TITLE 25.HEALTH SERVICES

Part 1. TEXAS DEPARTMENT OF HEALTH

Chapter 96. BLOODBORNE PATHOGEN CONTROL

25 TAC §§96.101, 96.201 - 96.203, 96.301 - 96.304, 96.401, 96.402, 96.501, 96.601

The Texas Department of Health (department) proposes new §§96.101, 96.201-96.203, 96.301-96.304, 96.401-96.402, 96.501, and 96.601, concerning the standards for occupational exposure of governmental unit employees to bloodborne pathogens. New §96.101 provides definitions. New §96.201 clarifies the applicability of the "minimum standards". New §96.202 adopts the exposure control plan required by Health and Safety Code §81.304. The exposure control plan described in §96.202 will be published as a "miscellaneous document" in the Texas Register . New §96.203 clarifies the plan and explains how it should be used. New §96.301 recommends that governmental units use particular types of injury protection devices, and provides a method of obtaining a waiver from this recommendation as required by Health and Safety Code §81.305. New §96.302 establishes criteria for manufacturers of devices to register the device with the department as required by Health and Safety Code §81.307. New §96.303 establishes procedures for the registration of eligible devices. New §96.304 establishes a fee to register a needleless system devise. New §96.401 requires that sharps injuries be entered into a log maintained by the employer, and reported to the department as required by Health and Safety Code 81.306. New §96.402 establishes the confidentiality of information reported to the department or its agents. New §96.501 provides for a one year waiver from these rules for certain rural counties, as required by Chapter 1411 (House Bill 2085), §26.02, 76th Legislature. New §96.601 specifies the effective date of these rules.

The rules are needed to adopt minimum standards for an exposure control plan. The plan would decrease the risk of exposure to bloodborne pathogens for employees who work in governmental units by increased training and education; increased use of vaccination for employees; and increased use of personal protective equipment. The recommendation for the use of needleless systems and sharps with engineered sharps injury protection will reduce the risk of injury and transmission of bloodborne pathogens to governmental unit employees. Data regarding the number of needlestick or sharp injuries occurring is based on published estimates. This rule requiring governmental units to report these injuries will provide a more accurate number of injuries occurring in Texas. This reported information provides a basis for future recommendations regarding intervention measures and a basis on which to assess the impact of future interventions. The new sections are required by Health and Safety Code, Chapter 81, Subchapter H, which were added by Chapter 1411 (House Bill 2085), §§26.01- 26.03, 76th Legislature, to extend the protections provided to employees of private entities by Occupational Safety and Health Administration (OSHA) rules, to employees of state and local governments, and for related purposes.

Sharilyn K. Stanley, M.D., Associate Commissioner, Disease Control and Prevention, has determined that for the first five year period that the sections are in effect there will be fiscal implications as a result of administering the sections as proposed. The annualized average costs to the department, due to a graduated compliance and implementation schedule, will be approximately $73,000 the first two years, and the annualized average cost for each year of the next three years will be approximately $41,000. The new rules will also generate income to the state by the collection of a fee for the registration of devices with the department. The effect on state government will be an estimated $75,000 per year for the first two years in fee-generated revenue. The department will review the estimated fee-generated revenue and consider changing the fee after the first two years.

Dr. Stanley has also determined that for each year of the first five years these sections are in effect, the public benefit anticipated as a result of enforcing the sections will be the protection of public employees and volunteers from exposure to bloodborne illnesses, a greater epidemiological understanding of exposures to bloodborne illnesses, and a greater public awareness of engineered systems to prevent such exposures. The anticipated cost to micro businesses, and small businesses, is zero because the statute was written to cover governmental employers only.

There will be costs to those state and local agencies required to comply with the rules (those operating health care facilities, or who otherwise have employees at risk of exposure to bloodborne pathogens). These costs may be reduced due to graduated compliance with the recommendation to implement needleless systems or sharps with engineered sharps injury protection (§96.301). Rural counties may have costs slightly lower during the first year because they may seek a waiver during this period under §96.501.

These costs represent the cost of preventing serious communicable diseases, and over time they should be offset by reductions in the costs of treating these diseases; such costs are frequently borne, directly or indirectly, by state and local governments. These costs are in many cases only theoretical since many responsible employers already implement many of the techniques required by the exposure control plan, though they have not been legally required to do so. Most other employers are already covered by similar federal rules under the OSHA Act. There is no anticipated impact on local employment.

Based on Title 29 Code of Federal Regulation §1910.1030, Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard (Vol. 56 No. 235, December 6, 1991), the compliance cost for each affected government outpatient clinic was estimated to be $978 annually. Based on OSHA estimates from corporate tax schedules, compliance costs as a percentage of sector revenue (or budgets) ranged from 0.04% to 0.7% for affected establishments.

Based on estimates from a local health department with a client base of 45,000, the cost for the first year will be approximately $1,900 and in subsequent years $1,200. These costs may fluctuate based on salary structures and prior implementation of techniques required by the exposure control plan.

Comments may be submitted in writing to Sharilyn K. Stanley, M.D., Associate Commissioner, Disease Control and Prevention, 1100 West 49th Street, Austin, Texas 78756. Comments will be accepted for 45 days following the date of publication of this proposal in the Texas Register .

These new rules are proposed under Health and Safety Code §81.303 which requires the department to establish an exposure control plan; Health and Safety Code §81.304 which requires the board to adopt minimum standards to implement the exposure control plan; Health and Safety Code §81.305 which requires the board to recommend by rule that governmental units implement needleless systems; Health and Safety Code §81.306 which requires the board to require the reporting of information concerning exposure incidents; Health and Safety Code §81.307 which requires the board to implement a registration program for existing needleless systems and sharps with engineered sharps injury protection; Chapter 1411 (House Bill 2085), §26.02, 76th Legislature, which allows the board by rule to waive application of Health and Safety Code, Chapter 81, Subchapter H, for certain rural counties; Health and Safety Code §81.021 which requires the board to exercise its power in matters relating to protecting the public health to prevent the introduction of disease into the state; Health and Safety Code §81.004 which allows the board to adopt rules necessary for the effective administration and implementation of Chapter 81; and Health and Safety Code, §12.001, which provides the board with authority to adopt rules to implement every duty imposed by law on the board, the department, and the commissioner of health.

The new sections affect Health and Safety Code, Chapter 81.

§96.101.Definitions.

The following words and terms when used in this chapter shall have the following meanings unless the context clearly indicates otherwise.

(1)

Blood - Human blood, human blood components, and products made from human blood.

(2)

Bloodborne pathogens - Pathogenic microorganisms that are present in human blood and that can cause diseases in humans, and include:

(A)

hepatitis B virus (HBV);

(B)

hepatitis C virus (HCV); and

(C)

human immunodeficiency virus (HIV).

(3)

Contaminated equipment - Any equipment used in the workplace that has been soiled with blood or other potentially infectious materials on an item or surface.

(4)

Contaminated sharps injury - Any sharps injury that occurs with a sharp used or encountered in a health care setting that is contaminated with human blood or body fluids.

(5)

Device - An instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part, or accessory that is:

(A)

recognized in the official United States Pharmacopoeia National Formulary or any supplement to it;

(B)

intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease in man or other animals; or

(C)

intended to affect the structure or any function of the body of man or other animals and that does not achieve any of its principal intended purposes through chemical action within or on the body of man or other animals and is not dependent on metabolization for the achievement of any of its principal intended purposes.

(6)

Employee - An individual who works for a governmental unit or on premises owned or operated by a governmental unit whether or not he or she is directly compensated by the governmental unit.

(7)

Employs - Engages the services of employees.

(8)

Engineered sharps injury protection - A physical attribute that:

(A)

is built into a needle device used for withdrawing body fluids, accessing a vein or artery, or administering medications or other fluids and that effectively reduces the risk of an exposure incident by a mechanism, such as barrier creation, blunting, encapsulation, withdrawal, retraction, destruction, or another effective mechanism; or

(B)

is built into any other type of needle device, into a nonneedle sharp, or into a nonneedle infusion safety securement device that effectively reduces the risk of an exposure incident.

(9)

Exposure incident - A specific eye, mouth, other mucous membrane, nonintact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties.

(10)

Governmental unit - This state and any agency of the state, including a department, bureau, board, commission, or office and includes:

(A)

a political subdivision of this state, including any municipality, county, or special district; or

(B)

any other institution of government, including an institution of higher education.

(11)

HBV - Hepatitis B virus.

(12)

HCV - Hepatitis C virus.

(13)

Health care professional - A person whose legally permitted scope of practice allows him or her to independently evaluate an employee of a governmental unit and determine the appropriate interventions after an exposure incident; this would include hepatitis B vaccination and postexposure evaluation and follow up.

(14)

HIV - Human immunodeficiency virus.

(15)

Needleless system - A device that does not use a needle and that is used:

(A)

to withdraw body fluids after initial venous or arterial access is established;

(B)

to administer medication or fluids; or

(C)

for any other procedure involving the potential for an exposure incident.

(16)

Occupational exposure - A reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties.

(17)

Other potentially infectious materials include:

(A)

the following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids;

(B)

any unfixed tissue or organ (other than intact skin) from a human, living or dead; and

(C)

HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV- containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.

(18)

Personal protective equipment - Specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (eg, uniforms, pants, shirts, or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment.

(19)

Regulated waste/special waste from health care-related facilities - Solid waste which if improperly treated or handled may serve to transmit an infectious disease(s) and which is composed of the following:

(A)

animal waste;

(B)

bulk blood, bulk human blood products, or bulk human body fluids;

(C)

microbiological waste;

(D)

pathological waste; or

(E)

sharps.

(20)

Sharp - An object used or encountered in a health care setting that can be reasonably anticipated to penetrate the skin or any other part of the body and to result in an exposure incident and includes:

(A)

needle devices;

(B)

scalpels;

(C)

lancets;

(D)

a piece of broken glass;

(E)

a broken capillary tube;

(F)

an exposed end of a dental wire; or

(G)

a dental knife, drill, or bur.

(21)

Sharps injury - Any injury caused by a sharp, including a cut, abrasion, or needlestick.

(22)

Universal precautions/standard precautions - Approaches to infection control as defined in Title 29 Code of Federal Regulation §1910.1030, Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard and Morbidity and Hospital Infection Control Practices Advisory Committee, Guideline for isolation precautions in hospitals published in Infection Control Hospital Epidemiology, 1996;17:53-80, and American Journal of Infection Control , 1996;24:24-52. According to the concept of universal precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens.

§96.201.Applicability.

(a)

These minimum standards apply to a governmental unit that employs employees who:

(1)

provide services in a public or private facility providing health care-related services, including home health care organizations; or

(2)

otherwise have a risk of exposure to blood or other material potentially containing bloodborne pathogens in connection with exposure to sharps.

(b)

These governmental units would include, but are not limited to, hospital district hospitals, city hospitals, county hospitals, city/county hospitals, hospital authority hospitals, local health departments, regional health departments, state hospitals, Mental Health Mental Retardation state hospitals and state schools, community mental health mental retardation centers, Texas Youth Commission, Texas Department of Criminal Justice, local- or state-funded university student infirmaries, public school district clinics, emergency medical services, local- or state-funded long term care facilities, and blood banks.

(c)

Employees who are directly compensated by a governmental unit are subject to all provisions of this chapter. Employees who are subject through their private employer to the Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard and uncompensated employees are subject only to the log and reporting provisions of §§96.401 of this title (relating to Sharps Injury Log), and 96.402 of this title (relating to Confidentiality Statement) unless otherwise required by contract.

§96.202.Exposure Control Plan.

(a)

The exposure control plan (plan), developed by the Texas Department of Health (department), is adopted as the minimum standard to implement Health and Safety Code, 81.304. The plan is designed to minimize exposure of employees as described in §96.201 of this title (relating to Applicability) and includes policies relating to occupational exposure to bloodborne pathogens, training and educational requirements for employees, measures to increase vaccination of employees, and increased use of personnel protective equipment by employees.

(b)

Copies of the plan are available on the Internet at http://www.tdh.state.tx.us/ideas/report/sharps.htm or from the Texas Department of Health Public Health Regional offices.

§96.203.Minimum Standards.

(a)

This exposure control plan (plan) is provided by the Texas Department of Health (department) to be analogous with Title 29 Code of Federal Regulation §1910.1030, Occupational Safety and Health Administration (OSHA), Bloodborne Pathogens Standard as specified in Health and Safety Code, §81.304.

(b)

Employers should review the plan for particular requirements as applicable to their specific situation. Governmental units may modify the plan appropriately to their respective practice settings. Employers will need to include provisions relevant to their particular facility or organization in order to develop an effective, comprehensive exposure control plan specific to their facility or organization.

(c)

Employers will annually review their exposure control plan, update when necessary, and document when accomplished.

§96.301.Safety Recommendations.

(a)

The Texas Department of Health (department) recommends that governmental units implement needleless systems and sharps with engineered sharps injury protection for employees.

(b)

Waiver for undue burden.

(1)

The recommendation adopted in subsection (a) of this section does not apply to the use of a needleless system or sharps with engineered sharps injury protection in circumstances and in a calendar year in which an evaluation committee, created in conformance with subsection (c) of this section, has established that the use of needleless systems and sharps with engineered sharps injury protection:

(A)

will jeopardize patient or employee safety with regard to a specific medical procedure; or

(B)

will be unduly burdensome.

(2)

A report of the evaluation committee's decision to request a waiver shall be submitted in writing prior to January 1st of each year to the Associate Commissioner, Disease Control and Prevention, 1100 West 49th Street, Suite G-401, Austin, Texas 78756.

(3)

Waivers for one year periods will be issued beginning January 1, 2001.

(4)

The use of a prefilled syringe that is approved by the federal Food and Drug Administration may not be prohibited. This prohibition expires on May 1, 2003.

(c)

Evaluation committee.

(1)

At least half of the members of an evaluation committee established by a governmental unit to implement subsection (b) of this section must be employees who are health care workers who have direct contact with patients or provide services on a regular basis.

(2)

Whenever possible, the governmental entity establishing the evaluation committee shall consider using committees with similar duties in existence on September 1, 1999.

§96.302.Device Registration

(a)

The Texas Department of Health (department) shall compile and maintain a list of needleless system devices and sharps devices with engineered sharps injury protection that are available in the commercial marketplace and registered with the department to assist governmental units to comply with this chapter.

(b)

Each needleless system device or sharps device with engineered sharps injury protection that is the subject of the department's device registration application shall be in conformance with all applicable premarket notification or premarket approval requirements established by the U.S. Food and Drug Administration (FDA) unless otherwise exempted from such requirements.

(c)

Each device manufacturer who manufactures a needleless system device or sharps device with engineered sharps injury protection and who desires to register the device for the first time with the department shall apply for registration in accordance with the procedures found in §96.303 of this title (relating to Registration Procedures).

(d)

If a device manufacturer introduces more than one needleless system device or sharps device with engineered sharps injury protection into commerce, the manufacturer shall register each device separately in order for the device to be included on a list maintained by the department.

(e)

Each sharps device with engineered sharps injury protection that is the subject of the department's device registration application shall contain physical attributes consistent with those recognized as effective for engineered sharps injury protection, as defined in §96.101(8) of this title (relating to Definitions).

(f)

The department may accept reports from authorities in other jurisdictions, including the FDA, to determine the extent of compliance with these sections and with the provisions of Health and Safety Code, Chapter 81, Subchapter H.

(g)

The department shall register a needleless system device or sharps device with engineered sharps injury protection that meets the requirements of these sections.

(h)

Registration of a needleless system device or sharps device with engineered sharps injury protection by the department does not constitute an endorsement or recommendation of such device.

(i)

Registration certificates shall not be transferable from one device to another or from one device name to another. Any request for transfer of registration due to a change in ownership shall be made pursuant to the requirements in subsection (l) of this section.

(j)

All device registration certificates shall expire on December 31, 2001 and annually thereafter.

(k)

Renewal of registration.

(1)

Upon expiration of a device registration, the registration may be renewed by filing an application for renewal on a form prescribed by the department, accompanied by the appropriate renewal fee.

(2)

The renewal registration certificate shall be valid through December 31st of the year issued.

(3)

The appropriate registration renewal form and renewal fee for each device should be submitted to the department not later than 30 days following the expiration date of the current device registration in order to maintain the device on the department's list of existing needleless system devices and sharps devices with engineered sharps injury protection.

(4)

The department shall renew the registration of a needleless system device or sharps device with engineered sharps injury protection following receipt of the appropriate renewal form and renewal fee.

(l)

The device manufacturer shall notify the department in writing of any change that would render the information required in the initial registration application no longer accurate. Upon receipt of a written notification involving a change, the department may update the information contained in its list of needleless system devices and sharps devices with engineered sharps injury protection in order to reflect the change.

§96.303.Registration Procedures.

(a)

Any device manufacturer desiring to register a needleless system device or sharps device with engineered sharps injury protection shall make written application for registration on forms provided by the Texas Department of Health (department). A separate completed application is required for each device to be registered. Registration application forms may be obtained from the Texas Department of Health, Bureau of Food and Drug Safety, 1100 West 49th Street, Austin, Texas, 78756.

(b)

The initial application for device registration shall include the following information:

(1)

name, model, common name, and available sizes of the device;

(2)

premarket notification or approval number assigned by the U.S. Food and Drug Administration, unless otherwise exempted;

(3)

name, mailing address, and telephone number of the device manufacturer;

(4)

name of the contact person for the device manufacturer;

(5)

designation as either a needleless system device or sharps device with engineered sharps injury protection;

(6)

if a sharps device with engineered sharps injury protection, a description of the physical attribute(s) that effectively reduces the risk of sharps injury; and

(7)

name and signature of the person responsible for submitting the device registration application.

§96.304.Registration Fees.

The Texas Department of Health (department) shall charge a fee to register a needleless system device or sharps device with engineered sharps injury protection.

(1)

An initial registration fee of $1,500 shall be required for each device registered.

(2)

An annual renewal fee of $1,000 shall be required for renewing the registration of each device.

(3)

Initial and renewal registration fees will be assessed to cover the costs associated with the review and processing of device registration applications and in the administration of these sections and are therefore nonrefundable.

§96.401.Sharps Injury Log.

(a)

The chief administrative officer for each facility within a governmental unit shall report, as required by this section, each employee, as defined in §96.101(6) of this title (relating to Definitions), who sustains a contaminated sharps injury, as defined in §96.101(4) of this title. The chief administrative officer of the governmental unit may designate an employee for each facility within the governmental unit to serve as the reporting officer.

(b)

Information concerning each contaminated sharps injury shall be recorded in a written or electronic sharps injury log which shall be maintained by a governmental unit, in accordance with Health and Safety Code, Chapter 81, Subchapter H, and this chapter.

(c)

The following information must be recorded in the sharps injury log:

(1)

name and address of facility where injury occurred;

(2)

name and phone number of the chief administrative officer or reporting officer;

(3)

date and time of the injury;

(4)

age and sex of the injured employee;

(5)

type and brand of sharp involved;

(6)

original intended use of the sharp;

(7)

whether the injury occurred before, during, or after the sharp was used for its original intended purpose;

(8)

whether the exposure was during or after the sharp was used;

(9)

whether the device had engineered sharps injury protection, as defined in §96.101(8)(A) and (B) of this title (relating to Definitions), and if yes, was the protective mechanism activated and did the exposure incident occur before, during, or after activation of the protective mechanism;

(10)

whether the injured person was wearing gloves at the time of the injury;

(11)

whether the injured person had completed a hepatitis B vaccination series;

(12)

whether a sharps container was readily available for disposal of the sharp;

(13)

whether the injured person received training on the exposure control plan during the 12 months prior to the incident;

(14)

the involved body part;

(15)

the job classification of the injured person;

(16)

the employment status of the injured person;

(17)

the location/facility/agency and the work area where the sharps injury occurred; and

(18)

a listing of the implemented needleless systems and sharps with engineered sharps injury protection for employees available within the governmental entity.

(d)

Information concerning each contaminated sharps injury shall be reported not later than ten working days after the end of the calendar month in which it occurred.

(e)

A chief administrative officer for each facility within a governmental unit or the designee shall report the contaminated sharps injury to the local health authority where the facility is located. The local health authority, acting as an agent for the Texas Department of Health (department), shall receive and review the report for completeness, and submit the report to the department. If no local health authority is appointed for the jurisdiction where the facility is located, the report shall be made to the regional director of the Texas Department of Health (department) regional office in which the facility is located.

(f)

A contaminated sharps injury shall be reported on the department's Contaminated Sharps Injury Reporting Form or through an electronic means established by the department. Copies of the Contaminated Sharps Injury Reporting Form can be obtained on the Internet at http://www.tdh.state.tx.us/ideas/report/sharps.htm or from the Texas Department of Health Public Health Regional offices.

§96.402.Confidentiality Statement.

(a)

All information and materials obtained or compiled by the Texas Department of Health (department) or an agent of the department in connection with a report under this chapter are confidential and not subject to disclosure under Government Code, Chapter 552, and not subject to disclosure, discovery, subpoena, or other means of legal compulsion for their release by the department or its agents. For the purposes of these rules, all local health authorities are agents for the department.

(b)

The department shall make available, in aggregate form, the information described in Health and Safety Code §81.305(b) and this chapter, provided that the name and other information identifying the facility is deleted and the information is provided according to public health regions established by the department.

(c)

All information and materials obtained or compiled by the department or an agent of the department in connection with this chapter, are considered information relating to cases or suspected cases of diseases or health conditions, and may be released only as allowed by Health and Safety Code §81.046.

§96.501.Waiver for Rural Counties.

(a)

The Texas Department of Health (department) shall waive the application of Health and Safety Code, Chapter 81, Subchapter H, to a rural county if the department finds that the application of the Subchapter to the county would be burdensome.

(b)

Waivers granted under this section expire December 31, 2001.

(c)

A "Rural County" is a county that:

(1)

has a population of 50,000 or less; or

(2)

has a population of more than 50,000 but:

(A)

does not have located within the county a general or special hospital licensed under Chapter 241, Health and Safety Code, with more than 100 beds; and

(B)

was not, based on the 1990 federal census, completely included within an area designated as urbanized by the Bureau of the Census of the United States Department of Commerce.

(d)

A request for a waiver under the provisions of this section shall be submitted in writing prior to January 1, 2001 to the Associate Commissioner, Disease Control and Prevention, 1100 West 49th Street, Suite G-401, Austin, Texas 78756.

§96.601.Effective Dates.

(a)

The exposure control plan (plan) and the rules are effective September 1, 2000.

(b)

Except as provided in §96.501 of this title (relating to Waiver for Rural Counties), a governmental unit shall comply with this chapter not later than January 1, 2001.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001441

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Chapter 103. INJURY PREVENTION AND CONTROL

The Texas Department of Health (department) proposes amendments to §§103.1 - 103.2, the repeal of §§103.3 - 103.9, and new §§103.3 - 103.15 concerning a trauma reporting and analysis system.

Government Code §2001.039, added by Chapter 1499, Art. 1, §1.11(a), 76th Legislature (1999), requires that each state agency review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). Sections 103.1 - 103.9 have been reviewed and the department has determined that reasons for adopting the sections continue to exist. Sections 103.1 103.2 are being amended and §§103.3 - 103.9 are being repealed and proposed as new rules.

The department published a Notice of Intention to Review the sections as required by Government Code §2001.039 in the Texas Register on December 17, 1999, (24 TexReg 11541). There were no comments received due to the publication of the Notice.

These amendments and new sections implement Health and Safety Code, Chapter 773, Subchapter E concerning the establishment of a trauma reporting and analysis system, formerly implemented by Title 25, Texas Administrative Code §157.129, and the Health and Safety Code, §92.002 which requires the Board of Health to adopt rules necessary to implement a system of injury reporting. The trauma reporting and analysis system has been maintained by the Trauma Registry program which moved from the Bureau of Emergency Medical Services to the Bureau of Epidemiology in 1993.

Specifically, the amendment to §103.1 clarifies the statutory authority for the implementation of the trauma registry. The amendment to §103.2 adds eight new definitions and amends three others to clarify the intent of the rules. New §103.3 adds trauma patients and transported traumatic injuries to the list of reportable injuries and the repeal of §103.3 deletes language specifying type of data to be reported. Sections §§103.4 - 103.9 are being repealed and replaced with new §§103.4 - 103.15. The repeal of §103.4 and new §§103.4 - 103.15 are needed to clarify existing injury reporting requirements, describe reporting requirements for trauma patients and transported traumatic injuries, and clarifies the Technical Advisory Committee on Injury Reporting. These sections specify who is to report, type of data to be reported, procedure for reporting, frequency of reporting, and clarifies the operations of the Technical Advisory Committee on Injury Reporting.

Specifically, §§103.5, 103.6, 103.7 and 103.8 are being renumbered to new §§103.11, 103.12, 103.13 and 103.14 respectively due to new §§103.4-103.10. Other than renumbering, new §103.11 (formerly §103.5) will have no revisions. New §103.12 (formerly §103.6) updates the chapter number of the Injury Prevention and Control Act of the Health and Safety Code from Chapter 87 to Chapter 92, to be consistent with the renumbering of this statute by the legislature; adds language formerly in §103.4 relating to the authority of the department to contact entities attending a person with a case or suspected case of a reportable injury; and adds language formerly in §103.4 regarding the department's authority to provide summary data to local and regional health departments. New §103.13 (formerly §103.7) changes the name State Trauma Registry to Texas Trauma Registry and adds language concerning the provision of data to reporting health care entities and other department bureaus. New §103.14 (formerly §103.8) changes the former agency name of Texas Workers Compensation Commission to the new agency name of Texas Workforce Commission.

New §103.15 (formerly §103.9) revises provisions relating to the operation of the Technical Advisory Committee on Injury Reporting. Specifically, language is revised to reference the Government Code; to continue the committee until November 1, 2003; to clarify that members holdover until their replacement is appointed; to state that the presiding and assistant presiding officers shall be appointed 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 November. These changes will clarify procedures for the committee and emphasize the advisory nature of the committee.

David F. Zane, Director, Injury Epidemiology and Surveillance Program, has determined that for the first five year period that the sections are in effect that there will be no fiscal implications to state or local government as a result of enforcing and administering the sections as proposed because the types of injuries and methods of reporting are not being substantially changed.

Mr. Zane has also determined that for each year of the first five years the sections are in effect, the public benefit anticipated as a result of enforcing the sections as proposed will be improved knowledge of the prevalence of injuries and an expanded ability to identify common causes of injuries in Texas. There will be no adverse economic effect on micro-businesses and/or small businesses and persons who may be required to comply with these sections as proposed because the types of injuries and methods of reporting are not being substantially changed. There are no anticipated economic costs to persons who are required to comply with the sections as proposed. The finding of no adverse economic effect on micro-businesses and/or small businesses is based on proper business management practices by those entities required to comply with these sections as proposed. There will be no impact on local employment.

Comments on the proposal may be submitted to David F. Zane, Director, Injury Epidemiology and Surveillance Program, Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3180, (512)458-7266. Comments will be accepted for 30 days following the publication in the Texas Register .

25 TAC §§103.1-103.15

The amendments and new sections are proposed under the Health and Safety Code, §92.002, which requires the board to adopt rules necessary to implement the reporting of injuries; the Health and Safety Code, §§773.112(c) and 773.113(a)(3), which require the department to adopt rules necessary to implement a trauma reporting and analysis system; and Health and Safety Code, §12.001, which allows the board to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health; and Government Code §2001.039, added by Chapter 1499, Art. 1, §1.11(a), 76th Legislature (1999) is implemented by this proposal.

The amendments and new sections affect the Health and Safety Code, Chapters 92 and 773.

§103.1.Purpose.

These sections implement the Texas Injury Prevention and Control Act, Health and Safety Code, Chapter 92, which authorizes the Texas Board of Health to adopt rules concerning the reporting and control of injuries. These sections also implement Health and Safety Code, §§773.112(c) and 773.113(a)(3), which require the department to establish and maintain a trauma reporting and analysis system. These sections also implement Chapter 893, 75th Legislature, 1997, which amends the Texas Injury Prevention and Control Act to include traumatic brain injuries as reportable injuries. Nothing in the rules shall be construed to preempt or impede the authority of a health authority, a local health department, a public health district, a municipality, or a county to conduct the same activities within its jurisdiction.

§103.2.Definitions.

The following words and terms, when used in these sections, shall have the following meanings, unless the context clearly indicates otherwise.

(1) - (7)

(No change.)

(8)

Hospital Reporting Guidelines - The Texas Trauma Registry's manual for hospitals which documents reporting procedures and format. A copy of the current guidelines can be obtained from the Trauma Registry, Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756.

(9)

[ (8) ] Injury-Damage to the body that results from intentional or unintentional acute exposure to thermal, mechanical, electrical, or chemical energy, or from the absence of essentials such as heat or oxygen.

(10)

Pre-hospital Reporting Guidelines - The Texas Trauma Registry's manual for pre-hospital providers which documents reporting procedures and format. A copy of the current guidelines can be obtained from the Trauma Registry, Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756.

(11)

Program - The Injury Epidemiology and Surveillance Program.

(12)

Regional Trauma Registry - The organization which receives and collects trauma data for a designated area of the state and maintains the system by which the collected information is reported to the department.

(13)

[ (9) ] Reportable injury - Any injury or condition required to be reported under this chapter.

(14)

[ (10) ] Report of an injury - The notification to the appropriate health authority of the occurrence of a specific injury in a human, including all information required by the rules and forms promulgated by the Board of Health.

(15)

[ (11) ] Spinal cord - That portion of the central nervous system which extends from the foramen magnum to the cauda equina. All nerve roots within the spinal canal are included.

(16)

[ (14) ] Submersion injury-A drowning (a death resulting from suffocation within 24 hours of submersion in water) or near-drowning (survival for at least 24 hours after suffocation from submersion in water).

(17)

[ (15) ] Suspected case-A case in which an injury is suspected, but the final diagnosis is not yet made.

(18)

[ (13) ] Texas [ State ] Trauma Registry-A statewide database administered by the Injury and Epidemiology and Surveillance Program which documents and integrates medical and system information related to the provision of trauma care by health care entities.

(19)

Transported traumatic injuries - Traumatic injuries transported by a pre-hospital provider to a hospital or traumatic injuries transferred by a pre-hospital provider from one hospital to another hospital.

(20)

Trauma - An injury or wound to a living body caused by the application of an external force or violence, including burn injuries. Poisonings, near- drownings and suffocations, other than those due to external forces, are to be excluded from this definition.

(21)

Trauma Patient - A patient that meets the following criteria: Has sustained at least one injury (International Classification of Diseases 9th Revision Clinical Modification diagnostic codes between 800.0 and 959.9, excluding 905-909, 910-924, and 930- 939), and admitted to a hospital inpatient setting (for more than 24 hours), or died after receiving any evaluation or treatment or was dead on arrival, or transferred into or out of the hospital. For subsequent editions of the International Classification of Diseases, equivalent codes should be used.

(22)

Trauma Service Area - A multi-county area in which an emergency medical services and trauma care system has been developed by a Regional Advisory Council and has been recognized by the department.

(23)

[ (16) ] Traumatic brain injury-An acquired injury to the brain, including brain injuries caused by anoxia due to near drowning. The term does not include brain dysfunction caused by congenital or degenerative disorders or birth trauma. The following International Classification of Diseases 9th Revision Clinical Modification (ICD-9- CM) diagnostic codes are to be used to identify cases of traumatic brain injury: 800.0-801.9, 803.0-804.9 and 850.0-854.1. The ICD-9-CM diagnostic code to be used to identify traumatic brain injury caused by anoxia due to near drowning is 348.1 or 994.1. For subsequent editions of the International Classification of Diseases, equivalent codes should be used .

(24)

[ (12) ] Traumatic spinal [ Spinal ] cord injury-An acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The neurologic deficit or dysfunction can be temporary or permanent. The following International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: 806.0-806.9 and 952.0-952.9 [ 952.0-953.9 ]. For subsequent editions of the International Classification of Diseases, equivalent codes should be used.

§103.3.List of Reportable Injuries and Conditions.

(a)

Submersion injuries.

(b)

Traumatic spinal cord injuries.

(c)

Traumatic brain injuries.

(d)

Information on trauma patients.

(e)

Transported traumatic injuries.

§103.4.Who Shall Report.

(a)

The following persons or their designees shall report all newly diagnosed cases or suspected cases of submersion injuries:

(1)

a physician who diagnoses or treats a submersion injury or suspected case of a submersion injury;

(2)

a medical examiner;

(3)

justice of the peace;

(4)

a hospital that diagnoses or treats a submersion injury or suspected case of a submersion injury; or

(5)

a pre-hospital provider that transports a submersion injury or suspected case of a submersion injury to a hospital;

(b)

The following entities or their designees shall report all newly diagnosed cases of, or suspected cases of traumatic spinal cord injuries and traumatic brain injuries:

(1)

a physician who diagnoses or treats a traumatic spinal cord injury or a traumatic brain injury or a suspected case of a traumatic spinal cord injury or a traumatic brain injury;

(2)

a medical examiner;

(3)

justice of the peace;

(4)

a hospital that admits a patient with a traumatic spinal cord injury or a traumatic brain injury or a suspected case of a traumatic spinal cord injury or a traumatic brain injury; or

(5)

an acute or post-acute rehabilitation facility that admits or treats a patient with a traumatic spinal cord injury or a traumatic brain injury or a suspected case of a traumatic spinal cord injury or a traumatic brain injury;

(c)

A physician shall be exempt from reporting if a hospital admitted the patient and fulfilled the reporting requirements as stated in §103.5 of this title (relating to Reporting Requirements for Hospitals).

(d)

A hospital that diagnoses, treats or admits a trauma patient shall report all newly diagnosed cases on trauma patients.

(e)

A pre-hospital provider that transports a patient with traumatic injuries to a hospital or transfers a patient with traumatic injuries from one hospital to another hospital shall report all transported traumatic injuries.

§103.5.Reporting Requirements for Hospitals.

(a)

For submersion injuries and traumatic brain injuries caused by anoxia due to near drowning.

(1)

The data required to be reported by hospitals shall include, but is not limited to:

(A)

patient's name, date of birth, gender, race/ethnicity, county of residence, address;

(B)

date and time of injury, address of injury, place of injury;

(C)

circumstances of injury, cause of injury, circumstances of rescue;

(D)

alcohol use, drug use;

(E)

date of hospital admission, date of hospital discharge, medical record number; and

(F)

pulse, respiration rate, glasgow coma score, status and deficits at discharge, discharge destination and payor.

(2)

The procedure for reporting is described in §103.9 of this title (relating to Reporting by Paper Form).

(b)

For traumatic brain injuries (excluding those caused by anoxia due to near drowning) and traumatic spinal cord injuries.

(1)

The data required to be reported by hospitals shall include, but is not limited to:

(A)

patient demographics including race/ethnicity, sex, date of birth, and county of residence;

(B)

date and time of injury, county of injury, cause of injury, and place of injury;

(C)

facility number, date and time of hospital arrival, trauma number, blood alcohol level tested, blood pressure, respiration rate, pulse, glasgow coma score, and revised trauma score;

(D)

discharge destination, discharge condition, date and time of discharge or death;

(E)

diagnoses, injury severity score, payor, and billed hospital charges; and

(F)

protective device use, ambulance firm number, and transfer status.

(2)

Required, conditional data (if applicable) reported by hospitals shall include:

(A)

alcohol level, facility number to which patient was discharged; and

(B)

pre-hospital information including vital signs (respiratory rate, systolic blood pressure, and glasgow coma score) at scene, dispatch time, arrival time and departure time, vehicle extrication, referral facility, date and time of arrival to referral facility, and date and time of departure from referral facility.

(3)

Optional data which may be reported by hospitals shall include:

(A)

medical record number, patient's name, social security number, length of stay, and intensive care unit days; and

(B)

abbreviated injury severity codes, procedure codes, pre-existing conditions, and reimbursement.

(4)

The procedure for reporting is described in §103.10 of this title (relating to Electronic Reporting). If a hospital does not have the ability to report electronically as described in §103.10 of this title (relating to Electronic Reporting), the hospital may report by paper form as described in §103.9 of this title (relating to Reporting by Paper Form).

(c)

For information on trauma patients.

(1)

The data required to be reported by hospitals shall include, but is not limited to:

(A)

patient demographics including race/ethnicity, sex, date of birth, and county of residence;

(B)

date and time of injury, county of injury, cause of injury, and place of injury;

(C)

facility number, date and time of hospital arrival, trauma number, blood alcohol level tested, blood pressure, respiration rate, pulse, glasgow coma score, and revised trauma score;

(D)

discharge destination, discharge condition, date and time of discharge or death;

(E)

diagnoses, injury severity score, payor, billed hospital charges; and

(F)

protective device use, ambulance firm number, and transfer status.

(2)

Required, conditional data (if applicable) reported by hospitals shall include:

(A)

alcohol level, facility number to which patient was discharged; and

(B)

pre-hospital information including vital signs (respiratory rate, systolic blood pressure, and glasgow coma score) at scene, dispatch time, arrival time and departure time, vehicle extrication, referral facility, date and time of arrival to referral facility, and date and time of departure from referral facility;

(3)

Optional data which may be reported by hospitals shall include:

(A)

medical record number, patient's name, patient's social security number, length of stay, and intensive care unit days; and

(B)

abbreviated injury severity codes, procedure codes, pre-existing conditions, and reimbursement.

(4)

The procedure for reporting is described in §103.10 of this title (relating to Electronic Reporting).

(5)

Information on a trauma patient that sustained a single injury with an abbreviated injury score of 2 or less or a hip fracture may be reported but is not required.

(d)

If a hospital does not admit any patients sustaining a traumatic brain injury or a traumatic spinal cord injury or does not treat any trauma patients within any given month, and therefore does not have any electronic records to transmit for that month, the hospital must complete and submit to the program within ninety days a form prescribed by the program stating that it did not have any cases to report for that month.

§103.6.Reporting Requirements for Physicians, Medical Examiners, and Justices of the Peace.

(a)

For submersion injuries and traumatic brain injuries caused by anoxia due to near drowning.

(1)

The data required to be reported by physicians, medical examiners, and justices of the peace shall include, but is not limited to:

(A)

patient's name, date of birth, gender, race/ethnicity, county of residence, address;

(B)

date and time of injury, address of injury, location of injury;

(C)

circumstances of injury, cause of injury, circumstances of rescue;

(D)

alcohol use, drug use;

(E)

date of hospital admission, date of hospital discharge, medical record number; and

(F)

pulse, respiration rate, glasgow coma score, status and deficits at discharge, discharge destination and payor.

(2)

The procedure for reporting is described in §103.9 of this title (relating to Reporting by Paper Form).

(b)

For traumatic brain injuries (excluding those caused by anoxia due to near drowning) and traumatic spinal cord injuries.

(1)

The data required to be reported by physicians, medical examiners, and justices of the peace shall include, but is not limited to:

(A)

name, race/ethnicity, sex, date of birth, and county of residence;

(B)

date of injury, county of injury, cause of injury, and place of injury;

(C)

date of hospital arrival, blood alcohol concentration, blood pressure, respiration rate, and glasgow coma score;

(D)

discharge destination, discharge condition, date and time of discharge or death, and destination facility;

(E)

diagnoses, injury severity score, payor, and billed hospital charges;

(F)

prehospital information including vital signs at scene, dispatch time, arrival time and departure time; and

(G)

protective device use, and referral facility;

(2)

The procedure for reporting is described in §103.9 of this title (relating to Reporting by Paper Form). A physician shall be exempt from reporting if a hospital admitted the patient and fulfilled the reporting requirements as stated in §103.5 of this title (relating to Reporting Requirements for Hospitals).

§103.7.Reporting Requirements for Pre-hospital Providers.

(a)

For submersion injuries and transported traumatic injuries.

(1)

The data required to be reported by pre-hospital providers shall include, but is not limited to:

(A)

pre-hospital provider firm number, run report identification number, date of call, pick up hospital code, county of incident, zip code of incident;

(B)

type of run, call received time, dispatch time, arrive scene time, depart scene time, arrive destination time;

(C)

date of birth, county of residence, sex, race, payment source, glasgow coma score, respiration rate at scene, systolic blood pressure at scene;

(D)

cause of injury, whether work-related, type of injuries, place of injury; and

(E)

preventive aid, prior aid, vehicle extrication, basic and advanced life support provided, destination hospital, destination facility type, date of hospital arrival, total provider charges.

(2)

Optional data that may be reported by pre-hospital providers shall include:

(A)

vehicle number, district/station number, city of incident, state of incident and return to service time;

(B)

patient's name, patient's city of residence, and patient's state of residence; and

(C)

revised trauma score, pulse, severity and body location of injuries, and training levels of EMS personnel.

(3)

The procedure for reporting is described in §103.10 of this title (relating to Electronic Reporting).

(b)

If a pre-hospital provider does not transport any patients sustaining an injury within any given month, and therefore does not have any electronic records to transmit for that month, the pre-hospital provider must complete and submit to the program within ninety days a form prescribed by the program stating that it did not have any cases to report for that month.

§103.8.Reporting Requirements for Rehabilitation Facilities.

For traumatic brain injuries and traumatic spinal cord injuries.

(1)

The data required to be reported by acute or post-acute rehabilitation facilities shall include, but not be limited to:

(A)

patient's name, race/ethnicity, sex, and date of birth;

(B)

date of injury, and cause of injury;

(C)

date of admission, date of discharge, and discharge destination;

(D)

functional independence measure score at admission, functional independence measure score at discharge, diagnoses; and

(E)

type of services provided, payor, and billed charges.

(2)

The procedure for reporting is described in §103.10 of this title (relating to Electronic Reporting).

§103.9.Reporting by Paper Form.

(a)

Physicians, Medical Examiners, Justices of the Peace, and Hospitals shall report submersion injuries and traumatic brain injuries due to anoxia in writing on a form or forms prescribed by the department within ten working days to the local health authority, or where there is no local health authority, the regional director of the department. A local health authority or regional health authority shall transmit any reports of submersion injuries to the Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3180, on a weekly basis.

(b)

Physicians, Medical Examiners, Justices of the Peace, and Hospitals unable to report electronically as described in §103.10 of this title (relating to Electronic Reporting) shall report traumatic brain injuries and traumatic spinal cord injuries in writing on a form or forms prescribed by the department within ten working days to the Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3180.

(c)

Transmission of reports shall be made by mail, courier, or electronic transfer

(1)

If by mail or courier, the reports shall be placed in a sealed envelope, marked "Confidential Medical Records."

(2)

If by electronic transmission by telephone (verbal or fax), it shall be made in a manner and form authorized by the commissioner or his or her designee in each instance. Any electronic submission of the reports must provide at least the same degree of protection against unauthorized disclosure as those of mail or courier transmission. The commissioner or his or her designee shall, before authorizing such transmission, establish guidelines for establishing and conducting such transmission.

§103.10.Electronic Reporting.

(a)

Hospitals shall submit reports to the Texas Trauma Registry within three months of discharge from their facility for the diagnosis or treatment of traumatic brain injuries, traumatic spinal cord injuries, and information on trauma patients. Pre-hospital providers shall submit reports to the Texas Trauma Registry within three months of the treatment and transport of traumatic injuries and submersion injuries. Acute or post-acute rehabilitation facilities shall submit reports to the program within three months of treatment of traumatic brain injuries and traumatic spinal cord injuries.

(1)

A hospital or pre-hospital provider may submit to the regional trauma registry located in its Trauma Service Area.

(2)

If a hospital or pre-hospital provider transmit data to its regional trauma registry, the hospital or pre-hospital provider will only be considered in compliance for injury reporting if the Texas Trauma Registry electronically receives the hospital's or pre-hospital provider's data from the regional trauma registry in the manner described in this section.

(b)

Data shall be transmitted by computer modem or by other electronic means approved by the program at least quarterly; monthly submissions are recommended.

(c)

Hospitals shall report data in the electronic format as described in the current Hospital Reporting Guidelines.

(d)

Pre-hospital providers shall report data in the electronic format as described in current Pre-hospital Reporting Guidelines.

§103.11.General Control Measures for Reportable Injuries.

The commissioner or his or her duly designee shall, as circumstances may require, proceed as follows.

(1)

Investigation may be made by staff of the Texas Department of Health (department)for the purpose of verifying the diagnosis, ascertaining the cause of the injury, obtaining a history of circumstances surrounding the injury, and discovering unreported cases.

(2)

Subject to the confidentiality provisions of these sections, the department may collect, or cause to be collected, medical, demographic, or epidemiological information from any medical or laboratory record or file to help the department in the epidemiologic investigation of injuries and their causes.

(3)

Information concerning the injury or its prevention may be given to the patient or a responsible member of the patient's household to prevent further injury(ies).

§103.12.Powers and Duties of the Department.

(a)

The Texas Department of Health (department) may enter into contracts or agreements as necessary to carry out Injury Prevention and Control Act, Health and Safety Code, Chapter 92. The contracts or agreements may provide for payment by the state for materials, equipment, and services.

(b)

The department may seek, receive, and spend any funds received through appropriations, grants, donations, or contributions from public or private sources for the purpose of identifying, reporting, or preventing those injuries determined by the Board of Health to be harmful or to be a threat to the public health.

(c)

Subject to the confidentiality provisions of this chapter, the department shall evaluate the reports of injuries to establish the nature and magnitude of the hazards associated with those injuries, to reduce the occurrence of those risks, and to establish any trends involved.

(d)

The department may make inspections and investigations as authorized by the Health and Safety Code, Chapter 92, and other law.

(e)

The department may contact a medical examiner, justice of the peace, physician, hospital, or acute or post-acute rehabilitation facility attending a person with a case or suspected case of a reportable injury.

(f)

The department may provide annual summary data to the local and regional health authorities.

§103.13.Confidential Nature of Case Reporting.

(a)

All information and records relating to injuries received by the local health authority or the Texas Department of Health (department), including information electronically submitted to the Texas Trauma Registry and information from injury investigations, are confidential records and not public records. These records shall be held in a secure place and accessed only by authorized personnel.

(b)

Information or records relating to any personal injury may not be released or made public on subpoena or otherwise, except that release may be made:

(1)

for statistical purposes, but only if a person and/or health care entity is not identified;

(2)

with the consent of each person and health care entity identified in the information released; or

(3)

to medical personnel in a medical emergency to the extent necessary to protect the health or life of the named person.

(c)

The commissioner, the commissioner's designee, or an employee of the department may not be examined in a judicial or other proceeding about the existence or contents of pertinent records of, investigation reports of, or reports or information about a person examined or treated for an injury without that person's consent.

(d)

The program will provide, upon written request, data back to the respective reporting health care entity from records previously submitted to the program from the respective reporting health care entity.

(e)

The program may release data to other bureaus of the department, provided that the disclosure is required or authorized by law. All communications of this nature shall be clearly labeled "Confidential" and will follow established departmental internal protocols and procedures.

§103.14.Investigations.

(a)

The Texas Department of Health (department) shall investigate the causes of injuries and methods of prevention.

(b)

The commissioner or the commissioner's designee may enter at reasonable times and inspect within reasonable limits a public place or building, including a public conveyance, in the commissioner's duty to prevent an injury.

(c)

The commissioner or the commissioner's designee may not enter a private residence to conduct an investigation about the causes of injuries without first receiving permission from a lawful adult occupant of the residence.

(d)

When the department investigates work-related injuries, the Texas Workforce Commission shall be informed at the earliest opportunity.

(e)

When the department investigates traumatic spinal cord injuries and traumatic brain injuries, the Texas Rehabilitation Commission shall be informed at the earliest opportunity.

(f)

When the department investigates traumatic brain injuries, the Texas Traumatic Brain Injury Advisory Board shall be informed at the earliest opportunity.

§103.15.Technical Advisory Committee on Injury Reporting.

(a)

The committee. An advisory committee shall be appointed under and governed by this section.

(1)

The name of the committee shall be the Technical Advisory Committee on Injury Reporting.

(2)

The committee is established under the Health and Safety Code, §92.002 that the board shall appoint a technical advisory committee to advise the board of injuries other than spinal cord injuries, traumatic brain injuries, and submersion injuries to be reported under this chapter.

(b)

Applicable law. The committee is subject to the Government Code, Chapter 2110, concerning state agency advisory committees.

(c)

Purpose. The purpose of the committee is to advise the board on injuries to be reported under this chapter.

(d)

Tasks.

(1)

The committee shall advise the board concerning injuries to be reportedunder this chapter.

(2)

The committee shall carry out any other tasks given to the committee by the board.

(e)

Review and duration. By November 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:

(1)

three doctors of medicine or doctors of osteopathic medicine licensed to practice in this state;

(2)

three hospital representatives, one of whom must represent a public hospital; and

(3)

three consumers of services of which are provided either by the department or by industries or occupations regulated by the department.

(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 three members will expire on January 1st of each even-numbered year.

(2)

If a vacancy occurs, a person shall be appointed to serve the unexpired portion of that term.

(h)

Officers. The chairman of the board shall appoint a presiding officer and an assistant presiding officer to begin serving on November 1 of each odd-numbered year.

(1)

Each officer shall serve until the next regular appointment of officers.

(2)

The presiding officer shall preside at all committee meetings at which he or she is in attendance, call meetings in accordance with this section, appoint subcommittees of the committee as necessary, and cause proper reports to be made to the board. The presiding officer may serve as an ex-officio member of any subcommittee of the committee.

(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)

A member shall serve no more than two consecutive terms as presiding officer and/or assistant presiding officer.

(6)

The committee may reference its officers by other terms, such as chairperson and vice-chairperson.

(i)

Meetings. The committee shall meet only as necessary to conduct committee business.

(1)

A meeting may be called by agreement of department staff and either the presiding officer or at least three members of the committee.

(2)

Meeting arrangements shall be made by department staff. Department staff shall contact committee members to determine availability for a meeting date and place.

(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)

Each member of the committee shall be informed of a committee meeting at least five working days before the meeting.

(5)

A simple majority of the members of the committee shall constitute a quorum for the purpose of transacting official business.

(6)

The committee is authorized to transact official business only when in a legally constituted meeting with quorum present.

(7)

The agenda for each committee meeting shall include an item entitled public comment under which any person will be allowed to address the committee on matters relating to committee business. The presiding officer may establish procedures for public comment, including a time limit on each comment.

(j)

Attendance. Members shall attend committee meetings as scheduled. Members shall attend meetings of subcommittees to which the member is assigned.

(1)

A member shall notify the presiding officer or appropriate department staff if he or she is unable to attend a scheduled meeting.

(2)

It is grounds for removal from the committee if a member cannot discharge the member's duties for a substantial part of the term for which the member is appointed because of illness or disability, is absent from more than half of the committee and subcommittee meetings during a calendar year, or is absent from at least three consecutive committee meetings.

(3)

The validity of an action of the committee is not affected by the fact that it is taken when a ground for removal of a member exists.

(k)

Staff. Staff support for the committee shall be provided by the department.

(l)

Procedures. Roberts Rules of Order, Newly Revised, shall be the basis of parliamentary decisions except where otherwise provided by law or rule.

(1)

Any action taken by the committee must be approved by a majority vote of the members present once quorum is established.

(2)

Each member shall have one vote.

(3)

A member may not authorize another individual to represent the member by proxy.

(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)

Minutes of each committee meeting shall be taken by department staff.

(A)

A summary of the meeting shall be provided to the board and each member of the committee within 30 days of each meeting.

(B)

After approval by the committee, the minutes shall be signed by the presiding officer.

(m)

Subcommittees. The committee may establish subcommittees as necessary to assist the committee in carrying out its duties.

(1)

The presiding officer shall appoint members of the committee to serve on subcommittees and to act as subcommittee chairpersons. The presiding officer may also appoint nonmembers of the committee to serve on subcommittees.

(2)

Subcommittees shall meet when called by the subcommittee chairperson or when so directed by the committee.

(3)

A subcommittee chairperson shall make regular reports to the committee at each committee meeting or in interim written reports as needed. The reports shall include an executive summary or minutes of each subcommittee meeting.

(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)

The report shall identify the costs related to the committee's existence, including the cost of department staff time spent in support of the committee's activities.

(3)

The report shall cover the meetings and activities in the immediate preceding 12 months and shall be filed with the board each November. It shall be signed by the presiding officer and appropriate department staff.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001440

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


25 TAC §§103.3 - 103.9

(Editor's note: The text of the following sections proposed for repeal will not be published. The sections may be examined in the offices of the Texas Department of Health or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeals are proposed under the Health and Safety Code, §92.002, which requires the board to adopt rules necessary to implement the reporting of injuries; the Health and Safety Code, §§773.112(c) and 773.113(a)(3), which require the department to adopt rules necessary to implement a trauma reporting and analysis system; and Health and Safety Code, §12.001, which allows the board to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health; and Government Code §2001.039, added by Chapter 1499, Art. 1, §1.11(a), 76th Legislature (1999) is implemented by this proposal.

The repeals affect the Health and Safety Code, Chapters 92 and 773.

§103.3.List of Reportable Injuries and Conditions.

§103.4.Reporting Requirements.

§103.5.General Control Measures for Reportable Injuries.

§103.6.Powers and Duties of the Department.

§103.7.Confidential Nature of Case Reporting.

§103.8.Investigations.

§103.9.Technical Advisory Committee on Injury Reporting.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001439

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Chapter 157. EMERGENCY MEDICAL CARE

The Texas Department of Health (department) proposes a repeal of §157.25 and new §157.25 concerning the statewide protocol required for use of an Out-Of-Hospital Do Not Resuscitate (DNR) Order and DNR form.

In accordance with Senate Bill 1260, 76th Legislature, 1999, the department is required to amend rule §157.25 to coincide with the consolidation of Chapters 672 and 674 of the Health and Safety Code; and Chapter 135, Civil Practice and Remedies Code. These chapters used the same terminology and provisions but maintained inconsistencies that were confusing to individuals who wanted to develop advance directives and confusing to providers who would carry out the advance directives. Senate Bill 1260 amends the Health and Safety Code Chapter 773 and designates the Health and Safety Code Title 2, Chapter 166 as the Advance Directives Act. The DNR form was also changed to follow those same directions.

Kathryn Perkins, Acting Bureau Chief, has determined that for the first five years the proposed repeal and new section are in effect there will be no fiscal impact on the state or local governments.

Ms. Perkins has also determined that for the first five-year period the sections are in effect, the public will benefit from the uniform provisions governing the execution of the DNR form. The revision affects the form and not the price of the form, therefore the economic effect on small businesses or micro-businesses will not be affected. The logo on the form has been changed to black to make the form easier to duplicate. There are no anticipated economic costs to persons who are required to comply with the sections as proposed. There is no anticipated impact on local employment.

Written comments on the proposal may be submitted to Kathryn Perkins, Acting Chief, Bureau of Emergency Management, 1100 West 49th Street, Austin, Texas 78756, (512) 834-6700, or Fax (512) 834-6736. Comments will be accepted for 30 days following publication of the proposal in the Texas Register .

Subchapter B. EMERGENCY MEDICAL SERVICES PROVIDER LICENSES

25 TAC §157.25

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Department of Health or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeal is proposed under the Health and Safety Code, Chapter 773, which provides the Board of Health (board) with the authority to adopt rules to implement the Emergency Medical Services Act; and §12.001, which provides the board with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

The repeal affects the Health and Safety Code, Chapter 773 and §12.001.

§157.25.Out-of-Hospital Do Not Resuscitate (DNR) Order.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on February 25, 2000.

TRD-200001451

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


The new section is proposed under the Health and Safety Code, Chapter 773, which provides the Board of Health (board) with the authority to adopt rules to implement the Emergency Medical Services Act; and §12.001, which provides the board with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

The new section affects the Health and Safety Code, Chapter 773 and §12.001.

§157.25.Out-of-Hospital Do Not Resuscitate (DNR) Order

(a)

Purpose. The purpose of this section shall be to establish a statewide DNR protocol as required in the Health and Safety Code, Title 2, Chapter 166.

(b)

DNR order. A DNR order may be issued by an attending physician for any patient. That attending physician has responsibility for ensuring that the form is filled out in its entirety and that the information regarding the existence of a DNR order is entered into the patient's medical record.

(c)

Protocol development. A DNR protocol in accordance with this section, shall apply to all out-of-hospital settings including cardiac arrests which occur during interfacility transport. The protocol shall include the following:

(1)

a copy of the Texas Department of Health (department) standardized DNR form listing the designated treatments that shall be withdrawn or withheld. Those treatments shall be:

(A)

cardiopulmonary resuscitation;

(B)

advanced airway management;

(C)

artificial ventilation;

(D)

defibrillation; and

(E)

transcutaneous cardiac pacing.

(2)

an explanation of the patient identification process to include an option to use a department-standardized identification device such as a necklace or bracelet; and

(3)

an on-site DNR dispute resolution process which includes contacting an appropriate physician.

(d)

Recordkeeping. Records shall be maintained on each incident in which an out-of- hospital DNR order or DNR identification device is encountered by responding healthcare professionals, and the number of cases where there is an on-site revocation of the DNR order shall be recorded.

(1)

The data documented should include:

(A)

an assessment of patient's physical condition;

(B)

whether an identification device or a DNR form was used to confirm DNR status and patient identification number;

(C)

any problems relating to the implementation of the DNR order;

(D)

the name of the patient's attending physician; and

(E)

the full name, address, telephone number, and relationship to patient of any witness used to identify the patient.

(2)

If the patient is transported, the original DNR order or a copy of the original order will be kept with the patient.

(3)

Copies of the original DNR order may be put on file with concerned parties, and the original order shall remain in the possession of the patient, a legal guardian, or the healthcare facility responsible for the patient's care.

(4)

At the time of relicensure, the out-of-hospital provider shall submit a report to the Bureau of Emergency Management with the following information:

(A)

number of times personnel have been presented with DNR documentation;

(B)

number of times there was a problem and the DNR order could not be honored; and

(C)

any problems that were encountered using the standardized form.

(e)

Out-of-state DNR Orders. Personnel may accept an out-of-hospital DNR order or device that has been executed in any other state, if there is no reason to question the authenticity of the order.

(f)

Failure to honor a DNR order. If there are any indications of unnatural or suspicious circumstances, the provider shall begin resuscitation efforts until such time as a physician directs otherwise.

(g)

Pregnant persons. A person may not withhold the designated treatments listed in subsection (c)(1) from a person known by responding healthcare professionals to be pregnant.

(h)

DNR Form. The Bureau of Emergency Management or their appointees shall furnish DNR forms to physicians, clinics, hospitals, nursing homes, hospices and home health agencies throughout the state upon request.

(1)

The form shall contain all the information as prescribed in the Health and Safety Code, Chapter 166.

(2)

The form shall be 8-1/2 inches by 14 inches, printed front and back, and in the format specified by the board as follows.

Figure: 25 TAC §157.25(h)(2)

(i)

Identification devices. A vendor under contract with the Texas Department of Health shall make the identification bracelet and necklace according to the following specifications.

(1)

The bracelet shall be made of stainless steel in 8 inches length with an engravable section which is 2 inches long, 0.5 inches wide and 0.060 inches thick. The statewide standardized DNR logo will be on the front in red and white colors as specified.

(2)

The necklace shall be made of stainless steel 1 inch in diameter and 0.060 inches thick. There will be a stainless steel chain approximately 27 inches in length permanently attached without a clasp. The statewide standardized DNR logo will be on the front in red and white colors as specified.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on February 25, 2000.

TRD-200001452

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Subchapter G. EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS

25 TAC §157.129

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Department of Health or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The Texas Department of Health (department) proposes the repeal of §157.129 concerning the establishment of a trauma reporting and analysis system.

Government Code §2001.039, added by Chapter 1499, Art. 1, §1.11(a), 76th Legislature (1999), requires that each state agency review and consider for re-adoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). This existing rule for trauma reporting and analysis found in Chapter 157 on Emergency Medical Services Trauma Systems has been reviewed and is being repealed and included in proposed new rules in Chapter 103 on Injury Prevention and Control which is the more appropriate place.

The department published a Notice of Intention to Review the section as required by Government Code §2001.039 in the January 21, 2000, issue of the Texas Register (25 TexReg 398). There were no comments received due to the publication of the Notice.

David F. Zane, Director, Injury Epidemiology and Surveillance Program, has determined that for the first five year period the proposed repeal is in effect, there will be no fiscal implications to state or local government as a result of enforcing and administering the repeal.

Mr. Zane has also determined that for each year of the first five years that the repeal is in effect, the public benefit anticipated as a result of enforcing the repeal will be improved knowledge of the prevalence of injuries and an expanded ability to identify common causes of injuries in Texas. There will be no adverse economic effect on micro-businesses and/or small businesses and persons who may be required to comply with the repeal. The finding of no adverse economic effect on micro-businesses and/or small businesses is based on proper business management practices by those entities required to comply with the repeal. There will be no impact on local employment.

Comments on the proposal may be submitted to David F. Zane, Director, Injury Epidemiology and Surveillance Program, Bureau of Epidemiology, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3180, (512) 458-7266. Comments on the proposed repeal will be accepted for 30 days following the publication in the Texas Register .

The repeal is proposed under the Health and Safety Code, §92.002, which requires the board to adopt rules necessary to implement the reporting of injuries; the Health and Safety Code, §773.112(c) and §773.113(a)(3), which require the department to adopt rules necessary to implement a trauma reporting and analysis system; and Health and Safety Code, §12.001, which allows the board to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health; and Government Code §2001.039, added by Chapter 1499, Art. 1, §1.11(a), 76th Legislature (1999) is implemented by this proposal.

The repeal will affect the Health and Safety Code, Chapters 92 and 773.

§157.129. State Trauma Registry.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001432

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


159. TERTIARY MEDICAL CARE

25 TAC §159.1

The Texas Department of Health (department) proposes new §159.1 concerning reimbursement for tertiary medical services and stabilization services.

House Bill 1398, passed in 1999 by the Texas Legislature, added Chapter 46 to the Health and Safety Code, which establishes a method by which the department may allocate funds to certain facilities for unreimbursed tertiary medical services and unreimbursed stabilization services provided to persons who reside outside the service area of the county, public hospital, or hospital district that is responsible for indigent health care under the Health and Safety Code, Chapter 61, in the area in which the eligible facility is located. Chapter 46 established the tertiary care account in the state treasury, from which funds are appropriated to the department for the purposes of this chapter.

Chapter 46 requires the Board of Health (board) to adopt rules governing the collection of information relating to unreimbursed tertiary medical services or stabilization services. The proposed rules specify the information eligible facilities are required to provide to the department in order to receive funding under this chapter. The rules establish a process for allocation of funds when the total costs certified are greater than the amount available in the tertiary care account and a process by which eligible facilities may apply for reimbursement under extraordinary emergencies.

Joe Moritz, Health Care Financing Budget Director, has determined that for the first five-year period the section is in effect, there will be fiscal implications to state or local governments as a result of enforcing or administering the section as proposed. In accordance with the department Rider 74 of the General Appropriations Act for the fiscal year 2000-2001 biennium, $1,000,000 will be transferred to the tertiary care account from Strategy E.2.1, County Indigent Health Care, in fiscal year 2000, to reimburse eligible facilities under this chapter. According to estimates by the Legislative Budget Board, the tertiary care account could receive up to $16.5 million from unclaimed lottery funds during fiscal year 2001, to reimburse eligible facilities under this chapter. Funding after fiscal year 2001 has not yet been determined by the Texas Legislature. State or local governmental agencies that own or operate an eligible facility may receive reimbursement, however, the department is unable to determine at this time the dollar amount which will be reimbursed to governmental facilities.

Mr. Moritz has also determined that for each year of the five years the rule is in effect, the public benefit anticipated as a result of the rule is allocation of funds to eligible facilities to compensate the facilities for the costs of unreimbursed tertiary medical services and unreimbursed stabilization services. Facilities who seek payment under this chapter may incur minimal administrative costs in compiling the required data. There are no other anticipated economic costs to persons who are required to comply with the section as proposed. There will be no effect on small businesses or micro-businesses because none of the eligible facilities are small businesses or micro-businesses. There is no impact on local employment.

Comments may be submitted to Henry Welles, Program Specialist, Health Care Financing, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3168, (512) 794-6858. Comments will be accepted for 30 days following publication of this proposal in the Texas Register .

The new section is proposed under the Health and Safety Code, Chapter 46, as added by Acts 1999, 76th Legislature, Chapter 1377 (House Bill 1398), Article 2, which provides the board with the authority to adopt rules concerning tertiary medical care; and §12.001 which provides the board with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

The new section affects the Health and Safety Code, Chapter 46 as added by House Bill 1398.

§159.1. Reimbursement to Tertiary Care Facilities and Level IV Trauma Facilities.

(a)

Introduction. The Texas Department of Health (department) shall, on an annual basis, allocate available funds to eligible facilities to compensate the facilities for the costs of unreimbursed tertiary medical services and unreimbursed stabilization services.

(b)

Definitions. The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

(1)

Emergency reserve - 5% of the total amount of funds in the Tertiary Care Account to be used only for reimbursement of unreimbursed tertiary medical services or unreimbursed stabilization services resulting from an extraordinary emergency.

(2)

Stabilization services - Services provided by a tertiary care facility or a designated level IV trauma center that are necessary to assure, within reasonable medical probability, that no material deterioration of a patient's medical condition is likely to result from or occur during the transfer of the patient to a tertiary care facility.

(3)

Tertiary Care Account - An account in the state treasury.

(4)

Tertiary care facility - A primary teaching hospital of a medical school or a designated level I, II or III trauma center.

(5)

Tertiary medical services - Services provided by tertiary care facilities including, but not limited to, state-designated trauma center services, burn center treatment, neonatology level III unit services, pediatric surgery, trauma surgery, neurosurgery, cardiothoracic and vascular surgery, organ transplant, services provided for a life-threatening dermatologic illness, services provided to a person with a high-risk pregnancy or cancer, and radiation oncology.

(6)

Unreimbursed stabilization services - Stabilization services for which a tertiary care facility or a designated level IV trauma center has not received full payment from any public or private source.

(7)

Unreimbursed tertiary medical services - Tertiary medical services for which a tertiary care facility has not received full payment from any public or private source.

(c)

Eligibility for funds.

(1)

The department shall allocate available funds for unreimbursed tertiary medical services to tertiary care facilities who submit the required information on a timely basis.

(2)

The department shall allocate available funds for unreimbursed stabilization services to tertiary care facilities and designated level IV trauma centers who submit the required information on a timely basis.

(3)

A facility must have operated as a tertiary care facility or level IV trauma facility during the previous calendar year in order to claim costs of unreimbursed services.

(d)

Application for funds.

(1)

On an annual basis, the department, in writing, will inform each tertiary care facility and level IV trauma facility of the following:

(A)

that it may apply for funds to compensate it for the costs of unreimbursed tertiary medical services (tertiary care facilities only) and unreimbursed stabilization services (tertiary care facilities and level IV trauma facilities) provided to persons who reside outside the service area of the county, public hospital, or hospital district that is responsible for indigent health care under the Health and Safety Code, Chapter 61, in the area in which the tertiary care facility or level IV trauma facility is located;

(B)

the estimated, total amount of funding available at the end of the reporting period;

(C)

the number of facilities eligible to apply for funds;

(D)

the information required to be submitted to the department in order to apply for the funds;

(E)

the date by which the information must be submitted to the department; and

(F)

the date by which the department expects to certify amounts to the state comptroller of public accounts.

(2)

By the date established by the department, each tertiary care facility or level IV trauma facility must submit the following information on a form provided by the department:

(A)

name of the facility;

(B)

location including mailing address, city and county;

(C)

total costs of unreimbursed tertiary medical services (tertiary care facilities only) provided during the reporting period to persons who reside outside the service area of the county, public hospital, or hospital district that is responsible for indigent health care under the Health and Safety Code, Chapter 61, in the area in which the tertiary care facility is located; and

(D)

total costs of unreimbursed stabilization services (tertiary care facilities and level IV trauma facilities) provided during the reporting period to persons who reside outside the service area of the county, public hospital, or hospital district that is responsible for indigent health care under the Health and Safety Code, Chapter 61, in the area in which the tertiary care facility or level IV trauma facility is located.

(3)

The form must be signed by the chief operating officer and the chairman of the facility's board of directors.

(4)

The form must be notarized.

(5)

A form postmarked after the due date will not be considered for allocation of funds.

(6)

If a facility receives partial reimbursement from another source for its tertiary medical services or stabilization services provided to persons who reside outside the service area of the county, public hospital, or hospital district that is responsible for indigent health care under the Health and Safety Code, Chapter 61, in the area in which the tertiary care facility or level IV trauma facility is located, the facility may request compensation for the portion of the costs not covered by the partial reimbursement.

(7)

By signing the application form, a facility that is reimbursed in full by a private or public source for tertiary medical services or stabilization services after the services have been reported to the department, agrees to promptly reimburse the State of Texas for such funds paid to the facility under this section.

(e)

Reporting period. A facility's annual application for funds shall apply to costs incurred during the preceding state fiscal year, beginning with State Fiscal Year 2000 (September 1, 1999 to August 31, 2000).

(f)

Allocation of funds.

(1)

If the total cost of unreimbursed tertiary medical services certified for all eligible facilities exceeds the amount available in the Tertiary Care Account, the department shall allocate funds based on percentages computed by dividing the costs of each facility's unreimbursed tertiary medical services by the total cost of all facilities' unreimbursed tertiary medical services.

(2)

If the total cost of unreimbursed stabilization services certified for all eligible facilities exceeds the amount available in the Tertiary Care Account, the department shall allocate funds based on percentages computed by dividing the costs of each facility's unreimbursed stabilization services by the total cost of all facilities' unreimbursed stabilization services.

(g)

Certification to comptroller. Once the department has determined the amount of reimbursement allotted for each eligible facility, the department will certify those amounts to the state comptroller of public accounts for processing of payments.

(h)

Emergency reserve.

(1)

The department may allocate funds to tertiary care facilities or level IV trauma centers to compensate the facilities for the costs of unreimbursed tertiary medical services or unreimbursed stabilization services resulting from an extraordinary emergency.

(2)

An extraordinary emergency shall be certified by the department:

(A)

if the governor issues an executive order or a proclamation under Government Code, Chapter 418, pertaining to emergency management;

(B)

if a disaster is declared by the president of the United States under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. §5121 et seq .); or

(C)

for another similar disaster the department finds has resulted in an extraordinary cost to a tertiary care facility or level IV trauma facility.

(3)

A facility which incurs costs as a result of an extraordinary emergency may apply to the department at any time; however, reimbursement may be provided only for costs incurred during the emergency.

(4)

The facility must submit, in writing, the following information:

(A)

name of the facility;

(B)

location including mailing address, city and county;

(C)

total costs of unreimbursed tertiary medical services (tertiary care facilities only) resulting from an extraordinary emergency;

(D)

total costs of unreimbursed stabilization services (tertiary care facilities and level IV trauma facilities) resulting from an extraordinary emergency; and

(E)

a description of the extraordinary emergency.

(5)

The written statement must be signed by the chief operating officer and the chairman of the facility's board of directors.

(6)

The department will review requests for emergency funds and certify costs to the state comptroller of public accounts until the emergency reserve is exhausted.

(i)

Audits. The department may conduct random, on-site audits of documentation used by the facilities to calculate their reported costs for unreimbursed services.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001431

Kim Wolfe

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Chapter 289. RADIATION CONTROL

The Texas Department of Health (department) proposes the repeal of §289.118 and new §289.228, concerning radiation safety requirements for analytical and other industrial radiation machines.

Government Code §2001.039 requires that each state agency review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). Section 289.118 has been reviewed and the department has determined that the reasons for adopting the section continue to exist; however revisions to the rule are necessary.

The section proposed for repeal adopts by reference Part 34, titled "Radiation Safety Requirements for Analytical X-Ray Equipment" of the Texas Regulations for Control of Radiation. The proposed new section incorporates language from Part 34 that has been rewritten into Texas Register format and includes addition and revision of subsections of the section. The repeal and new section are part of the renumbering phase in the process of rewriting the department's radiation rules in the Texas Register format. The new section reflects the renumbering.

Additional language was added to the section to clarify that the requirements include industrial radiation machines. Definitions for local components, other industrial radiation machines, and safety devices were also added for clarification. Equipment requirements for radiation source housings and generator cabinets were added to reflect federal standards. The word "analytical" was deleted throughout the section because the section includes requirements for both analytical and other industrial x-ray equipment. References to other sections of this chapter are clarified to reflect the Texas Register format. Other minor grammatical changes are made to the section for clarification. This section is part of the department's continuing effort to update, clarify, and simplify its rules regarding the control of radiation based upon technological changes, public concerns, legislative directives, or other factors.

The department published a Notice of Intention to Review for §289.118 as required by Government Code §2001.039 in the Texas Register (25 TexReg 219) on January 7, 2000. No comments were received by the department on this section.

Ruth E. McBurney, C.H.P., Director, Division of Licensing, Registration and Standards, Bureau of Radiation Control, has determined that for each year of the first five years the sections will be in effect, there will be no fiscal implications for state or local government as a result of enforcing or administering the sections as proposed.

Mrs. McBurney has also determined that for each year of the first five years the proposed sections will be in effect, the public benefit anticipated as a result of enforcing the sections will be to ensure that registrants comply with radiation safety requirements for analytical and other industrial radiation machines and that equipment is properly maintained, ensuring the safety of workers and the public is protected from unnecessary exposure to radiation. There will be no effect on micro businesses or small businesses. There are no anticipated economic costs to persons who are required to comply with the sections as proposed. There is no anticipated impact on local employment. The amendment primarily reformats and clarifies existing requirements. It imposes no additional requirements such as record keeping, procedures, or processes. Therefore, there are no economic effects associated with the section as proposed.

Comments on the proposal may be submitted to Ruth E. McBurney, C.H.P., Director, Division of Licensing, Registration and Standards, Bureau of Radiation Control, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3189, (512)834-6688 or electronic mail at Ruth.McBurney@tdh.state.tx.us. Public comments will be accepted for 30 days following publication of this proposal in the Texas Register . In addition, a public meeting to accept oral comments will be held at 10:30 a.m., Tuesday, March 28, 2000, in Conference Room N218, Texas Department of Health, Bureau of Radiation Control, located at the Exchange Building, 8407 Wall Street, Austin, Texas.

Subchapter C. TEXAS REGULATIONS FOR CONTROL OF RADIATION

25 TAC §289.118

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Department of Health or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeal is proposed under the Health and Safety Code, Chapter 401, which provides the Texas Board of Health (board) with authority to adopt rules and guidelines relating to the control of radiation; and §12.001, which provides the board with the authority to adopt rules for its procedure and for the performance of each duty imposed by law on the board, the department, or the commissioner of health.

The repeal affects Health and Safety Code, Chapter 401; the Health and Safety Code, Chapter 12; and Government Code §2001.039.

§289.118. Radiation Safety Requirements for Analytical X-Ray Equipment.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001434

Kim Wolfe

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Subchapter E. REGISTRATION REGULATIONS

25 TAC §289.228

The new section is proposed under the Health and Safety Code, Chapter 401, which provides the Texas Board of Health (board) with authority to adopt rules and guidelines relating to the control of radiation; and §12.001, which provides the board with the authority to adopt rules for its procedure and for the performance of each duty imposed by law on the board, the department, or the commissioner of health.

The new section affects Health and Safety Code, Chapter 401; the Health and Safety Code, Chapter 12; and Government Code §2001.039.

§289.228. Radiation Safety Requirements for Analytical and Other Industrial Radiation Machines.

(a)

Purpose. This section establishes requirements for the use of analytical and other industrial radiation machines not otherwise covered by this chapter.

(b)

Scope.

(1)

The requirements of this section are in addition to and not in substitution for other applicable requirements of this chapter.

(2)

In addition to the requirements of this section, all registrants, unless otherwise specified, are subject to the requirements of §289.203 of this title (relating to Notices, Instructions, and Reports to Workers; Inspections), §289.204 of this title (relating to Fees for Certificates of Registration, Radioactive Material(s) Licenses, Emergency Planning and Implementation, and Other Regulatory Services), §289.205 of this title (relating to Hearing and Enforcement Procedures), §289.226 of this title (relating to Registration of Radiation Machine Use and Services), and §289.231 of this title (relating to General Provisions and Standards for Protection Against Machine-Produced Radiation).

(3)

Radiation safety requirements and registration procedures for industrial radiography are specified in §289.255 of this title (relating to Radiation Safety Requirements and Licensing and Registration Procedures for Industrial Radiography).

(c)

Definitions. The following words and terms, when used in this section, shall have the following meanings, unless the context clearly indicates otherwise.

(1)

Analytical radiation machine - This includes, but is not limited to, x-ray equipment used for x-ray diffraction, fluorescence analysis, spectroscopy, or particle size analysis.

(2)

Fail-safe characteristics - A design feature that causes beam port shutters to close, or otherwise prevents emergence of the primary beam, upon the failure of a safety or warning device.

(3)

Local components - A part of an x-ray system that includes areas that are struck by x-rays, such as radiation source housings, port and shutter assemblies, collimators, sample holders, cameras, goniometers, detectors, and shielding, but does not include power supplies, transformers, amplifiers, readout devices, and control panels.

(4)

Open-beam configuration - A radiation machine in which an individual could accidently place some part of his/her body in the primary beam path during normal operation.

(5)

Other industrial radiation machine - This includes, but is not limited to, x-ray equipment (including cabinet x-ray equipment) used for cathodolumnescence, ion implantation, gauging, or electron beam welding.

(6)

Primary beam - Ionizing radiation that passes through an aperture of the source housing by a direct path from the x-ray tube located in the radiation source housing.

(7)

Safety device - A device that prevents the entry of any portion of an individual's body into the primary x-ray beam path or that causes the beam to be shut off upon entry into its path.

(8)

X-ray system - A group of components utilizing x rays to determine the elemental composition or to examine the microstructure of materials.

(d)

Equipment requirements.

(1)

Safety devices.

(A)

A safety device shall be provided on all open-beam configurations.

(B)

A registrant may apply to the agency for an exemption from the requirement of a safety device in accordance with §289.231 of this title. Any such request shall include:

(i)

a description of the various safety devices that have been evaluated;

(ii)

the reason each of these devices cannot be used; and

(iii)

a description of the alternative methods that will be employed to minimize the possibility of an accidental exposure, including procedures to assure that operators and others in the area will be informed of the absence of safety devices.

(2)

Warning devices.

(A)

Open-beam configurations shall be provided with a visible indication of:

(i)

x-ray tube status (ON-OFF) located near the radiation source housing, if the primary beam is controlled in this manner; and/or

(ii)

shutter status (OPEN-CLOSED) located near each port on the radiation source housing, if the primary beam is controlled in this manner.

(B)

The x-ray control shall provide visual indication whenever x-rays are produced.

(C)

Warning devices shall be labeled so that their purpose is easily identified and shall have fail-safe characteristics.

(3)

Ports. Unused ports on radiation machine source housings shall be secured in the closed position in a manner that will prevent inadvertent opening.

(4)

Labeling. Each registrant shall ensure that each radiation machine is labeled in a conspicuous manner to caution individuals that radiation is produced when it is energized. This label shall be affixed in a clearly visible location on the face of the control unit. If the radiation machine is not visible from the control, the radiation machine shall have a visible indication that it is energized.

(5)

Shutters. On open-beam configurations, each port on the radiation source housing shall be equipped with a shutter that cannot be opened unless a collimator or a coupling has been connected to the port.

(6)

Radiation source housing. Each x-ray tube housing shall be equipped with an interlock that shuts off the tube if it is removed from the radiation source housing or if the housing is disassembled.

(7)

Generator cabinet. Each x-ray generator shall be supplied with a protective cabinet that limits leakage radiation measured at a distance of 5 centimeters from its surface such that it is not capable of producing a dose in excess of 0.5 millirem (5.0µSv) in any one hour.

(e)

Area requirements.

(1)

Radiation levels. The local components of an x-ray system shall be located and arranged and shall include sufficient shielding or access control such that no radiation levels exist in any area surrounding the local component group that could result in a dose to an individual present in the area in excess of the dose limits specified in §289.231 of this title.

(2)

Surveys.

(A)

Radiation surveys, as required by §289.231 of this title, of all radiation machines and x-ray systems sufficient to show compliance with paragraph (1) of this subsection shall be performed:

(i)

upon installation of the equipment;

(ii)

following any change in the initial arrangement, number, or type of local components in the system;

(iii)

following any maintenance requiring the disassembly or removal of a local component in the system;

(iv)

during the performance of maintenance and alignment procedures if the procedures require the presence of a primary x-ray beam when any local component in the system is disassembled or removed;

(v)

any time a visual inspection of the local components in the system reveals an abnormal condition; or

(vi)

whenever individual monitoring devices show a significant increase over the previous monitoring period or the readings are approaching the radiation dose limits.

(B)

Radiation survey measurements shall not be required if a registrant can demonstrate, to the satisfaction of the agency, compliance with paragraph (1) of this subsection in some other manner.

(3)

Posting. Each area or room containing radiation machines shall be conspicuously posted with a sign or signs bearing the radiation symbol and the words "CAUTION - X-RAY EQUIPMENT," or words having a similar intent.

(f)

Operating requirements.

(1)

Procedures. Operating and safety procedures shall be written and made available to all radiation machine operators. No person shall be permitted to operate radiation machines in any manner other than that specified in the procedures unless that person has obtained written approval of the radiation safety officer.

(2)

Bypassing. No person shall bypass a safety device unless that person has obtained the approval of the radiation safety officer. When a safety device has been bypassed, a visible sign bearing the words "SAFETY DEVICE NOT WORKING," or words having a similar intent, shall be placed on the radiation source housing.

(3)

Repair or modification of radiation machines. Except as specified in paragraph (2) of this subsection, no operation involving removal of covers, shielding materials, or tube housings or modifications to shutters, collimators, or beam stops shall be performed without ensuring that the tube is off and will remain off until safe conditions have been restored. The main switch, rather than interlocks, shall be used for routine shutdown in preparation for repairs.

(g)

Personnel requirements.

(1)

Instructions. No person shall be permitted to operate or maintain radiation machines unless such person has received instruction in and demonstrated competence in the following.

(A)

Identification of radiation hazards associated with the use of the radiation machine.

(B)

Radiation warning and safety devices incorporated into the radiation machine, or the reasons they have not been installed on certain pieces of equipment and the extra precautions required in such cases.

(C)

Operating and safety procedures for the radiation machine.

(D)

Symptoms of an acute localized exposure.

(E)

Proper procedures for reporting an actual or suspected exposure in excess of the limits specified in §289.231 of this title.

(2)

Personnel monitoring. Notwithstanding the requirements of §289.231(n)(1)(A) of this title, finger dosimetric devices shall be provided to and shall be used by:

(A)

radiation machine workers using systems having an open-beam configuration and not equipped with a safety device; and

(B)

personnel maintaining radiation machines if the maintenance procedures require the presence of a primary x-ray beam when any local component in the x- ray system is disassembled or removed.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 25, 2000.

TRD-200001433

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Chapter 289. RADIATION CONTROL

Subchapter D. GENERAL

25 TAC §289.204

The Texas Department of Health (department) proposes an amendment to §289.204, concerning fees for certificates of registration, radioactive material licenses, emergency planning and implementation, and other regulatory services. The amendment adjusts the fee amounts to reflect recovery of increased regulatory costs as a result of departmental salary adjustments mandated by the 76th Legislature. The amendment increases radioactive material license fees by at least 10% to correct an imbalance in the percentage of costs recovered from radiation machine certificate of registration fees versus license fees when compared to the percentage of program costs charged against registered activities versus licensed activities. The fees for mammography certification are increased by 30% to recover 100% of the regulatory costs for mammography certification. The fee for dental and veterinary facilities that possess 10 or more radiation machines is increased to correct an error in the amount as compared to the fee for dental and veterinary facilities possessing one to nine radiation machines. This amendment is part of the department's ongoing evaluation of program fees to comply with the provisions of Health and Safety Code §401.301.

Ruth E. McBurney, C.H.P., Director, Division of Licensing, Registration and Standards, Bureau of Radiation Control, has determined that for each year of the first five years the section will be in effect, there will be fiscal implications for state or local government as a result of enforcing or administering the section as proposed. The department will receive an additional $405,177 in revenue for each year of the first five-year period. State or local government entities that possess a radioactive material license will have an increase of at least 10% over the current annual fee. The fiscal impact to state or local government entities that possess 10 or more radiation machines at a dental or veterinary facility will be an annual increase of $50 in the certificate of registration fees.

Mrs. McBurney has also determined that for each year of the first five years the proposed section will be in effect, the public benefit anticipated as a result of enforcing the section will be to ensure continued protection of the public, workers, and the environment from unnecessary exposure to radiation by recovering the majority of the costs of the regulatory program from those entities possessing sources of radiation. The effect on small businesses and micro-businesses required to comply with the section as proposed will vary depending on the uses of radioactive material authorized on a license and the types and number of dental or veterinary radiation machines authorized on a certificate of registration. There is no anticipated impact on local employment.

Comments on the proposal may be presented to Ruth E. McBurney, C.H.P., Director, Division of Licensing, Registration and Standards, Bureau of Radiation Control, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3189, Telephone (512)834- 6688 or electronic mail at Ruth.McBurney@tdh.state.tx.us. Public comments will be accepted for 30 days following publication of this proposal in the Texas Register . In addition, a public meeting to accept oral comments will be held at 9:00 a.m., Wednesday, March 29, 2000, in Conference Room N218, Texas Department of Health, Bureau of Radiation Control, located at the Exchange Building, 8407 Wall Street, Austin, Texas.

The amendment is proposed under the Health and Safety Code, Chapter 401, which provides the Texas Board of Health (board) with authority to adopt rules and guidelines relating to the control of radiation; and §12.001, which provides the board with the authority to adopt rules for its procedure and for the performance of each duty imposed by law on the board, the department, or the commissioner of health.

The amendment affects Health and Safety Code, Chapter 401 and Chapter 12.

§289.204.Fees for Certificates of Registration, Radioactive Material [ Material(s) ] Licenses, Emergency Planning and Implementation, and Other Regulatory Services.

(a)

(No change.)

(b)

Scope. Except as otherwise specifically provided, the requirements in this section apply to any person who is the following:

(1)

an applicant for, or holder of:

(A)

a radioactive material license issued in accordance with [ §289.127 of this title (relating to Licensing of Naturally Occurring Radioactive Material (NORM)), ] §289.252 of this title (relating to Licensing of Radioactive Material), §289.254 of this title (relating to Licensing of Radioactive Waste Processing and Storage Facilities), §289.259 of this title (relating to Licensing of Naturally Occurring Radioactive Material (NORM)), or §289.260 of this title (relating to Licensing of Uranium Recovery and Byproduct Material Disposal Facilities); or

(B)

(No change.)

(C)

a certificate of registration for radiation machines and/or services, or sources of laser radiation, issued in accordance with §289.226 of this title (relating to Registration of Radiation Machine Use and Services), §289.230 of this title (relating to Certification of Mammography Systems and Accreditation of Mammography Facilities), or §289.301 of this title (relating to Registration and Radiation Safety Requirements for Lasers) [ §289.2 of this title (relating to Control of Laser Radiation Hazards) ]; or

(2)-(3)

(No change.)

(c)-(d)

(No change.)

(e)

Payment of fees.

(1)

(No change.)

(2)

A nonrefundable fee, in accordance with subsection (f) of this section shall be paid annually for each radioactive material license and/or for each general license acknowledgement. The fee shall be paid in full each year on or before the last day of the expiration month of the license or general license acknowledgement. For example, if the license or general license acknowledgement expires May 31, 2010 [ 1994 ], annual fees are due on or before May 31 of each calendar year. In the case of a single license that authorizes more than one category of use, the annual fee shall be the prescribed fee for the highest license category plus 25% of the applicable prescribed fee for each additional license category authorized.

(3)

(No change.)

(4)

In the case of a single certificate of registration that authorizes more than one category of use, the category listed in subsection (i) of this section and assigned the higher of the fee[ , ] or base fee plus corresponding machine/service fee, as applicable, will be used.

(5)

Each application for reciprocal recognition of an out-of-state license in accordance with §289.252(s) of this title, an out-of-state registration in accordance with §289.226 of this title, or an out-of-state laser registration in accordance with §289.301 [ §289.2 ] of this title shall be accompanied by the applicable annual fee, provided that no such fee has been submitted within 12 months of the date of commencement of the proposed activity.

(6)-(8)

(No change.)

(f)

Schedule of annual fees for radioactive material licenses. The following schedule contains the annual fees for radioactive material licenses:

Figure: 25 TAC §289.204(f)

[ Figure: 25 TAC §289.204(f) ]

(g)

Fee for Evaluation of a Sealed Source and/or Device.

(1)

Each time a manufacturer submits a request for evaluation of a unique sealed source, one of the following fees shall be paid:

(A)

for an initial evaluation, a fee of $3,614 [ $3,285 ]; or

(B)

for an amendment requiring re-evaluation, a fee of $1,804 [ $1,640 ].

(2)

Each time a manufacturer submits a request for evaluation of a unique device, one of the following fees shall be paid:

(A)

for an initial evaluation, a fee of $7,233 [ $6,575 ]; or

(B)

for an amendment requiring re-evaluation, a fee of $3,619 [ $3,290 ].

(3)

(No change.)

(h)

Fees for certification of mammography systems.

(1)

An application for certification of mammography systems shall be accompanied by a fee of $422 [ $325 ] for each unit.

(2)

The annual fee for mammography systems is $422 [ $325 ] for each unit.

(i)

Schedule of annual fees for certificates of registration for radiation machines, lasers, and services. The following schedule contains the annual fees for certificates of registration for radiation machines, lasers, and services:

Figure: 25 TAC §289.204(i)

[ Figure: 25 TAC §289.204(i) ]

(j)

(No change.)

(k)

Failure to pay prescribed fees.

(1)

(No change.)

(2)

In any case where the agency finds that a licensee or registrant has failed to pay a fee prescribed by this section by the due date, the licensee or registrant shall pay an annual late payment fee of 20% of the annual fee prescribed in [ this subsection and ] subsections (f), (h), [ and ] (i) and (l) of this section, in addition to the annual license and registration fee. The annual late payment fee shall not exceed $10,000 for each licensee or registrant who fails to pay the fees prescribed by this section.

(3)-(4)

(No change.)

(l)

Schedule of fees for uranium recovery and byproduct material disposal facility licenses. The following schedule contains the fees for uranium recovery and byproduct material disposal facility licenses:

Figure: 25 TAC §289.204(l)

[ Figure: 25 TAC §289.204(l) ]

(m)

(No change.)

(n)

One-time fee adjustments for uranium recovery and byproduct material disposal facility licenses. For the addition of the following items after an environmental assessment has been completed on a facility, a one-time fee corresponding to the item shall be paid:

(1)

$22,389 [ $20,354 ] for in situ wellfield on noncontiguous property;

(2)

$55,977 [ $50,888 ] for in situ satellite;

(3)

$8,777 [ $7,979 ] for wellfield on contiguous property;

(4)

$39,653 [ $36,048 ] for non-vacuum dryer; or

(5)

$55,977 [ $50,888 ] for disposal (including processing, if applicable) of byproduct material.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on February 25, 2000.

TRD-200001453

Susan K. Steeg

General Counsel

Texas Department of Health

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 458-7236


Part 2. TEXAS DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

Chapter 419. MEDICAID STATE OPERATING AGENCY

Subchapter O. ENROLLMENT OF MEDICAID WAIVER PROGRAM PROVIDERS

25 TAC §§419.701 - 419.708, 419.710 - 419.712

The Texas Department of Mental Health and Mental Retardation (TDMHMR) proposes amendments to §§419.701 - 419.708 and 419.710 and new §419.711 and §419.712, of Chapter 419, Subchapter O, governing enrollment of Medicaid waiver program providers.

The amendments include a provision regarding proposed assignments that are part of a plan approved by the department to redesign the public provider service system. TDMHMR believes it necessary to create an exception for public providers to §419.710(d)(1), which requires a proposed assignee to be provisionally certified or hold a current waiver program agreement, to ensure that such plans are implemented timely. Additionally, TDMHMR believes that through the process of approving these plans it can ensure the capability of the public provider to be a waiver program provider, even though the public provider may not be provisionally certified or hold a current waiver program provider agreement.

Amendments would be made to clarify that the processes in the subchapter address the requirements for a person "to obtain a waiver program provider agreement" instead of "to enroll as a program provider." Definitions would be added for the terms "community center" and "SOCS." Definitions of the terms "Title XVIII," "Title XIX," and "Title XX" would be deleted because the terms are not used in the subchapter. The definition of the term "HHSCA license" would be revised indicating that the Texas Department of Human Services is responsible for issuing the such license. Clarifying language would be added requiring that an applicant submit a separate application packet for each waiver program agreement it seeks to obtain. Also, a provision would be added requiring that professional references support the work experience required in the subchapter. References to other department rules would be updated to reflect newly adopted rules. New sections would be added to include the rules, laws, and regulations referenced in the subchapter and to clarify the distribution of the subchapter.

William R. Campbell, Chief Financial Officer, has determined that for the first five years the sections are in effect, enforcing or administering the proposed amendments and new sections does not have implications relating to costs or revenues for state or local government.

Ernest McKenney, Director, Medicaid Administration, has determined that for each year of the first five years the sections are in effect, the public benefit expected as a result of adopting the proposed amendments and new sections is the timely implementation of the redesigned public provider service system.

There is no probable economic cost to persons required to comply with these sections because no additional requirements were included in the proposed amendments or new sections. It is not anticipated that these sections will have an adverse economic effect on small businesses or micro-businesses because no additional requirements were included in the proposed amendments or new sections. It is not anticipated that these sections will affect a local economy because no additional requirements were included in the proposed amendments or new sections.

A public hearing will be held at 10:00 a.m. on March 22, 2000, in the auditorium of the main TDMHMR Central Office building (Building 2), 909 West 45th Street, Austin, Texas, to accept oral and written testimony concerning the proposal. Persons needing an accommodation to attend the hearing and persons with special needs requiring assistance should contact the Office of Policy Development, at least 72 hours prior to the hearing by calling (512) 206-4516. Persons with hearing impairments may also call TTY-Message-Texas Relay toll-free at (800) 735-2988.

Comments on the proposal may be submitted to Linda Logan, Director, Policy Development, Texas Department Mental Health and Mental Retardation, P.O. Box 12668, Austin, Texas, 78711-2668, within 30 days of publication of this notice.

The amendments and new sections are proposed under the Texas Health and Safety Code, §532.015(a), which provides TDMHMR with broad rulemaking authority; the Texas Government Code, §531.021(a), and the Texas Human Resources Code §32.021(a), which provide the Texas Health and Human Services Commission (THHSC) with the authority to administer the federal medical assistance (Medicaid) program in Texas; Acts 1995, 74th Texas Legislature, Chapter 6, §1, which clarifies the authority of THHSC to delegate the operation of all or part of a Medicaid program to a health and human services agency; and the Human Resources Code, §32.021(c), which provides an agency operating part of the Medicaid program with the authority to adopt necessary rules for the proper and efficient operation of the program. THHSC has designated TDMHMR as the operating agency for selected Medicaid waiver programs.

The sections affect the Health and Safety Code, §532.015, Human Resources Code, §32.021, and Government Code, §531.021.

§419.701.Purpose.

The purpose of this subchapter is to establish the process and conditions under which the Texas Department of Mental Health and Mental Retardation (TDMHMR) enters into a waiver program provider agreement with [ enrolls ] providers of home and community-based services waiver programs operated by TDMHMR including the Home and Community-based Services (HCS), Home and Community-based Services--OBRA (HCS-O), and the Mental Retardation Local Authority (MRLA) Programs as authorized by the Health Care Financing Administration in accordance with §1915(c) of the Social Security Act.

§419.702.Application.

This subchapter applies to any person seeking to obtain [ participate as ] a waiver program provider agreement .

§419.703.Definitions.

The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:

(1)-(3)

(No change.)

(4)

Community center--An entity established under the Texas Health and Safety Code, Chapter 534, Subchapter A.

(5)

[ (4) ] Debarred--Termination of rights to continue an existing Medicaid provider agreement, to receive a new Medicaid provider agreement, to participate as a provider or manager of a provider agency, or to make a bid, offer, application or proposal for a TDMHMR Medicaid provider agreement or contract in accordance with §406.63(b)(2) of this title (relating to Debarment and Suspension of Current and Potential Contractor's Rights) of Chapter 406, Subchapter B of this title (relating to ICF/MR Programs Contracting Requirements).

(6)

[ (5) ] Excluded--The temporary or permanent exclusion by a state or federal authority of a person from participating as a provider in a federal health care program as defined in Section 1128(f) of the Social Security Act. Exclusion includes refusal to reimburse the person for items and services furnished by that person and refusal to enter into or renew a provider agreement or the termination of the provider agreement with the person.

(7)

[ (6) ] HCSSA license--A Home and Community Support Services Agencies license issued by the Texas Department of Human Services [ Health in accordance with 25 TAC Chapter 115 (relating to Home and Community Support Services Agencies) ].

(8)

[ (7) ] LAR (legally authorized representative)--The parent or guardian of an individual who is a minor or the guardian of an individual who is an adult.

(9)

[ (8) ] Person--A corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, individual, or any other legal entity.

(10)

[ (9) ] Program provider--A person who delivers waiver program services under a waiver program provider agreement with TDMHMR.

(11)

SOCS--State-operated community services.

(12)

[ (10) ] Self-assessment--The document an applicant completes to describe the procedures that are used and the evidence that is presented to demonstrate the applicant's compliance with the program provider principles.

[(11)

Title XVIII--Title XVIII (Medicare) of the Social Security Act.]

[(12)

Title XIX--Title XIX (Medicaid) of the Social Security Act.]

[(13)

Title XX--Social Services Block Grant of the Social Security Act.]

(13)

[ (14) ] Waiver program--A home and community-based program serving people with mental retardation and/or related conditions which is operated by TDMHMR, including the HCS, HCS-O, and MRLA programs, as authorized by the Health Care Financing Administration in accordance with Section 1915(c) of the Social Security Act.

(14)

[ (15) ] Waiver program provider agreement--A written agreement between TDMHMR and a program provider that describes the conditions for participating as a program provider, a program provider's obligations in providing waiver program services, and the obligations of TDMHMR.

§419.704.Pre-application Orientation.

An applicant must attend the waiver program provider pre-application orientation (PAO) prior to receiving a program provider application packet [ for enrollment as a program provider ].

(1)-(2)

(No change.)

(3)

To attend the PAO, an applicant must submit a completed registration form to TDMHMR no later than 30 calendar days prior to the PAO. The registration is valid only for the PAO announced most recently in the Texas Register. All portions of the registration form must be completed including, but not limited to:

(A)-(B)

(No change.)

(C)

the legal name of the applicant and the name of the individual authorized to sign a waiver program provider agreement with TDMHMR; and

(D)

(No change.)

(4)-(5)

(No change.)

§419.705.Application Process.

(a)

An applicant must submit a separate program provider application packet for each waiver program provider agreement it seeks to obtain. Upon request, TDMHMR provides a program provider application packet to an applicant representative on the day the applicant representative completes the PAO.

(b)

The completed program provider application packet must be received by TDMHMR no later than 45 calendar days following the PAO. If the last day of this 45-day time period is a Saturday, Sunday, or day on which TDMHMR Central Office is closed, then the period extends through the end of the next day which is not a Saturday, Sunday, or day on which TDMHMR Central Office is closed. Application packets must be delivered in accordance with the application instructions.

(1)

An applicant must complete all portions of the application according to the application instructions including, but not limited to:

(A)

(No change.)

(B)

the resume or curriculum vita of the applicant's employee or contractor who manages and oversees the direct provision of all services to people who are enrolled in the program that:

(i)

(No change.)

(ii)

contains three verifiable professional references regarding the work experience required in clause (i) of this subparagraph ;

(C)-(E)

(No change.)

(2)-(4)

(No change.)

§419.706.Provisional Certification.

(a)-(c)

(No change.)

(d)

TDMHMR revokes the provisional certification of a provider that does not submit a copy of its HCSSA license in accordance with §419.707(a) of this title (relating to Waiver Program Provider Agreement).

(e)

An applicant that is not provisionally certified in accordance with subsection (c) of this section or a program provider whose provisional certification has been revoked must re-apply to obtain a waiver program provider agreement [ to enroll as a program provider ] in accordance with this subchapter.

Waiver Program Provider Agreement.

(a)

TDMHMR enters into a waiver program provider agreement only with a provisionally certified provider who has submitted a copy of its current HCSSA license to TDMHMR no later than 270 calendar days following the provisional certification date. The license must be valid for a minimum of licensed home health services and personal assistance services. If the last day of the 270-day time period is a Saturday, Sunday, or day on which TDMHMR Central Office is closed, then the period extends through the end of the next day which is not a Saturday, Sunday, or day on which TDMHMR Central Office is closed.

(b)

(No change.)

§419.708.Provider Certification.

(a)

No later than 120 calendar days following TDMHMR's approval of the enrollment of the first consumer in a provisionally certified provider's program, TDMHMR or its designee conducts a certification review in accordance with [ Chapter 409, ] Subchapter D of this chapter [ of this title ] (relating to Home and Community-based Services (HCS) ), Subchapter P of this chapter [ Chapter 409, Subchapter E of this title ] (relating to Home and Community-based Services--OBRA (HCS-O) Program ), or Chapter 409, Subchapter L of this title (relating to Mental Retardation Local Authority (MRLA Pilot) Program), as applicable.

(b)-(c)

(No change.)

(d)

A program provider whose waiver program provider agreement has been terminated in accordance with subsections (b) or (c) of this section must re-apply to obtain a waiver program provider agreement [ enroll as a program provider ] in accordance with this subchapter.

§419.710.Waiver Program Provider Agreement Assignment.

(a)-(b)

(No change.)

(c)

Upon approval of the assignment, the program provider (hereafter referred to as the assignor) and the assignee, as indicated, are subject to the following provisions.

(1)

The assignee must keep, perform and fulfill all of the terms, conditions and obligations that must be performed by the assignor under the waiver program provider agreement and this subchapter.

(2)

The assignee is subject to all pending conditions which exist against the assignor, including but not limited to, any plan of correction, audit exception, vendor hold, or proposed termination of a waiver program provider agreement [ contract termination ].

(3)

(No change.)

(5)

The assignee must complete the enrollment/transfer process within 95 calendar days of the effective date of the assignment if any consumer requests to transfer into or from the assignor's program or any initial enrollments into the assignor's program are pending as of the effective date of the assignment . [ ; ]

(6)-(7)

(No change.)

(d)

Except as provided by subsection (e) of this section, TDMHMR does not approve an assignment unless:

(1)

the proposed assignee holds a current waiver program provider agreement with TDMHMR or is eligible to enter into a provider agreement with TDMHMR as specified in §419.707(a) of this title (relating to Waiver Program Provider Agreement);

(2)-(3)

(No change.)

(e)

If the proposed assignment is part of a plan approved by TDMHMR to redesign the public provider service system, the proposed assignee is not subject to the provisions in subsection (d)(1) of this section. An example of such a proposed assignment is when the proposed assignee is a community center and the proposed assignor is a SOCS or a community center.

(f)

[ (e) ] TDMHMR may disapprove an assignment for good cause including, but not limited to:

(1)

a vendor hold on Medicaid payments is currently in effect for a program operated by the proposed assignee; or

(2)

a proposed contract/provider agreement termination is in effect for a program operated by the proposed assignee.

(g)

[ (f) ] On the date TDMHMR receives notice of a proposed assignment in accordance with subsection (b) of this section, TDMHMR may place a vendor hold on Medicaid payments to the assignor until all findings made from a survey, billing and payment review or audit which has been or is being conducted by TDMHMR are resolved.

(1)

At its discretion, TDMHMR may allow an assignor to obtain a surety bond or an irrevocable letter of credit in order to release the vendor hold prior to completing a survey, billing and payment review, or audit.

(2)

The surety bond or irrevocable letter of credit must be for a period of three years. The three-year period begins with the effective date of the assignment. TDMHMR specifies the amount of the surety bond or letter of credit.

(3)

The surety bond or irrevocable letter of credit must be in a format acceptable to TDMHMR and must not include requirements for TDMHMR to:

(A)

return the original bond or irrevocable letter of credit prior to receipt of payment; or

(B)

submit a sight draft or any other draft or demand requirement other than TDMHMR's letter demanding payment.

(4)

If the assignor submits an acceptable surety bond or irrevocable letter of credit to TDMHMR, TDMHMR releases the vendor hold.

(5)

If TDMHMR does not approve the proposed assignment, the vendor hold is released.

(h)

[ (g) ] TDMHMR may recoup Medicaid payments from the assignor or assignee for liabilities or obligations arising from any act, event, or condition which occurred or existed prior to the effective date of the assignment and which is identified in a survey, review, or audit conducted by TDMHMR.

(i)

[ (h) ] If TDMHMR approves an assignment, TDMHMR or its designee conducts an on-site certification review within 120 calendar days of the effective date of the assignment in accordance with [ Chapter 409, ] Subchapter D of this chapter [ of this title ] (relating to Home and Community-based Services (HCS) ), Subchapter P of this chapter [ Chapter 409, Subchapter E of this title ] (relating to Home and Community-based Waiver Services--OBRA (HCS-O) Program ), or Chapter 409, Subchapter L of this title (relating to Mental Retardation Local Authority MRLA Pilot Program), as applicable.

§419.711.References.

The following rules, laws, and regulations are referenced in this subchapter.

(1)

Texas Health and Safety Code, Chapter 534, Subchapter A;

(2)

Social Security Act, §§1128(f) and 1915(c);

(3)

Subchapter D of this chapter (relating to Home and Community-based Services (HCS));

(4)

Subchapter P of this chapter (relating to Home and Community-based Services--OBRA (HCS-O) Program); and

(5)

Chapter 409, Subchapter L of this title (relating to Mental Retardation Local Authority (MRLA) Pilot Program).

§419.712.Distribution.

This subchapter shall be distributed to:

(1)

members of the Texas MHMR Board;

(2)

executive, management, and program staff of Central Office;

(3)

chief executive officers of all Medicaid waiver program providers; and

(4)

advocacy organizations.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on February 22, 2000.

TRD-200001297

Charles Cooper

Chairman, Texas MHMR Board

Texas Department of Mental Health and Mental Retardation

Earliest possible date of adoption: April 9, 2000

For further information, please call: (512) 206-4516