Part I.
Texas Department of Health
Chapter 31.
Nutrition Services
25 TAC §31.1
The Texas Department of Health (department) adopts under
federal mandate an amendment to §31.1, concerning the Special Supplemental
Nutrition Program for Women, Infants, and Children (WIC). Section 31.1(b)
adopts by reference the Fiscal Year 1999 (FY1999) WIC State Plan of Operations.
Section 31.1(c) adopts by reference the WIC Policy and Procedure Manual.
Federal regulations at 7 CFR Part 246 require the United States Department
of Agriculture (USDA) to approve an annual update of the WIC State Plan of
Operations. The amendment to §31.1(b) covers the annual update for the
FY1999, which was approved by the USDA effective October 1, 1998. The FY1999
update covers the state agency's goals and objectives for improving program
operations; the affirmative action plan; and local agency identification -
WIC project information. The amendments to the WIC Policy and Procedure Manual
cover new and revised USDA policies, which became effective when the federal
regulations and federal circulars became effective, and are incorporated into
policies that were approved by USDA. The latest federal requirements which
are being incorporated into the WIC Policy and Procedure Manual by the amendment
to §31.1(c) cover property management; allowable costs for equipment;
allowable costs for nonprofessional contract services; program initiation
and expansion; monthly reimbursement maximum; services to families with special
health care needs; identification of WIC applicant; Texas WIC income guidelines;
least expensive brands declaration; temporary grocer/vendor agreements; issuance
of noncontract formulas and medical nutritional products; and access to appointments.
The amendment is adopted under federal mandate for the following reasons.
Under federal and state law (the Child Nutrition Act of 1966, as amended,
42 U.S.C.A. §1786, and the Omnibus Hunger Act of 1985, Acts 1985, 69th
Legislature, Chapter 150, Title II), the WIC Program is 99% federally funded
and governed by federal regulations. Funds are made available to the department
by a federal grant. The federal statute (42 USC §1786), federal regulations
(7 CFR Part 246), and the federal grant (Federal-State Special Supplemental
Food Program Agreement) authorize the USDA to make the funds available to
the department to administer the WIC Program in the State of Texas, provided
that the department administers the program in accordance with the federal
regulations. Therefore, the department under federal mandate adopts an amendment,
effective October 1, 1998.
The amendment is adopted under Health and Safety Code, §12.001(b),
which provides the Board of Health (board) with the authority to adopt rules
for the performance of every duty imposed by law upon the board, the department,
and the commissioner of health; the Texas Omnibus Hunger Act of 1985, Acts
1985, 69th Legislature, Chapter 150, Title II; Human Resources Code, Chapter
33; the Child Nutrition Act of 1966, 42 USC §1786, as amended; and 7
CFR Part 246.
§31.1.Special Supplemental Food Program for Women, Infants, and Children (WIC).
(a)
(No change.)
(b)
WIC State Plan of Operations.
(1)
The department adopts by reference the publication titled
"WIC State Plan of Operations," as amended effective October 1, 1998. This
plan has been developed by the department's WIC Program and approved by the
United States Department of Agriculture.
(2)
(No change.)
(c)
WIC Policy and Procedure Manual.
(1)
The department adopts by reference the publication titled
"WIC Policy and Procedure Manual," which the department developed, as amended
effective October 1, 1998. This policy and procedure manual has been developed
by the department's WIC Program and approved by the United States Department
of Agriculture.
(2)
(No change.)
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of the Secretary of State on January
14, 1999.
TRD-9900205
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: October 1, 1998
For further information, please call: (512) 458-7236
Subchapter P. Surveillance and Control of Birth Defects
25 TAC §37.307
The Texas Department of Health (department) adopts an amendment
to §37.307, concerning the Scientific Advisory Committee on Birth Defects
in Texas (committee) with changes to the proposed text as published in the
October 30, 1998, issue of the
Texas Register
(23 TexReg 11037). The committee provides advice to the board in the area
of implementing an effective birth defects registry and related research,
referral, and educational activities.
In 1993, the Texas Legislature passed Senate Bill 383 (now codified in
the Government Code, Chapter 2110) which requires that each state agency adopt
rules to establish advisory committees. The rules must state the purpose of
each committee, state the composition of the committee, describe the tasks
of the committee, describe the manner in which the committee will report to
the agency, and establish a date on which the committee will be automatically
abolished unless the governing body of the agency affirmatively votes to continue
the committee in existence.
In 1995, the Texas Board of Health (board) established a rule relating
to the Scientific Advisory Committee on Birth Defects in Texas. The rule states
that the committee will automatically be abolished on March 1, 1999. The board
has now reviewed and evaluated the committee and has determined that the committee
should continue in existence until March 1, 2003.
This section amends provisions relating to the operation of the committee.
Specifically, language is revised to reference the Government Code; to continue
the committee until March 1, 2003; to address changes to the composition of
the committee; to clarify that members holdover until their replacement is
appointed; to require that the presiding officer and the assistant presiding
officer of the committee will be selected by the chairman of the board for
a term of two years; to allow a temporary vacancy in the office of assistant
presiding officer to be filled by vote of the committee until appointment
by the chairman of the board occurs; to clarify that the committee is prohibited
from holding an executive session (closed meeting) for any reason; and to
clarify that the committee and its members may not participate in legislative
activity in the name of the board, the department, or the committee except
with certain approval. These changes will clarify procedures for the committee
and emphasize the advisory nature of the committee.
The department is making the following minor changes due to staff comments
to clarify the intent and improve the accuracy of the section.
Change: Concerning §37.307(f)(2), the language was revised to acknowledge
that the composition of the committee is changing from the composition described
in the rules existing on December 31, 1998.
Change: Concerning §37.307(g), the language was revised to clarify
that members holdover past the expiration of their term until their successor
is appointed.
Change: Concerning §37.307(h)(4), the language was revised to recognize
that the committee would temporarily fill only the position of the assistant
presiding officer, if vacant. If the position of presiding officer was vacant,
the assistant presiding officer serves pursuant to subsection (h)(3).
Change: Concerning §37.307(h)(7), the language was revised so that
the chairman of the board may appoint officers at any time after the effective
date of the rule.
Change: Concerning §37.307(i)(3), the reference to "governmental body"
was corrected.
The amendment is adopted under the Health and Safety Code, §11.016,
which allows the board to establish advisory committees; the Government Code,
Chapter 2110, which sets standards for the evaluation of advisory committees
by the agencies for which they function; and the Health and Safety Code, §12.001,
which provides the board with authority to adopt rules for the performance
of every duty imposed by law upon the board, the department, and the commissioner
of health.
§37.307.Scientific Advisory Committee on Birth Defects in Texas.
(a)
The committee. The Scientific Advisory Committee on Birth
Defects in Texas shall be appointed under and governed by this section.
(1)
(No change.)
(2)
The committee is established under the Health and
Safety Code, §11.016, which allows the Board of Health (board) to establish
advisory committees.
(b)
Applicable law. The committee is subject to the Government
Code, Chapter 2110, concerning state agency advisory committees.
(c)
(No change.)
(d)
Tasks.
(1)
(No change.)
(2)
The committee shall:
(A)
provide practical and scientific advice to the Texas Department
of Health (department) in implementing an effective birth defects registry
and related research through:
(i)
referral and educational activities; and
(ii)
review and advice to the department on all proposed projects
and programs prior to and during implementation;
(B)
(No change.)
(C)
make recommendations to the department, as appropriate.
(3)
(No change.)
(e)
Committee abolished. By March 1, 2003, the board will initiate
and complete a review of the committee to determine whether the committee
should be continued, consolidated with another committee, or abolished. If
the committee is not continued or consolidated, the committee shall be abolished
on that date.
(f)
Composition. The committee shall be composed of 11 members
appointed by the board.
(1)
The composition of the committee shall include scientific
experts in the field of birth defects, genetics, epidemiology, and medicine.
(A)
Four members shall be from the general public.
(B)
If the board implements a pilot birth defects registry
in selected regions of the state, membership of the committee must include
persons who work or live in the areas where the pilot birth defects registry
activity is implemented.
(2)
Since the composition of the committee as it
existed on December 31, 1998, is changed under this section, existing members
shall continue to serve until the board appoints members under the new composition.
(g)
Terms of office. The term of office of each member shall
be six years. Members shall serve after expiration of their term until a replacement
is appointed.
(1)-(2)
(No change.)
(h)
Officers. The chairman of the board shall appoint a presiding
officer and an assistant presiding officer to begin serving on March 1 of
each odd-numbered year.
(1)
Each officer shall serve until February 27th of each odd-numbered
year. Each officer may holdover until his or her replacement is appointed
by the chairman of the board.
(2)
(No change.)
(3)
The assistant presiding officer shall perform the
duties of the presiding officer in case of the absence or disability of the
presiding officer. In case the office of presiding officer becomes vacant,
the assistant presiding officer will serve until a successor is appointed
to complete the unexpired portion of the term of the office of presiding officer.
(4)
If the office of assistant presiding officer becomes
vacant, it may be filled temporarily by vote of the committee until a successor
is appointed by the chairman of the board.
(5)-(6)
(No change.)
(7)
The presiding officer and assistant presiding officer
serving on January 1, 1999, will continue to serve until the chairman of the
board appoints their successors.
(i)
Meetings. The committee shall meet only as necessary to
conduct committee business.
(1)-(2)
(No change.)
(3)
The committee is not a "governmental body" as defined
in the Open Meetings Act. However, in order to promote public participation,
each meeting of the committee shall be announced and conducted in accordance
with the Open Meetings Act, Texas Government Code, Chapter 551, with the exception
that the provisions allowing executive sessions shall not apply.
(4)-(7)
(No change.)
(j)
Attendance. Members shall attend committee meetings as
scheduled. Members shall attend meetings of subcommittees to which the member
is assigned.
(1)-(3)
(No change.)
(k)-(m)
(No change.)
(n)
Statement by members.
(1)
The board, the department, and the committee shall not
be bound in any way by any statement or action on the part of any committee
member except when a statement or action is in pursuit of specific instructions
from the board, department, or committee.
(2)
The committee and its members may not participate
in legislative activity in the name of the board, the department, or the committee
except with approval through the department's legislative process. Committee
members are not prohibited from representing themselves or other entities
in the legislative process.
(o)
Reports to board. The committee shall file an annual written
report with the board.
(1)
The report shall list the meeting dates of the committee
and any subcommittees, the attendance records of its members, a brief description
of actions taken by the committee, a description of how the committee has
accomplished the tasks given to the committee by the board, the status of
any rules which were recommended by the committee to the board, and anticipated
activities of the committee for the next year.
(2)-(3)
(No change.)
(p)
Reimbursement for expenses. In accordance with the requirements
set forth in the Government Code, Chapter 2110, a committee member may receive
reimbursement for the member's expenses incurred for each day the member engages
in official committee business if authorized by the General Appropriations
Act or budget execution process.
(1)-(5)
(No change.)
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900291
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 30, 1998
For further information, please call: (512) 458-7236
Subchapter A. Kidney Health Care Program
25 TAC §61.12
The Texas Department of Health (department) adopts an amendment
to §61.12 concerning the Kidney Health Care Advisory Committee (committee)
with changes to the proposed text as published in the October 30, 1998, issue
of the
Texas Register
(23 TexReg 11039). The
committee provides advice to the Texas Board of Health (board) in the area
of end-stage renal disease (ESRD) and on current state-of-the-art treatment
modalities, medication therapies, and prioritization of the needs of ESRD
patients in Texas.
In 1993, the Texas Legislature passed Senate Bill 383 (now codified in
the Government Code, Chapter 2110) which requires that each state agency adopt
rules to establish advisory committees. The rules must state the purpose of
each committee, state the composition of the committee, describe the tasks
of the committee, describe the manner in which the committee will report to
the agency, and establish a date on which the committee will be automatically
abolished unless the governing body of the agency affirmatively votes to continue
the committee in existence.
In 1994, the board established a rule relating to the Kidney Health Care
Advisory Committee. The rule states that the committee will automatically
be abolished on March 1, 1999. The board has now reviewed and evaluated the
committee and has determined that the committee should continue in existence
until March 1, 2003.
This section amends provisions relating to the operation of the committee.
Specifically, language is revised to state that the committee is established
under the Health and Safety Code, §11.016 which allows the board to establish
advisory committees; to reference the Government Code; to continue the committee
until March 1, 2003; to revise the composition of the committee; to clarify
that members holdover until their replacement is appointed; to require that
the presiding officer and the assistant presiding officer of the committee
will be selected by the chairman of the board for a term of two years; to
allow a temporary vacancy in the office of assistant presiding officer to
be filled by vote of the committee until appointment by the chairman of the
board occurs; to clarify that the committee is prohibited from holding an
executive session (closed meeting) for any reason; to clarify that the committee
and its members may not participate in legislative activity in the name of
the board, the department, or the committee except with certain approval;
and to require the committee's annual report in March rather than in September.
These changes will clarify procedures for the committee and emphasize the
advisory nature of the committee.
The department is making the following minor changes due to staff comments
to clarify the intent and improve the accuracy of the section.
Change: Concerning §61.12(f)(2), the language was revised to acknowledge
that the composition of the committee is changing from the composition described
in the rules existing on December 31, 1998.
Change: Concerning §61.12(g), the language was revised to clarify
that members holdover past the expiration of their term until their successor
is appointed.
Change: Concerning §61.12(h)(4), the language was revised to recognize
that the committee would temporarily fill only the position of the assistant
presiding officer, if vacant. If the position of presiding officer was vacant,
the assistant presiding officer serves pursuant to subsection (h)(3).
Change: Concerning §61.12(h)(7), the language was revised so that
the chairman of the board may appoint officers at any time after the effective
date of the rule.
The amendment is adopted under the Health and Safety Code, §11.016,
which allows the board to establish advisory committees; the Government Code,
Chapter 2110, which sets standards for the evaluation of advisory committees
by the agencies for which they function; and the Health and Safety Code, §12.001,
which provides the board with authority to adopt rules for the performance
of every duty imposed by law upon the board, the department, and the commissioner
of health.
§61.12.Kidney Health Care Advisory Committee.
(a)
The committee. An advisory committee shall be appointed
under and governed by this section.
(1)
(No change.)
(2)
The committee is established under the Health and
Safety Code, §11.016 which allows the Board of Health (board) to establish
advisory committees.
(b)
Applicable law. The committee is subject to the Government
Code, Chapter 2110, concerning state agency advisory committees.
(c)-(d)
(No change.)
(e)
Committee abolished. By March 1, 2003, the board will initiate
and complete a review of the committee to determine whether the committee
should be continued, consolidated with another committee, or abolished. If
the committee is not continued or consolidated, the committee shall be abolished
on that date.
(f)
Composition. The committee shall be composed of nine members
appointed by the board. The composition of the committee shall include three
consumer representatives and six nonconsumer representatives.
(1)
The six nonconsumer representatives shall be as follows:
(A)
three physicians who are nephrologists or renal transplant
surgeons; and
(B)
three persons who are renal social workers, renal nurses,
renal dietitians, dialysis technicians, renal administrators or pharmacists.
(2)
Since the composition of the committee as it
existed on December 31, 1998, is changed under this section, existing members
shall continue to serve until the board appoints members under the new composition.
(g)
Terms of office. The term of office of each member shall
be six years. Members shall serve after expiration of their term until a replacement
is appointed.
(1)-(2)
(No change.)
(h)
Officers. The chairman of the board shall appoint a presiding
officer and an assistant presiding officer to begin serving on March 1 of
each odd-numbered year.
(1)
Each officer shall serve until February 27th of each odd-numbered
year. Each officer may holdover until his or her replacement is appointed
by the chairman of the board.
(2)
(No change.)
(3)
The assistant presiding officer shall perform the
duties of the presiding officer in case of the absence or disability of the
presiding officer. In case the office of presiding officer becomes vacant,
the assistant presiding officer will serve until a successor is appointed
to complete the unexpired portion of the term of the office of presiding officer.
(4)
If the office of assistant presiding officer becomes
vacant, it may be filled temporarily by vote of the committee until a successor
is appointed by the chairman of the board.
(5)-(6)
(No change.)
(7)
The presiding officer and assistant presiding officer
serving on January 1, 1999, will continue to serve until the chairman of the
board appoints their successors.
(i)
Meetings. The committee shall meet only as necessary to
conduct committee business.
(1)-(2)
(No change.)
(3)
The committee is not a "governmental body" as defined
in the Open Meetings Act. However, in order to promote public participation,
each meeting of the committee shall be announced and conducted in accordance
with the Open Meetings Act, Texas Government Code, Chapter 551, with the exception
that the provisions allowing executive sessions shall not apply.
(4)-(7)
(No change.)
(j)
Attendance. Members shall attend committee meetings as
scheduled. Members shall attend meetings of subcommittees to which the member
is assigned.
(1)-(3)
(No change.)
(k)-(m)
(No change.)
(n)
Statement by members.
(1)
The board, the department, and the committee shall not
be bound in any way by any statement or action on the part of any committee
member except when a statement or action is in pursuit of specific instructions
from the board, department, or committee.
(2)
The committee and its members may not participate
in legislative activity in the name of the board, the department, or the committee
except with approval through the department's legislative process. Committee
members are not prohibited from representing themselves or other entities
in the legislative process.
(o)
Reports to board. The committee shall file an annual written
report with the board.
(1)
The report shall list the meeting dates of the committee
and any subcommittees, the attendance records of its members, a brief description
of actions taken by the committee, a description of how the committee has
accomplished the tasks given to the committee by the board, the status of
any rules which were recommended by the committee to the board, and anticipated
activities of the committee for the next year.
(2)
(No change.)
(3)
The report shall cover the meetings and activities
in the immediate preceding 12 months and shall be filed with the board each
March. It shall be signed by the presiding officer and appropriate department
staff.
(p)
Reimbursement for expenses. In accordance with the requirements
set forth in the Government Code, Chapter 2110, a committee member may receive
reimbursement for the member's expenses incurred for each day the member engages
in official committee business if authorized by the General Appropriations
Act or budget execution process.
(1)-(5)
(No change.)
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900247
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 30, 1998
For further information, please call: (512) 458-7236
The Texas Department of Health (department), adopts the repeal of
§§98.26, 98.28 and 98.29, amendments to §§98.1 - 98.4,
98.6, 98.8, 98.21 - 98.25, 98.27, 98.30, 98.31, 98.41 - 98.44, and new §98.28
concerning the administration of treatment, health, and social service programs
for persons with human immunodeficiency virus (HIV) infection. Section 98.41
is adopted with changes to the proposed text as published in the October 2,
1998, issue of the
Texas Register
(23 TexReg
9912). The repeal of §98.26, 98.28, and 98.29, and the amendments and
new §§98.1 - 98.4, 98.6, 98.8, 98.21 - 98.25, 98.27, 98.28, 98.30,
98.31, and 98.42 - 98.44 are adopted without changes, and therefore will not
be republished.
These amended and new sections update and improve the ability of the department
to administer state and federal funds in a manner which will best serve the
needs of local HIV infected populations. The repealed sections delete obsolete
fiscal language while the amended sections contain a change in the title of
the chapter and in the title of this subchapter, revisions in the format and
content of text within these sections to improve understanding, reflect statutory
and department policy changes, and are necessary to clarify contractor performance
requirements and to improve service delivery programs to persons infected
with the human immunodeficiency virus (HIV) and/or who have acquired immunodeficiency
syndrome (AIDS). New §98.28 provides a process through which an applicant
for funds may dispute the department's decision to deny the application.
No comments were received on the proposal during the comment period; however,
the department is making minor editorial changes for format and grammatical
accuracy.
Subchapter A. HIV Services Grant Program
1.
General Provisions
25 TAC §§98.1-98.4, 98.6, 98.8
The amendments are adopted under the Health and Safety Code,
Chapter 85, Subchapter B, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a state grant program to nonprofit community organizations for treatment,
health, and social service programs for persons with HIV infection; and under
the Health and Safety Code, §12.001, Chapter 12, Subchapter A, Powers
and Duties of Board, which provides the Texas Board of Health with the authority
to adopt rules for the performance of each duty imposed by law on the board,
the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900288
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.21-98.25, 98.27, 98.28, 98.30, 98.31
The amendments and new section are adopted under the Health
and Safety Code, Chapter 85, Subchapter B, State Grant Program to Community
Organizations, which provides the department with the authority to establish
and administer a state grant program to nonprofit community organizations
for treatment, health, and social service programs for persons with HIV infection;
and under the Health and Safety Code, §12.001, Chapter 12, Subchapter
A, Powers and Duties of Board, which provides the Texas Board of Health with
the authority to adopt rules for the performance of each duty imposed by law
on the board, the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900289
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.26, 98.28, 98.29
The repeals are adopted under the Health and Safety Code,
Chapter 85, Subchapter B, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a state grant program to nonprofit community organizations for treatment,
health, and social service programs for persons with HIV infection; and under
the Health and Safety Code, §12.001, Chapter 12, Subchapter A, Powers
and Duties of Board, which provides the Texas Board of Health with the authority
to adopt rules for the performance of each duty imposed by law on the board,
the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900287
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.41-98.44
The amendments are adopted under the Health and Safety Code,
Chapter 85, Subchapter B, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a state grant program to nonprofit community organizations for treatment,
health, and social service programs for persons with HIV infection; and under
the Health and Safety Code, §12.001, Chapter 12, Subchapter A, Powers
and Duties of Board, which provides the Texas Board of Health with the authority
to adopt rules for the performance of each duty imposed by law on the board,
the department, or the commissioner.
§98.41.Client Eligibility Requirements.
(a)
Full eligibility.
(1)
An individual will be eligible to receive services when
the individual receives provider approval after meeting all of the following
requirements except as provided in paragraph (2) of this subsection:
(A)
have laboratory or physician documentation of HIV infection
or AIDS diagnosis;
(B)
is a resident of Texas, and furnishes documentation of
residency as required by §98.43 of this title (relating to Residency;
Documentation of Residency). An individual is considered to be a Texas resident
if:
(i)
the individual actually maintains an abode within the state
(i.e., house or apartment, not merely a post office box) and has an intent
to remain within the state, whether permanently or for an indefinite period;
and
(ii)
the individual does not claim residency in any other state
or country; or
(iii)
the individual is under 18 years of age and his/her parent(s),
managing conservator, or guardian is a bona fide resident of Texas; or
(iv)
the individual is a person residing in Texas and his/her
legally dependent spouse is a bona fide resident of Texas; or
(v)
the individual is an adult residing in Texas and his/her
legal guardian is a bona fide resident of Texas.
(C)
makes application through a provider in the HSDA.
(2)
Family members are exempt from eligibility requirements
for paragraph (1)(A) of this subsection for purposes of receiving certain
specified services which provide a direct or indirect benefit to the person
with HIV or AIDS.
(3)
To maintain eligibility, a client must inform the
provider of any changes in residency or other information required by the
provider which is necessary to provide services.
(4)
To regain eligibility for receipt of services, a former
client must reapply for services under the eligibility requirements outlined
in paragraph (1) of this subsection in addition to any service eligibility
requirements the provider may have.
(b)
Conditional eligibility.
(1)
Conditional eligibility is available pending final approval
of an application for services.
(A)
(No change.)
(B)
Conditional eligibility may be granted, unless not allowed
by the program, only for one or more of the following reasons:
(i)
full eligibility is pending collection of the applicant's
required documentation;
(ii)
translation of the applicant's required documentation
into English; or
(iii)
review of the application by the provider and the provider's
final decision to grant or refuse full eligibility to the applicant is being
considered.
(2)
A provider may not grant conditional eligibility
to any applicant that the provider knows is not and will not be fully eligible
for services.
(3)
The contract of a provider may be terminated and provider
approval revoked if a provider grants conditional eligibility to an applicant
that the provider knows is not and will not be fully eligible for services.
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900290
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
The Texas Department of Health (department), adopts the repeal of
§§98.85 and 98.87 - 98.89, amendments to §§98.61 - 98.64,
98.66, 98.68, 98.81 - 98.84, 98.86 and 98.90, and new §§98.87 and
98.89 concerning the administration of human immunodeficiency virus (HIV)
prevention, education, and risk reduction programs without changes to the
proposed text as published in the October 2, 1998, issue of the
Texas Register
(23 TexReg 9923), and therefore the sections will not
be republished.
These amended sections and new sections update and improve upon the ability
of the department to administer state and federal funds and to improve the
delivery of HIV prevention programs in Texas. The repealed sections delete
obsolete fiscal language, delete the process for denying applications and
applying sanctions on contracts, and deletes the appeals process from the
rules for disputing the department's fiscal decisions. The amended sections
contain a change in the title of the chapter and in the title of this subchapter,
revisions in the format and content of text within these sections to improve
understanding, reflect statutory and department policy changes, and are necessary
to clarify contractor performance requirements and to improve the delivery
of HIV prevention programs in Texas. New §98.87 provides a process through
which an applicant for funds may dispute the department's decision to deny
the applicant's application. New §98.89 does not allow for a dispute
process if an application is denied, or a contract modified, suspended, or
terminated if the department's actions result from an exhaustion of funds.
No comments were received on the proposal during the comment period.
1.
General Provisions
25 TAC §§98.61-98.64, 98.66, 98.68
The amendments are adopted under the Health and Safety Code,
Chapter 85, Subchapter B, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a state grant program to nonprofit community organizations for delivery of
HIV prevention, education, and risk reduction programs; and under the Health
and Safety Code, §12.001, Chapter 12, Subchapter A, Powers and Duties
of Board, which provides the Texas Board of Health with the authority to adopt
rules for the performance of each duty imposed by law on the board, the department,
or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900308
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.81-98.84, 98.86, 98.87, 98.89, 98.90
The amendments and new sections are adopted under the Health
and Safety Code, Chapter 85, Subchapter B, State Grant Program to Community
Organizations, which provides the department with the authority to establish
and administer a state grant program to nonprofit community organizations
for delivery of HIV prevention, education, and risk reduction programs; and
under the Health and Safety Code, §12.001, Chapter 12, Subchapter A,
Powers and Duties of Board, which provides the Texas Board of Health with
the authority to adopt rules for the performance of each duty imposed by law
on the board, the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900309
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.85, 98.87-98.89
The repeals are adopted under the Health and Safety Code,
Chapter 85, Subchapter B, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a state grant program to nonprofit community organizations for delivery of
HIV prevention, education, and risk reduction programs; and under the Health
and Safety Code, §12.001, Chapter 12, Subchapter A, Powers and Duties
of Board, which provides the Texas Board of Health with the authority to adopt
rules for the performance of each duty imposed by law on the board, the department,
or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900307
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
1.
General Provisions
The Texas Department of Health (department), adopts the repeal of
§§98.102 - 98.104 and 98.106 - 98.108, amendments to §§98.101
and 98.109 - 98.112, and new §§98.102 - 98.108 and 98.113 - 98.117
concerning the administration of the Texas HIV Medication Program. Sections
98.101 and 98.114 are adopted with changes to the proposed text as published
in the October 2, 1998, issue of the
Texas Register
(23 TexReg 9929). The repeal of §§98.102 - 98.104 and 98.106
- 98.108, and the amendments and new §§98.102 - 98.113 and 98.115
- 98.117 are adopted without changes to the proposed text, and therefore the
sections will not be republished.
These amended and new sections improve the program's ability to administer
funds allocated to the department for the purpose of providing HIV-related
medications to individuals with HIV disease. The repeal of §§98.102
- 98.104 and 98.106 - 98.108 were necessary for the reorganization of the
subchapter; the repealed sections were re-offered as new §§98.103,
98.105, 98.106, 98.107, 98.108, and 98.115. The amendments replace obsolete
language, clarify that services provided to a person will cease the day that
person is withdrawn from the program, allow dispensing of program medications
to only those pharmacies which have been approved by the program, and allow
for the collection of a copayment by pharmacies in accordance with their signed
Memorandum of Understanding with the department. New §98.102 provides
a definition of terms used in the subchapter; new §98.103 was renumbered
from the repealed §98.104 and describes the method used to determine
what medications are covered by the program; new §98.104 relates to nondiscrimination
of applicants or clients; new §98.105 was renumbered from the repealed
§98.106 and details the client eligibility criteria; new §98.106
was renumbered from the repealed §98.102 and clarifies that the drug-specific
eligibility criteria is determined by the program; new §98.107 was renumbered
from the repealed §98.103 which allows coverage of clients who have exhausted
Medicaid benefits for a given month and provides a process for adjusting an
applicant's annual gross income; new §98.108 was renumbered from the
repealed §98.107 and details the necessary application forms; new §98.113
requires the applicant or client to be a resident of the state; new §98.114
describes the circumstances under which an applicant or client will be denied
services; new §98.115 was renumbered from the repealed §98.108 and
redefines the composition of the appeals review panel, new §98.116 excludes
appeals when the department's decision to terminate or deny services results
from an exhaustion of funds; and new §98.117 provides a process for filing
public complaints.
No comments were received on the proposal during the comment period; however,
the department has made minor changes due to staff comments.
Change: Concerning §98.101, a reference to the authorizing statute
was clarified.
Change: Concerning §98.114(a)(2)(C), the number of months a client
record may remain inactive is changed from 12 months to 6 months.
25 TAC §§98.101-98.117
The amendments and new sections are adopted under the Health
and Safety Code, Chapter 85, Subchapter C, State Grant Program to Community
Organizations, which provides the department with the authority to establish
and administer a program to assist hospital districts, local health departments,
public or nonprofit hospitals and clinics, nonprofit community organizations,
and HIV-infected individuals in the purchase of medications approved by the
board that have been shown to be effective in reducing hospitalizations due
to HIV-related conditions; and under the Health and Safety Code, §12.001,
Chapter 12, Subchapter A, Powers and Duties of Board, which provides the Texas
Board of Health with the authority to adopt rules for the performance of each
duty imposed by law on the board, the department, or the commissioner.
§98.101.Purpose.
These sections implement the provisions of the Texas HIV Medication
Program (program) as authorized by the Human Immunodeficiency Virus Services
Act, Health and Safety Code, §§85.061-85.066. The program shall
assist hospital districts, local health departments, public or nonprofit hospitals
and clinics, nonprofit community organizations, and HIV-infected individuals
in obtaining medications that have been shown to be effective in reducing
hospitalizations due to HIV-related conditions and approved by the Texas Board
of Health for program coverage.
§98.114.Denial of Application or Termination of Client Benefits.
(a)
Individuals applying for services or clients already receiving
services will have their application denied or services terminated for any
of the following reasons.
(1)
Services will be denied or terminated if:
(A)
the person is not a resident of the state as required in
§98.106 of this title (relating to Eligibility);
(B)
the adjusted annual gross income does not meet the criteria
set in §98.107 of this title (relating to Criteria for Financial Eligibility);
(C)
the person receiving services does not have documentation
of at least an HIV infection;
(D)
the client notifies the program in writing that he/she
no longer wants to receive services.
(2)
Services may be terminated if:
(A)
the applicant or client submits an application form or
any document required in support of the application which contains a misstatement
of fact which is material to determining program eligibility;
(B)
the client submits false claims to a participating pharmacy;
(C)
the client has not requested or used services during any
period of six consecutive months;
(D)
program funds are curtailed; or
(E)
funds allocated for payments on behalf of the client are
exhausted.
(b)
Denial, modification, suspension, or termination of services
to a client will be governed by the procedures required by §98.115 of
this title (relating to Appeal Procedures), and §98.116 of this title
(relating to Exceptions from Appeal Procedure).
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900283
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.102-98.104, 98.106-98.108
The repeals are adopted under the Health and Safety Code,
Chapter 85, Subchapter C, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a program to assist hospital districts, local health departments, public or
nonprofit hospitals and clinics, nonprofit community organizations, and HIV-infected
individuals in the purchase of medications approved by the board that have
been shown to be effective in reducing hospitalizations due to HIV-related
conditions; and under the Health and Safety Code, §12.001, Chapter 12,
Subchapter A, Powers and Duties of Board, which provides the Texas Board of
Health with the authority to adopt rules for the performance of each duty
imposed by law on the board, the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900282
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §98.121
The Texas Department of Health (department) adopts an amendment
to §98.121 concerning the Texas HIV Medication Advisory Committee (committee)
with changes to the proposed text as published in the October 30, 1998, issue
of the
Texas Register
(23 TexReg 11040). The
committee provides assistance to the Texas Board of Health (board) and the
department in the development of procedures and guidelines for the HIV Medication
Program (program).
In 1993, the Texas Legislature passed Senate Bill 383 (now codified in
the Government Code, Chapter 2110) which requires that each state agency adopt
rules to establish advisory committees. The rules must state the purpose of
each committee, state the composition of the committee, describe the tasks
of the committee, describe the manner in which the committee will report to
the agency, and establish a date on which the committee will be automatically
abolished unless the governing body of the agency affirmatively votes to continue
the committee in existence.
In 1995, the board established a rule relating to the Texas HIV Medication
Advisory Committee. The rule states that the committee will automatically
be abolished on March 1, 1999. The board has now reviewed and evaluated the
committee and has determined that the committee should continue in existence
until March 1, 2003.
This section amends provisions relating to the operation of the committee.
Specifically, language is revised to state that the committee is established
under the Health and Safety Code, §11.016 which allows the board to establish
advisory committees; to reference the Government Code; to continue the committee
until March 1, 2003; to address changes to the composition of the committee;
to clarify that members holdover until their replacement is appointed; to
require that the presiding officer and the assistant presiding officer of
the committee will be selected by the chairman of the board for a term of
two years; to allow a temporary vacancy in the office of assistant presiding
officer to be filled by vote of the committee until appointment by the chairman
of the board occurs; to clarify that the committee is prohibited from holding
an executive session (closed meeting) for any reason; to clarify that the
committee and its members may not participate in legislative activity in the
name of the board, the department, or the committee except with certain approval;
and to require the committee's annual report in March rather than October.
These changes will clarify procedures for the committee and emphasize the
advisory nature of the committee.
The department is making the following minor changes due to staff comments
to clarify the intent and improve the accuracy of the section.
Change: Concerning §98.121(f)(2), the language was revised to acknowledge
that the composition of the committee is changing from the composition described
in the rules existing on December 31, 1998.
Change: Concerning §98.121(g), the language was revised to clarify
that members holdover past the expiration of their term until their successor
is appointed.
Change: Concerning §98.121(h)(4), the language was revised to recognize
that the committee would temporarily fill only the position of the assistant
presiding officer, if vacant. If the position of presiding officer was vacant,
the assistant presiding officer serves pursuant to subsection (h)(3).
Change: Concerning §98.121(h)(7), the language was revised so that
the chairman of the board may appoint officers at any time after the effective
date of the rule.
Change: Concerning §98.121(i)(3), the reference to "governmental body"
was corrected.
The amendment is adopted under the Health and Safety Code, §11.016,
which allows the board to establish advisory committees; the Government Code,
Chapter 2110, which sets standards for the evaluation of advisory committees
by the agencies for which they function; and the Health and Safety Code, §12.001,
which provides the board with authority to adopt rules for the performance
of every duty imposed by law upon the board, the department, and the commissioner
of health.
§98.121.Texas HIV Medication Advisory Committee.
(a)
The committee. An advisory committee shall be appointed
under and governed by this section.
(1)
(No change.)
(2)
The committee is established under the Health and
Safety Code, §85.066, which allows the Board of Health (board) to establish
an HIV medication committee and Health and Safety Code, §11.016 which
allows the board to establish advisory committees.
(b)
Applicable law. The committee is subject to the Government
Code, Chapter 2110, concerning state agency advisory committees.
(c)
(No change.)
(d)
Tasks. The committee shall:
(1)-(4)
(No change.)
(5)
develop criteria and standards for the program; and
(6)
(No change.)
(e)
Committee abolished. By March 1, 2003, the board will initiate
and complete a review of the committee to determine whether the committee
should be continued, consolidated with another committee, or abolished. If
the committee is not continued or consolidated, the committee shall be abolished
on that date.
(f)
Composition.
(1)
The committee shall be composed of 11 members appointed
as follows:
(A)
three physicians actively engaged in the treatment of adults
with HIV infection;
(B)
one pediatrician actively engaged in the treatment of infants
and children with HIV infection;
(C)
four persons who must be diagnosed as HIV positive;
(D)
one member who is an administrator of a public, nonprofit
hospital involved in the delivery of services to persons with HIV infection;
(E)
one social worker currently working with persons with HIV
infection; and
(F)
one pharmacist who participates in the HIV Medication Program.
(2)
Since the composition of the committee as it
existed on December 31, 1998, is changed under this section, existing members
shall continue to serve until the board appoints members under the new composition.
(g)
Terms of office. The term of office of each member shall
be six years. Members shall serve after expiration of their term until a replacement
is appointed.
(1)
Members shall be appointed for staggered terms so that
the terms of a substantially equivalent number of members will expire on December
31st of each even-numbered year.
(2)
(No change.)
(h)
Officers. The chairman of the board shall appoint a presiding
officer and an assistant presiding officer to begin serving on March 1 of
each odd-numbered year.
(1)
Each officer shall serve until February 27th of each odd-numbered
year. Each officer may holdover until his or her replacement is appointed
by the chairman of the board.
(2)
(No change.)
(3)
The assistant presiding officer shall perform the
duties of the presiding officer in case of the absence or disability of the
presiding officer. In case the office of presiding officer becomes vacant,
the assistant presiding officer will serve until a successor is appointed
to complete the unexpired portion of the term of the office of presiding officer.
(4)
If the office of assistant presiding officer becomes
vacant, it may be filled temporarily by vote of the committee until a successor
is appointed by the chairman of the board.
(5)-(6)
(No change.)
(7)
The presiding officer and assistant presiding officer
serving on January 1, 1999, will continue to serve until the chairman of the
board appoints their successors.
(i)
Meetings. The committee shall meet only as necessary to
conduct committee business.
(1)-(2)
(No change.)
(3)
The committee is not a "governmental body" as defined
in the Open Meetings Act. However, in order to promote public participation,
each meeting of the committee shall be announced and conducted in accordance
with the Open Meetings Act, Texas Government Code, Chapter 551, with the exception
that the provisions allowing executive sessions shall not apply.
(4)-(7)
(No change.)
(j)
Attendance. Members shall attend committee meetings as
scheduled. Members shall attend meetings of subcommittees to which they are
assigned.
(1)-(3)
(No change.)
(k)
(No change.)
(l)
Procedures. Robert's Rules of Order, Newly Revised shall
be the basis of parliamentary decisions except where otherwise provided by
law or rule.
(1)-(3)
(No change.)
(4)
The committee shall make decisions in the discharge
of its duties without discrimination based on any person's race, creed, gender,
religion, national origin, age, physical condition, or economic status.
(5)
(No change.)
(m)
(No change.)
(n)
Statements by members.
(1)
The board, the department, and the committee shall not
be bound in any way by any statement or action on the part of any committee
member except when a statement or action is in pursuit of specific instructions
from the board, department, or committee.
(2)
The committee and its members may not participate
in legislative activity in the name of the board, the department, or the committee
except with approval through the department's legislative process. Committee
members are not prohibited from representing themselves or other entities
in the legislative process.
(o)
Reports to board. The committee shall file an annual written
report with the board.
(1)
The report shall list the meeting dates of the committee
and any subcommittees, the attendance records of its members, a brief description
of actions taken by the committee, a description of how the committee has
accomplished the tasks given to the committee by the board, the status of
any rules which were recommended by the committee to the board, and anticipated
activities of the committee for the next year.
(2)
(No change.)
(3)
The report shall cover the meetings and activities
in the immediate preceding 12 months and shall be filed with the board each
March. It shall be signed by the presiding officer and appropriate department
staff.
(p)
Reimbursement for expenses. In accordance with the requirements
set forth in the Government Code, Chapter 2110, a committee member may receive
reimbursement for the member's expenses incurred for each day the member engages
in official committee business if authorized by the General Appropriations
Act or budget execution process.
(1)-(5)
(No change.)
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900248
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 30, 1998
For further information, please call: (512) 458-7236
3.
Medication Pilot Program
25 TAC §§98.131-98.141
The Texas Department of Health (department), adopts the repeal
of §§98.131 - 98.141 and new §§98.131 - 98.146 concerning
the administration of the HIV H.O.P.E. (Health Options to Promote Employment)
Project. Section 98.143 is adopted with changes to the proposed text as published
in the October 2, 1998, issue of the
Texas Register
(23 TexReg 9932). The repeal of §§98.131-98.141 and new
§§98.131 - 98.142 and 98.144 - 98.146 are adopted without changes
to the proposed text, and therefore the sections will not be republished.
These new sections cover the project's purpose, definitions, client eligibility,
documentation of residency, criteria for financial eligibility, benefits provided
under the project, priority, the client application process, confidentiality,
payment for approved services, pharmacy participation, prescription fees,
denial of application or termination of client benefits, appeal procedures,
exceptions from the appeals procedures, and public complaints.
No comments were received on the proposal during the comment period; however,
the department has made a minor change due to staff comments. The change reduces
the amount of time a client record may remain inactive before the client is
terminated from the program.
Change: Concerning §98.143(a)(2)(B), the number of months a client
record may remain inactive is changed from 12 months to 6 months.
The repeals are adopted under the Health and Safety Code, Chapter
85, Subchapter C, State Grant Program to Community Organizations, which provides
the department with the authority to establish and administer a program to
assist hospital districts, local health departments, public or nonprofit hospitals
and clinics, nonprofit community organizations, and HIV-infected individuals
in the purchase of medications approved by the board that have been shown
to be effective in reducing hospitalizations due to HIV-related conditions;
under Rider 54 of the General Appropriations Act of the 75th legislature which
gave the department the authority to establish the project; and under the
Health and Safety Code, §12.001, Chapter 12, Subchapter A, Powers and
Duties of Board, which provides the Texas Board of Health with the authority
to adopt rules for the performance of each duty imposed by law on the board,
the department, or the commissioner.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900310
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
25 TAC §§98.131-98.146
The new sections are adopted under the Health and Safety Code,
Chapter 85, Subchapter C, State Grant Program to Community Organizations,
which provides the department with the authority to establish and administer
a program to assist hospital districts, local health departments, public or
nonprofit hospitals and clinics, nonprofit community organizations, and HIV-infected
individuals in the purchase of medications approved by the board that have
been shown to be effective in reducing hospitalizations due to HIV-related
conditions; under Rider 54 of the General Appropriations Act of the 75th legislature
which gave the department the authority to establish the project; and under
the Health and Safety Code, §12.001, Chapter 12, Subchapter A, Powers
and Duties of Board, which provides the Texas Board of Health with the authority
to adopt rules for the performance of each duty imposed by law on the board,
the department, or the commissioner.
§98.143.Denial of Application or Termination of Client Benefits; Criteria.
(a)
Individuals applying for services or clients already receiving
services will have their application denied or services terminated for any
of the following reasons.
(1)
Services will be denied or terminated if:
(A)
the person is not a resident of the state required in §98.133
of this title (relating to Eligibility);
(B)
the annual gross income does not meet the criteria set
in §98.135 of this title (relating to Criteria for Financial Eligibility
and Specific Benefits);
(C)
the person receiving services does not have documentation
of at least an HIV infection; or
(D)
the client notifies the provider in writing that he/she
no longer wants to receive services.
(2)
Services may be terminated if:
(A)
the applicant or client submits an application form or
any document required in support of the application which contains a misstatement
of fact which is material to determining project eligibility;
(B)
the client has not requested or used services during any
period of six consecutive months;
(C)
project funds are curtailed; or
(D)
funds allocated for payments on behalf of the client are
exhausted.
(b)
Appeals of the program's decision to deny, modify, suspend,
or terminate client services will be governed by the procedures required by
§98.144 of this title (relating to Appeals Procedures), and §98.145
of this title (relating to Exceptions from Appeals Procedure).
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on January
15, 1999.
TRD-9900311
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 4, 1999
Proposal publication date: October 2, 1998
For further information, please call: (512) 458-7236
Subchapter C. Emergency Medical Services Training and Course Approval
Chapter 37.
Maternal and Child Health Services
Chapter 61.
Chronic Diseases
Chapter 98.
HIV and STD Prevention
2.
AIDS/HIV Services Providers
3.
AIDS/HIV Services; Clients
Subchapter B. HIV Prevention Grant Program
2.
AIDS/HIV Education Providers
Subchapter C. Texas HIV Medication Program
Subchapter C. Texas HIV Medication Program Advisory Committee
Subchapter C. Texas HIV Medication Program
Subchapter D. HIV H.O.P.E. (Health Options to Promote Employment) Project
Chapter 157.
Emergency Medical Care