research Institute of Texas (“CPRIT” or “the Institute”) adopts the amendments to 25 Texas Administrative Code §701.3 without changes to the proposed amendments as published in the March 22, 2024, issue of the Texas Register (49 TexReg 1863); therefore, the rules will not be republished. The amendment adds “Tranche” to CPRIT’s list of defined terms in §701.3.

BACKGROUND AND JUSTIFICATION

The term “Tranche” refers to the portion of total Grant Award funds that is released to a Grant Recipient upon their successful completion of predefined milestones or adherence to specific timelines as outlined in the Grant Contract.


Adopting 25 TAC §§703.10, 703.21, 703.23, to use the term “tranche” in a way that is consistent with its definition in §701.3.

CHAPTER 703. GRANTS FOR CANCER PREVENTION AND RESEARCH
25 TAC §§703.10, 703.21, 703.23

OVERVIEW

The Cancer Prevention and Research Institute of Texas (“CPRIT” or “the Institute”) adopts the amendments to 25 Texas Administrative Code §703.10, §703.21, and §703.23 without changes to the proposed amendments as published in the March 22, 2024, issue of the Texas Register (49 TexReg 1867); therefore, the rules will not be republished. The amendments ensure CPRIT’s consistent use of “Tranche” throughout Chapter 703.

BACKGROUND AND JUSTIFICATION

The rule amendments to Chapter 703 capitalize “Tranche” to consistently refer to the term as written and defined in §701.3 of this title (relating to Definitions).


Texas Department of Insurance, Division of Workers’ Compensation

Proposed Rules Re:

Amending 28 TAC §127.1, §127.25. to include individuals receiving lifetime income benefits under the new Labor Code §408.1615.

CHAPTER 127. DESIGNATED DOCTOR PROCEDURES AND REQUIREMENTS
SUBCHAPTER A. DESIGNATED DOCTOR SCHEDULING AND EXAMINATIONS
28 TAC §127.1, §127.25

OVERVIEW

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) proposes to amend 28 TAC Chapter 127, concerning designated doctor (DD) procedures and requirements. DWC proposes amending §127.1, concerning DD examination requests and §127.25, concerning failure to attend a DD examination. Section 127.1 and §127.25 implement House Bill 2468, 88th Legislature, Regular Session (2023), which amended Labor Code §408.0041 and added Labor Code §408.1615.

BACKGROUND AND JUSTIFICATION

The amendments to 28 TAC §127.1 and §127.25 are necessary to implement HB 2468. HB 2468 amended Labor Code §408.0041 to include individuals receiving lifetime income benefits under new Labor Code §408.1615. Section 408.1615 allows insurance carriers to suspend benefits if the first responder does not submit to a DD examination as required by Labor Code §§408.0041(a), 408.0041(f), or 408.1615(h). DWC proposes to amend 28 TAC §127.1 and §127.5 to reflect these statutory changes.

In addition, the proposed amendments include nonsubstantive editorial and formatting changes to conform the sections to the agency’s current style and to improve the rule’s clarity.

SECTION-BY-SECTION SUMMARY

Section 127.1 concerns requesting DD examinations. The injured employee or an insurance carrier may ask DWC to order, or DWC on its own motion may order, an examination by a DD to resolve questions about the employee’s injury. Section 127.1(d)(2) states that DWC will deny a request for a DD examination under §127.1 if the request would require a DD examination that violates certain statutes. The proposed amendment includes a reference to new Labor Code §408.1615 as one of these statutes because HB 2468 amended §408.0041 to include individuals receiving lifetime income benefits under §408.1615.

Section 127.25 concerns the suspension, reinitiation, and reinstatement of benefits when an injured employee fails to attend a DD examination. Amending §127.25 is necessary to implement HB 2468. HB 2468 amended Labor Code §408.0041 to include individuals receiving lifetime income benefits under new Labor Code §408.1615. The amendments to §127.25 allow for the suspension of lifetime benefits received under §408.1615 and for the reinstatement of those benefits after completing a missed DD examination.


Amending 28 TAC §131.1, to implement Labor Code §408.1615, which makes certain first responders eligible for lifetime income benefits.

CHAPTER 131. BENEFITS–LIFETIME INCOME BENEFITS
SUBCHAPTER A. GENERAL PROVISIONS
28 TAC §131.1

OVERVIEW

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) proposes to amend 28 TAC Chapter 131, concerning lifetime income benefits. DWC proposes amending §131.1, concerning the initiation of lifetime income benefits, and adding new §§131.10, 131.11, 131.12, 131.13, and 131.14, concerning lifetime income benefits for first responders under Texas Labor Code §408.1615. The proposed amendments and new sections will restructure Chapter 131 into two subchapters. New Subchapter A will include the existing sections of Chapter 131, which are §§131.1, 131.2, 131.3, and 131.4. New Subchapter B will include the new sections of Chapter 131, which are §§131.10, 131.11, 131.12, 131.13, and 131.14. Subchapter B will apply to first responders receiving benefits under §408.1615. The amendments and new sections implement House Bill (HB) 2468, 88th Legislature, Regular Session (2023), which amended Labor Code §408.0041 and enacted Labor Code §408.1615. Section 131.1 implements Labor Code §§408.0041, 408.161 and 408.1615. Sections 131.10, 131.11, 131.12, 131.13, and 131.14 implement Labor Code §408.1615.

BACKGROUND AND JUSTIFICATION

The amendments to §131.1 and new §§131.10, 131.11, 131.12, 131.13, and 131.14 are necessary to implement HB 2468. HB 2468 enacted Labor Code §408.1615, which allows certain first responders to receive lifetime income benefits.

The proposed amendments and new sections add definitions and create procedures for a first responder’s annual certification to the insurance carrier, for the suspension and reinstatement of lifetime income benefits, and for the dispute of a first responder’s continuing entitlement to lifetime income benefits.

The proposed amendments and new sections also include nonsubstantive editorial and formatting changes to conform the sections to the agency’s current style and to improve the rule’s clarity.

SECTION-BY-SECTION SUMMARY

Section 131.1 concerns the initiation of lifetime income benefits by the insurance carrier or at the request of the employee, and provides for the approval or denial of those benefits. Amending §131.1 is necessary to implement Labor Code §408.1615, which makes certain first responders eligible for lifetime income benefits. The amendments add a reference to Labor Code §408.1615 under §131.1 to include individuals who are eligible to receive lifetime income benefits under §408.1615.


Amending 28 TAC §§131.10 – 131.14, to add definitions for improve clarity; implement Labor Code §408.1615, which creates lifetime income benefits for certain first responders; assist with first responder annual certification compliance; provide greater clarity on the suspension and reinstatement of lifetime income benefits for first responders; and outline the procedures for a dispute of a first responder’s continuing entitlement to lifetime income benefits.

SUBCHAPTER B. LIFETIME INCOME BENEFITS–CERTAIN FIRST RESPONDERS.
28 TAC §§131.10 – 131.14

OVERVIEW

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) proposes to amend 28 TAC Chapter 131, concerning lifetime income benefits. DWC proposes amending §131.1, concerning the initiation of lifetime income benefits, and adding new §§131.10, 131.11, 131.12, 131.13, and 131.14, concerning lifetime income benefits for first responders under Texas Labor Code §408.1615. The proposed amendments and new sections will restructure Chapter 131 into two subchapters. New Subchapter A will include the existing sections of Chapter 131, which are §§131.1, 131.2, 131.3, and 131.4. New Subchapter B will include the new sections of Chapter 131, which are §§131.10, 131.11, 131.12, 131.13, and 131.14. Subchapter B will apply to first responders receiving benefits under §408.1615. The amendments and new sections implement House Bill (HB) 2468, 88th Legislature, Regular Session (2023), which amended Labor Code §408.0041 and enacted Labor Code §408.1615. Section 131.1 implements Labor Code §§408.0041, 408.161 and 408.1615. Sections 131.10, 131.11, 131.12, 131.13, and 131.14 implement Labor Code §408.1615.

BACKGROUND AND JUSTIFICATION

The amendments to §131.1 and new §§131.10, 131.11, 131.12, 131.13, and 131.14 are necessary to implement HB 2468. HB 2468 enacted Labor Code §408.1615, which allows certain first responders to receive lifetime income benefits.

The proposed amendments and new sections add definitions and create procedures for a first responder’s annual certification to the insurance carrier, for the suspension and reinstatement of lifetime income benefits, and for the dispute of a first responder’s continuing entitlement to lifetime income benefits.

The proposed amendments and new sections also include nonsubstantive editorial and formatting changes to conform the sections to the agency’s current style and to improve the rule’s clarity.

SECTION-BY-SECTION SUMMARY

Section 131.10 concerns definitions in new Labor Code §408.1615. New §131.10 is necessary to add these definitions for the rule’s clarity.

Section 131.11 concerns applicability for new Subchapter B. New §131.11 is necessary to implement Labor Code §408.1615, which created lifetime income benefits for certain first responders. Section 131.11 lists who may be entitled to these benefits under §408.1615.

Section 131.12 concerns a first responder’s annual certification to the insurance carrier as required by Labor Code §408.1615. New §131.12 is necessary to implement §408.1615 by listing the content, method, and timing of the certification. To help first responders comply with the certification submission required under §408.1615, new §131.12 requires insurance carriers to provide notice to those receiving benefits under §408.1615 by sending a certification to complete 30 days before the certification is due, which includes the anniversary date benefits began to accrue.

Section 131.13 concerns the suspension and reinstatement of lifetime income benefits for first responders under Labor Code §408.1615. New §131.13 is necessary to implement Labor Code §408.1615, which states when an insurance carrier can suspend a first responder’s lifetime income benefits under that section and when an insurance carrier must reinstate those benefits. Section 408.1615(i) requires the commissioner, by rule, to ensure that an employee receives reasonable notice of the insurance carrier’s basis for the suspension and is provided a reasonable opportunity to complete the annual certification or otherwise respond to the notice. DWC interprets a reasonable opportunity as being 20 days. As a result, new §131.13 requires the insurance carrier to give the first responder a plain-language notice of the basis for the suspension, and requires the first responder to respond to the notice within 20 days of receiving it. In addition, new §131.13 states that if the suspension is due to a missing annual certification, the insurance carrier must reinstate benefits within seven days of receiving the certification. It also states that if the suspension is due to failure to attend a designated doctor examination, the insurance carrier must follow §127.25 of this title for suspension and reinstatement of the first responder’s benefits. If the first responder believes that the insurance carrier’s assertion that the first responder was employed is not correct, then the first responder would request dispute resolution under Chapters 140 – 144 and 147 of this title (relating to Dispute Resolution). If the suspension is due to employment in any capacity, new §131.13 requires the first responder to submit a new request for lifetime income benefits under §131.1. Finally, new §131.13 clarifies that if the insurance carrier suspends or reinstates benefits under §131.13, the insurance carrier must comply with the electronic notification requirements to DWC in §124.2 and Chapter 124, Subchapter B (relating to Insurance Carrier Claim Electronic Data Interchange Reporting to the Division).

Section 131.14 provides for the dispute of a first responder’s continuing entitlement to lifetime income benefits. New §131.14 is necessary to implement Labor Code §408.1615, which allows an insurance carrier to review a first responder’s continuing entitlement to the lifetime income benefits more than once in a five-year period if the insurance carrier provides evidence to DWC that the first responder’s annual certification is not accurate, and the commissioner finds that the evidence is sufficient. If the evidence is sufficient, the insurance carrier must request a designated doctor (DD) exam to determine whether the first responder remains eligible to receive lifetime income benefits under §408.1615. New §131.14 provides procedures for this process. Once DWC receives the evidence from an insurance carrier, DWC will issue an order stating whether the insurance carrier is entitled to require the first responder to submit to a DD examination under §408.1615(h). If a DD exam is completed, the parties may dispute the DD’s opinion on the first responder’s continuing entitlement to lifetime income benefits through DWC’s dispute resolution process.


Teacher Retirement System of Texas

Proposed Rules Re:

Amending 34 TAC §41.17, to provide information concerning enrollment eligibility and benefits, as well as a limited-time enrollment opportunity for unenrolled retirees, dependents, surviving spouses, and surviving dependent children for the upcoming TRS-Care open enrollment period (which begins on October 1, 2024) and the reduced premiums that would take effect on the next plan year, which begins January 1, 2025.

CHAPTER 41. HEALTH CARE AND INSURANCE PROGRAMS
SUBCHAPTER A. RETIREE HEALTH CARE BENEFITS (TRS-CARE)
34 TAC §41.17

OVERVIEW

The Board of Trustees of the Teacher Retirement System of Texas (TRS) proposes new §41.17 (relating to Limited-time Enrollment Opportunity for Medicare-eligible Retirees) under Subchapter A (relating to Retiree Health Care Benefits (TRS-CARE)) of Chapter 41 in Part 3 of Title 34 of the Texas Administrative Code.

BACKGROUND AND JUSTIFICATION

The trust fund of the Texas Public School Retired Employees Group Benefits Program (“TRS-Care”), administered under Chapter 1575 of the Insurance Code, has experienced growth in recent years stemming from federal changes to Medicare, TRS’ improved contracts with Medicare Advantage and Part D drug benefits, and other factors.

TRS received correspondence from legislative leadership directing TRS to use the growth in the TRS-Care fund to reduce premiums and allow for a one-time enrollment opportunity for eligible TRS-Care Medicare Advantage participants. TRS will be evaluating how to use the fund balance to accomplish these goals while maintaining the fund’s long-term stability.

TRS is proposing this new §41.17 to provide a limited-time enrollment opportunity for unenrolled retirees, dependents, surviving spouses, and surviving dependent children in anticipation of the upcoming TRS-Care open enrollment period (which begins on October 1, 2024) and the reduced premiums that would take effect on the next plan year, which begins January 1, 2025.

Proposed new §41.17 implements the details of this limited-time enrollment opportunity, specifying who is eligible, when eligible individuals may enroll, and when coverage will be effective. Eligible retirees, dependents, surviving spouses, and surviving dependent children will be eligible to enroll beginning October 1, 2024, through March 31, 2026.


Department of Aging and Disability Services

Transferred Rules Re:

Transferring the former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 43, Service Responsibility Option to Texas Administrative Code, Title 26, Part 1, Chapter 265, Service Responsibility Option.

OVERVIEW

During the 84th Legislative Session, the Texas Legislature passed Senate Bill 200, addressing the reorganization of health and human services delivery in Texas. As a result, some agencies were abolished and their functions transferred to the Texas Health and Human Services Commission (HHSC). Texas Government Code, §531.0202(b), specified the Department of Aging and Disability Services (DADS) be abolished September 1, 2017, after all its functions were transferred to HHSC in accordance with Texas Government Code, §531.0201 and §531.02011. The former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 43, Service Responsibility Option are being transferred to Texas Administrative Code, Title 26, Part 1, Chapter 265, Service Responsibility Option.

The rules will be transferred in the Texas Administrative Code effective June 30, 2024.


Transferring the former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 96, Certification of Long-Term Care Facilities to Texas Administrative Code, Title 26, Part 1, Chapter 552, Certification of Long-Term Care Facilities.

OVERVIEW

During the 84th Legislative Session, the Texas Legislature passed Senate Bill 200, addressing the reorganization of health and human services delivery in Texas. As a result, some agencies were abolished and their functions transferred to the Texas Health and Human Services Commission (HHSC). Texas Government Code, §531.0202(b), specified the Department of Aging and Disability Services (DADS) be abolished September 1, 2017, after all its functions were transferred to HHSC in accordance with Texas Government Code, §531.0201 and §531.02011. The former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 96, Certification of Long-Term Care Facilities are being transferred to Texas Administrative Code, Title 26, Part 1, Chapter 552, Certification of Long-Term Care Facilities.

The rules will be transferred in the Texas Administrative Code effective June 30, 2024.


Texas Health and Human Services Commission

Transferred Rules Re:

Transfering the former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 43, Service Responsibility Option to Texas Administrative Code, Title 26, Part 1, Chapter 265, Service Responsibility Option.

OVERVIEW

During the 84th Legislative Session, the Texas Legislature passed Senate Bill 200, addressing the reorganization of health and human services delivery in Texas. As a result, some agencies were abolished and their functions transferred to the Texas Health and Human Services Commission (HHSC). Texas Government Code, §531.0202(b), specified the Department of Aging and Disability Services (DADS) be abolished September 1, 2017, after all its functions were transferred to HHSC in accordance with Texas Government Code, §531.0201 and §531.02011. The former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 43, Service Responsibility Option are being transferred to Texas Administrative Code, Title 26, Part 1, Chapter 265, Service Responsibility Option.

The rules will be transferred in the Texas Administrative Code effective June 30, 2024.


Transferring the former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 96, Certification of Long-Term Care Facilities to Texas Administrative Code, Title 26, Part 1, Chapter 552, Certification of Long-Term Care Facilities.

OVERVIEW

During the 84th Legislative Session, the Texas Legislature passed Senate Bill 200, addressing the reorganization of health and human services delivery in Texas. As a result, some agencies were abolished and their functions transferred to the Texas Health and Human Services Commission (HHSC). Texas Government Code, §531.0202(b), specified the Department of Aging and Disability Services (DADS) be abolished September 1, 2017, after all its functions were transferred to HHSC in accordance with Texas Government Code, §531.0201 and §531.02011. The former DADS rules in Texas Administrative Code, Title 40, Part 1, Chapter 96, Certification of Long-Term Care Facilities are being transferred to Texas Administrative Code, Title 26, Part 1, Chapter 552, Certification of Long-Term Care Facilities.

The rules will be transferred in the Texas Administrative Code effective June 30, 2024.


Proposed Rule Reviews Re:

Reviewing Title 1, Part 15, to consider for readoption, revision, or repeal of the chapter concerning Medicaid Health Services.

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 354, Medicaid Health Services


Adopted Rule Reviews Re:

Adopting the review of Title 1, Part 15, concerning the Children’s Advocacy Programs.

The Texas Health and Human Services Commission (HHSC) adopts the review of the chapter below in Title 1, Part 15, of the Texas Administrative Code (TAC):

Chapter 377, Children’s Advocacy Programs


Adopting the review of Title 26, Part 1, concerning the Minimum Standards for Shelter Care.

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 743, Minimum Standards for Shelter Care


In Addition Re:

Criminal History Requirements for Child Care Operations Adoption Notice

Title 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 entitled: (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 Board of Nursing

Adopted Rule Reviews Re:

Adopting the review of Title 22, Part 11, concerning Nurse Licensure Compact, Fees, Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for Clients with Acute Conditions or in Acute Care Environments, and Patient Safety Pilot Programs on Nurse Reporting Systems.

The Texas Board of Nursing adopts the review of the chapters below in Title 22, Part 11, of the Texas Administrative Code (TAC):

Chapter 220. Nurse Licensure Compact §220.1

Chapter 223. Fees §223.1, §223.2

Chapter 224. Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for Clients with Acute Conditions or in Acute Care Environments §§224.1 – 224.11

Chapter 226. Patient Safety Pilot Programs on Nurse Reporting Systems §§226.1 – 226.7


Texas Department of State Health Services

Adopted Rule Reviews Re:

Adopting the review of Title 25, Part 1, concerning Mental Health System Administration.

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 401, Mental Health System Administration


In Addition Re:

Schedule for Controlled Substances

For more information, please visit this week’s edition of the Texas Register at 49 Tex Reg 3960.


Texas Department of Insurance

In Addition Re:

Company Licensing — Applications to do Business

Application to do business in the state of Texas for Investors Preferred Life Insurance Company, a foreign life, accident, and/or health company. The home office is in Sioux Falls, South Dakota.

Application to do business in the state of Texas for Vision Benefits of America II, Inc., a foreign life, accident, and/or health company. The home office is in Carnegie, Pennsylvania.

Application for incorporation in the state of Texas for Harbor Health Insurance Company, a domestic life, accident, and/or health company. The home office is in Austin, Texas.