Texas Register October 24, 2025 Volume: 50 Number: 43

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Governor:

Appointments Re:

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Victoria Ai Linh Bryant.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Shannon S. Calhoun.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Salil Deshpande, M.D.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Lacey P. Fails.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Kenneth S. James.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Kourtney R. Kouns.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Jerome P. Lisk, M.D.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Leticia C. Rodriguez.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Jonathan J. Sandstrom Hill.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Cynthia A. “Cindy” Stinson, Ph.D.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Wesley J. “Wes” Tidwell.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Carlos J. Vital, M.D.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Calvin J. Green.

Appointed to the Texas Health Services Authority Board of Directors for a term to expire June 15, 2027, Jeffrey W. “Jeff” Hoogheem.

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Texas Board of Physical Therapy Examiners

Adopted Rules Re:

Adopting 22 TAC §322.1, to change the number of a days a physical therapist who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from no more than “10 consecutive business days” to no more than “30 consecutive calendar days.”

CHAPTER 322. PRACTICE
22 TAC §322.1

OVERVIEW

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §322.1(a)(2)(D)-(G) relating to exceptions to referral requirement to implement changes to Texas Occupations Code §453.301(a)(3)(B) and (b) pursuant Tex. H.B. 4099, 89th R.S. (2025). Specifically, the amendment changes the number of days a physical therapist (PT) who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from “for not more than 10 consecutive business days” to “for not more than 30 consecutive calendar days.”

Additionally, the requirement for a PT to possess a doctoral degree and either has completed a physical therapy residency or fellowship or is certified by an entity approved by the board to treat a patient without a referral for not more than 15 consecutive business days has been eliminated.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5416). The rule will not be republished.

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Adopting 22 TAC §322.5, to standardize the format and retention of records related to a patient’s consent to treatment, data collection, and data sharing when providing physical therapy services via telehealth.

CHAPTER 322. PRACTICE
22 TAC §322.5

OVERVIEW

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §322.5(e) relating to standardize formats for and retention of records related to a patient’s consent to treatment, data collection, and data sharing when providing physical therapy services via telehealth.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5417). The rule will not be republished.

The adopted amendment is necessary to implement changes to Texas Occupations Code §111.004 pursuant to Tex. H.B. 1700, 89th R.S. (2025) which requires each agency with regulatory authority over a health professional providing telehealth service to adopt rules necessary to standardize formats for and retention of records related to a patient’s consent to treatment, data collection, and data sharing.

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Adopting 22 TAC §329.1, §329.7, to correct an omission of military spouses from exemption of the non-refundable application fee.

CHAPTER 329. LICENSING PROCEDURE
22 TAC §329.1, §329.7

OVERVIEW

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §329.1(a)(2) relating to the exemption of the non-refundable application fee for active U.S. military service members, military spouses, or military veterans. Additionally, the Board adopts the amendment 22 TAC §329.7(b)(5) and (c) relating to exemptions from licensure for active military service members and military spouses and relating to a license in good standing with another state’s licensing authority.

The amendments are adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5419). The rules will not be republished.

Specifically, the amendment to §329.1(a)(2) corrects an omission of military spouses from exemption of the non-refundable application fee, and the amendment to §329.7(b)(5) and (c) align with the changes to Texas Occupations Code §55.0041 effective September 1, 2025 and to the provisions in 50 USC 4025a: Portability of professional licenses of servicemembers and their spouses.

The following amendments are necessary to implement changes to Texas Occupations Code §55.004 and §55.0041 pursuant to Tex. H.B. 5629, 89th R.S. (2025) relating to the occupational licensing of military service members, military veterans, and military spouses.

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Adopting 22 TAC §341.2, to amend the development and maintenance of an online repository for storing and tracking of continuing competence activities for Request for Approval (RFP) for the continuing competence approval program.

CHAPTER 341. LICENSE RENEWAL
22 TAC §341.2

OVERVIEW

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §341.2(h), Continuing Competence Requirements, relating to the development and maintenance of an online repository for storing and tracking of continuing competence activities as part of any Request for Approval (RFP) for the continuing competence approval program.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5420). The rule will not be republished.

The adopted amendment is in response to the provision in Tex. S.B. 912, 89th R.S. (2025) that allows a licensing entity that has an agreement in place with a continuing education tracking system provider that is able to implement the requirements of Subchapter C, Chapter 112, Occupations Code may maintain that agreement and any costs associated with implementation of the agreement.

The Board has a Memorandum of Understanding (MOU) with the Texas Physical Therapy Association (TPTA) as the result of an RFP in 2018 and 2022 to develop, administer, and maintain a continuing competence approval system including an online repository for storing and tracking of continuing competence completion documents by licensees of Texas.

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Texas Health and Human Services Commission

Adopted Rules Re:

Adopting Title 26, Part 1, concerning Community Living Assistance And Support Services (CLASS) Program And Community First Choice (CFC) Services.

OVERVIEW

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 259, Community Living Assistance And Support Services (CLASS) Program And Community First Choice (CFC) Services

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