Texas Register Table of Contents
- 1 Governor
- 1.0.1 Appointments Re:
- 1.0.1.1 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Joel B. “Brandon” Brock, D.N.P., Ph.D.
- 1.0.1.2 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Kara S. Chasteen.
- 1.0.1.3 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Summer B. Gainey, Ph.D.
- 1.0.1.4 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Sarah Rosen Garrett.
- 1.0.1.5 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Suzanne K. Gazda, M.D.
- 1.0.1.6 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Paula J. Kruppstadt, M.D.
- 1.0.1.7 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Elizabeth R. Miller, Ph.D.
- 1.0.1.8 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Amy L. Offutt, M.D.
- 1.0.1.9 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Nathan A. Pullen.
- 1.0.1.10 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Sophia Rahman, M.D.
- 1.0.1.11 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Stephani L. Reinold, M.D.
- 1.0.1.12 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Martha J. Shoultz.
- 1.0.1.13 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Barry Smeltzer.
- 1.0.1.14 Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Melissa A. Smith.
- 1.0.1.15 Appointed to the State Independent Living Council for a term to expire October 24, 2027, Mollie A. Witt.
- 1.0.1.16 Appointed to the State Independent Living Council for a term to expire October 24, 2028, Rebecca “Hunter” Adkins.
- 1.0.1.17 Appointed to the State Independent Living Council for a term to expire October 24, 2028, Erik S. Dally.
- 1.0.1.18 Appointed to the State Independent Living Council for a term to expire October 24, 2028, Lisa M. Thompson.
- 1.0.1 Appointments Re:
- 2 Texas Department of State Health Services
- 2.0.1 Proposed Rules Re:
- 2.0.1.1 Amending 25 TAC §3.8, to improve public access to DSH advisory committee, council, and board rules by consolidating the rules into a single chapter.
- 2.0.1.2 Amending 25 TAC §§265.11, 265.18, 265.23, 265.24, 265.28 – 265.34, to update definitions, add requirements for implementation, and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios.
- 2.0.1.3 Amending 25 TAC §§265.31 – 265.35, to repeal the following sections, as authorized under the Texas Health and Safety Code §141.008, Texas Government Code §524.0151, and Texas Health and Safety Code §1001.075.
- 2.0.1.4 Amending 25 TAC §265.36, to add new floodplain safety requirements.
- 2.0.1.5 Amending 25 TAC §265.37, to add new requirements for youth camp operators to provide and maintain internet services.
- 2.0.2 Adopted Rules Re:
- 2.0.3 Proposed Rule Reviews Re:
- 2.0.4 In Addition Re:
- 2.0.1 Proposed Rules Re:
- 3 Texas Health and Human Services Commission
- 4 Texas State Board of Pharmacy
- 4.0.1 Adopted Rules Re:
- 4.0.1.1 Adopting 22 TAC §281.63, to update the board’s disciplinary guidelines concerning the imprisonment of a licensee, a registrant, or an owner of a pharmacy following a felony conviction or deferred adjudication.
- 4.0.1.2 Adopting 22 TAC §283.12, to update alternative licensing procedures, expedited licensing procedures, and interim license procedures for a military service member, military veteran, or military spouse.
- 4.0.1.3 Adopting 22 TAC §291.31, to propose amendments to the Definitions section.
- 4.0.1.4 Adopting 22 TAC §291.52, to define “common ownership” and “owner of record.”
- 4.0.1.5 Adopting 22 TAC §291.72, to define “common ownership” and “owner of record.”
- 4.0.1.6 Adopting 22 TAC §291.120, to define “common ownership” and “owner of record.”
- 4.0.1.7 Adopting 22 TAC §297.2, to define “common ownership” and “owner of record.”
- 4.0.1.8 Adopting 22 TAC §297.10, to update the alternative registration procedures, expedited registration procedures, and interim registration procedures for a military service member, military veteran, or military spouse.
- 4.0.1 Adopted Rules Re:
Governor
Appointments Re:
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Joel B. “Brandon” Brock, D.N.P., Ph.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Kara S. Chasteen.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Summer B. Gainey, Ph.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Sarah Rosen Garrett.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Suzanne K. Gazda, M.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Paula J. Kruppstadt, M.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Elizabeth R. Miller, Ph.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Amy L. Offutt, M.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Nathan A. Pullen.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Sophia Rahman, M.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Stephani L. Reinold, M.D.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Martha J. Shoultz.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Barry Smeltzer.
Appointed to the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council for a term to expire August 31, 2027, Melissa A. Smith.
Appointed to the State Independent Living Council for a term to expire October 24, 2027, Mollie A. Witt.
Appointed to the State Independent Living Council for a term to expire October 24, 2028, Rebecca “Hunter” Adkins.
Appointed to the State Independent Living Council for a term to expire October 24, 2028, Erik S. Dally.
Appointed to the State Independent Living Council for a term to expire October 24, 2028, Lisa M. Thompson.
Texas Department of State Health Services
Proposed Rules Re:
Amending 25 TAC §3.8, to improve public access to DSH advisory committee, council, and board rules by consolidating the rules into a single chapter.
CHAPTER 3. ADVISORY COMMITTEES, COUNCILS, AND BOARDS
25 TAC §3.8
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (agency), on behalf of the Department of State Health Services (DSHS), proposes new §3.8, concerning Youth Camp Advisory Committee.
BACKGROUND AND JUSTIFICATION
The purpose of the proposal is to improve public access to DSHS advisory committee, council, and board rules by moving all advisory committee, council, and board rules into a single chapter. Section 265.29, concerning Youth Camp Committee, is repealed from 25 TAC Chapter 265, concerning General Sanitation, and proposed as new in 25 TAC Chapter 3, concerning Advisory Committees, Councils, and Boards. The repeal is proposed elsewhere in this issue of the Texas Register.
The Youth Camp Advisory Committee provides an important function advising DSHS and the executive commissioner regarding youth camp standards and rules. In DSHS’s reports dated June 2023, May 2024, and June 2025, DSHS recommended the Youth Camp Committee continue. The agency agreed with DSHS’s recommendation and continued to appoint Youth Camp Committee members, and the Youth Camp Advisory Committee continued meeting. However, in light of the catastrophic events on July 4, 2025, and the focus on emergency plans required by Senate Bill 1 and House Bill 1, 89th Legislature, Second Special Session, 2025, the agency recognizes the importance of establishing the Youth Camp Advisory Committee with an amended composition. The agency believes the amended membership will provide the agency with valuable insights to improve health and safety standards for campers.
SECTION-BY-SECTION SUMMARY
Proposed new §3.8(a) provides the statutory authority for the Youth Camp Advisory Committee (YCAC).
Proposed new §3.8(b) provides the purpose of the YCAC.
Proposed new §3.8(c) lists the tasks performed by YCAC.
Proposed new §3.8(d) explains the reporting requirements.
Proposed new §3.8(e) describes the meeting requirements.
Proposed new §3.8(f) lists the membership composition and appointment terms.
Proposed new §3.8(g) describes how the chairperson, vice-chairperson, and secretary are selected.
Proposed new §3.8(h) explains the required training.
Proposed new §3.8(i) provides the travel reimbursement policy.
Proposed new §3.8(j) provides the abolishment date and formally establishes the YCAC with new membership.
Amending 25 TAC §§265.11, 265.18, 265.23, 265.24, 265.28 – 265.34, to update definitions, add requirements for implementation, and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios.
CHAPTER 265. GENERAL SANITATION
SUBCHAPTER B. TEXAS YOUTH CAMPS SAFETY AND HEALTH
25 TAC §§265.11, 265.18, 265.23, 265.24, 265.28 – 265.34
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposes amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §§265.29 and 265.31 – 265.34, concerning Texas Youth Camps Safety and Health.
BACKGROUND AND JUSTIFICATION
The proposal is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session that amends Health and Safety Code Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new youth camp safety multidisciplinary team. The proposal also implements SB 5, 89th Legislature, Second Special Session, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.
There will be other rules proposed in future issues of the Texas Register associated with the implementation of HB 1 and SB 1.
The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee section is published elsewhere in this issue of the Texas Register.
The proposed repeal of §§265.31 – 265.35 are necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code, Chapter 90.
SECTION-BY-SECTION SUMMARY
The proposed amendment to §265.11, Definitions, adds definitions for broadband service, cabin, floodplain, floodway, and governmental entity.
The proposed amendment to §265.18, Fire Prevention, adds the National Fire Protection Association standard.
The proposed amendment to §265.23, Application and Denial of a New License; Non-transferable, specifies that the emergency plan and the number of campers are required with the application and provides a timeline for deficiency corrections of the emergency plan.
The proposed amendment to §265.24, Application and Denial of a Renewal License, adds requirements for a camp to submit a renewal application for changes to the boundaries or cabins in a youth camp, specifies that the emergency plan and the number of campers are required with the application, and provides a timeline for deficiency corrections of the emergency plan.
The proposed amendment to §265.28, Fees, increases fees to meet the cost of administering the program.
Proposed new §265.29, Youth Camp Safety Multidisciplinary Team, creates a team to propose minimum youth camp standards.
The proposed amendment to §265.30, Waiver; Appeal, adds restrictions from waivers.
The proposed repeal of Subchapter C, §§265.31, 265.32, 265.33, 265.34, and 265.35 remove obsolete rules that no longer apply to DSHS.
Proposed new §265.31, Emergency Preparedness and Response, adds additional information required in camp emergency plans and camper safety training; new requirements for evacuation plans and severe weather; and new requirements for emergency plan confidentiality, parent or guardian notification, emergency communication, and lighting of evacuation routes.
Proposed new §265.32, Minimum Overnight Camper to Counselor Ratios, adds minimum requirements for the ratio of campers to counselors for overnight stays based on the camper’s age.
Proposed new §265.33, Online Youth Camp Registry, adds requirements for DSHS to post a list of licensed youth camps on the DSHS website.
Proposed new §265.34, Additional Inspection Required; Parental Complaints, adds requirements for youth camps to provide a link to the DSHS website to more easily report a noncompliant youth camp.
CHAPTER 265. GENERAL SANITATION
SUBCHAPTER C. MIGRANT LABOR HOUSING FACILITIES
25 TAC §§265.31 – 265.35
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposes amendments to §§265.11, 265.18, 265.23, 265.24, 265.28, and 265.30; the repeal of §265.29, and Subchapter C, consisting of §§265.31 – 265.35; and new §§265.29 and 265.31 – 265.34, concerning Texas Youth Camps Safety and Health.
BACKGROUND AND JUSTIFICATION
The proposal is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session that amends Health and Safety Code Chapter 141. SB 1 and HB 1 require DSHS to update definitions, add requirements for implementation and submission of emergency plans for emergency preparedness and response, and establish minimum camper and counselor overnight ratios. The bills also add a requirement for youth camps to notify DSHS of structure modifications, submit renewal applications for certain camp updates, implement DSHS and youth camp operator website information requirements, and create a new youth camp safety multidisciplinary team. The proposal also implements SB 5, 89th Legislature, Second Special Session, which requires DSHS to increase license fees for day and residential youth camps to meet the cost of administering the program.
There will be other rules proposed in future issues of the Texas Register associated with the implementation of HB 1 and SB 1.
The proposed repeal of §265.29 is necessary as all DSHS advisory committee, council, and board rules are moving into a single chapter. The proposed new Youth Camp Advisory Committee section is published elsewhere in this issue of the Texas Register.
The proposed repeal of §§265.31 – 265.35 are necessary because responsibility for Migrant Labor Housing Facilities was transferred to Texas Department of Housing and Community Affairs (TDHCA) in 2005 in accordance with House Bill 1099, 79th Legislature, Regular Session, 2005. The TDHCA rules are located in Title 10 Texas Administrative Code, Chapter 90.
SECTION-BY-SECTION SUMMARY
The proposed amendment to §265.11, Definitions, adds definitions for broadband service, cabin, floodplain, floodway, and governmental entity.
The proposed amendment to §265.18, Fire Prevention, adds the National Fire Protection Association standard.
The proposed amendment to §265.23, Application and Denial of a New License; Non-transferable, specifies that the emergency plan and the number of campers are required with the application and provides a timeline for deficiency corrections of the emergency plan.
The proposed amendment to §265.24, Application and Denial of a Renewal License, adds requirements for a camp to submit a renewal application for changes to the boundaries or cabins in a youth camp, specifies that the emergency plan and the number of campers are required with the application, and provides a timeline for deficiency corrections of the emergency plan.
The proposed amendment to §265.28, Fees, increases fees to meet the cost of administering the program.
Proposed new §265.29, Youth Camp Safety Multidisciplinary Team, creates a team to propose minimum youth camp standards.
The proposed amendment to §265.30, Waiver; Appeal, adds restrictions from waivers.
The proposed repeal of Subchapter C, §§265.31, 265.32, 265.33, 265.34, and 265.35 remove obsolete rules that no longer apply to DSHS.
Proposed new §265.31, Emergency Preparedness and Response, adds additional information required in camp emergency plans and camper safety training; new requirements for evacuation plans and severe weather; and new requirements for emergency plan confidentiality, parent or guardian notification, emergency communication, and lighting of evacuation routes.
Proposed new §265.32, Minimum Overnight Camper to Counselor Ratios, adds minimum requirements for the ratio of campers to counselors for overnight stays based on the camper’s age.
Proposed new §265.33, Online Youth Camp Registry, adds requirements for DSHS to post a list of licensed youth camps on the DSHS website.
Proposed new §265.34, Additional Inspection Required; Parental Complaints, adds requirements for youth camps to provide a link to the DSHS website to more easily report a noncompliant youth camp.
Amending 25 TAC §265.36, to add new floodplain safety requirements.
25 TAC §265.36
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposes new §265.36, concerning Prohibited Operation of Cabins within Floodplains.
BACKGROUND AND JUSTIFICATION
The proposal is necessary to implement Senate Bill (SB) 1, 89th Legislature, Second Special Session, 2025, that amends Texas Health and Safety Code Chapter 141. SB 1 requires DSHS to prohibit licensure of youth camps within floodplains unless they meet certain requirements.
SECTION-BY-SECTION SUMMARY
Proposed new §265.36, Prohibited Operation of Cabins within Floodplains, adds new requirements for floodplain safety.
Amending 25 TAC §265.37, to add new requirements for youth camp operators to provide and maintain internet services.
25 TAC §265.37
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), proposes new §265.37, concerning Redundant Internet Connections Required.
BACKGROUND AND JUSTIFICATION
The proposal is necessary to implement Senate Bill (SB) 1 and House Bill (HB) 1, 89th Legislature, Second Special Session, 2025, that amends Texas Health and Safety Code Chapter 141. SB 1 and HB 1 set the requirements for youth camp safety and health in relation to redundant internet connections.
SECTION-BY-SECTION SUMMARY
Proposed new §265.37, Redundant Internet Connections Required, adds new requirements for youth camp operators to provide and maintain internet services through broadband service that connects to the Internet using end-to-end fiber optic facilities and a secondary Internet connection through a broadband service distinct from the first.
Adopted Rules Re:
Adopting 25 TAC §1.61, §1.63, to change the title and method a physician may request additional medical conditions be added to the list of qualifying conditions for which low-THC cannabis may be prescribed, as well as define a pulmonary inhalation medical device that may be prescribed to a qualified patient.
CHAPTER 1. MISCELLANEOUS PROVISIONS
SUBCHAPTER D. LOW-THC CANNABIS FOR COMPASSIONATE USE
25 TAC §1.61, §1.63
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services (DSHS), adopts an amendment to §1.61, concerning Medical Conditions for which a Physician May Prescribe Low-THC Cannabis; and new §1.63, concerning Pulmonary Inhalation Devices for Low-THC Cannabis.
Section 1.61 is adopted without changes to the proposed text as published in the September 5, 2025, issue of the Texas Register (50 TexReg 5868). This rule will not be republished.
Section 1.63 is adopted with changes to the proposed text as published in the September 5, 2025, issue of the Texas Register (50 TexReg 5868). This rule will be republished.
BACKGROUND AND JUSTIFICATION
The amendment and new section are necessary to comply with House Bill (HB) 46, by King et al, 89th Legislature, Regular Session, 2025, which amended Texas Occupations Code §169.003 to allow DSHS to receive physician requests to add medical conditions to the list of qualifying conditions for which physicians may prescribe low-THC cannabis under the Texas Compassionate Use Program at the Texas Department of Public Safety. HB 46 also amended Texas Occupations Code Chapter 169 to add §169.006 to allow physicians to prescribe pulmonary inhalation as the means of administration of low-THC cannabis and establish a timeline for reviewing and approving pulmonary inhalation devices.
Proposed Rule Reviews Re:
Reviewing Title 1, Part 15, to consider for readoption, revision, or repeal of the chapter concerning Medicaid and other Health and Human Services Fraud and Abuse Program Integrity.
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 (TAC):
Chapter 371, Medicaid and Other Health and Human Services Fraud and Abuse Program Integrity
In Addition Re:
Licensing Actions for Radioactive Materials
For more information, please visit this week’s edition of the Texas Register at 50 Tex Reg 7759
Texas Health and Human Services Commission
Proposed Rules Re:
Amending 26 TAC §§306.101, 306.103, 306.105, 306.107, 306.109, 306.111, to add definitions and clarify certification requirements for Texas Certified Community Behavioral Health Clinics (T-CCBHCs).
CHAPTER 306. BEHAVIORAL HEALTH DELIVERY SYSTEM
SUBCHAPTER C. TEXAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS
26 TAC §§306.101, 306.103, 306.105, 306.107, 306.109, 306.111
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC) proposes amendments to §306.101, relating to Purpose; §306.103, concerning Application; §306.105, concerning Definitions; §306.107, concerning Certification Eligibility; §306.109, concerning Application Process; and §306.111, concerning Certification Standards.
BACKGROUND AND JUSTIFICATION
The purpose of the proposal is to add definitions for terms used in the subchapter and provide further clarification for certification requirements for Texas Certified Community Behavioral Health Clinics (T-CCBHCs).
SECTION-BY-SECTION SUMMARY
The proposed amendment to §306.101 updates language to improve reader understanding.
The proposed amendment to §306.103 updates language to improve reader understanding.
The proposed amendment to §306.105 adds definitions for outpatient mental health treatment services and outpatient substance use treatment services and clarifies language in other definitions. Definitions are in line with current processes and ensure integration of mental health and substance use treatment services consistent with the goals of the T-CCBHC initiative. The proposed amendment also updates other language to improve reader understanding.
The proposed amendment to §306.107 prohibits T-CCBHC applicants from denying or limiting services to people within the local service area based on a person’s housing situation. This rule aligns with federal CCBHC criteria. The proposed amendment clarifies the services T-CCBHC applicants must deliver directly or through an agreement with another entity, including mental health rehabilitative services. The amendment adds the conditions that must exist for a T-CCBHC that is not an LMHA or LBHA to provide mobile crisis outreach services. These rules are needed to ensure the integration of mental health and substance use treatment services and that HHSC can adequately monitor provision of mobile crisis outreach services. The amendment adds the requirements for T-CCHBC applicants to be enrolled as a Medicaid provider. This rule aligns with federal CCBHC criteria. The proposed rule amendment clarifies the requirements of T-CCBHC governing boards and advisory committees. The proposed amendment also requires T-CCBHC applicants to be licensed as a Chemical Dependency Treatment Facility. This amendment is in line with Texas Administrative Code Title 26, Chapter 564. The proposed amendment updates rule language to improve reader understanding.
The proposed amendment to §306.109 clarifies that if T-CCBHC applicants do not meet all eligibility requirements listed on the application for certification, HHSC considers the applicant ineligible and denies the application. However, the proposed rule also allows the applicant to re-submit a new application to HHSC after the date HHSC denies the application. The proposed amendment requires an applicant to meet all eligibility requirements listed on the application. These rules support quality service delivery and administrative processes among T-CCBHC applicants for HHSC to successfully certify applicant organizations. The proposed amendment changes the time period for denial of an application by HHSC based on termination of an applicant’s contract, license, or certification from three years to within four years. This is to align with the proposed amendment in §306.111 to increase certification approval as a T-CCBHC from three to four years. The proposed amendment also updates other language to improve reader understanding.
The proposed amendment to §306.111 requires T-CCBHCs to annually report its quality measures to HHSC to remain certified. This amendment is in line with current processes and derived from federal CCBHC criteria, from which T-CCBHC criteria are modeled. The proposed amendment also changes T-CCBHC certification approval from three years to four years. This amendment supports maintaining high quality reviews of applicants using existing staff resources. The proposed amendment updates other language to improve reader understanding.
Adopted Rules Re:
Adopting 1 TAC §351.3, §351.6, to update the title and language, as well as allow for the issuance of a provisional license to be issued to any military service member or a military spouse who submits an application and meets the necessary requirements.
CHAPTER 351. COORDINATED PLANNING AND DELIVERY OF HEALTH AND HUMAN SERVICES
SUBCHAPTER A. GENERAL PROVISIONS
1 TAC §351.3, §351.6
OVERVIEW
The executive commissioner of the Texas Health and Human Services Commission (HHSC) adopts amendments to §351.3, concerning Recognition of Out-of-State License of a Military Service Member or Military Spouse; and §351.6, concerning Alternative Licensing for Military Service Members, Military Spouses, and Military Veterans.
Amended §351.3 and §351.6 are adopted without changes to the proposed text as published in the September 19, 2025, issue of the Texas Register (50 TexReg 6083). These rules will not be republished.
BACKGROUND AND JUSTIFICATION
The amendments are necessary to comply with House Bill (HB) 5629, 89th Regular Session, 2025 and Senate Bill (SB) 1818, 89th Regular Session, 2025.
SB 1818 amends Texas Occupation Code (TOC) §55.004 and §55.0041 to allow a military service member, a military veteran, or a military spouse to receive a provisional license upon receipt of a complete application, if they meet the existing criteria outlined in TOC §55.004 or §55.004. To qualify, the applicant must hold a current license in good standing from another state that is similar in scope of practice to a license issued in Texas.
HB 5629 amends TOC §55.004 and §55.0041 to require state agencies to recognize out-of-state licenses that are in good standing and similar in scope of practice to a Texas license, and to issue a corresponding Texas license. The bill also changes the documentation required in an application, shortens the time by which the agency must process an application, and defines “good standing”.
Proposed Rule Reviews Re:
Reviewing Title 25, Part 1, to consider for readoption, revision, or repeal of the chapter concerning children participating in rodeos.
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 104, Children Participating in Rodeos
In Addition Re:
Public Hearing Notice
State Supported Living Centers Long Range Planning Report.
Texas State Board of Pharmacy
Adopted Rules Re:
Adopting 22 TAC §281.63, to update the board’s disciplinary guidelines concerning the imprisonment of a licensee, a registrant, or an owner of a pharmacy following a felony conviction or deferred adjudication.
CHAPTER 281. ADMINISTRATIVE PRACTICE AND PROCEDURES
SUBCHAPTER C. DISCIPLINARY GUIDELINES
22 TAC §281.63
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §281.63, concerning Considerations for Criminal Offenses. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6283). The rule will not be republished.
The amendments update the board’s disciplinary guidelines concerning the imprisonment of a licensee, a registrant, or an owner of a pharmacy following a felony conviction or deferred adjudication, in accordance with Senate Bill 1080 and clarify certain provisions to align more closely to existing statute.
Adopting 22 TAC §283.12, to update alternative licensing procedures, expedited licensing procedures, and interim license procedures for a military service member, military veteran, or military spouse.
CHAPTER 283. LICENSING REQUIREMENTS FOR PHARMACISTS
22 TAC §283.12
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §283.12, concerning Licenses for Military Service Members, Military Veterans, and Military Spouses. These amendments are adopted with changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6285). The rule will be republished.
The amendments update the alternative licensing procedures, expedited licensing procedures, and interim license procedures for a military service member, military veteran, or military spouse, in accordance with House Bill 5629, establish provisional license procedures for a military service member, military veteran, or military spouse, in accordance with Senate Bill 1818, and make grammatical corrections.
Adopting 22 TAC §291.31, to propose amendments to the Definitions section.
CHAPTER 291. PHARMACIES
SUBCHAPTER B. COMMUNITY PHARMACY (CLASS A)
22 TAC §291.31
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §291.31, concerning Definitions. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6289). The rule will not be republished.
The amendments add definitions for the terms “common ownership” and “owner of record.”
Adopting 22 TAC §291.52, to define “common ownership” and “owner of record.”
CHAPTER 291. PHARMACIES
SUBCHAPTER C. NUCLEAR PHARMACY (CLASS B)
22 TAC §291.52
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §291.52, concerning Definitions. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6292). The rule will not be republished.
The amendments add definitions for the terms “common ownership” and “owner of record.”
Adopting 22 TAC §291.72, to define “common ownership” and “owner of record.”
CHAPTER 291. PHARMACIES
SUBCHAPTER D. INSTITUTIONAL PHARMACY (CLASS C)
22 TAC §291.72
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §291.72, concerning Definitions. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6294). The rule will not be republished.
The amendments add definitions for the terms “common ownership” and “owner of record.”
Adopting 22 TAC §291.120, to define “common ownership” and “owner of record.”
CHAPTER 291. PHARMACIES
SUBCHAPTER G. SERVICES PROVIDED BY PHARMACIES
22 TAC §291.120
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §291.120, concerning General. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6297). The rule will not be republished.
The amendments add definitions for the terms “common ownership” and “owner of record.”
Adopting 22 TAC §297.2, to define “common ownership” and “owner of record.”
CHAPTER 297. PHARMACY TECHNICIANS AND PHARMACY TECHNICIAN TRAINEES
22 TAC §297.2
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §297.2, concerning Definitions. These amendments are adopted without changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6298). The rule will not be republished.
The amendments add definitions for the terms “common ownership” and “owner of record.”
Adopting 22 TAC §297.10, to update the alternative registration procedures, expedited registration procedures, and interim registration procedures for a military service member, military veteran, or military spouse.
CHAPTER 297. PHARMACY TECHNICIANS AND PHARMACY TECHNICIAN TRAINEES
22 TAC §297.10
OVERVIEW
The Texas State Board of Pharmacy adopts amendments to §297.10, concerning Registration for Military Service Members, Military Veterans, and Military Spouses. These amendments are adopted with changes to the proposed text as published in the September 26, 2025, issue of the Texas Register (50 TexReg 6298). The rule will be republished.
The amendments update the alternative registration procedures, expedited registration procedures, and interim registration procedures for a military service member, military veteran, or military spouse, in accordance with House Bill 5629, establish provisional registration procedures for a military service member, military veteran, or military spouse, in accordance with Senate Bill 1818, and make grammatical corrections.
