TITLE 25.HEALTH SERVICES

Part 1. TEXAS DEPARTMENT OF HEALTH

Chapter 37. MATERNAL AND INFANT HEALTH SERVICES

Subchapter F. HEMOPHILIA ASSISTANCE PROGRAM

The Texas Department of Health (department) adopts the repeal of §§37.111 - 37.125 and new §§37.111 - 37.119, concerning the hemophilia assistance program. New §§37.111 - 37.116 are adopted with changes to the proposed text as published in the January 30, 2004, issue of the Texas Register (29 TexReg 770). Repealed §§37.111 - 37.125 and new §§37.117 - 37.119 are adopted without changes and, therefore, the sections will not be republished.

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). The department has reviewed the sections and has determined that reasons for adopting the sections continue to exist; however, revisions were needed to provide for clarity and consistency of language and to facilitate compliance with and administration of the rules.

The department published a Notice of Intent to Review for §§37.111 - 37.125 in the Texas Register on April 28, 2000 (25 TexReg 2799). No comments were received due to publication of this notice.

Specifically, the new sections cover general requirements; recipient eligibility requirements; residency and residency documentation requirements; application and eligibility date; financial criteria; limitations and benefits provided; participating providers; forms; and confidentiality of information.

The new rules define medical, financial and residency requirements, benefits and limitations, and participation criteria for providers.

One comment was received on the proposal during the comment period. In addition, the department is making minor changes due to staff comments to clarify the intent and improve the accuracy of the sections.

Comment: Concerning §37.112(6), a commenter requested that the program cover the 20% co-insurance for recipients eligible for Medicare, since the program covers the co-insurance liability for recipients who have private insurance.

Response: The department disagrees with the commenter and wishes to clarify that the program does not cover the co-insurance liability for recipients who have private insurance. According to §37.116(d), recipients who have private/group insurance may be eligible to receive benefits from the program only after they have exhausted their coverage under their private insurance plan. Once they have exhausted their coverage, they are no longer considered to have insurance coverage. No change was made as a result of this comment.

Change: Concerning §37.111(b)(2), the words "through a participating provider" were deleted because the reference is unnecessary.

Change: Concerning §37.112(b)(6), the word "or" was added after the phrase "on individual or group insurance", and the word "plan" was deleted and the word "plans" was added after the word "medical", so that the paragraphs are grammatically correct.

Change: Concerning §37.112(b)(6), the words "and health insurance plans under the Social Security Act, Title XVIII, as amended" were deleted because the reference no longer applies to recipients of the Hemophilia Assistance Program.

Change: Concerning §37.113(e), the words "or person establishing residency for the applicant under subsections (b) and (c) of this section" and "Texas Medicaid" were deleted in order to clarify the requirements of this section.

Change: Concerning §37.113(f), new paragraph (f) was added to clarify the requirements of this section and the subsequent subsections were re-lettered.

Change: Concerning §37.113(h)(2), the word "or" was added at the end of the sentence, so that the paragraph is grammatically correct.

Change: Concerning §37.113(h)(3), paragraph (3) was deleted in its entirety because the reference does not apply to recipients of the Hemophilia Assistance Program and the subsequent paragraph was renumbered.

Change: Concerning §37.114(1)(D), the sentence "If the applicant, or person(s) who has a legal obligation to support the applicant is currently approved to receive benefits from Texas Medicaid, Temporary Assistance for Needy Families (TANF), or Food Stamps, no verification of income is required" was deleted because the reference is not necessary.

Change: Concerning §37.115(2), the sentence "Supplemental Security Income (SSI) for the disabled applicant is not included as income" was deleted because the reference is not applicable to recipients of the Hemophilia Assistance Program.

Change: Concerning §37.116(b), the words "allowable products" were added after the word "those" because they were omitted in the original submission.

Change: Concerning §37.116(c), the words "per recipient" were added after the word "products" in order to clarify the intent of the paragraph.

25 TAC §§37.111 - 37.125

The repeals are adopted under Health and Safety Code, §12.001, which provides the Board of Health (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; and Health and Safety Code Chapter 41, relating to hemophilia.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402532

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: January 30, 2004

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


25 TAC §§37.111 - 37.119

The new rules are adopted under Health and Safety Code, §12.001, which provides the Board of Health (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; and Health and Safety Code Chapter 41, relating to hemophilia.

§37.111.General.

(a) Purpose. The purpose of this chapter is to establish rules for the Hemophilia Assistance Program (HAP). The authority for these rules is granted in the Texas Health and Safety Code, Chapter 41.

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

(1) Allowable product--Blood derivatives, blood concentrates, and manufactured pharmaceutical products indicated for the treatment of hemophilia and approved for payment by the Hemophilia Assistance Program.

(2) Applicant--An individual whose application has been submitted and has not received a final determination of eligibility. This includes an individual whose application is submitted by a representative or person with legal authority to act for the individual.

(3) Department--The Texas Department of Health.

(4) HAP--The Hemophilia Assistance Program.

(5) Hemophilia--A human physical condition, characterized by bleeding, resulting from a genetically determined deficiency of a blood coagulation factor or hereditarily resulting in an abnormal or deficient plasma procoagulant.

(6) Inhibitor--A type of antibody, more common in severe hemophilia A than hemophilia B, which requires the use of higher doses of blood factor to contain a bleeding episode. This is usually confirmed by the Bethesda inhibitor assay and reported as the Bethesda titer. The development of an inhibitor rarely occurs in those with mild hemophilia.

(7) Participating provider--Any individual or entity with HAP approval to provide allowable products to HAP recipients.

(8) Recipient--An individual who is eligible to receive HAP benefits.

§37.112.Recipient Requirements.

(a) A person shall meet all of the following requirements to be eligible for benefits from the Hemophilia Assistance Program (HAP):

(1) have a diagnosis of hemophilia certified by a licensed physician;

(2) be 21 years of age or older;

(3) be a resident of Texas as determined in §37.113 of this title (relating to Residency and Residency Documentation Requirements) and not be:

(A) incarcerated in a city, county, state, or federal jail, or prison; or

(B) a ward of the state.

(4) submit an application for benefits to the HAP;

(5) meet, or the person(s) who have a legal obligation to support the applicant meet, the financial guidelines as outlined in §37.115 of this title (relating to Financial Criteria). The person or persons who have a legal obligation to support the recipient will be determined by the applicable state law; and

(6) not be eligible for Medicare or Medicaid.

(b) A recipient may have all HAP benefits modified, suspended, or terminated for any of the following reasons:

(1) failure to maintain Texas residency or, upon demand, furnish evidence of such using the criteria in §37.113 of this title;

(2) failure to provide income data as requested to determine continued HAP eligibility;

(3) recipient is incarcerated in a city, county, state, or federal jail, or prison;

(4) recipient becomes a ward of the state;

(5) recipient makes a material misstatement or misrepresentation on their application or any document required to support their application;

(6) failure to continue premium payments on individual or group insurance or prepaid medical plans, where such plans provide benefits for the care and treatment of persons who have hemophilia and the person's eligibility for benefits under the plan(s) was effective prior to eligibility for HAP, or provide a statement on the application form outlining the reason(s) why such insurance cannot be maintained; or

(7) failure to receive services through a participating provider.

(c) When eligibility for HAP benefits is terminated for any of the reasons outlined in subsection (b) of this section, an applicant shall reapply for HAP benefits.

(d) A recipient whose benefits are modified, suspended, or terminated may appeal the HAP decision under the procedure contained in §§1.51 - 1.55 of this title (relating to Fair Hearing Procedures).

§37.113.Residency and Residency Documentation Requirements.

(a) The following conditions shall be met by an applicant and maintained by a recipient to satisfy the residency requirements in this section:

(1) physically reside within the state; and

(2) maintain a home or abode within the state.

(b) If the applicant is a legal dependent of, and residing with, a resident (such as an adult child or spouse); or is a person under legal guardianship, then the resident providing support or the legal guardian of the applicant shall meet the requirements of subsection (a) of this section.

(c) If the applicant is a parent residing with their adult child who is a resident of Texas, residency may be determined through the adult child. If the applicant is a parent being supported by their adult child, whether or not the child is a resident of Texas, the residency may be determined by the adult child providing the required documents supporting the Texas residency of the parent. These provisions apply even if no legal guardianship has been established.

(d) All documents submitted to establish the residency of an applicant shall be in English or accompanied by an accurate English translation, if required by the Hemophilia Assistance Program (HAP).

(e) An applicant who is currently a Texas resident and has been currently approved to receive benefits from Temporary Assistance for Needy Families (TANF) or Food Stamps, is not required to provide additional residency verification.

(f) A person establishing residency for the applicant under subsections (b) and (c) of this section, who is currently a Texas resident and has been currently approved to receive benefits from Texas Medicaid, Temporary Assistance for Needy Families (TANF), or Food Stamps, is not required to provide additional residency verification.

(g) An applicant, or person establishing residency for the applicant under subsections (b) and (c) of this section, may submit a copy of any one of the following documents as evidence of residency. All documents shall be in the applicant's name, or in the name of the person establishing residency for the applicant, and provide some verification of a Texas address or domicile:

(1) a valid Texas driver's license, or an identification card issued by the Texas Department of Public Safety;

(2) a valid Texas voter's registration card, or a copy of a validated (at the county clerk's office) application for a voter's registration card;

(3) a current Texas motor vehicle registration or automobile license plate registration renewal form;

(4) a mortgage payment receipt from any of the three months immediately preceding the date of the application;

(5) a rent payment receipt from any of the three months immediately preceding the date of the application;

(6) a statement reflecting that the applicant is currently receiving rent-free housing. The statement must be signed by the individual providing the rent-free housing and must include the address and phone number of the individual providing the rent-free housing;

(7) a utility payment receipt from any of the three months immediately preceding the date of the application;

(8) a Texas property tax receipt for the most recently completed tax year;

(9) a payroll or retirement check dated within the three months immediately preceding the date of the application;

(10) employment/unemployment records prepared within the three months immediately preceding the date of the application;

(11) a statement from a financial institution issued within the three months preceding the date of the application; or

(12) social security supplemental income or disability income records, or social security retirement benefit records issued within the three months immediately preceding the date of the application.

(h) Applications submitted under subsections (b) and (c) of this section shall also include evidence of the legal relationship between the applicant and the resident, such as:

(1) a marriage license or declaration of non-ceremonial marriage to document the marriage of the applicant and spouse;

(2) a birth certificate establishing the parent/child relationship between the applicant and the resident; or

(3) an income tax return showing name and relationship of the applicant to the resident.

(i) Any difference between the name of the applicant and the name on any document must be explained by additional documentation (Example: marriage license, divorce decree, or adoption decree).

§37.114.Applications and Eligibility Date.

Persons meeting the eligibility requirements set forth in §37.112(a)(1), (2), (3), (5) and (6) of this title (relating to Recipient Requirements) must make an application for benefits through the Hemophilia Assistance Program (HAP).

(1) Complete application. A complete application is required before any eligibility determination will be made. A complete application shall consist of all of the following:

(A) a complete Application for Benefits, with the applicant's, or the applicant's representative's, original signature or "mark";

(B) a diagnosis of hemophilia certified by a licensed physician;

(C) documentation of Texas residency as required by §37.113 of this title (relating to Residency and Residency Documentation Requirements);

(D) applicant financial data. Acceptable data to establish the applicant's financial qualifications shall be submitted with the application. Changes in income or financial qualifications that would affect the applicant's eligibility shall be reported to the HAP.

(i) The applicant, or the person(s) who has a legal obligation to support the applicant, may submit any of the following documents to verify income:

(I) copy of the most recent paycheck;

(II) copy of the most recent paycheck stub or monthly employee earnings statement;

(III) employee's written verification of gross monthly income;

(IV) pension/allotment award letters;

(V) a copy of the IRS individual income tax return form and supporting schedules for the most recently completed tax year; or

(VI) any other documents considered valid by HAP.

(ii) If the applicant, or person(s) who has a legal obligation to support the applicant, is unemployed, a statement of termination from the employer, or other documentation acceptable to HAP, is required.

(2) Incomplete applications. Any application which does not meet all of the requirements of paragraph (1) of this subsection is incomplete. Incomplete applications may be returned to the submitting person for correction or completion.

(3) Eligibility date for HAP benefits. The HAP eligibility date will be either:

(A) the date HAP receives a completed application; or

(B) the date of conditional authorization for allowable products, if all written information to establish eligibility is received within 30 days of the date of conditional authorization.

(4) Eligibility date for reinstatement of HAP benefits. If HAP benefits are terminated, the eligibility date for any subsequent benefit period will be the date on which HAP receives a subsequent completed application for HAP benefits.

(5) An applicant whose eligibility for benefits is denied may appeal HAP's decision under the procedure contained in §§1.51 - 1.55 of this title (relating to Fair Hearing Procedures).

§37.115.Financial Criteria.

Financial need is established on the basis of income legally available to the applicant or the person(s) who have a legal obligation to support the applicant.

(1) The income used to determine eligibility is the combined gross income of the applicant and of all persons who have a legal obligation to support the applicant.

(2) Income includes earned wages, pensions or allotments, alimony, or any monies received on a regular basis for support purposes. Verification of income data will be required as set out in §37.114(1)(D) of this title (relating to Applications and Eligibility Date).

(3) The income level for eligibility is based on a percentage of the Federal Poverty Level Guidelines currently published by the U.S. Health and Human Services and adopted by the Texas Department of Health (department). Priority levels are based on available funds and may be adjusted by the department in order to meet budgetary limitations. Priority levels are as follows.

(A) Priority 1 - 100% or below;

(B) Priority 2 - 101% - 115%;

(C) Priority 3 - 116% - 130%;

(D) Priority 4 - 131% - 145%;

(E) Priority 5 - 146% - 160%;

(F) Priority 6 - 161% - 185%; or

(G) Priority 7 - 186% - 200%.

§37.116.Limitations and Benefits Provided.

(a) The Hemophilia Assistance Program (HAP) provides limited reimbursement to participating providers for blood derivatives, blood concentrates, and manufactured pharmaceutical products indicated for the treatment of hemophilia and prescribed to eligible recipients for use in medical or dental facilities or in the home.

(b) All HAP benefits are limited to those allowable products prescribed by a licensed physician and received in Texas from a participating provider.

(c) Depending on the recipient's eligibility status, HAP will pay for allowable products per recipient based upon:

(1) available funds;

(2) established limits for allowable products by type or category of product; and

(3) the reimbursement rates established by the Texas Department of Health (department).

(d) Recipients eligible for coverage of allowable products under a private/group health insurance plan are not eligible to receive HAP benefits. A recipient that has exhausted this coverage may be eligible to receive benefits from HAP.

(e) To meet budgetary limitations, the department may:

(1) adjust the priority level for receipt of benefits, as outlined in §37.115(3) of this title (relating to Financial Criteria);

(2) adjust the reimbursement rates established by the department;

(3) restrict the allowable products paid for under the HAP;

(4) adjust the established limits for allowable products;

(5) adjust the limits established based on the inhibitor status of the recipient or applicant;

(6) limit the number of providers approved to participate in the HAP; or

(7) establish a waiting list of persons eligible for HAP. Appropriate information will be collected from each applicant who is placed on a waiting list. The information will be used to facilitate contacting the applicant when benefits become available and to allow efficient enrollment of the applicant for those benefits.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402533

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: January 30, 2004

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


Chapter 100. IMMUNIZATION REGISTRY

The Texas Department of Health (department) adopts the repeal of §§100.1-100.11 and new §§100.1-100.8, concerning the immunization registry. New §§100.1 and 100.3 are adopted with changes to the proposed text as published in the January 30, 2004, issue of the Texas Register (29 TexReg 776). Repealed §§100.1-100.11 and new §§100.2, 100.4-100.8 are adopted without changes and will not be republished.

The immunization registry is a statewide repository for immunization information on Texas children. The information is available to public health districts, local health departments, physicians, schools, child-care facilities, and parents when record request criteria are met. The proposed rules are necessary to simplify reporting immunization histories to the department and to enhance the effectiveness of the immunization registry under its current authorized legislation. As mandated by House Bill 1921, 78th Legislature, Regular Session (2003), which revised Health and Safety Code, §161.007, the proposed rules will help populate the registry by relieving payors and providers of the responsibility for maintaining consent for the registry; will allow parents to submit immunization histories directly to the department; will require healthcare providers to send immunization records directly to the department; will require the department to verify parental consent for each record submitted; and will expand data access to any provider authorized to administer vaccines, payors and state agencies with legal custody of a child.

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). The department has reviewed §§100.1-100.11 and has determined that reasons for adopting the sections continue to exist; however, a repeal of the current rules and the proposal of new rules are necessary to simplify the rules and implement House Bill 1921.

The department published a Notice of Intention to Review for §§100.1-100.11 in the Texas Register on May 31, 2002 (27 TexReg 4745). No comments were received due to publication of this notice.

In general, public comments made at the public hearing and sent to the department by mail, facsimile, and electronic mail were favorable to the rules as proposed. The commenters agreed that the rules as proposed here for adoption simplify reporting immunization histories to the department and enhance the effectiveness of the immunization registry under its current authorized legislation.

Following each comment is the department's response and any resulting change(s).

Comment: Concerning §100.3(a), a commenter recommended the department change the word "communicable" to "vaccine-preventable" disease.

Response: The department agrees. Information in the registry is specific to diseases that may be prevented by vaccinations. The subsection was amended as recommended.

Comment: Concerning §100.3(c), a commenter recommended the department change "type of immunization" to "vaccine."

Response: The department agrees. The term vaccine improves clarity. The department made the change to the subsection as recommended.

Comment: Concerning §100.3(d)(1), a commenter recommended the department change the term "immunization information" to "immunization history".

Response: The department disagrees. "Immunization information" is the appropriate term. No change was made as a result of this comment.

Comment: Concerning §§100.6(b), 100.6(c), 100.6(d)(2), 100.6(d)(3), and 100.8(c)(2), a commenter recommended the department change the word "immunization" to "vaccination".

Response: The department disagrees. The rules are consistent with the statutory language in House Bill 1921. No change was made as a result of this comment.

The comments received were generally favorable of the rules as proposed; however, commenters had questions or specific concerns, or offered suggestions for changes, including changes in terminology, consistency, and clarity.

Some comments were general in nature and suggested no changes to the rules. These general comments addressed registry procedures relating to local registries and data reporting activities. The department will collaborate with local registries to address procedural issues relating to implementation of the rules. The department will also work with providers concerning the impact of data entry and reporting of immunization information to the registry. No changes to the rules resulted from these comments.

Commenters included the March of Dimes, VaccineWorks, San Antonio Metropolitan Health District, and an individual.

The department made the following changes due to staff comments for clarity and consistency:

Change: Concerning §100.1(6), restructuring of the definition "immunization record" provides grammatical accuracy. The last sentence which reads, "The report generated from the immunization registry is considered an official immunization record." was deleted to eliminate redundancy in the rules.

Change: Concerning §100.1(12), the word "immunization" was inserted so definition reads, "Vaccine - Includes toxoids and other immunologic agents which are administered to children to elicit an immune response (immunization) and thus protect against infectious diseases.

In addition, a public hearing was held at the department during the public comment period on February 18, 2004, in order to listen to public comments and concerns. During the public hearing one individual made comments.

25 TAC §§100.1 - 100.11

The repeals are adopted under the authority of Health and Safety Code, §161.007, which gives the Texas Board of Health (board) the right to develop rules to implement the immunization registry; and Health and Safety Code, §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.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402543

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: January 30, 2004

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


25 TAC §§100.1 - 100.8

The new rules are adopted under the authority of Health and Safety Code, §161.007, which gives the Texas Board of Health (board) the right to develop rules to implement the immunization registry; and Health and Safety Code, §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.

§100.1.Definitions.

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

(1) Child--The person or individual younger than 18 years of age to whom a vaccine has been administered.

(2) Consent--A statement signed by a parent agreeing that the child's immunization history can be included in the registry and that the child's immunization record may be released from the registry.

(3) Data elements--Consistent with 42 U.S.C. §300aa-25, as amended, data elements are defined as the information a provider who administers a vaccine is required to record in a medical record, including:

(A) the date the vaccine is administered;

(B) the type of vaccine administered, vaccine manufacturer and lot number; and

(C) the name, address, and, if appropriate, the title of the provider administering the vaccine.

(4) Department--The Texas Department of Health.

(5) Immunization history--An accounting of all vaccines that a child has received, or evidence of immunity, and other identifying information.

(6) Immunization record--A record containing the name and date of birth of the person to whom a vaccine was administered; dates of vaccine administration; types of vaccine administered; and name and address of the provider that administered the vaccines; or other evidence of immunity to a vaccine-preventable disease.

(7) Immunization registry--The database or single repository that contains immunization histories, which include necessary personal data for identification. This database is confidential, and access to content is limited to authorized users.

(8) Parent--A parent, managing conservator, or legal guardian.

(9) Payor--An insurance company, a health maintenance organization, or another organization that pays a health care provider to provide health care benefits, including the administration of vaccines to a person younger than 18 years of age.

(10) Provider--Any physician, health care professional, or facility personnel duly licensed or authorized to administer vaccines.

(11) User--An entity or individual authorized by the department to access immunization registry data.

(12) Vaccine--Includes toxoids and other immunologic agents which are administered to children to elicit an immune response (immunization) and thus protect against infectious diseases.

§100.3.Informing Parent, Managing Conservator, or Guardian.

(a) A parent shall be informed that the department has established and maintains a single repository of immunization records to be used in aiding, coordinating, and promoting efficient and cost-effective childhood vaccine-preventable disease prevention and control efforts.

(b) The department shall provide written materials and forms to providers for the purpose of informing a parent about the immunization registry and specific information collected in that registry.

(c) The department and providers may use the registry to provide notices by mail, telephone, personal contact, or other means to a parent regarding his or her child who may be due or overdue for a particular vaccine according to the department's immunization schedule.

(d) The first time the department receives registry data, from a person other than the child's parent, for a child for whom the department has received consent to be included in the registry, the department shall send a written notice to the parent disclosing:

(1) that providers and payors may be sending the child's immunization information to the department;

(2) the information that is included in the registry;

(3) the persons to whom the information may be released;

(4) the purpose of the registry;

(5) the procedure to exclude a child from the registry; and

(6) the procedure to report a violation if a parent discovers a child is included in the registry after exclusion has been requested.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402544

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: January 30, 2004

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


Chapter 117. END STAGE RENAL DISEASE FACILITIES

The Texas Department of Health (department) adopts the repeal of §§117.3, 117.11 - 117.14, new §§117.11 - 117.14, and amendments to §§117.15, 117.16 and 117.84, concerning the regulation of end stage renal disease facilities. Sections 117.11, 117.14 and 117.15 are adopted with changes to the proposed text as published in the January 30, 2004, issue of the Texas Register (29 TexReg 780). Sections 117.12, 117.13, 117.16, and 117.84, and the repeal of §§117.3, 117.11 - 117.14, are adopted without changes and, therefore, the sections will not be republished.

The amendments and new sections are required as a result of revisions and additions to sections of the Health and Safety Code. House Bill (HB) 2292, 78th legislature, 2003, revised Health and Safety Code, §§12.0111 and 12.0112, and requires two-year licenses effective January 1, 2005; Senate Bill 1152, which amended Government Code, Chapter 2054 for the Texas Online authority; and Senate Bill 162, 78th legislature, 2003, which amended Health and Safety Code, §251.062, and added new §251.0621, to include probation and emergency suspension to the list of enforcement actions that can be taken against a facility.

Specifically, the sections adopted for repeal address licensing fees, general requirements for a license, application and issuance of a temporary initial license and first annual license, application and issuance of annual renewal license, and change of ownership or services. The new sections cover general requirements for a license, application and issuance of initial license, application and issuance of renewal license, and fees. The repeal of existing rules and new sections allows for the reorganization and renumbering of the sections for clarification, and for the inclusion of language to implement the provisions of the new legislation. New §117.13 addresses the conversion to two-year license cycles beginning January 1, 2005. New §117.14 includes fees for both 12-month and two-year license renewal cycles, and for the recovery of costs associated with application and renewal application processing through Texas Online. The amendment to §117.15 updates references to other sections. Amendment to §117.16 eliminates unnecessary language and clarifies that inspections are conducted to determine compliance with HSC, Chapter 251, and this chapter. The amendment to §117.84 addresses the addition of probation and emergency suspension to the list of enforcement actions that can be taken against a facility.

The department received no public comments concerning the proposal during the comment period. However, the department is making the following changes to clarify the intent of the sections and improve the accuracy of the sections.

Change: Concerning §117.11(e)(1)(B), the comma was deleted from the end of the subparagraph for correct Texas Register formatting.

Change: Concerning §117.14(b)(2)(A), the word "issue" was changed to "issued" for grammatical correctness.

Change: Concerning §117.14(b)(2)(B)(ii), the department changed the word "if" to "of" to clarify the basis for determining the license fee.

Change: Concerning §117.15(e), the department changed "the" to "this" to clarify that the word title refers to Title 25. Health Services.

Subchapter A. GENERAL PROVISIONS

25 TAC §117.3

The repeal is adopted under Health and Safety Code, §251.003, concerning rules and minimum standards to protect and promote the public health and welfare by providing for the issuance, renewal, denial, suspension, and revocation of each level of license; and Health and Safety Code, §12.001, which provides the Texas Board of Health (board) with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and commissioner of health.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402567

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 30, 2004

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


Subchapter B. APPLICATION AND ISSUANCE OF A LICENSE

25 TAC §§117.11 - 117.14

The repeals are adopted under Health and Safety Code, §251.003, concerning rules and minimum standards to protect and promote the public health and welfare by providing for the issuance, renewal, denial, suspension, and revocation of each level of license; and Health and Safety Code, §12.001, which provides the Texas Board of Health (board) with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and commissioner of health.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402568

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 30, 2004

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


Subchapter B. FACILITY LICENSING

25 TAC §§117.11 - 117.16

The new sections and amendments are adopted under Health and Safety Code, §251.003, concerning rules and minimum standards to protect and promote the public health and welfare by providing for the issuance, renewal, denial, suspension, and revocation of each level of license; and Health and Safety Code, §12.001, which provides the Texas Board of Health (board) with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and commissioner of health.

§117.11.General Requirements for a License.

(a) License required. A facility shall obtain a license prior to admitting patients.

(b) Display. A facility shall prominently and conspicuously display the license in a public area of the licensed premises that is readily visible to patients, employees, and visitors.

(c) Alteration. A facility license shall not be altered.

(d) Transfer or assignment prohibited. A facility license shall not be transferred or assigned. The facility shall comply with the provisions of §117.12(h) of this title (relating to Application and Issuance of Initial License) in the event of a change in the ownership.

(e) Changes which affect the license.

(1) A facility shall notify the department in writing prior to the occurrence of any of the following:

(A) any construction, renovation, or modification of the facility buildings;

(B) cessation of operation of the facility; or

(C) change in facility name, telephone number or administrator.

(2) A facility shall obtain written approval from the department prior to the utilization of added services or an increased number of stations. The written request shall be submitted 30 calendar days prior to the planned change.

(A) For an additional service or increase in stations, the department may request that the facility provide evidence of appropriate staffing and policies and procedures which demonstrate the intent to comply with the applicable requirements, and any other documentation it determines is necessary to evaluate the request.

(B) For an increase in stations, the facility shall also be required to submit written evidence that the water treatment system is of sufficient size to accommodate the increase and maintain a safe water supply.

(C) The department may conduct on on-site inspection prior to taking action on the requested change.

(D) No later than three weeks after initiating the use of the new stations, the facility is required to complete chemical and bacteriological cultures of the product water to ensure they are in compliance with §4.2.1 (relating to Water Bacteriology) and §4.2.2 (relating to Maximum Level of Chemical Contaminants) of the American National Standard, Water Treatment Equipment for Hemodialysis Applications, August 2001 Edition, published by the Association for the Advancement of Medical Instrumentation, 1110 North Glebe Road, Suite 200, Arlington, Virginia 22201, 703-525-4890. Deviations from acceptable levels must be immediately reported to the department. The reports must be kept on file at the facility and made available to department staff during the next on-site inspection.

(3) The department shall send the facility written notice of the approval or disapproval of the requested change.

(f) Facility relocation.

(1) A facility planning to relocate shall notify the department a minimum of 60 days prior to the planned relocation. Relocations must be within the same geographical area, and services shall continue to be provided to the facility's existing patient population.

(2) The facility shall submit the following to the department:

(A) a copy of a current fire safety survey indicating approval by the local fire authority in whose jurisdiction the new location is based;

(B) results of chemical and bacteriological cultures of the product water at the new location to ensure they are in compliance with §§4.2.1 (relating to Water Bacteriology) and 4.2.2 (relating to Maximum Level of Chemical Contaminants) of the American National Standard, Water Treatment Equipment for Hemodialysis Applications, August 2001 Edition, published by the Association for the Advancement of Medical Instrumentation, 1110 North Glebe Road, Suite 200, Arlington, Virginia 22201, (703) 525-4890;

(C) documentation verifying compliance with paragraph (1) of this subsection; and

(D) a written plan for the orderly transition of all patient services to the new location.

(3) The department shall conduct the design and space inspection described in §117.16(b)(1)(A) of this title (relating to Inspections) prior to issuance of the initial license, unless the department waives the requirement.

(4) The department may conduct additional on-site inspections, or request additional information, before approving the relocation.

(5) The department will notify the facility in writing of the approval or disapproval of relocation. If approved, the license will be reissued for the new location effective on the day that patient services are transferred to the new location.

§117.14.Fees.

(a) General.

(1) All fees paid to the department are nonrefundable.

(2) All fees shall be paid to the department.

(b) License fees.

(1) The fee for an initial license is $2,000 per 12-month period.

(2) Renewal license fees.

(A) For renewal licenses issued prior to January 1, 2005, the license fee is determined by multiplying the number of treatments in the previous 12-month period by $.25, except that the minimum fee is $1,000 and the maximum fee is $2,500.

(B) For renewal licenses issued January 1, 2005 or later, the license fee will be determined as follows.

(i) For licenses that the department determines will be valid for 12 months, the license fee is the total number of treatments in the past 12-month period multiplied by $.25, except that the minimum fee is $1,000 and the maximum fee is $2,500.

(ii) For licenses that the department determines will be valid for 24 months, the license fee is the total number of treatments in the past 12-month period multiplied by $.50, except that the minimum fee is $2,000 and the maximum fee is $5,000.

(c) Other fees. For all applications and renewal applications, the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online, in accordance with Texas Government Code, §2054.111.

§117.15.Time Periods for Processing and Issuing a License.

(a) General.

(1) The date a license application is received is the date the application reaches the Texas Department of Health (department).

(2) An application for an initial license is complete when the department has received, reviewed, and found acceptable the information described in §117.12 of this title (relating to Application and Issuance of Initial License).

(3) An application for an annual renewal license is complete when the department has received, reviewed and found acceptable the information described in §117.13 of this title (relating to Application and Issuance of Renewal License).

(b) Time Periods. An application from a facility for an initial license or a renewal license shall be processed in accordance with the following time periods.

(1) The first time period begins on the date the department receives the application and ends on the date the license is issued, or if the application is received incomplete, the period ends on the date the facility is issued a written notice that the application is incomplete. The written notice shall describe the specific information that is required before the application is considered complete. The first time period is 45 calendar days.

(2) The second time period begins on the date the last item necessary to complete the application is received and ends on the date the license is issued. The second time period is 45 calendar days.

(c) Reimbursement of fees.

(1) In the event the application is not processed in the time periods stated in subsection (b) of this section, the applicant has the right to request that the department reimburse in full the fee paid in that particular application process. If the department does not agree that the established periods have been violated or finds that good cause existed for exceeding the established periods, the request will be denied.

(2) Good cause for exceeding the period established is considered to exist if:

(A) the number of applications for licenses to be processed exceeds by 15% or more the number processed in the same calendar quarter the preceding year;

(B) another public or private entity utilized in the application process caused the delay; or

(C) other conditions existed giving good cause for exceeding the established periods.

(d) Appeal. If the request for reimbursement as authorized by subsection (c) of this section is denied, the applicant may then appeal to the commissioner of health for a resolution of the dispute. The applicant shall give written notice to the commissioner requesting reimbursement of the fee paid because the application was not processed within the established time period. The department shall submit a written report of the facts related to the processing of the application and good cause for exceeding the established time periods. The commissioner will make the final decision and provide written notification of the decision to the applicant and the director.

(e) Hearings. If a hearing is proposed during the processing of the application, the hearing shall be conducted pursuant to the Administrative Procedure Act, Texas Government Code, Chapter 2001, and the department's formal hearing procedures in Chapter 1 of this title (relating to the Texas Board of Health).

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402569

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 30, 2004

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


Subchapter F. CORRECTIVE ACTION PLAN AND ENFORCEMENT

25 TAC §117.84

The amendment is adopted under Health and Safety Code, §251.003, concerning rules and minimum standards to protect and promote the public health and welfare by providing for the issuance, renewal, denial, suspension, and revocation of each level of license; and Health and Safety Code, §12.001, which provides the Texas Board of Health (board) with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and commissioner of health.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402570

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 30, 2004

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


Chapter 134. PRIVATE PSYCHIATRIC HOSPITALS AND CRISIS STABILIZATION UNITS

The Texas Department of Health (department) adopts amendments to §§134.2, 134.22, 134.23, 134.26, 134.81 and 134.83, and adopts new §134.47, concerning private psychiatric hospitals and crisis stabilization units. Sections 134.2, 134.22, 134.47 and 134.83 are adopted with changes to the proposed text as published in the January 16, 2004, issue of the Texas Register (29 TexReg 441). Sections 134.23, 134.26, and 134.81 are adopted without changes and, therefore, the sections will not be republished.

The amendments and new section are required as a result of revisions and additions to sections of the Health and Safety Code. House Bill (HB) 2292, 78th legislature, 2003, revised Health and Safety Code, §§12.0111 and 12.0112, and requires two-year licenses effective January 1, 2005; Senate Bill 162, 78th legislature, 2003, which amended Health and Safety Code, §577.016, and added probation to the list of enforcement actions that can be taken against a facility; and HB 1614, 78th legislature, 2003, which amended Health and Safety Code, Chapter 577, by adding Subchapter B, which establishes a patient safety program.

Amendments to §134.2 include additional definitions for action plan, adverse event, medical error, reportable event, and root cause analysis. Amendments to §§134.22 and 134.23 implement the process for converting to two-year licensing renewal cycles beginning January 1, 2005, and adds a requirement to submit to the department an annual events report, and a best practices report prior to the expiration of the license. Amendments to §134.26 increase licensing fees in order to implement the full cost recovery requirement for licensing programs. New §134.47 includes requirements related to development and implementation of a patient safety program, and establishes annual reporting requirements related to specific events occurring at the facility, and submission of best practice reports. The amendment to §134.81 clarifies limitations on the department's access related to a root analysis and action plan. Amendments to §134.83 reflect the addition of probation to the list of enforcement actions that can be taken against a facility.

The following comments were received concerning the proposed sections. Following each comment is the department's response and any resulting change(s).

Comment: Concerning §134.2(2), a commenter was opposed to the scope of the definition of "adverse event" in the proposed rule, and recommended that the department adopt the Institute of Medicine's definition of that term.

Response: The department agrees. Since the Institute of Medicine is a nationally recognized authority on health care quality and patient safety, it is appropriate to use their definition of the term "adverse event". The rule has been changed to include the definition found in the Institute of Medicine's 2004 publication entitled Patient Safety: Achieving a New Standard of Care.

Comment: Concerning §134.47(a)(1)(B)(ii)-(iv), one commenter asked that the department clarify that these reporting requirements apply only to the facility's internal reporting systems, and not to any external reporting requirements.

Response: Although §134.47(a)(1)(B)(ii)-(iv) as proposed did not place any external reporting requirements on the facility, the department agreed to include the revised language in §134.47(a)(1)(B)(ii)-(iv) to provide the additional clarification requested by the commenter.

Comment: Concerning §134.47(a)(1)(B)(vi), one commenter stated that the requirement that facilities have in place a support system for staff members who were involved in medical errors would be unduly burdensome for small and rural facilities.

Response: The rationale for including this requirement in the proposed rule was based on the recommendations of nationally recognized patient safety organizations who emphasize that a patient safety program can only be successful if it is presented in a non-punitive manner and with an organizational commitment to providing support to those who voluntary report medical errors. However, the department agrees that making this support system mandatory could be burdensome on some facilities, therefore, §134.47(a)(1)(B)(vi) has been deleted and the subsequent clauses renumbered. Facilities are encouraged to voluntarily provide a support system for staff who are involved in a medical error.

Comment: Concerning §134.47(a)(1)(C), a commenter requested that the proposed rule requiring that facilities include a process for educating patients regarding their shared responsibility for patient safety be deleted, as the language would be unduly prescriptive.

Response: The rationale for including this requirement in the proposed rule was based on the Institute of Medicine's recommendation that health care organizations implement polices designed to assist patients and their families in understanding their roles in assuring the safety of patients while they are in the facility. However, the department understands that some facilities may find compliance with this requirement excessively burdensome, therefore the requirement has been deleted from the final rule. Facilities are strongly encouraged to voluntarily include patient safety issues in their patient education activities. Subparagraph (C) was deleted from subsection §134.47(a)(1), and the remaining subparagraph was renumbered.

Comment: Concerning §134.47(a)(1)(D), one commenter stated that, although training of certain personnel could be inferred to be a reasonable component of a facility's patient safety program, the requirement to provide patient safety education and training to all clinical and administrative staff was excessive. The commenter believed it was not necessary to extend this requirement to administrative staff, and recommended that rule be revised to reflect that the training was required only for those staff directly involved with the patient safety program.

Response: The department agrees and has revised renumbered §137.47(a)(1)(C) to reflect the change.

Comment: Concerning §134.47(a)(2), one commenter stated that the proposed rule requiring that the facility designate an individual to serve as the Patient Safety Program Coordinator could create an unworkable standard in many institutions. The commenter recommended that the rule be revised to allow more than one individual, or an interdisciplinary group, to be designated as responsible for the management of patient safety program.

Response: The department agrees, and has revised §134.47(a)(2) to reflect this change as well as grammatical changes to the subparagraphs of the paragraph.

The department is making the following minor changes due to staff comments to clarify the intent and improve the accuracy of the sections.

Change: Concerning §134.2(25), the definition of "medical error" was changed to reflect the definition by the Institute of Medicine, a nationally recognized authority on health care quality and patient safety. The definition, which is in the Institute's 2004 publication entitled Patient Safety: Achieving a New Standard of Care, was changed for purposes of clarity and for consistency with other department rules.

Change: Concerning §134.2(46), word "hospital" was changed to "facility" in the definition of "reportable event" to clarify the rule pertains to both private psychiatric hospitals and crisis stabilization units. An editorial change was also made to the rule.

Change: Concerning §134.22(d)(2)(B), a comma was added after the date to be consistent with the punctuation following dates throughout the chapter.

Change: Concerning §134.47(a)(1)(B), the comma was deleted after the word "and" to be consistent with the punctuation throughout the chapter.

Change: Concerning §134.47(a)(3) and (b)(1)(A) and (B), the word "hospital" was changed to "facility" to clarify the rule pertains to both private psychiatric hospitals and crisis stabilization units.

Change: Concerning §134.47(b)(1)(A) and (2)(A), language has been added to clarify the submission requirements for the annual events report and best practices report, and that the best practices report is for each facility, not for each type of reported occurrence. The change to paragraphs (1)(A) and (2)(A) of the subsection is consistent with legislative intent and with other department rules.

Change: Concerning §134.47(b)(2)(B), the word "practice" was changed to "practices" to be consistent with the language used in the paragraph.

Change: Concerning §134.83(14)(A), the word "decision's" was changed to "decision" for grammatical correctness.

The commenter was the Texas Hospital Association. The commenter was generally in favorable of the rules, however, the commenter had specific concerns and offered suggestions for changes.

Subchapter A. GENERAL PROVISIONS

25 TAC §134.2

The amendment is adopted under Health and Safety Code, Chapter 577, concerning private mental hospitals and other mental health facilities; and Health and Safety Code, §12.001, which provides the Texas Board of Health (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.

§134.2.Definitions.

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

(1) Action plan--A written document that includes specific measures to correct identified problems or areas of concern; identifies strategies for implementing system improvements; and includes outcome measures to indicate the effectiveness of system improvements in reducing, controlling or eliminating identified problem areas.

(2) Adverse event--An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient.

(3) Applicant--The person legally responsible for the operation of the facility, whether by lease or ownership, who seeks a license from the department.

(4) Board--The Texas Board of Health.

(5) Community center--A center established under Health and Safety Code, Chapter 534, Subchapter A.

(6) Contaminated linen--Linen which has been soiled with blood or other potentially infectious materials or may contain sharps. Other potentially infectious materials means:

(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) Human Immunodeficiency Virus (HIV)-containing cell or tissue cultures, organ cultures, and HIV or Hepatitis B Virus (HBV) containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.

(7) Crisis stabilization unit (CSU)--A mental health facility operated by a community center or other entity designated by the Texas Department of Mental Health and Mental Retardation in accordance with Texas Health and Safety Code, §534.054, that provides treatment to individuals who are the subject of a protective custody order issued in accordance with Texas Health and Safety Code, §574.022.

(8) Dentist--A person licensed to practice dentistry by the State Board of Dental Examiners. This includes a doctor of dental surgery or a doctor of dental medicine.

(9) Department--The Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3199.

(10) Dietitian--A person who is currently licensed by the Texas State Board of Examiners of Dietitians as a licensed dietitian or provisional licensed dietitian, or who is a registered dietitian with the American Dietetic Association.

(11) Director--The director of the Health Facility Licensing and Compliance Division, Texas Department of Health.

(12) Division--The Health Facility Licensing and Compliance Division, Texas Department of Health.

(13) Emergency medical condition--A medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain, psychiatric disturbances or symptoms of substance abuse) such that the absence of immediate medical attention could reasonably be expected to result in one or all of the following:

(A) placing the health of the individual (or with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy;

(B) serious impairment to bodily functions;

(C) serious dysfunction of any bodily organ or part; or

(D) with respect to a pregnant woman who is having contractions:

(i) that there is inadequate time to effect a safe transfer to another hospital before delivery; or

(ii) that transfer may pose a threat to the health or safety of the woman or the unborn child.

(14) Facility--A private psychiatric hospital or a crisis stabilization unit.

(15) Facility administration--Administrative body of a facility headed by an individual who has the authority to represent the facility and who is responsible for the operation of the facility according to the policies and procedures of the facility governing body.

(16) Fast-track projects--A construction project in which it is necessary to begin initial phases of construction before later phases of the construction documents are fully completed in order to establish other design conditions or because of time constraints such as mandated deadlines.

(17) Governing body--The governing authority of a facility which is responsible for the facility's organization, management, control, and operation, including appointment of the medical staff; includes the owner or partners for facilities owned or operated by an individual or partners.

(18) Governmental unit--A political subdivision of the state, including a hospital district, county, or municipality, and any department, division, board, or other agency of a political subdivision.

(19) Hospital--A private psychiatric hospital.

(20) Inpatient services--Services provided to a patient admitted to a hospital for an intended length of stay of 24 hours or greater.

(21) Learning disability--When a severe discrepancy exists when the individual's assessed intellectual ability is above the mentally retarded range, but where the individual's assessed educational achievement in areas specified is more than one standard deviation below the individual's intellectual ability.

(22) Legally reproduced form--A medical record retained in hard copy, microform (microfilm or microfiche), or other electronic medium.

(23) Licensed vocational nurse--An individual who is currently licensed as a licensed vocational nurse (LVN) by the Board of Vocational Nurse Examiners in accordance with Texas Occupations Code, Chapter 302.

(24) Licensee--A person or governmental unit who has been granted a private psychiatric hospital license or crisis stabilization unit license.

(25) Medical error--The failure of a planned action to be completed as intended, the use of a wrong plan to achieve an aim, or the failure of an unplanned action that should have been completed, that results in an adverse event.

(26) Medical staff--Licensed physicians and other licensed practitioners permitted by law and by the facility to provide medical care independently in the facility.

(27) Mental health services--All services concerned with research, prevention, and detection of mental disorders and disabilities and all services necessary to treat, care for, supervise, and rehabilitate persons who have a mental illness.

(28) Mental illness--An illness, disease, or condition (other than a sole diagnosis of epilepsy, senility, substance use disorder, mental retardation, autism, or pervasive developmental disorder) that:

(A) substantially impairs a person's thought, perception of reality, emotional process, or judgment; or

(B) grossly impairs an individual's behavior as demonstrated by recent disturbed behavior.

(29) Mental retardation--Significantly subaverage general intellectual functioning that is concurrent with deficits in adaptive behavior and originates during the developmental period.

(30) Minor--A person under 18 years of age who is not and has not been married or who has not had the disabilities of minority removed for general purposes.

(31) Mobile unit--Any pre-manufactured structure, trailer, or self-propelled unit equipped with a chassis on wheels and intended to provide shared medical services to the community on a temporary basis. Some of these units are equipped with expanding walls, and designed to be moved on a daily basis.

(32) Oral surgeon--A person licensed by the State Board of Dental Examiners in the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries, and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial regions.

(33) Outpatient services--Services provided to patients whose medical needs can be met in less than 24 hours and are provided within the facility.

(34) Owner--One of the following persons which will hold or does hold a license issued under Health and Safety Code, Chapter 577, in the person's name or the person's assumed name:

(A) a corporation;

(B) a governmental unit;

(C) a limited liability company;

(D) an individual;

(E) a partnership if a partnership name is stated in a written partnership agreement or an assumed name certificate;

(F) all partners in a partnership if a partnership name is not stated in a written partnership agreement or an assumed name certificate; or

(G) all co-owners under any other business arrangement.

(35) Patient--An individual who is receiving mental health services under this chapter.

(36) Person--An individual, firm, partnership, corporation, association, joint stock company, joint venture, or local authority, and includes a receiver, trustee, assignee, or other similar representative of those entities.

(37) Pharmacist--A person who is licensed to practice pharmacy by the Texas Board of Pharmacy in accordance with Texas Occupations Code, Chapter 558.

(38) Physician--An individual who is:

(A) licensed as a physician by the Texas State Board of Medical Examiners in accordance with Chapter 155 of the Texas Occupations Code; or

(B) authorized to perform medical acts under an institutional permit at a Texas postgraduate training program approved by the Accreditation Council on Graduate Medical Education, the American Osteopathic Association, or the Texas State Board of Medical Examiners.

(39) Podiatrist--A podiatrist licensed by the Texas State Board of Podiatry Examiners.

(40) Political subdivision--A county, municipality, or hospital district in this state but does not include a department, board, or agency of the state that has statewide authority and responsibility.

(41) Practitioner--A health care professional licensed in the State of Texas, other than a physician.

(42) Premises--A premises may be any of the following:

(A) a single building where inpatients receive hospital services; or

(B) multiple buildings where inpatients receive hospital services, provided that the following criteria are met:

(i) all inpatient buildings and inpatient services are subject to the control and direction of the governing body of the hospital;

(ii) all inpatient buildings are within a 30-mile radius of the main address of the licensee;

(iii) there is integration of the organized medical staff of the hospital;

(iv) there is a single chief executive officer who reports directly to the governing body and through whom all administrative authority flows and who exercises control and surveillance over all administrative activities of the hospital;

(v) there is a single chief medical officer who reports directly to the governing body and who is responsible for all medical staff activities of the hospital; and

(vi) each building that is geographically separate from other buildings contains at least one nursing unit for inpatients, unless providing only diagnostic or laboratory services, or a combination thereof, in the building for hospital inpatients.

(43) Private psychiatric hospital--A hospital that provides inpatient mental health services to individuals with a mental illness or with a substance use disorder except that, at all times, a majority of the individuals admitted are individuals with a mental illness. Such services include psychiatric assessment and diagnostic services, physician services, professional nursing services, and monitoring for patient safety provided in a restricted environment.

(44) Registered nurse--An individual who is licensed as a registered nurse by the Board of Nurse Examiners in accordance with Texas Occupations Code, Chapter 301.

(45) Relocatable unit--Any structure, not on wheels, built to be relocated at any time and provide medical services. These structures vary in size.

(46) Reportable event--A medical error or adverse event or occurrence which the facility is required to report to the department, as set out in §134.47 of this title (relating to Patient Safety Program).

(47) Root cause analysis--An interdisciplinary review process for identifying the basic or contributing causal factors that underlie a variation in performance associated with an adverse event or reportable event. It focuses primarily on systems and processes, includes an analysis of underlying cause and effect, progresses from special causes in clinical processes to common causes in organizational processes, and identifies potential improvements in processes or systems.

(48) Stabilize--With respect to an emergency medical condition, to provide such medical treatment of the condition necessary to assure, within reasonable medical probability, that no material deterioration of the condition is likely to result from or occur during the transfer of the individual from a facility, or that the woman has delivered the child and the placenta.

(49) Transfer--The movement (including the discharge) of an individual outside a facility at the direction of any person employed by (or affiliated or associated, directly or indirectly, with) the facility, but does not include such a movement of an individual who has been declared dead, or leaves the facility without the permission of any such person.

(50) Transportable unit--Any pre-manufactured structure or trailer, equipped with a chassis on wheels, intended to provide shared medical services to the community on an extended temporary basis. These units are designed to be moved periodically, depending on need.

(51) Universal precautions--Procedures for disinfection and sterilization of reusable medical devices and the appropriate use of infection control, including hand washing, the use of protective barriers, and the use and disposal of needles and other sharp instruments as those procedures are defined by the Centers for Disease Control (CDC) of the United States Public Health Service. This term includes standard precautions as defined by CDC which are designed to reduce the risk of transmission of blood borne and other pathogens in facilities.

(52) Violation--Failure to comply with the licensing statute, a rule or standard, special license provision, or an order issued by the commissioner of health or the commissioner's designee, adopted or enforced under the licensing statute. Each day a violation continues or occurs is a separate violation for purposes of imposing a penalty.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402571

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 16, 2004

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


Subchapter B. APPLICATION AND ISSUANCE OF A LICENSE

25 TAC §§134.22, 134.23, 134.26

The amendments are adopted under Health and Safety Code, Chapter 577, concerning private mental hospitals and other mental health facilities; and Health and Safety Code, §12.001, which provides the Texas Board of Health (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.

§134.22.Application and Issuance of Initial License.

(a) Application submittal. The applicant shall submit the following documents to the department no earlier than 60 calendar days prior to the projected opening date of the facility:

(1) an accurate and complete application form;

(2) a copy of the facility's patient transfer policy which is developed in accordance with §134.43 of this title (relating to Patient Transfer Policy) and is signed by both the chairman and secretary of the governing body attesting to the date the policy was adopted by the governing body and the effective date of the policy;

(3) a copy of the facility's memorandum of transfer form which contains at a minimum the information described in §134.43(d)(10)(B) of this title;

(4) for existing facilities, a copy of a fire safety survey indicating approval by the local fire authority in whose jurisdiction the facility is based that is dated no earlier than one year prior to the opening date. For new construction, additions, and renovation projects, written approval by the local building department and local fire authority shall be submitted at the time of the final construction survey by the department;

(5) documentation of accreditation by the Joint Commission on Accreditation of Healthcare Organizations, if applicable;

(6) the appropriate license fee as required in §134.26 of this title (relating to Fees);

(7) if the applicant is a sole proprietor, partnership with individuals as a partner, or a corporation in which an individual has an ownership interest of at least 25% of the business entity, the names and social security numbers of the individuals; and

(8) a multiple hospital location application form for multiple hospitals to be licensed under a single license number, if applicable.

(b) Additional documentation for new facilities or conversions from nonfacility buildings. In addition to the document submittal requirements in subsection (a) of this section, the following shall be completed prior to the issuance of a license.

(1) Preliminary and final architectural plans and specifications shall be submitted for review and approval by the department in accordance with §134.127 of this title (relating to Preparation, Submittal, Review and Approval of Plans).

(2) For new construction, surveys shall be conducted by the department in accordance with §134.128(b) of this title (relating to Construction, Surveys, and Approval of Project) to determine that the facility was constructed or remodeled in accordance with this chapter.

(3) When an applicant intends to reopen and license a building formerly licensed as a hospital or crisis stabilization unit, an on-site survey shall be conducted by the department in accordance with §134.128(b) of this title to determine compliance with applicable construction and fire safety requirements.

(4) All plan review and construction survey fees shall be paid to the department.

(5) A certificate of occupancy approved by the local fire authority, and issued by the city building inspector, if applicable, shall be obtained and a copy submitted to the department.

(6) A complete and accurate Final Construction Approval form signed by facility administration shall be submitted to the department.

(c) Presurvey conference. The applicant or the applicants representative shall attend a presurvey conference at the office designated by the department. The purpose of the presurvey conference, which is conducted by department staff, is to review licensure rules and survey documents and provide consultation prior to the on-site licensure survey. The department may waive the presurvey conference requirement.

(d) Issuance of license. When it is determined that the facility has complied with subsections (a)-(c) of this section, the department shall issue the license to the applicant.

(1) Effective date. The license shall be effective on the date the facility is determined to be in compliance with subsections (a)-(c) of this section. The effective date shall not be prior to the date of the final construction survey conducted by the department.

(2) Expiration date.

(A) For initial licenses issued prior to January 1, 2005.

(i) If the effective date of the license is the first day of a month, the license expires on the last day of the 11th month after issuance.

(ii) If the effective date of the license is the second or any subsequent day of a month, the license expires on the last day of the 12th month after issuance.

(B) For initial licenses issued January 1, 2005, or after.

(i) If the effective date of the license is the first day of a month, the license expires on the last day of the 23rd month after issuance.

(ii) If the effective date of the license is the second or any subsequent day of a month, the license expires on the last day of the 24th month after issuance.

(e) Withdrawal of application. If an applicant decides not to continue the application process for a license or renewal of a license, the application may be withdrawn. The department shall acknowledge receipt of the request to withdraw.

(f) Denial of a license. Denial of a license shall be governed by §134.83 of this title (relating to Enforcement).

(g) Survey. During the initial licensing period, the department shall conduct a survey of the facility to ascertain compliance with the provisions of the Health and Safety Code, Chapter 577 and this chapter.

(1) A facility shall request an on-site survey to be conducted after one inpatient has been admitted and provided services.

(2) A facility shall be providing services to at least one inpatient in the facility at the time of the survey.

(3) If a hospital has applied to participate in the federal Medicare program, the survey may be conducted in conjunction with the licensing survey to determine compliance with 42 Code of Federal Regulations, Part 482 (relating to Medicare Conditions of Participation for Hospitals).

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402572

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 16, 2004

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


Subchapter C. OPERATIONAL REQUIREMENTS

25 TAC §134.47

The new section is adopted under Health and Safety Code, Chapter 577, concerning private mental hospitals and other mental health facilities; and Health and Safety Code, §12.001, which provides the Texas Board of Health (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.

§134.47.Patient Safety Program.

(a) General.

(1) The facility must develop, implement, maintain and enforce an effective, ongoing, organization-wide, data driven Patient Safety Program (PSP).

(A) The governing body must ensure that the PSP reflects the complexity of the facility's organization and services, including those services furnished under contract or arrangement, and focuses on the prevention and reduction of medical errors and adverse events.

(B) The PSP must be in writing, approved by the governing body and made available for review by the department. It must include the following components:

(i) the definition of medical errors, adverse events and reportable events;

(ii) the process for internal reporting of medical errors, adverse events and reportable events;

(iii) a list of events and occurrences which staff are required to report internally;

(iv) time frames for internal reporting of medical errors, adverse events and reportable events;

(v) consequences for failing to report events in accordance with facility policy;

(vi) mechanisms for preservation and collection of event data;

(vii) the process for conducting root cause analysis;

(viii) the process for communicating action plans; and

(ix) the process for feedback to staff regarding the root cause analysis and action plan.

(C) The facility must provide patient safety education and training to staff who have responsibilities related to the implementation, development, supervision or evaluation of the PSP. Training must include all PSP components as set out in subparagraph (B) of this paragraph.

(2) The facility must designate one or more individuals, or an interdisciplinary group, qualified by training or experience to be responsible for the management of the patient safety program. These responsibilities shall include:

(A) coordinating all patient safety activities;

(B) facilitating assessment and appropriate response to reported events;

(C) monitoring root cause analysis and resulting action plans; and

(D) serving as liaison among facility departments and committees to ensure facility-wide integration of the PSP.

(3) Within 45 days of becoming aware of a reportable event specified under subsection (b)(1)(A) of this section, the facility must:

(A) complete a root cause analysis to examine the cause and effect of the event through an impartial process; and

(B) develop an action plan identifying the strategies that the facility intends to employ to reduce the risk of similar events occurring in the future. The action plan must:

(i) designate responsibility for implementation and oversight;

(ii) specify time frames for implementation; and

(iii) include a strategy for measuring the effectiveness of the actions taken.

(C) must make the root cause analysis and action plan available for on-site review by department representatives.

(b) Reporting requirements. The following requirements are effective July 1, 2004.

(1) Annual events report.

(A) On the renewal of the facility's license, or annually based on the facility's original licensing date, the facility shall submit to the department a report that lists the number of occurrences at the facility, including any outpatient facility owned or operated by the facility, of each of the following events occurring during the preceding year:

(i) a medication error resulting in a patient's unanticipated death or major permanent loss of bodily function in circumstances unrelated to the natural course of the illness or underlying condition of the patient;

(ii) the suicide of a patient in a setting in which the patient received care 24 hours a day;

(iii) the sexual assault of a patient during treatment or while the patient was on the premises of the facility;

(iv) a hemolytic transfusion reaction in a patient resulting from the administration of blood or blood products with major blood group incompatibilities;

(v) a patient death or serious disability associated with the use or function of a device designed for patient care that is used or functions other than as intended.

(B) The facility is not required to include any information other than the total number of occurrences of each of the events listed under subparagraph (A) of this paragraph.

(2) Best practices report.

(A) On the renewal of the facility's license, or annually based on the facility's original licensing date, the facility shall submit to the department at least one report of the best practices and safety measures related to a reported event.

(B) The best practices report may be submitted on a form to be prescribed by the department, or the facility may submit a copy of a report submitted to a patient safety organization.

(C) Facilities may voluntarily report additional best practices and safety measures.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402573

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 16, 2004

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


Subchapter E. ENFORCEMENT

25 TAC §134.81, §134.83

The amendments are adopted under Health and Safety Code, Chapter 577, concerning private mental hospitals and other mental health facilities; and Health and Safety Code, §12.001, which provides the Texas Board of Health (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.

§134.83.Enforcement.

Enforcement is a process by which a sanction is proposed, and if warranted, imposed on an applicant or licensee regulated by the department for failure to comply with statutes, rules and orders applicable to them.

(1) Denial, suspension or revocation of a license. The department has jurisdiction to enforce violations of the Acts or the Rules adopted under this chapter. The department may deny, suspend, or revoke a license for, but not limited to, the following reasons:

(A) fails to comply with any provision of Health and Safety Code (HSC), Chapters 577 and 571;

(B) fails to comply with any provision of this chapter (25 Texas Administrative Code, Chapter 134);

(C) fails to comply with a special license condition;

(D) fails to comply with an order of the commissioner of health (commissioner) or another enforcement procedure under HSC, Chapters 577 and 571;

(E) has a history of failure to comply with the rules adopted under this chapter relating to patient environment, health, safety, and rights;

(F) has aided, abetted or permitted the commission of an illegal act;

(G) has committed fraud, misrepresentation, or concealment of a material fact on any documents required to be submitted to the department or required to be maintained by the facility pursuant to the provisions of this chapter;

(H) fails to pay administrative penalties in accordance with HSC, Chapter 571;

(I) fails to implement plans of corrections to deficiencies cited by the department; or

(J) fails to comply with applicable requirements within a designated probation period.

(2) Denial of a license. The department has jurisdiction to enforce violations of the HSC, Chapters 577 and 571, and this chapter. The department may deny a person a license for, but not limited to, the following reasons:

(A) fails to provide the required application or renewal information;

(B) discloses any of the following actions against or by the applicant, or the licensee, or against or by affiliates, or managers of the applicant or the licensee within the two-year period preceding the application:

(i) operation of a facility that has been decertified or had its contract cancelled under the Medicare or Medicaid program in any state;

(ii) federal Medicare or state Medicaid sanctions or penalties;

(iii) federal or state tax liens;

(iv) unsatisfied final judgments;

(v) eviction involving any property or space used as a hospital in any state;

(vi) unresolved state Medicaid or federal Medicare audit exceptions;

(vii) denial, suspension, or revocation of a hospital license, a private psychiatric hospital license, or a license for any health care facility in any state; or

(viii) a court injunction prohibiting ownership or operation of a facility.

(3) Order for immediate license suspension. The department may suspend a license for 10 days pending a hearing if after an investigation the department finds that there is an immediate threat to the health or safety of the patients or employees of a licensed facility. The department may issue necessary orders for the patients' welfare.

(4) Probation. In lieu of suspending or revoking the license, the department may schedule the facility for a probation period of not less than 30 days if the facility is found in repeated non-compliance and the facility's noncompliance does not endanger the health and safety of the public.

(5) Administrative penalty. The department has jurisdiction to impose an administrative penalty against a person licensed or regulated under this chapter for violations of the HSC, Chapters 577 and 571, this chapter (25 TAC, Chapter 134), or for any reasons outlined in paragraphs (1) through (3) of this subsection. The imposition of an administrative penalty shall be in accordance with the provisions of the HSC, §571.025 and §577.060.

(6) Licensure of persons with criminal backgrounds. The department may deny a person a license or suspend or revoke an existing license on the grounds that the person has been convicted of a felony or misdemeanor that directly relates to the duties and responsibilities of the ownership or operation of a facility. The department shall apply the requirements of the Texas Occupations Code, Chapter 53.

(A) The department is entitled to obtain criminal history information maintained by the Texas Department of Public Safety (Government Code, §411.122), the Federal Bureau of Investigation Identification Division (Government Code, §411.087) or any other law enforcement agency to investigate the eligibility of an applicant for an initial or renewal license and to investigate the continued eligibility of a licensee.

(B) In determining whether a criminal conviction directly relates, the department shall consider the provisions of Occupations Code, §53.022 and §53.023.

(C) The following felonies and misdemeanors directly relate because these criminal offenses indicate an inability or a tendency for the person to be unable to own or operate a facility:

(i) a misdemeanor violation of HSC, Chapter 571;

(ii) a misdemeanor or felony involving moral turpitude;

(iii) a misdemeanor or felony relating to deceptive business practices;

(iv) a misdemeanor or felony of practicing any health-related profession without a required license;

(v) a misdemeanor or felony under any federal or state law relating to drugs, dangerous drugs, or controlled substances;

(vi) a misdemeanor or felony under the Texas Penal Code (TPC), Title 5, involving a patient or a client of any health care facility, a home and community support services agency or a health care professional;

(vii) a misdemeanor or felony under the TPC:

(I) Title 4 - offenses of attempting or conspiring to commit any of the offenses in this clause;

(II) Title 5 - offenses against the person;

(III) Title 7 - offenses against property;

(IV) Title 8 - offenses against public administration;

(V) Title 9 - offenses against public order and decency;

(VI) Title 10 - offenses against public health, safety or morals; or

(VII) Title 11 - offenses involving organized crime.

(viii) Offenses listed in subparagraph (C) of this paragraph are not exclusive in that the department may consider similar criminal convictions from other state, federal, foreign or military jurisdictions which indicate an inability or tendency for the person to be unable to own or operate a facility.

(ix) A license holder's license shall be revoked on the license holder's imprisonment following a felony conviction, felony community supervision revocation, revocation of parole, or revocation of mandatory supervision.

(7) Notice. If the department proposes to deny, suspend or revoke a license, the department shall send a notice of the proposed action by certified mail, return receipt requested, at the address shown in the current records of the department or the department may personally deliver the notice. The notice to deny, suspend, or revoke a license shall state the alleged facts or conduct to warrant the proposed action, provide an opportunity to demonstrate or achieve compliance, and shall state that the applicant or license holder has an opportunity for a hearing before taking the action.

(8) Acceptance. Within 20 days after receipt of the notice, the applicant or license holder may notify the department, in writing, of acceptance of the department's determination.

(9) Hearing request.

(A) A request for a hearing by the applicant or license holder, shall be in writing and submitted to the department within 20 calendar days of receipt of the notice. Receipt of the notice is presumed to occur on the 30th day after the notice is mailed by the department to the last address known of the applicant or license holder.

(B) A hearing shall be conducted pursuant to the Administrative Procedure Act, Government Code, Chapter 2001.

(10) No response to notice. If the applicant or license holder fails to timely respond to the notice or does not request a hearing in writing within 30 days after proper notice, the person is deemed to have waived the opportunity for a hearing as outlined in the notice and the proposed action shall be taken by default.

(11) Notification of department's decision. The department shall send the license holder or applicant a copy of the department's decision for denial, suspension or revocation of license by registered mail, which shall include the findings and conclusions on which the department based its decision.

(12) Admission of new patients upon suspension or revocation. Upon the department's determination to suspend or revoke a license, the license holder may not admit new patients until the license is reissued.

(13) Return of original license. Upon suspension, revocation or non-renewal of the license, the original license shall be returned to the department upon the effective date of the department's determination.

(14) Reapplication following denial or revocation.

(A) One year after the department's decision to deny or revoke, or the voluntary surrender of a license by a facility while enforcement action is pending, a facility may petition the department, in writing, for a license. Expiration of a license prior to the department's decision becoming final shall not affect the one-year waiting period required before a petition can be submitted.

(B) The department may allow a reapplication for licensure if there is proof that the reasons for the original action no longer exist.

(C) The department may deny reapplication for licensure if the department determines that:

(i) the reasons for the original action continues;

(ii) the petitioner has failed to offer sufficient proof; or

(iii) the petitioner has demonstrated a repeated history of failure to provide patients a safe environment or has violated patient rights.

(D) If the department allows a reapplication for licensure, the petitioner shall be required to meet the requirements as described in §134.22 of this title (relating to Application and Issuance of Initial License).

(15) Expiration of a license during suspension. A facility whose license expires during a suspension period may not reapply for license renewal until the end of the suspension period.

(16) Surrender of a license. In the event that enforcement, as defined in this subsection, is pending or reasonably imminent, the surrender of a facility license shall not deprive the department of jurisdiction in regard to enforcement against the facility.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 19, 2004.

TRD-200402574

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 9, 2004

Proposal publication date: January 16, 2004

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


Chapter 169. ZOONOSIS CONTROL

Subchapter D. STANDARDS FOR ALLOWABLE METHODS OF EUTHANASIA FOR ANIMALS IN THE CUSTODY OF AN ANIMAL SHELTER

25 TAC §§169.81 - 169.83

The Texas Department of Health (department) adopts new §§169.81 - 169.83, concerning standards for allowable methods of euthanasia for animals in the custody of an animal shelter. Section 169.83 is adopted with changes to the proposed text as published in the December 19, 2003, issue of the Texas Register (28 TexReg 11223). Sections 169.81 and 169.82 are adopted without changes and will not be republished.

These rules were required by statute. The department feels these rules represent the best compromise between humane euthanasia of animals, the efficient use of human and material resources, and compliance with legislative mandates.

Specifically, the sections cover purpose; definition; and allowable methods of euthanasia. The new sections set standards for animal shelter personnel euthanizing a dog or cat in the custody of an animal shelter by administration of sodium pentobarbital or commercially compressed carbon monoxide.

Due to staff comments, the department made the following changes:

Change: Concerning §169.83(b), the word "apply" was substituted for the words "shall be met".

Change: Concerning §169.83(b)(4), the words "an area" were substituted for the words "a room".

Change: Concerning §169.83(b)(5), the word "area" was substituted for the word "room".

Change: Concerning §169.83(b)(7), the word "must" was substituted for the words "need to".

Change: Concerning §169.83(b)(8), the word "dark" was removed, the word "area" was substituted for the word "room", and the words "physical contact with" were added between the words "from" and "other".

Change: Concerning §169.83(c), the word "apply" was substituted for the words "shall be met".

Change: Concerning §169.83(c)(1), the word "effectiveness" was substituted for the words "specifications and standards".

Change: Concerning §169.83(c)(3)(A), the words "for indoor chambers" were added between the words "fan" and "which", and the words "prior to the chamber being opened" were substituted for "in one minute".

Change: Concerning §169.83(c)(3)(B), the words "for the canister" were added after the word "meter".

Change: Concerning §169.83(c)(3)(F), new subparagraph "(F)" has been added with the wording "explosion-proof electrical equipment if equipment is exposed to carbon monoxide", and the existing subparagraphs were renumbered from "(F)-(G)" to new "(G)-(H)".

Change: Concerning §169.83(c)(4), the words "not to exceed 10% due to flammability and explosiveness" were added between the words "concentration" and "throughout".

Change: Concerning §169.83(c)(6), the reference to paragraph (3)(A)-(H) was corrected, and the words "in accordance with the manufacturer's instructions and specifications" were deleted.

Change: Concerning §169.83(c)(7), the words "be left in the chamber for a minimum of 20 minutes after the carbon monoxide level reaches a minimum of 6.0% and" were deleted.

Change: Concerning §169.83(c)(9), the sentence "Chamber surfaces must be constructed and maintained so they are impervious to moisture and can be readily sanitized" was added at the end.

Change: Concerning §169.83(c)(11), the word "area" was substituted for the word "room".

Change: Concerning §169.83(e), the word "must" was substituted for the word "may".

The following comments were received concerning the proposed sections. Following the comments are the department's responses and any resulting change(s).

Comment: Concerning §169.83(b)(1), one commenter opposed the rule stating that persons performing the euthanasia must be thoroughly trained in the proper methods, but the rule does not identify what an acceptable training course is.

Response: The department responds that statutory law (Health and Safety Code, §821.055) specifies requirements for acceptable euthanasia training courses. Courses must meet all requirements in order to be approved by the department. No change was made as a result of the comment.

Comment: Concerning §168.83(c)(13), one commenter opposed the rule stating that "compatible animals" should be more thoroughly defined.

Response: The department responds that the wording will allow for the use of professional judgment in determining which animals are compatible. No change was made as a result of the comment.

Comment: Concerning §169.83(b)(6), one commenter opposed the rule stating that requiring weighing of animals would be frightening for the animals and would result in animal control officers being bitten and scratched. Weighing the animals would also double the time it takes to euthanize an animal and few shelters have scales.

Response: The department responds that weighing the animal is necessary to determine the correct dose of sodium pentobarbital needed to assure the humane and successful euthanasia of the animal. Weighing an animal is not time-consuming and many techniques exist for weighing an animal while minimizing stress to the animal and risk of injury to the handler. The cost of obtaining suitable scales for weighing is not prohibitive. No change was made as a result of the comment.

Comment: One commenter recommended utilizing the animals' bodies after death. The commenter stated that there could be a controlled government program that has exclusive use of the animals' bodies for furs, bone tools and crafts, and quarterly local roasts where the meat is cooked and sold.

Response: The department responds that Health and Safety Code, Chapter 821, does not authorize the department to mandate disposal methods for carcasses except those which involve public health implications. No change was made as a result of the comment.

Comment: Concerning §169.83(c), three commenters opposed the rule stating that carbon monoxide gas chambers should not be used in any animal shelter.

Response: The department disagrees and responds that statutory law (Health and Safety Code, §821.052) requires the use of carbon monoxide, or sodium pentobarbital in the euthanasia of dogs and cats in the custody of an animal shelter. No change was made as a result of the comment.

Comment: Concerning §169.83(b)(1), one commenter recommended that veterinarian oversight be required, especially for injection of sodium pentobarbital.

Response: The department responds that requiring a veterinarian to be present for each act of euthanasia using sodium pentobarbital would be logistically and financially prohibitive, particularly for small and rural shelters. No change was made as a result of the comment.

Comment: Concerning §169.83(b), one commenter recommended adding the following language: "Two people are required to restrain an animal for humane administration of a pre-anesthetic, tranquilizing agent or sodium pentobarbital."

Response: The department responds that requiring two people to restrain an animal would be logistically and financially prohibitive for shelters with limited staff. Many shelters and animal control programs in Texas have only one employee. Acceptable methods of chemical and physical restraint are available to allow for one person to effectively and safely perform sedation and euthanasia. No change was made as a result of the comment.

Comment: Concerning §169.83(b), one commenter recommended adding the following language: "All animal shelters must comply with all Drug Enforcement Agency (DEA) requirements regarding licensure, procurement, secure storage and record keeping of sodium pentobarbital and any other controlled agents used for the purpose of these rules."

Response: The department disagrees that it is necessary to include a statement about DEA requirements for controlled agents. Those are federal requirements over which the department has no jurisdiction. All animal shelters in Texas possessing controlled agents must currently comply with these federal requirements. No change was made as a result of the comment.

Comment: Concerning §169.83(c)(3)(E), one commenter recommended deleting "and in a separate location in the facility, and to an automated gas flow shut-off valve" stating that this requirement has no functional utility regarding euthanasia.

Response: The department agrees and has deleted these requirements from the rules.

Comment: One commenter stated there should be a requirement for a log sheet entry to be completed each day the carbon monoxide euthanasia cabinet is used, which would attest to the fact that all gauges and alarms are functioning properly. The commenter recommended that the log sheet be posted in the carbon monoxide euthanasia room.

Response: The department responds that this requirement is unnecessary. The proposed rules state that all required equipment must be in proper working order when used. The current language provides for the use of professional judgment by shelter personnel to develop a means for determining and documenting that all equipment meets this requirement. No change was made as a result of the comment.

Comment: One commenter stated that §169.83(c)(3)(D) and §169.83(c)(5) are incompatible with §169.83(c)(2). The commenter stated that it is unreasonable and unnecessary to expect the air temperature inside the euthanasia cabinet to be 85 degrees Fahrenheit except when the ambient air temperature outside is 85 degrees Fahrenheit.

Response: The department agrees. However, the department feels that for humane purposes, animals should not be placed in a hot chamber and 85 degrees Fahrenheit is the benchmark cited in the Animal Welfare Act. The proposed language requiring that a chamber's ambient air temperature "...must not exceed 85 degrees Fahrenheit..." has been changed to "...should not exceed 85 degrees Fahrenheit..." to allow for individual circumstances.

Comment: Concerning §169.83(c)(6), one commenter would like to add "unless carbon monoxide euthanasia equipment was designed and constructed, at a minimum, to equal the specifications and standards of a commercially manufactured chamber as provided in (c)(1) of this chapter" at the end.

Response: The department responds that regardless of whether or not a chamber is designed and constructed to equal specifications and standards of a commercially manufactured chamber, concerns for the effective and humane administration of euthanasia and personal safety require that all equipment referenced in §169.83(c)(6) be utilized and in proper working order when used. Additionally, based on comments received, the department has changed the requirement in §169.83(c)(1) that non-commercially manufactured carbon monoxide chambers be designed and constructed to "...equal specifications and standards..." of commercially manufactured chambers to be designed and constructed to equal the "...effectiveness..." of commercially manufactured chambers. Also, based on comments received, the department removed the language in §169.83(c)(6) that all equipment associated with a chamber must be used "...in accordance with the manufacturer's instructions and specifications".

Comment: Concerning §169.83(c)(12), one commenter would like the wording to be changed to "Carbon monoxide should not be used to euthanize an animal less than ten weeks of age or with a compromised respiratory system." The commenter stated there are frequently animals which are injured or sick which would be just as humanely, if not more so, euthanized without having to handle or restrain them for a venipuncture. The commenter stated that intraperitoneal injection of sodium pentobarbital is less humane than euthanasia by bottled carbon monoxide.

Response: The department responds that the "2000 Report of the American Veterinary Medical Association Panel on Euthanasia", which is the standard mandated by the Legislature, recommends limitations on the use of carbon monoxide in animals under 16 weeks of age or which have decreased ventilation. As a result of this and one other comment, the language in §169.83(c)(12) was extensively rewritten, deleting references to "...old, injured, pregnant, or sick" animals. This section now reads: "Carbon monoxide should not be used to euthanize animals reasonably presumed to be less than 16 weeks of age or suffering from decreased respiratory function. Very young animals are resistant to the effects of carbon monoxide and the time required to achieve death in these animals may be significantly increased. In animals with decreased respiratory function, carbon monoxide levels rise slowly, making it more likely that these animals will experience elevated levels of stress. The use of noninhalant methods of euthanasia should be considered for such animals."

Comment: Concerning §169.83(b), one commenter opposed the rule stating that the use of sodium pentobarbital by the animal control facility was not possible. Therefore, animals that could not be euthanized by the use of the carbon monoxide chamber would have to be delivered to private veterinarians at an expense that would be cost prohibitive.

Response: The department responds that statutory law (Health and Safety Code, §821.052) specifies that euthanasia of dogs and cats in the custody of an animal shelter may be accomplished only by the administration of sodium pentobarbital or commercially compressed carbon monoxide. Many shelters currently use sodium pentobarbital for euthanasia of animals. The use of sodium pentobarbital by shelter personnel is neither financially nor logistically prohibitive. No change was made as a result of the comment.

Comment: Concerning §169.83(c)(3)(F), renumbered as §169.83(c)(3)(G), one commenter opposed the rule stating that the department's requirement of a window being placed on the chamber to have the animal control officer watch them die is more traumatic to the personnel than the currently utilized method (a simple, closed, self-constructed carbon monoxide chamber) is for the animal.

Response: The department responds that the requirement for a viewport is necessary to detect mechanical malfunctions or untoward reactions by the animals as well as to allow for visual verification of the cessation of vital signs prior to venting of the chamber and removal of the animal, as required by §169.83(c)(7). The department removed the language "...direct..." from §169.83(c)(3)(G) and "...at all times..." from §169.83(e) to avoid the implication that persons performing euthanasia must visually observe the animal constantly throughout the euthanasia process.

Comment: Concerning §169.83(c)(12), one commenter opposed the rule stating that the rule infers that carbon monoxide is not effective on animals that are less than four months old or sick and that is incorrect.

Response: The department responds that the "2000 Report of the American Veterinary Medical Association Panel on Euthanasia" recommends limitations on the use of carbon monoxide in animals under 16 weeks of age or which have decreased ventilation. As a result of this and one other comment, the language in §169.83(c)(12) was extensively rewritten, deleting references to "...old, injured, pregnant, or sick" animals. This section now reads: "Carbon monoxide should not be used to euthanize animals reasonably presumed to be less than 16 weeks of age or suffering from decreased respiratory function. Very young animals are resistant to the effects of carbon monoxide and the time required to achieve death in these animals may be significantly increased. In animals with decreased respiratory function, carbon monoxide levels rise slowly, making it more likely that these animals will experience elevated levels of stress. The use of noninhalant methods of euthanasia should be considered for such animals."

Comment: One commenter opposed §169.83 in its entirety stating that the required changes in the carbon monoxide chambers, the use of sodium pentobarbital, and the resulting staffing needs are cost prohibitive.

Response: The department responds that statutory law (Health and Safety Code, §821.052) specifies that euthanasia of dogs and cats in the custody of an animal shelter may be accomplished only by the administration of sodium pentobarbital or commercially compressed carbon monoxide. The proposed requirements in §169.83 associated with the use of sodium pentobarbital and carbon monoxide for euthanasia are necessary for the safe and effective use of these methods. No change was made as a result of the comment.

Comment: One commenter agreed with proposed §169.83 in its entirety.

Response: The department agreed with the commenter. However, the department has made several changes to §169.83 in response to staff and stakeholder comments.

One individual commenter was in favor of the rules in their entirety.

One individual commenter and several members of the department were generally in favor of the rules, but suggested clarifying language concerning specific provisions in the rules.

Commenters opposed to the proposed rules were members of the City of Lubbock, Crosstimbers Animal Services, San Antonio Metropolitan Health District, Pflugerville Police Department, and some individuals.

The new sections are adopted under Texas Health and Safety Code, Chapter 821, "Euthanasia of Animals," §821.053, which requires the Texas Board of Health (board) to establish the requirements and procedures for administering sodium pentobarbital to euthanize an animal in the custody of an animal shelter; §821.054, which requires the board to establish standards for a carbon monoxide chamber used to euthanize an animal in the custody of an animal shelter and the requirements and procedures for administering commercially compressed carbon monoxide to euthanize an animal in the custody of an animal shelter; 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.

§169.83.Allowable Methods of Euthanasia.

(a) Only sodium pentobarbital or commercially compressed carbon monoxide gas may be used to euthanize a dog or cat in the custody of an animal shelter.

(b) When sodium pentobarbital is used to euthanize an animal, the following requirements apply.

(1) Persons administering sodium pentobarbital must be thoroughly trained in the proper methods and techniques for euthanizing animals. A person has until the 120th day following the date of initial employment to complete this training.

(2) The routes of injections of sodium pentobarbital, listed in the order of preference, shall be:

(A) intravenous injection by hypodermic needle;

(B) intraperitoneal injection by hypodermic needle; or

(C) intracardiac injection by hypodermic needle.

(3) All injections must be administered using an undamaged sterilized hypodermic needle of a size suitable for the size and species of the animal.

(4) Injection shall be conducted in an area out of public view.

(5) The area used for injection shall have sufficient lighting to allow for visual accuracy during the injection process.

(6) Each animal shall be weighed to determine the correct dose of sodium pentobarbital.

(7) Animals given sodium pentobarbital by intraperitoneal injection must be given 3 to 4 times the intravenous dose.

(8) Animals given sodium pentobarbital by intraperitoneal injection shall be placed in a quiet area, separated from physical contact with other animals during the dying process.

(9) Intracardiac injection may not be used unless the animal is heavily sedated, unconscious, or anesthetized.

(10) Carcasses of animals euthanized by sodium pentobarbital must be stored and disposed of in a manner that minimizes the potential for scavenging by animals or humans.

(c) When commercially compressed carbon monoxide gas is used to euthanize an animal, the following requirements apply.

(1) It must be performed in a commercially manufactured carbon monoxide chamber or one designed and constructed, at a minimum, to equal the effectiveness of a commercially manufactured chamber.

(2) The chamber must be located outdoors or in a well ventilated room.

(3) The chamber must be airtight and equipped with the following:

(A) an exhaust fan for indoor chambers which is capable of evacuating all gas from the chamber prior to the chamber being opened and is connected by a gas-type duct to the outdoors;

(B) a gas flow regulator and flow meter for the canister;

(C) a gas concentration gauge;

(D) an accurate temperature gauge for monitoring the interior of the chamber;

(E) if located indoors, a carbon monoxide monitor on the exterior of the chamber that is connected to an audible alarm system, which will sound in the room containing the chamber;

(F) explosion-proof electrical equipment if equipment is exposed to carbon monoxide;

(G) a view-port with either internal lighting or external lighting sufficient to allow visual surveillance of all animals within the chamber; and

(H) if designed to euthanize more than one animal at a time, independent sections or cages to separate individual animals.

(4) The gas concentration process must achieve at least a 6.0% carbon monoxide gas concentration not to exceed 10% due to flammability and explosiveness throughout the chamber within 5 minutes after the introduction of carbon monoxide into the chamber is initiated.

(5) The ambient temperature inside the chamber should not exceed 85 degrees Fahrenheit (29.4 degrees Celsius) when it contains live animals.

(6) All equipment, as specified in paragraph (3)(A)-(H) of this subsection, must be in proper working order and used at all times during the operation of the chamber.

(7) Animals must not be removed from the chamber until at least 5 minutes after cessation of respiratory movement.

(8) The chamber must be thoroughly vented prior to removing any carcasses.

(9) The chamber must be thoroughly cleaned after the completion of each cycle. Chamber surfaces must be constructed and maintained so they are impervious to moisture and can be readily sanitized.

(10) Persons operating the chamber must be thoroughly trained in the proper methods and techniques for euthanizing animals. A person has until the 120th day following the date of initial employment to complete this training.

(11) Operation, maintenance, and safety instructions and guidelines must be displayed prominently in the area containing the chamber.

(12) Carbon monoxide should not be used to euthanize animals reasonably presumed to be less than 16 weeks of age or suffering from decreased respiratory function. Very young animals are resistant to the effects of carbon monoxide and the time required to achieve death in these animals may be significantly increased. In animals with decreased respiratory function, carbon monoxide levels rise slowly, making it more likely that these animals will experience elevated levels of stress. The use of noninhalant methods of euthanasia should be considered for such animals.

(13) Only compatible animals of the same species may be placed in the chamber simultaneously.

(14) No live animal may be placed in the chamber with a dead animal.

(d) All animals other than cats and dogs, including birds and reptiles, in the custody of an animal shelter shall be humanely euthanized only in accordance with the methods, recommendations and procedures set forth in the 2000 Report of the American Veterinary Medical Association Panel on Euthanasia applicable to each species of animal.

(e) When using any of the allowable methods of euthanasia, the animal must be monitored between the time euthanasia procedures have commenced and the time death occurs, and the animal's body must not be disposed of until death is confirmed by examination of the animal for cessation of vital signs.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402513

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: December 19, 2003

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


Chapter 217. MILK AND DAIRY

Subchapter E. PERMITS, FEES AND ENFORCEMENT

The Texas Department of Health (department) adopts the repeal of §§217.91 - 217.93 and new §§217.91 - 217.92, concerning permits, fees, and enforcement relating to the Milk and Dairy Program and the Frozen Dessert Manufacturer Program. Section 217.91 is adopted with a change to the proposed text as published in the December 19, 2003, issue of the Texas Register (28 TexReg 11226). The repeal of §§217.91 - 217.93 and new §217.92 are adopted without changes to the proposed text as published and, therefore, will not be republished.

The new rules are necessary to implement Senate Bill (SB) 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; House Bill (HB) 2292, 78th Legislature, 2003, which revised Health and Safety Code, §§12.0111 and 12.0112, and requires recovery of all costs associated with operating the program effective January 1, 2004, and requires two-year licenses effective January 1, 2005; SB 1454, 78th Legislature, 2003, which amended Health and Safety Code, Chapter 440, to expand enforcement authority; and HB 3542, 78th Legislature, 2003, which amended Health and Safety Code, Chapter 435, to provide an election of penalties for firms regulated under the Pasteurized Milk Ordinance, provide for the assessment of administrative penalties, and expand enforcement authority.

Government Code, §2001.039, requires each state agency to review each rule adopted by that agency pursuant to Government Code, Chapter 2001 (Administrative Procedure Act). The current rules have been reviewed and the department has determined that reasons for adopting the sections continue to exist. However, because substantial changes have been made to simplify the sections and implement legislation, the existing rules are being repealed and new rules adopted. The department published a Notice of Intention to Review for §§217.91 - 217.93 in the Texas Register (29 TexReg 2000) on February 13, 2004.

No comments were received on the proposal. However, the department is making one minor change due to a staff comment to incorporate the requirement for participation in Texas Online.

Change: Concerning proposed §217.91(c), a new paragraph (4) is being added to implement SB 1152 and to meet the requirement for participation in Texas Online.

25 TAC §§217.91 - 217.93

The repeals are adopted under the Health and Safety Code, §§431.241, 435.009(c), and 440.006, which provide the department with the authority to adopt necessary regulations pursuant to the enforcement of Chapter 431, 435, and 440; and §12.001, which provides the Texas Board of Health (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.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402548

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: December 19, 2003

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


25 TAC §217.91, §217.92

The new rules are adopted under the Health and Safety Code, §§431.241, 435.009(c), and 440.006, which provide the department with the authority to adopt necessary regulations pursuant to the enforcement of Chapter 431, 435, and 440; and §12.001, which provides the Texas Board of Health (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.

§217.91.Milk Facilities and Operations Permit and Frozen Dessert License Procedures.

(a) Permit/license required. A current permit/license is required for every dairy farm, milk plant, receiving station, transfer station, raw for retail milk dairy farm, milk tank truck, and frozen dessert manufacturer located and operating in the state of Texas. Every milk plant and frozen dessert manufacturer that imports milk, milk products or frozen desserts into the State of Texas is required to obtain a current permit/license.

(1) All milk facilities, frozen dessert manufacturers and operations shall be approved by the department prior to the issuance of a permit.

(2) Permit or license fees are non-refundable.

(3) A current permit or license shall only be issued when all past due fees and late fees have been paid for all years of operation in Texas.

(b) Application. Applications may be obtained by contacting the Milk and Dairy Division, Texas Department of Health (department), 1100 West 49th Street, Austin, Texas 78756, 512-719-0260. Applications are also available on-line at www.tdh.state.tx.us/bfds. The applicant must submit an accurate, complete application and pass an inspection in order to receive a permit/license to operate.

(c) Permit/license fees.

(1) Permitted or licensed facilities and operations in Texas shall pay the following fees. If applications are made after March 1 of any year, the fee will be prorated.

(2) This paragraph applies to all new and renewal applications received by the department prior to January 1, 2005. Permits issued under this subsection are valid up to one year and expire on August 31 (expiration date).

(A) Milk plant - $400 per year. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(B) Producer dairy farm - $100 per year. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(C) Receiving and transfer station - $400 per year. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(D) Milk transport tanker - $100 per year. Each tanker is required to submit payment with the application and a copy of the inspection, which shall not be over 90 days from the date of inspection. Permit fees will be determined by the date of inspection.

(E) Grade A raw for retail - $400 per year. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(F) Frozen desserts manufacturers - $400 per year. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(3) This paragraph applies to all new and renewal applications received on or after January 1, 2005. Permits issued under this subsection are valid for up to two years and expire on August 31 (expiration date).

(A) Milk plant - $800 every two years. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(B) Producer dairy farm - $200 every two years. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(C) Receiving and transfer station - $800 every two years. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(D) Milk transport tanker - $200 every two years. Each tanker is required to submit payment with the application and a copy of inspection, which shall not be over 90 days from the date of inspection. Permit fees will be determined by the date of inspection.

(E) Grade A raw for retail - $800 every two years. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved by the department to begin production.

(F) Frozen desserts manufacturers - $800 every two years. An invoice for the permit fee will be sent to the permitted entity when the entity has been approved to begin production.

(4) For all applications and renewal applications, the department is authorized to collect subscription and convenience fees in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online.

(d) Renewal of a permit/license.

(1) Milk plants, producer dairy farms, receiving and transfer stations, grade "A" raw for retail, and frozen desserts manufacturers must submit a renewal application and the required fee prior to September 1 of the permitting year. A person who submits a renewal application and required fee after the expiration date shall pay an additional $100 as a delinquency fee.

(2) Milk transport tankers must submit a renewal application and required fee prior to September 1 of the permitting year. All tankers shall have an inspection no more than one year old on file prior to issuance of the renewal permit sticker.

(e) Amendment of permit/license.

(1) Fee. A permit/license that is amended, including a change of name, ownership, or a change in location of a permitted place of business will require submission of a new permit, application, and the required fee pursuant to subsection (a) of this section.

(2) Change of ownership. A permit is not transferable.

(3) The department must be notified in writing at least 30 days prior to the effective date of the name, ownership, or location change.

(f) All applicants shall comply with §1.301 of this title (relating to Suspension of License for Failure to Pay Child Support).

(g) Applicability of other law.

(1) Health and Safety Code (HSC), Chapter 431, applies to the conduct of a person licensed under HSC, Chapter 440, and to a frozen dessert, an imitation frozen dessert, a product sold in semblance of a frozen dessert, or a mix for one of those products subject to HSC, Chapter 440. A frozen dessert, an imitation frozen dessert, a product sold in semblance of a frozen dessert, or a mix for one of those products is a food for purposes of HSC, Chapter 431.

(2) A person who holds a license under HSC, Chapter 440, related to the manufacturing of a product regulated under that Chapter and is engaging in conduct within the scope of that license, is not required to hold a license as a food manufacturer, food wholesaler, or warehouse operator under HSC, Chapter 431, Subchapter J.

(3) Health and Safety Code, Chapter 431, applies to the conduct of a person licensed under HSC, Chapter 435, and to milk or a milk product subject to HSC, Chapter 435. Milk, or a milk product, is a food for purposes of HSC, Chapter 431.

(4) A person who holds a license under HSC, Chapter 435, related to the processing, producing, bottling, receiving, transferring, or transporting of Grade "A" milk or milk products, and who is engaging in conduct within the scope of that permit, is not required to hold a license as a food manufacturer, food wholesaler, or warehouse operator under HSC, Chapter 431, Subchapter J.

(h) Inspection fees.

(1) All milk or milk products processed, manufactured, or bottled by milk plants, and offered for sale within the State of Texas shall be assessed a $0.045 per hundredweight inspection fee or shall pay a minimum fee of $5.00 each month, whichever is greater. This fee shall be assessed on a monthly basis. The inspection fee includes the cost of analyzing samples for milk or milk products. Milk plants shall submit monthly production data to the department no later than 15 days after the end of each reporting month as designated by the department, accompanied by the fee required by this section. Each milk plant is required to furnish, upon request from the department, production records for the preceding three years for auditing purposes. This fee shall be considered delinquent if it is not received by the department within 30 days after the end of the reporting period.

(2) All frozen desserts manufactured by frozen dessert manufacturing plants and intended for sale within the State of Texas shall be assessed a $0.015 per hundredweight inspection fee or shall pay a minimum fee of $5.00 each month, whichever is greater. This fee shall be assessed on a monthly basis. The inspection fee includes the cost for analyzing frozen dessert samples. Manufacturers shall submit monthly production data to the department no later than 15 days after the end of each monthly reporting period designated by the department, accompanied by the required fee. Also, each plant will be required to furnish, upon request, production records for the preceding three years for auditing purposes. This fee shall be considered delinquent if it is not received by the department within 30 days after the end of the reporting period.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402549

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: December 19, 2003

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


Chapter 221. MEAT SAFETY ASSURANCE

Subchapter B. MEAT AND POULTRY INSPECTION

25 TAC §221.11

The Texas Department of Health (department) adopts an amendment to §221.11, concerning meat and poultry inspection. Section 221.11 is being adopted with changes to the proposed text as published in the December 19, 2003, issue of the Texas Register (28 TexReg 11228). The title of 9 Code of Federal Regulations, Part 430, in §221.11(a)(35) was changed to "Requirements For Specific Classes of Product", and the order of listing is changed so that the federal regulations are listed numberically rather than chronologically. The amendment to §221.11 adopts new United States Department of Agriculture regulations that require official establishments that produce certain ready-to-eat (RTE) meat and poultry products prevent product adulteration by the pathogenic environmental contaminant Listeria monocytogenes .

In particular, under these regulations, establishments that produce RTE meat and poultry products that are exposed to the environment after lethality treatments and that support the growth of L. monocytogenes will be required to have, in their hazard analysis and critical control point (HACCP) plans, or in their sanitation standard operating procedures or other prerequisite programs, controls that prevent product adulteration by L. monocytogenes . The establishments must share data and information relevant to their controls for L. monocytogenes with the department. The establishments must furnish the department with information on the production volume of products affected by the regulations. The establishments may make claims on the labels of their RTE products regarding the processes they use to eliminate or reduce L. monocytogenes or which suppress or limit its growth in the products.

There were no comments received during the 30-day public comment period. However, the department is making the following minor changes due to staff comments to make the rule language consistent with the federal regulations.

Change: Concerning §221.11(a)(35) and (36), the titles of 9 CFR, Parts 430 and 441 in the federal regulations were changed; therefore, the department is amending this rule to be consistent with the federal regulations.

The amendment is adopted under the Health and Safety Code, Chapter 433, which provides the department with the authority to adopt necessary regulations pursuant to the enforcement of Chapter 433; and §12.001, which provides the Texas Board of Health (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 amendment affects the Health and Safety Code, Chapter 433.

§221.11.Federal Regulations on Meat and Poultry Inspection.

(a) The Texas Department of Health (TDH) adopts by reference the following federal requirements in the Code of Federal Regulations (CFR), as amended:

(1) 9 CFR, Part 301, "Definitions";

(2) 9 CFR, Part 303, except 303.1(a) and (b), "Exemptions";

(3) 9 CFR, Part 304, "Application for inspection; grant of inspection";

(4) 9 CFR, Part 305, "Official numbers; inauguration of inspection; withdrawal of inspection; reports of violation";

(5) 9 CFR, Part 306, "Assignment and authorities of program employees";

(6) 9 CFR, Part 307, "Facilities for inspection";

(7) 9 CFR, Part 309, "Ante-mortem inspection";

(8) 9 CFR, Part 310, "Post-mortem inspection";

(9) 9 CFR, Part 311, "Disposal of diseased or otherwise adulterated carcasses and parts";

(10) 9 CFR, Part 312, "Official marks, devices, and certificates";

(11) 9 CFR, Part 313, "Humane slaughter of livestock";

(12) 9 CFR, Part 314, "Handling and disposal of condemned or other inedible products at official establishments";

(13) 9 CFR, Part 315, "Rendering or other disposal of carcasses and parts passed for cooking";

(14) 9 CFR, Part 316, "Marking products and their containers";

(15) 9 CFR, Part 317, "Labeling, marking devices, and containers";

(16) 9 CFR, Part 318, "Entry into official establishments; reinspection and preparation of products";

(17) 9 CFR, Part 319, "Definitions and standards of identity or composition", TDH adds the following requirements, which shall apply except in the case of restaurant menus and signs.

(A) The label of products prepared from bison meat must contain the words "bison meat," "North American bison meat" or "Native American bison meat".

(B) The label of products prepared from buffalo meat must contain the words "water buffalo meat," or "Asian buffalo meat".

(18) 9 CFR, Part 320, "Records, registration, and reports";

(19) 9 CFR, Part 321, "Cooperation with States and territories";

(20) 9 CFR, Part 322, "Exports";

(21) 9 CFR, Part 325, "Transportation";

(22) 9 CFR, Part 327, "Imported products";

(23) 9 CFR, Part 329, "Detention; seizure and condemnation; criminal offenses";

(24) 9 CFR, Part 331, "Special provisions for designated States and Territories; and for designation of establishments which endanger public health and for such designated establishments";

(25) 9 CFR, Part 335, "Rules of practice governing proceedings under the Federal Meat Inspection Act";

(26) 9 CFR, Part 350, "Special services relation to meat and other products";

(27) 9 CFR, Part 352, "Exotic animals; voluntary inspection";

(28) 9 CFR, Part 354, "Voluntary inspection of rabbits and edible products thereof";

(29) 9 CFR, Part 355, "Certified products for dogs, cats and other carnivora; inspection, certification, and identification as to class, quality, quantity, and condition";

(30) 9 CFR, Part 362, "Voluntary poultry inspection regulations";

(31) 9 CFR, Part 381, "Poultry products inspection regulation", except §381.10(a)(3) through §381.10(c);

(32) 9 CFR, Part 416, "Sanitation";

(33) 9 CFR, Part 417, "Hazard Analysis and Critical Control Point (HACCP) Systems";

(34) 9 CFR, Part 424, "Preparation and Processing Operations";

(35) 9 CFR, Part 430, "Requirements for Specific Classes of Product"; and

(36) 9 CFR, Part 441, "Consumer Protection Standards: Raw Products".

(b) Copies of these regulations are indexed and filed in the Meat Safety Assurance Division, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756 and are available for public inspection during regular working hours.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402547

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: December 19, 2003

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


Chapter 229. FOOD AND DRUG

Subchapter K. TEXAS FOOD ESTABLISHMENTS

25 TAC §229.172, §229.176

The Texas Department of Health (department) adopts amendments to §229.172, concerning the accreditation of certified food management programs, and §229.176, concerning the certification of food managers. Sections 229.172 and 229.176 are adopted with changes to the proposed text as published in the December 19, 2003, issue of the Texas Register (28 TexReg 11229).

The amendments are necessary to implement Senate Bill (SB) 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; and House Bill (HB) 2292, 78th Legislature, 2003, which revised Health and Safety Code, §§12.0111 and 12.0112, and requires two-year licenses effective January 1, 2005.

The department made changes in two sections of the rules due to a staff comment to incorporate the requirement for participation in Texas Online.

Change: Concerning proposed §229.172(p) and proposed §229.176(o), a new paragraph (6) is being added to implement SB 1152, and to meet the requirement for participation in Texas Online.

The following comments were received by the department concerning the proposed sections during the public comment period. Following each comment is the department's response and any resulting change.

Comment: Concerning the rules in general, one commenter asked when the changes would go into effect.

Response: After approval by the Board of Health, the rules become effective 20 days after they are filed with the Office of the Secretary of State, Texas Register Division. No change was made as a result of the comment.

Comment: Concerning the certificate fee structure, one commenter requested clarification on the fee changes and asked how the new fee structure compares to the previous structure.

Response: The department was required under HB 2292 to change all fees to a two-year renewal cycle. The current rules enable certification for a five-year period at a cost of $17. Converting to the mandated two-year cycle, the cost for certification for a two-year period will be $10. The additional administrative costs of issuing the food manager certificates every two years instead of every five years will be recovered through the renewal fees. No change was made as a result of the comment.

Comment: Concerning §229.172(g)(1)(C), one commenter suggested that applicants for instructor qualification be required to have five years experience as a certified food service manager or two years experience as a regulatory inspector if using experience as the method for qualification as an instructor.

Response: The department disagrees with requiring five years as a certified food manager because of the impact on potential instructors whose managerial experience may be from jurisdictions that do not require food manager certification; therefore, no change was made as a result of this comment. However, the department agrees with the suggestion that the five years food establishment work experience should be at the manager level and has made the appropriate change to §229,172(g)(1)(C)(ii). The department also agrees with the commenter's suggestion concerning two years of regulatory experience and has changed §229.172(g)(1)(C)(iii) to reflect the suggestion.

Comment: Concerning §229.172(i), as related to renewal of qualified food management program instructors, one commenter stated that the proposed changes to this section clean up the language. No change was suggested.

Response: The department agrees and will retain the clean-up language which was provided for clarification. No change was made as a result of the comment.

Comment: Concerning §229.172(i)(1), one commenter disagreed with the proposed change to require five hours of continuing education for each instructor during the two-year certification period. The commenter suggested that instructors be required to obtain ten hours of continuing education every two years to remain qualified to instruct accredited food management courses.

Response: The department disagrees with the commenter because the current rules require 12 hours of continuing education every five years, or 2.4 hours per year. The proposed change is based on a two-year instructor qualification period. The proposed requirement of five continuing education hours every two years is 2.5 hours per year, which is commensurate with the current requirement. No change was made as a result of the comment.

Comment: Concerning §229.172(k), one commenter requested clarification on the department's Certified Food Manager renewal process.

Response: An individual who passes the department's certified food manager examination will be issued a certificate valid for two years. The certified manager must renew the certificate every two years by submission of a renewal application and $10 fee. Upon expiration of the third certificate at the end of six years from the original examination date, the certified manager must retake a department approved food manager examination to recertify as a certified food manager. This is to achieve compliance with HB 2292, 78th Legislature, Regular Session. No change was made as a result of the comment.

Individual comments were received from Northside Independent School District, San Antonio, Texas; on-site Certified Food Manager Program, Dallas, Texas; and City of Plano Health Department, Plano, Texas. None of these commenters were against the rules in their entirety; however, they raised questions, offered comments for clarification purposes, and some had specific objections to certain provisions of the rules which are addressed in the comment sections above.

The amendments are adopted under the Health and Safety Code, §431.241, which provides the department 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.

§229.172.Accreditation of Certified Food Management Programs.

(a) Purpose. This section is intended to provide the framework for accrediting manager level food safety programs in accordance with the Texas Health and Safety Code (HSC), Chapter 438, Subchapter D. A uniform standard governing the accreditation of food safety programs enhances the recognition of reciprocity among regulatory agencies and reduces the expense of duplicate education incurred when food establishment managers work in multiple regulatory jurisdictions. Education of the food establishment manager provides more qualified personnel, thereby reducing the risk of foodborne illness outbreaks caused by improper food preparation and handling techniques.

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

(1) Accredited--A program approved by the department that meets the standards set forth in this section.

(2) Alternative training methods--Training other than classroom, including but not limited to distance learning, computerized training programs, and correspondence courses.

(3) Certificate--The documentation issued by the department or an organization that administers a department approved examination verifying that an individual has complied with the requirements of this section.

(4) Certification--The process whereby a certificate is issued.

(5) Certified food manager--A person who has demonstrated that they have the knowledge, skills and abilities required to protect the public from foodborne illness by means of successfully completing a food safety examination as described in this section.

(6) Certified food management program--A program accredited by the department that provides food safety education for food establishment managers and administers an approved examination for certification or recertification purposes.

(A) Certification program--A program whose course work consists of a minimum of 14 hours of instruction on food safety topics which may include traditional or alternative methods of training, including distance education, and at least a one-hour proctored department approved examination.

(B) Recertification program--A program whose course work consists of six hours of instruction on food safety topics, which may include traditional or alternative methods of training, including distance education, and a department approved proctored examination.

(7) Certified food management program licensee--The individual, corporation or company that is licensed by the department to operate certified food management programs.

(8) Certified food management program sponsor--An individual designated in writing to the department, by the licensee, as the person responsible for administrative management of the program.

(9) Conference for Food Protection--An independent national voluntary nonprofit organization to promote food safety and consumer protection.

(10) Continuing education--Documented professional education or activities that provide for the continued proficiency of a certified food management program instructor.

(11) Department--The Texas Department of Health.

(12) Examination administrator--An individual or individuals who are designated in writing to the department, by the licensee, who is responsible for administering food manager certification examinations.

(13) Food--A raw, cooked, or processed edible substance, ice, beverage or ingredient used or intended for use or for sale in whole or in part for human consumption, or chewing gum.

(14) Food establishment--An operation that stores, prepares, packages, serves, or otherwise provides food for human consumption such as: a food service establishment; retail food store; satellite or catered feeding location; catering operation, if the operation provides food directly to a consumer or to a conveyance used to transport people; market; remote catered operations; conveyance used to transport people; institution or food bank that relinquishes possession of food to a consumer directly or indirectly through a delivery service such as home delivery of grocery orders or restaurant takeout orders, or delivery service that is provided by common carriers.

(A) The term includes: an element of the operation such as a transportation vehicle or a central preparation facility that supplies a vending location or satellite feeding location, unless the vending or feeding location is permitted by the regulatory authority; a restaurant; a grocery store; an operation that is conducted in a mobile, roadside, stationary, temporary, or permanent facility or location; group residence; outfitter operations; bed and breakfast extended and bed and breakfast food establishments where consumption is on or of the premises; and regardless of whether there is a charge for the food.

(B) The term does not include: an establishment that offers only prepackaged foods that are not potentially hazardous; a produce stand that only offers whole, uncut fresh fruits and vegetables; a food processing plant; a kitchen in a private home if only food that is not potentially hazardous is prepared for sale or service at a function, such as a religious or charitable organization's bake sale; a bed and breakfast limited facility as defined in §229.162(4)(A) of this title (relating to Definitions); or a private home.

(15) Law--Applicable local, state and federal statutes, regulations and ordinances.

(16) Person--An association, corporation, individual, partnership or other legal entity, government or governmental subdivision or agency.

(17) Proctor--The examination administrator or a person who is designated to assist the examination administrator.

(18) Psychometric--Scientific measurement or quantification of human qualities, traits or behaviors.

(19) Qualified food management program instructor--An individual whose educational background and work experience meet the requirements for approval as a qualified food management instructor as described in this section.

(20) Renewal certificate--The certificate issued by the department verifying that a certified food manager has completed the application and submission of fees for renewal of a department issued certificate.

(21) Reciprocity--Acceptance by state and local regulatory authorities of a department approved food manager certificate.

(22) Regulatory authority--The state or local enforcement body or authorized representative having jurisdiction over the food establishment.

(23) Secure--Access limited to the certified food manager licensee or examination administrator.

(24) Single entity--A corporation that educates only its own employees.

(25) Traceable means--A method of mailing documents, which can be tracked in the event of loss or delay.

(c) Certified food manager.

(1) Certified food manager responsibilities. Responsibilities of a certified food manager include:

(A) identifying hazards in the day-to-day operation of a food establishment that provides food for human consumption;

(B) developing or implementing specific policies, procedures or standards aimed at preventing foodborne illness;

(C) coordinating training, supervising or directing food preparation activities, and taking corrective action as needed to protect the health of the consumer;

(D) training the food establishment employees on the principles of food safety; and

(E) conducting in-house self-inspections of daily operations on a periodic basis to ensure that policies and procedures concerning food safety are being followed.

(2) Certification by training and food safety examination. To be certified, a food manager must complete an accredited certification or recertification program and pass an examination that has been administered through a department accredited food management program.

(3) Certificate reciprocity. Department issued food management certificates shall be recognized statewide by regulatory authorities as the only valid proof of successful completion of a department accredited food management course.

(4) Certificate availability. The original food manager certificate shall be conspicuously posted at each food establishment.

(d) Licensing of certified food management program licensee. The department shall issue a license of accreditation to each certified food management program licensee who has demonstrated compliance with this section. A license issued under these rules will expire two years from the date of issuance. This license is not transferable on change of ownership, name, or site location.

(1) Application. A person wishing to apply for a certification or recertification certified food management program license shall submit an application to the department.

(2) Certified food management program license fee. The license application shall include the appropriate non-refundable fee.

(3) Examination security agreement. The licensee shall submit a signed security agreement for each examination administrator using a department examination.

(4) Certified food management program sponsor. The licensee may designate a program sponsor as the person responsible for the administrative management of the program.

(5) Certified food management program instructor. A list of all department certified food management program instructors who plan to teach an accredited certification or recertification course shall be provided to the department. An instructor application, along with other necessary documentation must be submitted for all non-certified instructors.

(6) Training methods. Training methods shall be designated on the application. Documentation must be provided to the department verifying that the time required to complete an alternative training program is equivalent to 14 hours of training for certification and six hours for recertification.

(7) Certification examination. Department approved examination(s) utilized by the certified food protection management programs shall be designated on the application.

(e) Licensing of single entity certified food management programs. In addition to the licensing requirements as specified in subsection (d) of this section, a corporation wishing to use a single entity option, which defers course length and topic requirements as specified HSC, §438.043(a), shall submit to the department:

(1) a copy of the course guide; and

(2) an outline of each topic and sub-topics.

(f) Responsibilities of a certified food management program licensee.

(1) Compliance with certified food management program law and rules. The licensee is responsible for compliance with applicable certified food management program law and rules.

(2) Payment of fees. All fees shall be non-refundable and paid as specified in subsection (p) of this section.

(3) Change of ownership, site location, or change of name. A new licensing application, to include non-refundable fee(s) as described in this section, shall be submitted prior to a change of license ownership, site location, or change of name.

(4) Certified food management program course content. All food management programs must be taught utilizing the course content established in the Conference for Food Protection's Standards for Accreditation of Food Protection Manager Certification Programs, and must meet the training and time requirements in subsection (d)(6) of this section.

(5) Change of program sponsor. The licensee shall notify the department in writing of the name of the new program sponsor.

(6) Change of examination administrator. The licensee shall submit a signed security agreement for each new examination administrator prior to administering the department examination. New examination administrators must receive instruction on administrative responsibilities for examination security and processing. .

(7) Change of qualified food management instructor. The licensee shall ensure that only a department qualified food management instructor serves as the instructor for the food management program. All new instructors must complete the application for new instructors that must be submitted by the licensee to the department with the applicable documentation. All new instructors must receive instruction on the applicable law and rules and administrative responsibilities.

(8) Mailing of answer sheets. The licensee shall ensure that the answer sheets used for computerized grading shall be mailed to the department by traceable means. The completed answer sheets must be received by the department within seven working days of the examination date.

(g) Requirements for qualification of certified food management program instructors. The instructors for all food management programs shall be department qualified prior to teaching a class. The instructors for all certified food management programs shall meet the qualifications in these rules. Instructors meeting these qualifications shall be approved for the two year permit term of the certified food management program licensee. The application form shall be submitted to the department through the accredited certified food management program licensee.

(1) New food management instructors. A completed application for new instructors must be submitted by the program licensee to the department with the following documentation:

(A) the completed and signed application form;

(B) a copy of a valid food management certificate; and

(C) verification of education or experience in food safety documented by one of the following:

(i) an associate or higher college degree from an accredited institution in a major related to food safety or environmental health, evidenced by a copy of the candidate's diploma or transcript;

(ii) five years of food establishment work experience as a food manager verified in an attached resume; or

(iii) two years of regulatory food inspection experience verified in an attached resume.

(2) Nationally accredited program instructors. Nationally accredited program instructors who have met the minimum standards as set forth by this section shall be given reciprocity when instructing and administering a Conference for Food Protection accredited examination.

(h) Responsibilities of certified food management program instructors.

(1) Compliance with certified food management program law and rules. All qualified instructors are responsible for compliance with applicable certified food management program law and rules.

(2) Training requirements. All qualified instructors are responsible for instructing the course content as specified in subsection (f)(4) of this section, and meeting the training time requirements as specified in subsection (d)(6) of this section.

(3) Examination administrator. Instructors serving as the examination administrator must complete an examination security agreement prior to administering a department examination.

(i) Requirements for the renewal of qualified food management program instructors. In order to renew an instructor's qualification the program licensee must comply with the requirements of this subsection.

(1) Contact hours for continuing education. Certified food management programs shall submit a renewal application and documentation of five contact hours of continuing education for each instructor during the two-year program license period to maintain qualification as a certified food manager program instructor.

(2) Accepted continuing education topics. Continuing education topics may include areas in food safety or instruction enhancement.

(3) Verification of continuing education. The following may be used for continuing education:

(A) a certificate of completion for a course or seminar with the participant's name, course name, date and number of contact hours earned;

(B) a college transcript with course description; or

(C) other documentation of attendance as approved by the department.

(j) Responsibilities of the examination administrators.

(1) Compliance with certified food management program laws and rules. The examination administrator is responsible for compliance with the certified food management program laws and rules applicable to examination administration.

(2) Examination security agreement. An examination administrator must complete a security agreement and submit to the department through the certified food management program licensee. The department may not issue examinations to an examination administrator who does not have a signed security agreement on file with the department.

(3) Examination security. The examination administrator shall provide examination security at the examination site. All security measures shall be met and maintained at all times during examination storage, administration and issuance as described in this section.

(4) Mailing answer sheets. Answer sheets used for computerized grading shall be mailed to the department by traceable means. The completed answer sheets must be received at the department within seven working days of the examination date.

(5) Examination results. Candidates shall be informed of the process for receiving their certificate upon passing the examination. Candidates shall be informed of the reexamination process, in the event of examination failure.

(6) Replacement process for candidate certificate. Candidates shall be informed of the process for replacing lost or damaged certificates.

(k) Certified food manager certificates.

(1) Certificate issuance. Certified food manager certificates for candidates who complete an accredited program and pass the department examination will be mailed directly to the candidate at the address provided on the computerized grading sheet.

(2) Certificate period. A certified food manager certificate issued by the department shall be valid for two years. All certificates issued prior to the effective date of these rules will expire on the expiration date as stated on the certificate.

(3) Certificate renewal. Food manager certificates issued by the Department must be renewed every two years and may be renewed two times without retaking the examination prior to recertification.

(4) Recertification. Candidates may become recertified by taking a recertification class and passing a department approved examination.

(5) Certificate replacement. An individual requesting a certified food manager certificate replacement must submit a written request to the department with the appropriate non-refundable fee. Replacement certificates will bear the same expiration date as the original certificate.

(6) Expired certificates. Certified food managers whose certification has expired shall complete an accredited certification course and pass the final examination.

(7) Certification through single entity corporations. Candidates from accredited single entity corporations will receive food management certificates as described in this section, except that the food management certificate shall:

(A) clearly indicate that the certificate is for the single entity only;

(B) be recognized by regulatory authorities for only that single entity; and

(C) not receive reciprocity or recertification.

(l) Department examination criteria. The department examination shall meet accepted psychometric standards for reliability, validity and passing score. The department certification examination shall consist of 75 statistically valid questions to be administered at one time following the required training which precedes the examination. The department recertification examination shall consist of 50 statistically valid questions to be administered at one time following the required training which precedes the examination.

(m) National examination criteria. National food manager examinations recognized by the Conference for Food Protection shall be considered department approved examinations. Examination administrators for national examinations must implement and maintain all of the administrative procedures as outlined in the Conference for Food Protection Standards for Accreditation of Food Protection Manager Certification Programs.

(n) Site requirements for administration of the department examination and national examinations. Examination sites utilizing the department examination or a national examination must comply with all legal requirements for safety, health, and accessibility for all qualified candidates. Accommodations, lighting, space, comfort, and workspace for taking the examination must allow all candidates to perform at their highest level of competency. Requirements at each site include but are not limited to:

(1) accessibility in accordance with the requirements of the Americans with Disabilities Act must be available for all qualified examinees;

(2) sufficient spacing between each examinee in the area in which the actual testing is conducted, or other appropriate and effective methods, to preclude any examinee from viewing another candidate's examinations;

(3) acoustics that allow each examinee to hear instructions clearly, using an electronic audio system if necessary;

(4) adequate lighting at each examinee's work space for reading fine print; and

(5) appropriate ventilation and temperature for the health and comfort of examinees.

(o) Examination administration. Examination administrators shall implement and maintain the following examination administration procedures for a program utilizing the department examination.

(1) Security procedures shall be in place which protect the examination from compromise at all times. The examinations shall be stored and administered under secure conditions and shall be inventoried prior to and immediately following each administration of an examination. The examination may not be duplicated. Candidates shall have access to the examination only during examination administration.

(2) There shall be one proctor for every 35 candidates taking the examination. Proctors shall, by picture identification, confirm the accurate identity of each candidate. The examination administrator shall train and supervise the activities of any proctor(s).

(3) A candidate who speaks English as a second language may use a translation dictionary to translate English into their native language.

(4) An employee or a non-biased volunteer translator may be used as a translator of languages other than English to administer the examination orally. Translators shall be pre-approved by the examination administrator, and shall not compromise the integrity of the examination or the examination results of the candidate.

(5) Each candidate's examination results and personal information shall be held confidential. Such information may be made available only to the examinee and to persons designated in writing by the examinee in a dated document containing the examinee's original signature. The signed document must specify the name(s) of specific individuals the information may be released to and the exact information which may be provided. The department shall only release information in writing and only to appropriately designated and identified person(s).

(6) All completed answer sheets for the department examinations shall:

(A) be mailed by traceable means, and received by the department within seven working days of the examination date for grading and processing;

(B) be submitted in a condition acceptable for immediate scanning. Forms requiring extensive correction shall be returned to the examination administrator ungraded; and

(7) Only the department shall grade the department examination.

(p) Required fees. All fees are payable to the Texas Department of Health and are non- refundable. Fees must be submitted with the appropriate form that relates to the fee category. A current license shall only be issued when all past due fees and late fees are paid for all years of operation in Texas.

(1) Certified food manager program license fee. A program fee shall be $600 for a two year license for each certification or recertification program.

(2) Examination packet fee. The fee for the department examination shall be $10.00 and shall include a manager's certificate valid for two years if the candidate passes the examination. If the candidate fails the department examination, another candidate fee must be submitted to retake the examination.

(3) Renewal certificate fee. The fee for a renewal certificate shall be $10.

(4) Replacement certificate. A replacement certificate fee for the department examination shall be $10.

(5) Late fee. Certified food manager licensees submitting a renewal application to the department after the expiration date shall pay an additional $100 as a late fee.

(6) Texas Online Authority fee. For all applications and renewal applications, the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online.

(q) Department examination related to late fees. Department examinations will not be provided to any licensee that is over 30 days delinquent in renewing a certified food management program license.

(r) Certified food management program registry. The department shall maintain a program registry of all accredited certification and recertification programs. The registry shall be made available on the department website.

(s) Department audits. Examination and classroom audits shall be conducted to assess program compliance. Audits may be based on analysis of data compiled by the department.

(t) Denial, suspension and revocation of program accreditation. An accredited food manager program license may be denied, suspended or revoked for the following reasons:

(1) an average quarterly candidate failure rate in any one quarter of 25% or higher on examinations;

(2) a licensee, examination administrator or proctor breaches the security agreement;

(3) a licensee is delinquent in payment of fees as described in this section; or

(4) violation of the provisions of this section.

(u) Denial, suspension and revocation procedures. Denial, suspension and revocation procedures under this section shall be conducted in accordance with the Administrative Procedure Act, Government Code, Chapter 2001.

§229.176.Certification of Food Managers.

(a) Purpose. This section is intended to provide the framework of certification programs for food managers in accordance with Texas Health and Safety Code (HSC), Chapter 438, Subchapter G. Certification of Food Managers supports demonstration of food safety knowledge, thereby reducing the risk of foodborne illness outbreaks caused by improper food preparation and handling techniques.

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

(1) Certificate--The documentation issued by the department or an organization that administers a department approved examination verifying that an individual has complied with the requirements of this section.

(2) Certification--The process whereby a certificate is issued.

(3) Certified food manager--A person who has demonstrated that he/she has the knowledge, skills and abilities required to protect the public from foodborne illness by means of successfully completing a food safety examination as described in this section.

(4) Certified food manager licensee--The individual, corporation, or company that is licensed by the department to administer a department approved examination for food manager certification and who complies with the examination site requirements.

(5) Certified food manager examination--A department approved examination for food manager certification.

(6) Conference for Food Protection--An independent national voluntary nonprofit organization promoting food safety and consumer protection.

(7) Department--The Texas Department of Health.

(8) Examination administrator--an individual designated in writing to the department by the licensee who is responsible for administering food manager certification examinations.

(9) Examination site--The physical location at which the department approved examination is administered.

(10) Food--A raw, cooked, or processed edible substance, ice, beverage, or ingredient used or intended for use or for sale in whole or in part for human consumption, or chewing gum.

(11) Food establishment--An operation that stores, prepares, packages, serves, or otherwise provides food for human consumption such as: a food service establishment; retail food store; satellite or catered feeding location; catering operation, if the operation provides food directly to a consumer or to a conveyance used to transport people; market; remote catered operations; conveyance used to transport people; institution or food bank that relinquishes possession of food to a consumer directly or indirectly through a delivery service such as home delivery of grocery orders or restaurant takeout orders, or delivery service that is provided by common carriers.

(A) The term includes: an element of the operation such as a transportation vehicle or a central preparation facility that supplies a vending location or satellite feeding location, unless the vending or feeding location is permitted by the regulatory authority; a restaurant; a grocery store; an operation that is conducted in a mobile, roadside, stationary, temporary, or permanent facility or location; group residence; outfitter operations; bed and breakfast extended and bed and breakfast food establishments where consumption is on or off the premises; and regardless of whether there is a charge for the food.

(B) The term does not include: an establishment that offers only prepackaged foods that are not potentially hazardous; a produce stand that only offers whole, uncut fresh fruits and vegetables; a food processing plant; a kitchen in a private home if only food that is not potentially hazardous is prepared for sale or service at a function, such as a religious or charitable organization's bake sale; a bed and breakfast limited facility as defined in §229.162(4)(A) of this title.

(12) Law--Applicable local, state and federal statutes, regulations and ordinances.

(13) Nonprofit organization--A civic or fraternal organization, charity, lodge, association, proprietorship or corporation possessing a 501(C) exemption under the Internal Revenue Code; or religious organizations meeting the definition of "church" under the Internal Revenue Code, §170(b)(1)(A)(I).

(14) Person--An association, corporation, partnership, individual or other legal entity, government or governmental subdivision or agency.

(15) Personal validation question--A question designed to establish the identity of the candidate taking a certified food manager examination by requiring an answer related to the candidate's personal information such as a driver's license number, address, date of birth, or other similar information that is unique to the candidate.

(16) Proctor--The examination administrator or a person who is designated to assist the examination administrator.

(17) Psychometric--Scientific measurement or quantification of human qualities, traits or behaviors.

(18) Reciprocity--Acceptance by state and local regulatory authorities of a department approved food manager certificate.

(19) Regulatory authority--The state or local enforcement body or authorized representative having jurisdiction over the food establishment.

(20) Secure--Access limited to the licensee or examination administrator.

(21) Traceable means--A method of mailing documents that can be tracked in the event of loss or delay.

(c) Certified food manager.

(1) Certified food manager responsibilities. Responsibilities of a certified food manager include:

(A) identifying hazards in the day-to-day operation of a food establishment that provides food for human consumption;

(B) developing or implementing specific policies, procedures or standards aimed at preventing foodborne illness;

(C) coordinating training, supervising or directing food preparation activities and taking corrective action as needed to protect the health of the consumer;

(D) training the food establishment employees on the principles of food safety; and

(E) conducting in-house self-inspection of daily operations on a periodic basis to ensure that policies and procedures concerning food safety are being followed.

(2) Certification by a food safety examination. To be certified, a food manager must pass a department approved examination or a national examination recognized by the Conference for Food Protection.

(3) Certificate reciprocity. A certificate issued to an individual who successfully completes a department approved examination shall be accepted as meeting the training and examination requirements under HSC, §438.046(b).

(4) Certificate availability. The original food manager certificate shall be conspicuously posted at each food establishment.

(d) Licensing of certified food manager licensee. The department shall issue a license to certified food manager licensees meeting the requirements of this subsection. A license issued under these rules shall expire two years from the date of issuance. A license is not transferable on change of ownership, name, or change of site location.

(1) Application. Persons wishing to apply for a certified food manager license shall submit an application to the department.

(2) Certified food manager licensee fee. The license application shall include the appropriate non-refundable fee as specified in subsection (o)(1) of this section.

(3) Examination security agreement. The licensee shall submit a signed security agreement for each examination administrator using a department examination.

(4) Certification examination. Department approved examination(s) utilized by the certified food manager licensee shall be designated on the application.

(5) Number of examination sites utilized. The license application shall indicate the number of examination sites to be utilized under the certified food manager license.

(e) Responsibilities of certified food manager licensee.

(1) Compliance with food manager laws and rules. The licensee is responsible for compliance with applicable food manager laws and rules.

(2) Payment of fees. All fees shall be non-refundable and paid as specified in subsection (o) of this section.

(3) Change of ownership, site location, or change of name. A new licensing application package, to include non-refundable fee(s) as described in this section, shall be submitted prior to a change of licensee ownership, site location, or change of name.

(4) Change of the examination administrator. The licensee shall submit a signed security agreement by a new examination administrator prior to administering the department examination.

(5) Examination administration. The licensee shall directly administer the department approved examination.

(f) Responsibilities of department examination administrators.

(1) Compliance with food manager laws and rules. The examination administrator is responsible for compliance with the food manager laws and rules applicable to examination administration.

(2) Examination security agreement. An examination administrator must complete, sign and date a security agreement and submit it to the department through the certified food manager licensee. The department may not issue examinations to examination administrators who do not have a signed security agreement on file with the department.

(3) Examination security. The examination administrator shall provide examination security at the examination site. All security measures specified in this section shall be met and maintained at all times during examination storage, administration and issuance.

(4) Mailing answer sheets. Answer sheets used for computerized grading shall be mailed to the department by traceable means. The completed answer sheets must be received at the department within seven working days of the examination date.

(5) Examination results. Candidates shall be informed of the process for receiving their certificate upon passing the examination. Candidates shall be informed of the reexamination process, in the event of examination failure.

(6) Replacement process for candidate certificate. Candidates shall be informed of the process for replacing lost or damaged certificates.

(g) Responsibilities for Internet examination providers.

(1) Compliance with food manager laws and rules. Internet examination providers are responsible for compliance with food manager laws and rules applicable to examination administration.

(2) Examination Security Agreement. Internet examination providers must submit the department security agreement signed by the certified food manager licensee.

(3) Examination Security. Candidates taking Internet examinations shall be advised on the application that outside training materials or assistance shall not be used during administration of the examination and that appropriate measures must be taken to assure that the examination is not compromised.

(h) Certified food manager certificates.

(1) General certificate issuance. Certificates shall be issued by the department or the organization that administers a department approved examination. Certificates issued after successful passage of a department approved examination shall be deemed to meet the requirements for food manager certification.

(2) Department certificate issuance. Certified food manager certificates for candidates who pass the department's examination will be mailed directly to the candidate at the address provided on the computerized grading sheets.

(3) Certificate period. A certified food manager certificate issued by the department shall be valid for two years from the date of passing the examination. All certificates issued prior to the effective date of these rules will expire on the expiration date as stated on the certificate.

(4) Certificate renewal. Food manager certificates issued by the department must be renewed every two years and may be renewed two times without retaking the examination prior to recertification.

(5) Recertification. Candidates may become recertified by passing a department approved examination.

(6) Department certificate replacement. An individual requesting a certified food manager certificate replacement must submit a written request to the department with the appropriate non-refundable fee. Replacement certificates will bear the same expiration date as the original certificate.

(i) Department examination criteria. The department examination shall meet accepted psychometric standards for reliability, validity and passing score. The department examination shall consist of 75 statistically valid questions to be administered at one time following any voluntary training which may precede the examination.

(j) National examination criteria. National food manager examinations recognized by the Conference for Food Protection shall be considered department approved examinations. Examination administrators for national examinations must implement and maintain all of the administrative procedures as outlined in the Conference for Food Protection Standards for Accreditation of Food Protection Manager Certification Programs.

(k) Internet examination criteria. Documentation that Internet examination questions meet accepted psychometric standards for reliability, validity, and passing score shall be submitted to the department. Each candidate shall receive a unique form of the examination with regard to question sequence. Internet examinations shall consist of 75 statistically valid questions that are administered at one time following any voluntary training that may precede the examination.

(l) Site requirements for administration of the department examination and national examinations. Examination sites utilizing the department examination or a national examination must comply with all legal requirements for safety, health, and accessibility for all qualified candidates. Accommodations, lighting, space, comfort, and workspace for taking the examination must allow all candidates to perform at their highest level of competency. Requirements at each site include but are not limited to:

(1) accessibility in accordance with the requirements of the Americans with Disabilities Act must be available for all qualified examinees;

(2) sufficient spacing between each examinee in the area where the actual examination is conducted, or other appropriate and effective methods, to preclude any examinee from viewing other candidates' examinations;

(3) acoustics that allow each examinee to hear instructions clearly, using an electronic audio system if necessary;

(4) adequate lighting at each examinee's workspace for reading fine print; and

(5) appropriate ventilation and temperature for the health and comfort of examinees.

(m) Department examination administration. Examination administrators shall implement and maintain the following examination administration procedures for a program utilizing the department examination:

(1) Security procedures shall be in place, which protect the examination from compromise at all times. The examinations shall be stored and administered under secure conditions and shall be inventoried prior to and immediately following each administration of an examination. The examination may not be duplicated. Candidates shall have access to the examination only during examination administration;

(2) There shall be one proctor for every 35 candidates taking the examination. Proctors shall, by picture identification, confirm the accurate identity of each candidate. The examination administrator shall train and supervise the activities of any proctor(s);

(3) A candidate who speaks English as a second language may use a translation dictionary to translate English into their native language;

(4) An employee or a non-biased volunteer translator may be used as a translator of languages other than English to administer the examination orally. Translators shall be pre-approved by the examination administrator, and shall not compromise the integrity of the examination nor the examination results of the candidate;

(5) Each candidate's examination results and personal information shall be held confidential. Such information may be made available only to the examinee and to persons designated in writing by the examinee in a dated document containing the examinee's original signature. The signed document must specify the name(s) of specific individuals the information may be released to and the exact information which may be provided. The department shall only release information in writing and only to appropriately designated and identified person(s);

(6) All completed answer sheets for the department examinations shall:

(A) be mailed by traceable means, and received by the department within seven working days of the examination date for grading and processing;

(B) be submitted in a condition acceptable for immediate scanning. Forms requiring extensive correction shall be returned to the examination administrator ungraded; and

(7) Only the department shall grade the department examination.

(n) Internet examination administration.

(1) Registration requirements for Internet examinations. The licensee shall register the candidates and require the candidates to:

(A) verify their identity;

(B) provide responses to ten personal validation questions; and

(C) maintain examination security.

(2) Licensee examination disclosure information. The licensee shall inform the candidate that:

(A) reference materials shall not be used during the examination;

(B) the candidate shall not receive assistance from anyone during the examination; and

(C) examination questions may not be replicated in any fashion.

(3) Personal validation questions. The licensee shall verify a candidate's identity throughout the examination. The personal validation process must include the following elements:

(A) a minimum of five personal validation questions selected from the ten questions provided during registration shall be incorporated at various times during the examination;

(B) the personal validation questions must be randomly generated with respect to time and order;

(C) the same personal validation questions shall not be asked more than once during the same examination; and

(D) the examination session shall cease and the candidate shall be automatically exited from the examination if a candidate answers a personal validation question incorrectly.

(4) System support. The licensee of an approved Internet examination must include the following system capabilities and security measures:

(A) capability to browse or review previously completed examination questions;

(B) capability to navigate logically and systematically through the examination;

(C) technical support personnel for Internet examination issues;

(D) security of personal candidate information in transit and at rest;

(E) a back-up and disaster recovery system capability; and

(F) assurance that examination data is maintained in a secure and safe environment and readily available to the department.

(5) Reporting requirements for non-proctored Internet examination administrators. Internet examination administrators who administer examinations in non-proctored locations shall submit a semi-annual report to enable the department to evaluate examination security and system performance. The report shall include:

(A) statistical data to enable measurement of central tendency, ranges of examination scores, standard deviation, standard error of measurement, and examination cut score;

(B) the number of personal validation questions used; and

(C) the number of examinations discontinued due to incorrect responses to personal validation questions.

(6) Time allotment for non-proctored Internet examination providers. Time allotted for administration of non-proctored examinations shall not exceed 90 minutes.

(o) Required fees. All fees are payable to the Texas Department of Health and are non- refundable. Fees must be submitted with the appropriate form that relates to the fee category. A current license shall only be issued when all past due fees and late fees are paid for all years of operation in Texas. Fees shall be:

(1) Certified food manager licensee fee. Certified food manager licensee fees shall be valid for a two-year period and shall be based on the number of sites at which the certified food manager licensee administers the examinations based on the following scale:

(A) one site--$400;

(B) two to ten sites--$1,000; or

(C) over ten sites--$2,000.

(2) Examination packet fee. The fee for a department examination packet shall be $10 and shall include a manager's certification valid for two years if the candidate passes the examination. If the candidate fails the department examination, another candidate fee must be submitted to retake the examination.

(3) Renewal certificate fee. The fee for a renewal certificate shall be $10.

(4) Replacement certificate fee. A replacement certificate fee for the department examination shall be $10.

(5) Late fee. A certified food manager licensee submitting a renewal application to the department after the expiration date shall pay an additional $100 as a late fee.

(6) Texas Online Authority fee. For all applications and renewal applications, the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online.

(p) Department examination related to late fees. Department examinations will not be provided to any licensee that is over 30 days delinquent in renewing a license.

(q) Certified food manager licensee registry. The department shall maintain a registry of all licensed certified food manager licensees. The registry shall be made available on the department website.

(r) Department audits. Audits of certified food manager licensees shall be conducted to assess compliance with these rules. Audits may be based on analysis of data compiled by the department.

(s) Denial, suspension and revocation of certified food manager license. A certified food manager license may be denied, suspended or revoked for the following reasons:

(1) a licensee, examination administrator, or proctor breaches the security agreement;

(2) a licensee is delinquent in payment of fees as described in this section; or

(3) violation of the provisions of this section.

(t) Denial, suspension and revocation procedures. Denial, suspension and revocation procedures under this section shall be conducted in accordance with the Administrative Procedure Act, Government Code, Chapter 2001.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 16, 2004.

TRD-200402555

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: May 6, 2004

Proposal publication date: December 19, 2003

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