TITLE 25.HEALTH SERVICES

Part 1. TEXAS DEPARTMENT OF HEALTH

Chapter 61. CHRONIC DISEASES

Subchapter A. KIDNEY HEALTH CARE PROGRAM

The Texas Department of Health (department) adopts amendments to §§61.1 - 61.4, 61.6 - 61.9 and 61.13 - 61.15, relating to Kidney Health Care (KHC) benefits, and the repeal of §§61.5, 61.10 and 61.11 relating to, respectively, the establishment of co-pay liability standards for all KHC recipients, the program's notice of intent to take action and reconsideration, and the fair hearing process. Sections 61.1 - 61.2, 61.4, and 61.6 - 61.9 are adopted with changes to the proposed text as published in the March 26, 2004, issue of the Texas Register (29 TexReg 3098). The repealed §§61.5, 61.10 and 61.11 and the amended §§61.3 and 61.13 - 61.15 are adopted without changes and, therefore, these sections will not be republished.

The repeal of §61.5 is required as the program no longer establishes co-pay liability standards for KHC recipients. The repeal of §§61.10 and 61.11 is required as the language concerning the notice of intent to take action and the fair hearing process has been provided elsewhere in 25 Texas Administrative Code (TAC), §§1.51 - 1.55.

An amendment to §61.2 denies program eligibility to persons who are eligible for Medicaid drug, transportation and medical benefits. A second amendment to §61.2 establishes gross income, instead of adjusted gross income, as the means for determining a person's financial eligibility. A third amendment to §61.2 requires recipients to reapply for Medicare benefits if there is a change in their qualifying status. An amendment to §61.3 reduces the number of required residency documents. An amendment to §61.4 changes the effective date for program benefits to the date the program receives the completed application. An amendment to §61.6 denies immunosuppressive drug coverage to recipients who are eligible for this coverage under Medicare. A second amendment to §61.6 denies medical benefits coverage to recipients with private group/health insurance that covers the treatment of end-stage renal disease. A third amendment to §61.6 allows for the establishment of a waiting list of applicants eligible for program benefits if budgetary limitations exist. An amendment to §61.8 changes the filing deadline of resubmitted claims. An amendment to §61.9 requires all providers participating with Kidney Health Care to enter into a contractual agreement with the program. Amendments made throughout the sections provide for clarity and consistency of language and facilitate compliance with the administration of the rules.

Government Code, §2001.039, requires that each agency review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). Sections 61.1 - 61.15 have been reviewed and the department has determined that reasons for adopting the sections continue to exist; however, revisions were needed to provide for clarity and consistency of language and facilitate compliance with the administration of the rules.

The department published a Notice of Intent to Review for §§61.1 - 61.15 as required by Government Code, §2001.039, in the Texas Register on April 25, 2003 (28 TexReg 3531). No comments were received due to publication of this notice.

Comments were received on the proposed amendments from one organization during the comment period. In addition, the department is making minor changes due to staff comments to further clarify the intent and improve the accuracy of the sections.

Comment: Concerning §§61.2(a)(4)(C), (b)(9), and (c), the commenter recommended that no benefits be denied to end-stage renal disease patients until it is known if a patient is receiving other benefits.

Response: The department wishes to clarify that the proposed rules do not change how KHC currently handles a patient's third party coverage. The program does not take action to deny, modify, or suspend a patient's eligibility for Kidney Health Care (KHC) benefits until the program has received verification of a patient's eligibility for Medicaid or private/group health insurance. No change was made as a result of this comment.

Comment: Concerning §61.6(l)(2), the commenter was opposed to waiting lists and recommended that the program make all new end-stage renal disease patient's dialysis treatments a top priority.

Response: The department wishes to clarify that the waiting list is to provide the program with an option when projections have exceeded the available appropriation for client services and it is no longer feasible to further modify benefits. A waiting list would only be used to maintain current services for the current caseload, or pre-determined threshold, in order to remain within the current appropriation, and when further modifications to the current level of benefits would result in an extremely inadequate level of benefits. No change was made as a result of this comment.

Comment: Concerning the Fiscal Implications paragraph of the preamble, the commenter asked for an explanation of the projected $968,000 cost savings.

Response: The department responds that the estimated $968,000 reduction in costs for Fiscal Year (FY) 2005 ($963,000 for FY2004) was based on reductions in cost that will be realized as a result of discontinuing KHC coverage of Medicaid eligible recipients and changing the eligibility date for newly approved recipients. KHC estimates that approximately 300 dialysis claims in FY2004 and 320 in FY2005 may be affected by changing an applicant's KHC eligibility date to the date a completed application is received by KHC. Based on KHC's current reimbursement rate per dialysis treatment, KHC estimates a reduction in dialysis costs of approximately $63,000 in FY2004 and $68,000 in FY2005. With over 70% of the applications and dialysis claims being submitted on line, KHC believes the fiscal impact will be minimal to the dialysis facilities, so the estimates may actually be lower with the expected increased use of on-line submissions.

In addition, KHC paid $850,398 in FY2003 for drug benefits for 5,854 Medicaid eligible recipients. The average cost was $145.26 per recipient per year for one drug per month. For FY2004, KHC estimates the number of Medicaid recipients will be 6,030, at an average cost of $149.24 per recipient per year, or a total estimated reduction in drug costs of approximately $900,000. We used the same estimated savings for FY2005. No change was made as a result of this comment.

Comment: Concerning the Public Benefit paragraph of the preamble, the commenter expressed concern about the impact of the proposed rules on persons eligible for Medicaid.

Response: The department responds that, initially, some Medicaid patients may be adversely affected by the discontinuance of one drug per month coverage by the program. However, we expect that within the following months these patients will be able to extend their Medicaid monthly drug utilization because of the Medicaid 90 days supply limit for covered drugs, limiting the impact to the patients. No change was made as a result of this comment.

Change: Concerning §61.1(c)(4), the words "whose" and "has been submitted by" were deleted and the words "who has submitted an" was added after the word "individual" and "through" was added after the word "benefits" to clarify the intent of the sentence.

Change: Concerning §61.1(c)(4), the sentence "This includes an individual whose application is submitted by a representative or person with legal authority to act for the individual" was deleted because the reference was unnecessary in the context of the definition.

Change: Concerning §61.1(c)(5), (8) and (11), the words "or his successor" and the words "or its successor" was added after the word "Health" because the agency name will change and the Board of Health will be dissolved on September 1, 2004.

Change: Concerning §61.1(c)(17), the term "a contract/agreement" was deleted and the term "an agreement" was added in its place because the reference to both "contract" and "agreement" is redundant. This change was also made in §§61.6(c)(3), 61.8(c)(4), 61.9(a)(1), 61.9(a)(2), 61.9(a)(3), 61.9(b)(1), 61.9(b)(3), and 61.9(c)(2)(E).

Change: Concerning §61.1(c)(20)(C), the words "and licensed in Texas" were deleted and the words "in Texas and operating in compliance with applicable law" were added after the word "located" to clarify the intent of the definition.

Change: Concerning §61.1(c)(20)(F), the word "Providers" following "Texas Medicaid" was changed to "providers" to correct a capitalization error.

Change: Concerning §61.1(c)(20)(G)-(H) the phrase "furnishing covered services to KHC recipients" was deleted because the words "to furnish covered services to KHC recipients" appear earlier in §61.1(c)(20).

Change: Concerning §61.1(c)(24), the definition "VDP - The Texas Medicaid Vendor Drug Program" was deleted because it was unnecessary.

Change: Concerning §61.2(b)(2), the word "maintain" was deleted and the words "continue to meet" were added after the words "failure to", in order to clarify the intent of this requirement.

Change: Concerning §61.2(g), the open parenthesis was added before the words "relating to Fair Hearing Procedures" since it was omitted in the proposed rule.

Change: Concerning §61.4(1)(E), the sentence "Changes in income or financial qualifications which would affect the applicant's eligibility shall be reported to KHC" was deleted because the language is previously cited in §61.2(b)(2).

Change: Concerning §61.4(3), the last sentence "Exception: The eligibility date for in-center dialysis patients for transportation services will be the first day of the month following the KHC eligibility effective date" was added for clarification.

Change: Concerning §61.6(b)(1), the words "a participating" were deleted and the article "an" was added before the words "out-of-state" and the word "participating" was added after the words "out-of-state" for clarity of language.

Change: Concerning §61.6(k), the words "of Health (Commissioner)" following the word "Commissioner" were deleted because they were unnecessary since the term "Commissioner" was previously defined in §61.1(c)(8).

Change: Concerning §61.7(a), the words "Vendor Drug Program (VDP)" and "VDP allows or requires" were deleted from the sentence and the words "designated claims processor for Kidney Health Care (KHC)" were added after the words "submitted electronically to the" and the words " are allowed or required" were added after the word "submissions" because the intent of the rule requires more general language.

Change: Concerning §61.7(c), the words "administered by the Texas Department of Transportation and contracted through the Health and Human Services Commission" and "or any Texas Department of Transportation approved transportation provider" were deleted from the original proposed sentence and a second sentence "Claims shall be submitted electronically through the KHC Automated System for Kidney Information Tracking (ASKIT), or any other designated claims payment system, except when KHC allows or requires paper submissions" was added in order to more clearly identify the responsible entities and the required method of claim submission.

Change: Concerning §61.8(f), the words "Vendor Drug Program (VDP)" and "VDP drug" were deleted from the sentence and the words "designated claims processor for KHC" were added after the word "the" because the intent of the rule requires more general language. Also, the words "contained in 1 Texas Administrative Code, §354.1901, (relating to Pharmacy Claims)" were added after the word "deadlines" in order to provide a point of reference for the claim filing deadlines requirements.

Change: Concerning §61.9(a)(3), the word "a" was added after the word "has" to correct a grammatical error in the fourth sentence.

Change: Concerning §61.9(a)(4), the words "Vendor Drug Program (VDP)" were deleted and the words "Health and Human Services Commission Pharmacy Contracts unit or designated contractor" were added in order to reflect the current organizational structure. This subdivision, which was previously designated in the proposal as "(No Change)", required changes in order to correct inconsistencies in language that occurred as a result of additional changes being made in the open subdivisions.

Change: Concerning §61.9(a)(5)(D), the words "KHC may withhold" were deleted and the words "and allow KHC to apply" were added after the word "request" in order to clarify the intent of the requirement. This change was also made in §§61.9(a)(6)(D), 61.9(a)(7)(E), and 61.9(a)(8)(E).

Change: Concerning §61.9(a)(7)(A), the words "licensing requirements" were deleted and the words "applicable laws" were added after the word "all" to clarify the intent of the requirement.

Change: Concerning §61.9(a)(7)(D), the word "licensed" was deleted and the words "authorized under applicable law" was added after the first occurrence of the word "hospital" to clarify the intent of the requirement. The words "or ASC" were added after the word "hospital" in the last line because they were omitted in the original submission.

Change: Concerning §61.9(a)(8)(D), the words "or ASC" were added after the words "certified hospital" because they were omitted in the original submission.

Change: Concerning §61.9(b)(2), the term "VDP" was deleted and the words "the Health and Human Services Commission Pharmacy Contracts unit or designated contractor" were added in order to reflect the current organizational structure. This subdivision, which was previously designated in the proposal as "(No change.)", required changes in order to correct inconsistencies in language that occurred as a result of additional changes being made in the open subdivisions.

Change: Concerning §61.9(c)(1)(E), the words "with KHC or VDP" were deleted and the words "for KHC benefits" were added in order to clarify the intent of the rule.

Change: Concerning §61.9(c)(2)(D), the words "a contract or" were deleted and the article "an" was added after the word "renew" because the reference to both "contract" and "agreement" is redundant.

The commenter was the Texas Renal Coalition. The commenter was generally not in favor of some of the amendments and expressed concern, asked questions, and made recommendations.

25 TAC §§61.1 - 61.4, 61.6 - 61.9, 61.13 - 61.15

The amendments are adopted under the Health and Safety Code, §42.003, which provides the Texas Board of Health (board) with the authority to adopt rules to provide adequate kidney care and treatment for the citizens of the State of Texas and to carry out the purposes and intent of the Texas Kidney Health Care Act; and §12.001, which provides the board with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

§61.1.General.

(a) Purpose. The purpose of this Chapter is to establish rules for Kidney Health Care (KHC). The authority for these rules is granted in the Texas Health and Safety Code, Chapter 42.

(b) Delegation of Authority. Under the Texas Health and Safety Code, Chapter 11, §11.013, the Board of Health (board) delegates to the Commissioner of Health (commissioner), or to the person acting as commissioner in the commissioner's absence, the authority to administer KHC, exclusive of rulemaking authority.

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

(1) Access surgery--The surgical procedure which creates or maintains the access site necessary to perform dialysis.

(2) Action--A denial, termination, suspension or reduction of KHC-covered services or eligibility.

(3) Allowable amount--The maximum amount that KHC will pay or reimburse for a covered benefit or service.

(4) Applicant--An individual who has submitted an application for KHC benefits through a participating outpatient dialysis facility or hospital and has not received a final determination of eligibility.

(5) Board--The Texas Board of Health or its successor.

(6) Claim--A request for payment or reimbursement of services.

(7) CMS--The Centers for Medicare and Medicaid Services, formerly known as the Health Care Financing Administration.

(8) Commissioner--The commissioner of the Texas Department of Health, or his successor.

(9) Co-pay--The portion of the allowable amount for which a KHC recipient is responsible.

(10) Covered services--Drugs, transportation, pharmaceutical products, medical care, treatment, services or equipment which have been approved by KHC for payment.

(11) Department--The Texas Department of Health, or its successor.

(12) End-Stage Renal Disease (ESRD)--The final stage of renal impairment which is usually irreversible and permanent and requires dialysis and/or kidney transplant to reduce uremic symptoms and/or prevent the death of the patient.

(13) EOB--A form, in paper or electronic format, which provides an explanation of benefits. It is used to explain a payment or denial of a claim.

(14) Fair hearing--The informal hearing process the department follows under §§1.51 - 1.55 of this title (relating to Fair Hearing Procedures).

(15) Final decision--A decision that is made by a decision maker after conducting a fair hearing under §§1.51 - 1.55 of this title (relating to Fair Hearing Procedures).

(16) HCFA--The Health Care Financing Administration, now known as the Centers for Medicare and Medicaid Services.

(17) Interim approval--The status given by KHC to an outpatient dialysis facility, free standing or hospital based, which has applied for participation as a KHC provider but has not executed an agreement with KHC.

(18) KHC--The Kidney Health Care program.

(19) Medical benefits--Any inpatient or outpatient medical treatment or procedure approved by KHC as a covered service.

(20) Participating provider--Any individual or entity with KHC approval to furnish covered services to KHC recipients including:

(A) outpatient dialysis facilities;

(B) out-of-state outpatient dialysis facilities;

(C) hospitals and ambulatory surgical centers (ASCs) located in Texas and operating in compliance with applicable law;

(D) out-of-state hospitals and ASCs;

(E) military or Veterans Administration hospitals located in Texas which have a renal unit approved by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the American Osteopathic Association (AOA);

(F) pharmacies approved as Texas Medicaid providers and licensed to operate within the United States and its territories, including mail order pharmacies;

(G) physicians and Certified Registered Nurse Anesthetists (CRNAs); or

(H) out-of-state physicians and CRNAs.

(21) Recipient--An individual who is eligible to receive KHC benefits.

(22) Suspended benefits--Eligibility for benefits or claims which are denied and/or held pending satisfaction of a KHC request or requirement.

(23) TDCI--The Texas Drug Code Index. This list of drugs by National Drug Code includes drugs and drug products approved by the department for payment as a benefit of KHC. Not all drugs listed on the TDCI are covered by KHC; however, all drugs covered by KHC are included on the TDCI.

§61.2.Recipient Requirements.

(a) A person shall meet all of the following requirements to be eligible for Kidney Health Care (KHC) benefits:

(1) have a diagnosis of end-stage renal disease (ESRD) certified by a licensed physician who is board eligible or board certified in internal medicine, nephrology, or pediatric nephrology;

(2) meet the Medicare criteria for ESRD;

(3) be receiving a regular course of chronic renal dialysis treatments or have received a kidney transplant;

(4) be a resident of Texas as determined in §61.3 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;

(B) a ward of the state; or

(C) eligible for drug, transportation, and medical benefits under the Medicaid Program;

(5) submit an application for benefits through a participating outpatient dialysis facility or hospital; and

(6) have, or the person(s) who has a legal obligation to support the applicant have, a gross income of less than $60,000. Income reported as "joint income" is considered as one income. The person or persons who have a legal obligation to support the recipient will be determined by the applicable state law.

(b) A recipient's eligibility for KHC benefits may be terminated for any of the following reasons:

(1) failure to maintain Texas residency or, upon demand, furnish evidence of such using the criteria in §61.3 of this title (relating to Residency and Residency Documentation Requirements);

(2) failure to continue to meet the income requirements for eligibility or to provide income data as requested by the department to determine continued KHC eligibility;

(3) failure to reimburse the department as requested for overpayments made to the recipient;

(4) failure to apply for medical, drug, and transportation benefits under Title XIX, Social Security Act (Medicaid), if the applicant meets income and other eligibility requirements for Medicaid;

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

(6) recipient regains kidney function;

(7) recipient voluntarily stops treatment for ESRD;

(8) recipient becomes a ward of the state;

(9) recipient becomes eligible for drug, transportation, and medical benefits under the Medicaid Program;

(10) KHC determines that the recipient has made a material misstatement or misrepresentation on their application or any document required to support their application;

(11) KHC determines that the recipient has submitted false claim(s); or

(12) KHC has not paid a claim for benefits on behalf of the recipient for a minimum period of 12 consecutive months.

(c) A recipient may have their KHC benefits modified or suspended for any of the following reasons:

(1) failure to apply for Medicare hospitalization and medical benefits under Title XVIII, Social Security Act (Medicare);

(2) failure to reapply for Medicare hospitalization and medical benefits as requested by KHC if there are changes in the recipient's status that would make the recipient potentially eligible for Medicare benefits;

(3) failure to continue premium payments on health insurance plans under Medicare, individual or group health insurance plans and prepaid medical plans, where eligibility was effective prior to KHC eligibility;

(4) failure to provide authorization for Medicare premium payments by KHC as specified in §61.6 of this title (relating to Limitations and Benefits Provided), if not eligible for Medicare premium-free hospitalization; or

(5) failure to notify/verify KHC of changes in the following:

(A) permanent home address;

(B) treatment status;

(C) insurance coverage; or

(D) location of treatment.

(d) Any action taken under subsection (b) or (c) of this section does not release the recipient, or the person(s) with legal obligation to support the recipient, of any financial obligation owed to KHC.

(e) In order to requalify for KHC, an applicant shall reapply for KHC benefits when eligibility for KHC benefits is terminated.

(f) A recipient who loses eligibility will not be reinstated until all outstanding debts owed to KHC by the recipient are paid or arrangements acceptable to KHC are made for payment.

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

(1) KHC may not terminate KHC participation until a final decision is rendered under the department's fair hearings process, if a hearing is requested by the recipient.

(2) KHC may withhold payments on claims pending final decision under the department's fair hearings process.

(3) KHC shall release withheld payments and reinstate participation in KHC if the final determination is in the recipient's favor.

§61.4.Applications.

Persons meeting the eligibility requirements set forth in §61.2(a)(1), (2), (3), (4), and (6) of this title (relating to Recipient Requirements) must make an application for benefits through a Kidney Health Care (KHC) participating outpatient dialysis facility or hospital.

(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 and notarized Application for Benefits, with the applicant's, or the applicant's representative's, original signature or "mark";

(B) a copy of the completed, signed and dated (MM/DD/YY) Health Care Financing Administration (HCFA) End-Stage Renal Disease Medical Evidence Report;

(C) documentation of Texas residency as required by §61.3 of this title (relating to Residency and Residency Documentation Requirements);

(D) a copy (front and back) of the applicant's social security card issued by the Social Security Administration, or an allowable substitute, as follows:

(i) a copy of a Social Security Administration document which verifies the social security number; or

(ii) a copy of a valid Medicare card, if the Medicare account was established in the applicant's own social security number and the social security number is printed on the Medicare card.

(E) applicant financial data. Acceptable data to establish the applicant's financial qualifications shall be submitted with the application. The applicant may attach any of the following documents to verify income:

(i) A copy of the first page of either the applicant's, or the person(s) legally obligated to support the applicant's, IRS individual income tax return form for the most recently completed tax year or an estimated or declared income for the current tax year on the Application for Benefits.

(ii) Applicants who do not file a federal income tax return may submit documentation of financial assistance, income, or retirement benefits.

(2) Incomplete application. 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 or entity for correction or completion.

(3) Eligibility date for KHC benefits. The KHC eligibility date will be the date KHC receives a complete application. If KHC benefits are terminated, the eligibility date for any subsequent benefit period will be the date on which KHC receives a subsequent completed application for KHC benefits. Exception: The eligibility date for in-center dialysis patients for transportation services will be the first day of the month following the KHC eligibility effective date.

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

§61.6.Limitations and Benefits Provided.

(a) Benefits payable by Kidney Health Care (KHC) are as follows:

(1) KHC allowable out-patient drugs and drug products included on the Texas Drug Code Index (TDCI) (a list of KHC allowable drugs is available upon request from KHC, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756);

(2) covered transportation;

(3) access surgery (hospital charges, ambulatory surgical center charges, surgeon's fees, assistant surgeon's fees, anesthesiologist's fees, Certified Registered Nurse Anesthetist's fees);

(4) out-patient chronic maintenance dialysis treatments;

(5) in-patient chronic maintenance dialysis treatments (excluding treatment for emergency/acute dialysis); and

(6) Medicare Part A and B premiums, if qualified. To qualify for this benefit, recipients:

(A) cannot be eligible for:

(i) "premium free" Part A coverage; or

(ii) Medicaid to pay their Medicare premiums;

(B) shall apply and be accepted for Medicare hospital and medical insurance; and

(C) shall promptly submit all Medicare premium due notice statements to KHC for payment.

(b) All KHC benefits are limited to services received in Texas except for:

(1) covered services received from an out-of-state participating provider; and

(2) KHC allowable drugs submitted by any participating out-of-state pharmacy.

(c) Depending on the recipient's eligibility status, KHC will pay for covered services up to a maximum allowable amount per recipient based upon:

(1) available funds;

(2) established limits for covered services by type or category;

(3) an agreement between the department and the recipient's participating provider;

(4) the reimbursement rates established by the department;

(5) any co-pay KHC may apply to client service benefits; and

(6) any third-party liability.

(d) Recipients eligible for immunosuppressive drug (ISD) coverage under Medicare are not eligible to receive KHC ISD coverage.

(e) Recipients eligible for drug coverage under a private/group health insurance plan are not eligible to receive KHC drug benefits. A recipient that has exhausted drug coverage under a private/group health insurance plan may be eligible to receive drug benefits from KHC.

(f) Access surgery benefits are payable only if the services were performed on or after the date Texas residency was established and not more than 180 days prior to the recipient's KHC eligibility effective date.

(g) KHC medical benefits are payable during the Medicare three-month qualifying period to recipients who do not have Medicare coverage. Benefits are payable for services received on or after the KHC eligibility effective date. The three-month qualifying period shall be calculated from the first day of the month the recipient begins chronic maintenance dialysis. If a recipient becomes eligible for Medicare during the three-month period, KHC medical benefits shall not be payable from the date of Medicare eligibility.

(h) Limited medical benefits are available beyond the qualifying period for eligible recipients who have applied for and have been denied Medicare coverage based on end-stage renal disease (ESRD). Recipients shall submit a copy of an official Social Security Administration Medicare denial notification (based on chronic renal disease) to the department. Transplant patients who have been successfully transplanted for three years or more are not eligible for limited medical benefits.

(i) Recipients eligible for hospital and medical benefits from Medicare, the Veterans Administration, the military, or other government programs which cover the treatment of ESRD are not eligible to receive KHC medical benefits.

(j) Recipients eligible for hospital and medical benefits from private/group health insurance which covers the treatment of ESRD are not eligible for KHC medical benefits.

(k) KHC is payor of last resort. All third parties must be billed prior to KHC. The Commissioner may waive this requirement in individually considered cases where its enforcement will deny services to a class of ESRD patients because of conflicting state or federal laws or regulations, under the Texas Health and Safety Code, Chapter 42, §42.009.

(l) If budgetary limitations exist, the department may:

(1) restrict or categorize covered services. Categories will be prioritized based upon medical necessity, other third party eligibility and projected third party payments for the different treatment modalities, caseloads, and demands for services. Caseloads and demands for services may be based on current and/or projected data. In the event covered services must be reduced, they will be reduced in a manner that takes into consideration medical necessity and other third party coverage. The department may change covered services by adding or deleting specific services, entire categories or by making changes proportionally across a category or categories, or by a combination of these methods; and/or

(2) establish a waiting list of eligible applicants. 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 benefits.

§61.7.Claims Submission and Payment Rates.

(a) Drug claims shall be submitted electronically to the designated claims processor for Kidney Health Care (KHC) by the participating pharmacy, except when paper submissions are allowed or required.

(b) Claims for medical benefits shall be submitted to Kidney Health Care (KHC) by the participating provider who rendered the service(s) to the KHC recipient.

(c) Claims for transportation benefits shall be submitted to KHC by the recipient or the participating provider performing outpatient dialysis services. Claims shall be submitted electronically through the KHC Automated System for Kidney Information Tracking (ASKIT), or any other designated claims payment system, except when KHC allows or requires paper submissions.

(d) Payments will be made using rates in effect on the date services were rendered, and not prospectively.

§61.8.Claim Filing Deadlines.

(a) Claims shall be received by Kidney Health Care (KHC) within the claim filing deadlines established in this section. Claims which are incomplete or incorrect will not be considered for payment until they are completed or corrected. Claims which are not received by KHC within the deadlines established in this section will be denied payment.

(b) Claims for in-patient hospital services, other than access surgery, shall be received by KHC the later of:

(1) 95 days from the last day of the month in which services were provided;

(2) 60 days from the date on the third party explanation of benefits (EOB), but not later than 180 days from the date of discharge; or

(3) 60 days from the date on the KHC notice of eligibility for newly approved recipients.

(c) Claims for out-patient dialysis services from participating providers shall be received by KHC the later of :

(1) 95 days from the last day of the month in which services were provided;

(2) 60 days from the date on the third party EOB, but not later than 180 days from the date of service;

(3) 60 days from the date on the KHC notice of eligibility for newly approved recipients; or

(4) 60 days from the date on the agreement approval letter for newly approved participating providers, but not later than 180 days from the date of service.

(d) Claims for access surgery charges shall be received by KHC the later of:

(1) 95 days from the last day of the month in which services were provided;

(2) 60 days from the date on the third party EOB, but not later than 180 days from the date of service; or

(3) 60 days from the date on the KHC notice of eligibility for newly approved recipients.

(e) Claims for travel reimbursement shall be received by KHC the later of:

(1) 95 days from the last day of the month in which services were provided; or

(2) 60 days from the date on the KHC notice of eligibility for newly approved recipients.

(f) Claims for drug charges shall be submitted to the designated claims processor for KHC in accordance with claim filing deadlines contained in 1 Texas Administrative Code, §354.1901, (relating to Pharmacy Claims).

(g) Resubmitted claims, other than drug claims, shall be received by KHC within the deadlines established under subsections (b), (c), (d), and (e) of this section, or within 30 days from the date of the KHC return letter or KHC EOB, whichever is later. Resubmitted claims shall:

(1) be resubmitted with a copy of the KHC return letter or KHC EOB, if applicable;

(2) be resubmitted on the original claim form, if applicable; and

(3) contain no new or additional charges for service.

§61.9.Participating Providers.

(a) The following criteria must be met for a facility, pharmacy, or other provider to qualify for participation in Kidney Health Care (KHC).

(1) Outpatient dialysis facilities shall execute an agreement with KHC, and shall meet the following criteria:

(A) have Medicare certification and a Medicare end-stage renal disease (ESRD) provider number;

(B) be a current Texas Medicaid provider;

(C) be licensed by the Texas Department of Health (department) as an ESRD facility;

(D) reimburse KHC for any overpayments made to the facility by KHC upon request. KHC may withhold payment on claims submitted by the facility to recoup any overpayments; and

(E) not currently be on suspension as a KHC participating provider, as a Texas Medicaid provider, as a Medicare certified ESRD facility, or as a licensed Texas ESRD facility.

(2) KHC may enter into an agreement with an outpatient dialysis facility located in another state if the out-of-state facility meets all the requirements of paragraph (1)(A), (B), and (D) of this subsection, and is licensed by their respective state, if applicable. Outpatient dialysis facilities located in another state may not currently be on suspension as a KHC participating facility, as a Medicaid provider in Texas or their respective state, as a Medicare certified ESRD facility, or by the ESRD licensing authority of their applicable state.

(3) Outpatient dialysis facilities requesting enrollment as participating providers may be given interim approval by KHC. Recipient applications for KHC benefits may be submitted by the facility during the period of interim approval. Interim approval will last no longer than six months from the date KHC mails the agreement to the facility. If interim approval lapses, the unexecuted agreement will be nullified and a new agreement with new term dates and period of interim approval may be initiated by KHC. Claims for outpatient dialysis services will not be considered for payment by KHC until KHC has a fully executed agreement with the facility. Claim filing deadlines will apply, as contained in §61.8 of this title (relating to Claim Filing Deadlines).

(4) Pharmacies, including mail order pharmacies, shall enter into an agreement to participate in KHC through the Health and Human Services Commission Pharmacy Contracts unit or designated contractor.

(5) Physicians and Certified Registered Nurse Anesthetists (CRNAs) providing allowable KHC services in the State of Texas shall meet the following criteria to participate in, or enter into an agreement to participate in, KHC:

(A) if a physician, be licensed to practice medicine in the State of Texas, or if a CRNA, be certified to practice within the scope of their certification in the State of Texas;

(B) be a current Texas Medicaid provider;

(C) not currently be on suspension as a KHC participating provider, as a physician licensed to practice medicine in the State of Texas, as a CRNA certified to practice within the scope of their certification in the State of Texas, or as a Texas Medicaid provider; and

(D) reimburse KHC for any overpayments made to the physician or CRNA by KHC upon request, and allow KHC to apply payment on claims submitted by the physician or CRNA to recoup any overpayments.

(6) Physicians and CRNAs providing allowable KHC services outside the State of Texas shall meet the following criteria to participate in, or enter into an agreement to participate in, KHC:

(A) if a physician, be licensed to practice medicine in the state in which services are provided, or if a CRNA, be certified to practice within the scope of their certification in the state in which services are provided;

(B) be a current Texas Medicaid provider;

(C) not currently be on suspension as a KHC participating provider, as a physician licensed to practice medicine in the state in which services are to be provided, as a CRNA certified to practice within the scope of their certification in the state in which services are provided, or as a Medicaid provider in Texas or their respective state; and

(D) reimburse KHC for any overpayments made to the physician or CRNA by KHC upon request, and allow KHC to apply payment on claims submitted by the physician or CRNA to recoup any overpayments.

(7) Hospitals and ambulatory surgical centers (ASCs) shall meet the following criteria to participate in, or enter into an agreement to participate in, KHC:

(A) be in compliance with all applicable laws to provide hospital or ASC services in the State of Texas;

(B) be a current Texas Medicaid provider;

(C) have Medicare approval;

(D) not currently be on suspension as a KHC participating provider, as a hospital authorized under applicable law to provide hospital services in the State of Texas, as an ASC licensed to provide ASC services in the State of Texas, as a Texas Medicaid provider, or as a Medicare certified hospital or ASC; and

(E) reimburse KHC for any overpayments made to the hospital or ASC by KHC upon request, and allow KHC to apply payment on claims submitted by the hospital or ASC to recoup any overpayments.

(8) Out-of-state hospitals and out-of-state ASCs shall meet the following criteria to participate in, or enter into an agreement to participate in, KHC:

(A) be licensed to provide hospital or ASC services in the state in which services are to be provided;

(B) be a current Texas Medicaid provider;

(C) have Medicare certification;

(D) not currently be on suspension as a KHC participating provider, as a hospital licensed to provide hospital services in the state in which services are provided, as an ASC licensed to provide ASC services in the state in which services are to be provided, as a Medicaid provider in Texas or their respective state, or as a Medicare certified hospital or ASC; and

(E) reimburse KHC for any overpayments made to the hospital or ASC by KHC upon request, and allow KHC to apply payment on claims submitted by the hospital or ASC to recoup any overpayments.

(b) Effective dates for participation in KHC are as follows:

(1) The effective date of all outpatient dialysis facility agreements shall be on or after the Medicare ESRD certification date.

(2) The effective date of all pharmacy agreements shall be determined by the Health and Human Services Commission Pharmacy Contracts unit or designated contractor.

(3) The effective date of all other provider agreements, listed in subsection (a)(5), (6), (7), and (8) of this section, shall be the first day of the sixth month prior to the KHC receipt of the completed and signed provider agreement.

(c) Reasons for suspension or termination from participation in KHC are as follows.

(1) Any participating provider may be terminated or suspended for:

(A) loss of approval or exclusion from participation in the Medicare program;

(B) exclusion from participation in the Medicaid program;

(C) providing false or misleading information regarding any participation criteria;

(D) a material breach of any contract or agreement with KHC;

(E) filing false or fraudulent information or claims for KHC benefits;

(F) failure to submit a payable claim to KHC during a minimum period of 12 consecutive months; or

(G) failure to maintain the participation criteria contained in subsection (a) of this section.

(2) A participating provider may appeal a termination or suspension through the department's fair hearings process, as contained in §§1.51 - 1.55 of this title (relating to Fair Hearing Procedures).

(A) KHC may not terminate KHC participation until a final decision is rendered under the department's fair hearings process.

(B) KHC may withhold payments on claims pending final decision under the department's fair hearings process.

(C) KHC shall release any withheld payments and reinstate participation in KHC if the final determination is in favor of the participating provider.

(D) KHC shall not enter into, extend, or renew an agreement with a participating provider until a final decision is rendered under the department's fair hearings process.

(E) A participating provider may not appeal a termination of an agreement which results from limitations in appropriations or funding for covered services or benefits or which terminates under its own terms.

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 July 2, 2004.

TRD-200404365

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


25 TAC §§61.5, 61.10, 61.11

The repeals are adopted under the Health and Safety Code, §42.003, which provides the Texas Board of Health (board) with the authority to adopt rules to provide adequate kidney care and treatment for the citizens of the State of Texas and to carry out the purposes and intent of the Texas Kidney Health Care Act; and §12.001, which provides the board with the authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

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 July 2, 2004.

TRD-200404366

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


Subchapter B. DIABETIC EYE DISEASE DETECTION INITIATIVE

25 TAC §§61.21 - 61.24

The Texas Department of Health (department) adopts amendments to §§61.21- 61.24, concerning the Diabetic Eye Disease Program (DEDP). Sections 61.21, and 61.23-61.24 are adopted with changes to the proposed text as published in the January 30, 2004, issue of the Texas Register (29 TexReg 774). Section 61.22 is adopted without changes and will not be republished.

Government Code, §2001.039, requires that each state agency conduct a review of its rules every four years and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). The sections have been reviewed and the department has determined that reasons for readopting the sections continue to exist. Necessary revisions to the rules are reflected in this preamble.

The department published a Notice of Intention to Review for §§61.21-61.24 in the January 7, 2000, issue of the Texas Register (25 TexReg 218). No comments were received as a result of the publication of the notice.

The amended sections update language, clarify eligibility requirements and procedures for eligible persons, and update program benefits.

Amended §61.21 updates language, provides current contact information, and clarifies the scope of coverage.

Amended §61.22 clarifies patient/client eligibility criteria and changes the financial eligibility reference from the department's guidelines for clinical health services to the Health and Human Services-Texas Department of Health (HHS-TDH) poverty guidelines.

Amended §61.23 includes editorial changes and clarifies that the reimbursement rate for funduscopic eye exams is up to $60 as recommended by the Texas Diabetes Council rather than the previously published $40.

Amended §61.24 is editorial for consistent terminology and provides updated contact information.

The department received no public comments during the comment period for these amendments. However, the department is making the following minor changes due to staff comments to clarify the intent and improve the accuracy of the following sections.

Change: Concerning §61.21(a), a comma was inadvertently omitted after the words "Hispanics/Latinos" and after the words "Asian Americans." The last sentence was corrected to state "For these reasons, the Texas Department of Health (department), or its successor, and the Texas Diabetes Council support diabetic eye disease screening activities".

Change: Concerning §61.21(b), the acronym "DEDP" was introduced after the words "Diabetic Eye Disease Program."

Change: Concerning §61.21(c), the phrase "Texas Board of Optometry" was changed to "Texas Optometry Board" to reflect the correct name of that agency.

Change: Concerning §61.21(c), (d), §61.24(a) and (g), the references to "Texas Department of Health" or "TDH" were deleted or replaced with the words "Texas Diabetes Program" or "department" because the name of the agency will be changed effective September 1, 2004.

Change: Concerning §61.21(d), the phrase "any additional examinations," was deleted in the last sentence because it conflicts with the language in §61.23(b).

Change: Concerning §61.23(b), a period was deleted after the phrase "twelve month period if needed."

Change: Concerning §61.24(a), the phrase "information requested on the department's fee-for-service contract and return the completed contract to the Texas Diabetes Program" replaced "State of Texas...Prevention Program." This change was made because completion of the Form AP-107 is no longer necessary.

Change: Concerning §61.24(c), the reference to §61.21(e) was corrected to §61.21(d) because subsection (e) was deleted.

Change: Concerning §61.24(e)(2), the phrase "benefits of" was deleted because the extra words are not needed.

Change: Concerning §61.24(f)(1), a syntax error exists, and the word "claims" was changed to read "claim."

Change: Concerning §61.24(h), this subsection is being deleted because the due process hearing will be addressed in the provider fee-for-service contract.

Change: Concerning §61.21 and 61.24, the reference to "Texas Department of Health or its successor (department)" was added, and references to "TDH" were deleted or amended to the "department" because TDH will have a new agency name.

After careful consideration of alternatives, the department believes these rules are the best compromise to maintain this important screening service to an underserved population, keep the program fiscally sound, and attract participating providers.

The amendments are adopted under the Health and Safety Code, §103.13, which requires affected state agencies to implement recommendations of the Texas Diabetes Council; and §12.001, which provides the Texas Board of Health (board) with the authority to adopt rules for the performance of each duty imposed by law on the board, the department, and the commissioner. The review of the rules implements Government Code, §2001.039.

§61.21.General Information.

(a) Background. Diabetes is a major cause of blindness in the United States and in Texas. It is estimated that up to 50% of blindness due to proliferative diabetic retinopathy could be prevented, or at least delayed, by prompt detection and treatment. Annual funduscopic examinations are recommended for nearly all people with diabetes to detect retinopathy before vision is compromised. Unfortunately, many people with diabetes are not presently being referred to ophthalmic specialists to receive these annual examinations. While several factors contribute to the problem, lack of resources is a significant factor. The prevalence of diabetes is greater among minority populations. Specifically, the prevalence of diabetes is higher among Hispanics/Latinos, American Indians, Asian Americans, and African Americans than non-Hispanic whites. Existing evidence also indicates that minority populations suffer disproportionately higher rates of complications from diabetes. For these reasons, the Texas Department of Health or its successor (department), and the Texas Diabetes Council support diabetic eye disease screening activities.

(b) Introduction. The purpose of the Diabetic Eye Disease Program (DEDP) is to provide dilated funduscopic examinations to eligible persons with diabetes who might otherwise not receive services so that vision-threatening conditions, such as retinopathy, can be identified and treated. These services are provided to Texas residents who are at high risk for vision loss due to diabetes, and who meet the program's income eligibility criteria for services.

(c) Participating providers. Health care professionals providing DEDP services must have a current Texas license to practice ophthalmology or optometry and must be in good standing with the Texas Board of Medical Examiners or Texas Optometry Board, whichever is applicable. Persons wishing to become providers should complete the information requested on the department's fee-for-service contract and return the completed contract to the Texas Diabetes Program, 1100 West 49th Street, Austin, Texas 78756.

(d) Procedures for eligible persons receiving services from the DEDP. Individuals must be referred by regional department staff, local health departments, or others who have been approved as nominators by the program. The nominator's responsibility is to assess whether a prospective client with diabetes meets DEDP eligibility criteria, and to refer the client to a participating provider. Nominators should also assist in follow-up with clients and providers regarding missed appointments and any need for subsequent treatment for eye disease. The nominator will then refer the client and send a tracking form to the provider. This form is the written authorization for the provider to perform services. Upon completion of the client's examination, the provider will forward a copy of the tracking form to the DEDP office and retain a copy for the provider's record. If treatment is recommended and the client is to be referred to another facility for treatment, then the provider will forward a copy of the tracking form to the treatment facility. If the provider is also performing treatment, the results of the treatment will be documented on the tracking form and sent to the Texas Diabetes Program in Austin. However, the DEDP will pay only for the funduscopic eye exam and is not authorized to pay for eyeglasses, contact lenses, or any indicated follow-up care.

§61.23.Program Benefits.

(a) Scope of services.

(1) Reimbursement will be limited to a maximum of $60 per examination for a complete dilated funduscopic examination on both eyes.

(2) These examinations will also include acuity testing, tonometry, and assessment of lens opacity.

(b) Maximum allowable benefits. Maximum allowable benefits per client per year are limited to one annual screening examination. In instances where eye disease (retinopathy, maculopathy) is detected in the initial exam, a maximum of two additional follow-up exams may be administered within any given twelve month period if needed, unless written approval is obtained from the DEDP.

(c) Funding limitations. Payment will not be made for any diagnostic test, corrective lenses, or treatment of eye disease.

§61.24.Payment for Services.

(a) Payee identification number. Payment for services is made to providers who have a State of Texas payee identification number. To obtain a payee identification number, providers must complete the information requested on the department's fee-for-service contract and return the completed contract to the Texas Diabetes Program, 1100 West 49th Street, Austin, Texas 78756.

(b) Conditions for payment. The DEDP will pay providers only for approved services that have been authorized by the nominator prior to the performance of such services. Payment for any service will be made only after the delivery of the service. Providers must agree to accept program fees as payment in full for service rendered, although such fee may be less than usual and customary charges.

(c) Time limit. The eye examination must be completed within 60 days of the service approval date and the signed tracking forms described in §61.21(d) of this title (relating to General Information) must be received by the DEDP within 75 days of the date service was authorized.

(d) Procedures for claims payment. The procedures for claims payment shall be in accordance with the DEDP-developed publication titled Manual for Providers of Services.

(e) Claim denials. Payment for eye examinations will not be made if:

(1) the patient is ineligible;

(2) the services provided were not specifically covered by the DEDP;

(3) the patient failed to appear for treatment and no service was rendered (no-shows); or

(4) claims for the same eye examination were previously paid for by the DEDP (duplicate claims).

(f) Reconsideration of denied claims. A claim that has been denied in error by the DEDP will be reconsidered for payment if:

(1) the original claim with the error identified and corrected is returned to the DEDP within 30 days from receipt of the notice of denial; and

(2) the claim is accompanied by a copy of the DEDP notice of denial.

(g) Payment of claims that exceed time limit. Eye examinations must be completed within 60 days from the date services were approved and the tracking form must be forwarded to the Texas Diabetes Program within 75 days of the date that service was authorized. If special or extenuating circumstances exist that make it impossible or impractical for the provider to complete services within that time period, such claims will be evaluated by the department's Bureau of Chronic Disease and Tobacco Prevention, on an individual basis, with due consideration given to the circumstances.

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 July 5, 2004.

TRD-200404380

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: January 30, 2004

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


Chapter 123. RESPIRATORY CARE PRACTITIONER CERTIFICATION

25 TAC §§123.3, 123.4, 123.6, 123.7, 123.9, 123.10, 123.12, 123.16

The Texas Department of Health (department) adopts amendments to §§123.3, 123.4, 123.6, 123.7, 123.9, 123.10, and 123.12 and new §123.16, concerning the regulation and certification of respiratory care practitioners. Sections 123.4, 123.6, and 123.16 are adopted with changes to the proposed text as published in the March 26, 2004, issue of the Texas Register (29 TexReg 3106). Sections 123.3, 123.7 123.9, 123.10, and 123.12 are adopted without changes, and will not be republished.

Specifically, the amendments concern respiratory care practitioner fees, application requirements and procedures, certificate renewal, continuing education extensions, professional and ethical standards and suspension of license for failure to pay child support. House Bill 2292, 78th Legislative Session, 2003, §2.42, added Health and Safety Code, §12.0111, which requires the department to charge a fee sufficient to cover the cost of administering and enforcing a license, and Health and Safety Code §12.0112, which requires that the term for licenses issued or renewed after January 1, 2005, will be 2 years. Government Code Chapter 2054, Subchapter K, which requires the department to participate in an electronic system for occupational licensing transactions directs all department administered licensing programs to participate in an electronic fee payment system developed and maintained by the Texas Online Authority. Wording is added that authorizes the Committee to collect subscription and convenience fees, in amounts to be determined by the Texas Online Authority, to recover costs associated with application and renewal application processing.

No comments were received during the public comment period.

The department made the following changes due to staff comments to improve the accuracy of the sections.

Change: Concerning §123.4(1)(A)-(B), new language reflects applicable fees on applications filed on or before December 31, 2004, and January 1, 2005. Subsequent subparagraphs are renumbered, and a capitalization corrected from "For" to "for" in new subparagraph (N) and (O) was made.

Change: Concerning §123.6(b)(3)(B), the word "thirty" was replaced with "30" for consistency among the paragraphs of the subsection.

Change: Concerning §123.6(b)(3)(B)(ii), the word "day" was changed to "days" for clarity.

Change: Concerning §123.6(b)(4)(B)(i), the word "a" was inserted for clarity.

Change: Concerning §123.6(f)(3), the word "one" replaces "on" to correct a misspelling in proposed.

Change: Concerning §123.16(b), the second sentence " The department shall implement the terms of a final court or attorney general's order suspending a license without additional review or hearing" was deleted because it was repeated twice in the same subsection.

The amendments and new section are adopted under Texas Occupations Code, §604.052, which requires the Respiratory Care Practitioners Certification Program to adopt rules, with the approval of the Texas Board of Health; and the Health and Safety Code, §12.001, that are reasonably necessary to properly perform its duties under this Act.

§123.4.Fees.

The following fees are prescribed by the board and are required to be paid to the department before any certificate or permit is issued. All fees shall be submitted in the form of a check or money order and are nonrefundable. The department may direct examination applicants to submit examination fees to the National Board for Respiratory Care, Inc. (NBRC).

(1) Schedule of fees for certification as a respiratory care practitioner:

(A) application (includes initial certificate) fee for applications filed on or before December 31, 2004--$60;

(B) application (includes initial certificate) fee for applications filed on or after January 1, 2005--$120;

(C) for a license issued for a one year term is $45;

(D) for a license issued for a two year term is $90;

(E) certificate and/or identification card replacement fee--$20;

(F) NBRC examination fee--the fee designated by the NBRC at the time of examination or reexamination;

(G) certificate fee for upgrade of temporary permit--$30;

(H) written verification of certification status--$10;

(I) returned check fee--$50;

(J) annual inactive status fee--$25;

(K) reinstatement fee for a license that was suspended for failure to pay child support--$50;

(L) one to 90 days late renewal fee--one and one half times the normally required renewal fee;

(M) 91days to one year late renewal fee--two times the normally required renewal fee;

(N) for all applications and renewal applications, the department (or board) 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; and

(O) for all applications and renewal applications, the department (or board) is authorized to collect fees to fund the Office of Patient Protection, Health Professions Council, as mandated by law.

(2) Schedule of fees for a temporary permit as a respiratory care practitioner:

(A) application (including initial permit) fee--$50;

(B) temporary permit extension fee--$20;

(C) temporary permit and/or identification card replacement fee--$20;

(D) written verification of certification status--$10;

(E) returned check fee--$50.

(3) Any certificate holder whose check to the department is returned marked insufficient funds, account closed, or payment stopped shall remit to the department a money order or check for guaranteed funds in the amount of the check submitted to the department plus the returned check fee within 30 days of the date of receipt of the department's notice. Failure to comply with this requirement may be the grounds for disciplinary action, up to and including denial of the certificate holder application or the revocation of the certificate. If a certificate is issued or renewed or an application processed upon the submission of a check to the department, and if such check is later returned unpaid, the department may cancel the certificate or application if the certificate holder or applicant does not redeem the check in compliance with this section. The effect of such a cancellation shall be the same as if the application for renewal or for licensure had not been submitted.

(4) If the department's notice, as set out in paragraph 3 of this section, is returned unclaimed, the department shall mail the notice to the applicant or certificate holder by first class mail. If a money order or check for guaranteed funds is not received by the department's cashier within 30 days of the postmarked date on the second mailing, the approval or certificate issued shall be invalid. The department shall notify the applicant's or certificate holder's employer that the person has failed to comply with this section.

(5) The administrator, on behalf of the board, shall make periodic reviews of the fee schedule and recommend any adjustments necessary to provide sufficient funds to meet the expenses of the respiratory care practitioner certification program without creating an unnecessary surplus. Such adjustments shall be made through rule amendments approved by the board.

§123.6.Application Requirements and Procedures.

(a) General.

(1) Unless otherwise indicated, an applicant must submit all required information and documentation of credentials on official department forms.

(2) The department shall not consider an application as officially submitted until the applicant pays the application fee and the fee clears the appropriate financial institution. The fee must accompany the application form.

(3) The administrator shall send a notice listing the additional materials required to an applicant who does not complete the application in a timely manner. An application not completed within 30 days after the date of the notice shall be invalid.

(b) Required application materials.

(1) Application form. The application form shall contain:

(A) specific information regarding personal data, social security number, birth month and day, place of employment, other state licenses and certifications held, misdemeanor and felony convictions, educational and training background, and work experience;

(B) a statement that the applicant has read the Act and these sections and agrees to abide by them;

(C) the applicant's permission to the department to seek any information or references it deems fit to determine the applicant's qualifications;

(D) a statement that the applicant, if issued a certificate or temporary permit, shall return the certificate or temporary permit and identification card(s) to the department upon the revocation or suspension of the certificate or temporary permit;

(E) a statement that the applicant understands that fees submitted are nonrefundable;

(F) a statement that the applicant understands that materials submitted become the property of the department and are nonreturnable (unless prior arrangements have been made);

(G) a statement that the information in the application is truthful and that the applicant understands that providing false information of any kind may result in the voiding of the application and failure to be granted a certificate or permit, or the revocation of a certificate or permit issued;

(H) a statement that if issued a certificate or permit the practitioner shall keep the department advised of his or her current mailing address; and

(I) the signature of the applicant which has been dated;

(J) a full-face color photograph signed on the reverse side with the applicant's signature as it appears on the application. The photograph must have been taken within the two year period prior to application to the department and the minimum size is one and one-half inches by one and one-half inches.

(2) Educational record for regular certification. The department shall issue a regular certificate to an applicant who is currently credentialed by the National Board for Respiratory Care (NBRC) and nationally certified as a Certified Respiratory Practitioner (CRT), a Certified Respiratory Therapy Technician (CRTT), or a Registered Respiratory Therapist (RRT), upon payment of the application fee, submission of the application forms and approval by the department, the department shall issue a regular certificate to a person who is currently credentialed by the National Board for Respiratory Care (NBRC).

(3) Education record for temporary permit. Individuals applying for a temporary permit who do not meet the requirements of subsection (b) of this section shall provide the following documents to the department.

(A) An expected graduation statement, including the expected date of graduation, signed by the respiratory care program director at the school.

(B) Within 30 days following the expected date of graduation, the applicant must provide to the department:

(i) a copy of the certificate of completion; or

(ii) a statement signed by the program director indicating that the applicant officially completed the program but the certificate is not available within 30 days of the completion date.

(4) Examination results.

(A) If the applicant is making application for a temporary permit, an examination score release form shall be signed allowing the department to obtain the applicant's examination results from the NBRC, or other agency administering the examination prescribed by the board.

(B) If an applicant for a regular certificate is:

(i) recognized as a certified respiratory therapist or registered respiratory therapist by the NBRC at the time of application, a photocopy of the certificate issued by NBRC shall be submitted in lieu of examination results; or

(ii) unable to show proof of successful completion or otherwise provide documentation acceptable to the department of the applicant's examination results, the application shall be disapproved.

(5) Employment/experience documentation report form. Persons applying for any certificate or permit who are not recognized as a certified respiratory therapist or registered respiratory therapist by the NBRC and who are licensed, registered, or otherwise regulated in another state, territory, or country at the time of application must submit with their applications a properly completed employment/experience documentation report form signed by their medical director as defined in §123.2 of this title (relating to Definitions), attesting that the applicant is currently practicing, or has practiced respiratory care within the 12-month period immediately preceding application to the department.

(6) Medical direction requirement. If the applicant is practicing respiratory care in Texas at the time of application to the department, the applicant shall provide on the application form the signature and license number of the qualified medical director as defined in §123.2 of this title (relating to Definitions) or other Texas licensed physician directing the provision of respiratory care services.

(c) Information/Documentation form. Persons applying for any certificate or permit who are licensed, registered, or otherwise regulated in any profession at the time of application to the department must submit with their applications a properly completed information/documentation form signed by an agency official.

(d) Application processing.

(1) Time periods. The department shall comply with the following procedures in processing applications for a permit or certificate.

(A) The following periods of time shall apply from the date of receipt of an application until the date of issuance of a written notice that the application is complete and accepted for filing or that the application is deficient and additional specific information is required. A written notice stating that the application has been approved may be sent in lieu of the notice of acceptance of a complete application. The time periods are as follows:

(i) letter of acceptance of application for permit or certification--14 working days. The notice of acceptance may include a statement that an application for temporary permit received more than 45 days from the date of the applicant's graduation will be held pending until the applicant is within 45 days of graduation; and

(ii) letter of application deficiency--14 working days.

(B) The following periods of time shall apply from the receipt of the last item necessary to complete the application until the date of issuance of written notice approving or denying the application. The time periods for denial include notification of the proposed decision and of the opportunity, if required, to show compliance with the law, and of the opportunity for a formal hearing. The time periods are as follows:

(i) letter of approval--14 working days; and

(ii) letter of denial of permit or certificate--180 working days.

(2) Reimbursement of fees.

(A) In the event an application is not processed in the time periods stated in paragraph (1) of this subsection, the applicant has the right to request reimbursement of all fees paid in that particular application process. Requests for reimbursement shall be made to the program administrator. If the program administrator does not agree that the time period has been violated or finds that good cause existed for exceeding the time period, the request will be denied.

(B) Good cause for exceeding the time period is considered to exist if the number of applications for licensure and licensure renewal exceeds by 15% or more the number of applications processed in the same calendar quarter the preceding year, another public or private entity relied upon by the department in the application process caused the delay, or any other condition exists giving the department good cause for exceeding the time period.

(3) Appeal. If a request reimbursement under paragraph (2) of this subsection is denied by the program administrator, the applicant may appeal to the commissioner of health for a timely, resolution of any dispute arising from a violation of the time periods. The applicant shall give written notice to the commissioner of health at the address of the department that he or she requests full reimbursement of all fees paid because his or her application was not processed within the applicable time period. The program administrator shall submit a written report of the facts related to the processing of the application and of any good cause for exceeding the applicable time period. The commissioner of health shall provide written notice of the decision to the applicant and the program administrator. An appeal shall be decided in favor of the applicant if the applicable time period was exceeded and good cause was not established. If the appeal is decided in favor of the applicant, full reimbursement of all fees paid in that particular application process shall be made.

(4) Contested cases. The time periods for contested cases related to the denial of licensure renewals are not included with the time periods stated in paragraph (1) of this subsection. The time period for conducting a contested case hearing runs from the date the department receives a written request for a hearing and ends when the decision of the department is final and appealable. a hearing may be completed within one to four months, but may extend for a longer period of time depending on the particular circumstances of the hearing.

(e) Application approval.

(1) The department shall be responsible for reviewing all applications.

(2) The department shall approve all applications which are in compliance with subsections (a)-(c) of this section and which properly document applicant eligibility, unless the application is disapproved under the provisions of subsection (f) of this section.

(f) Disapproved applications.

(1) The department shall disapprove the application if the person:

(A) has not completed the requirements in subsection (b) of this section;

(B) has failed to pass the examination prescribed by the board as set out in §123.8 of this title (relating to Examination) during the period for which the temporary certificate, or temporary permit or temporary permit extension, was valid, if applicable;

(C) has failed to remit any applicable fees required in §123.4 of this title (relating to Fees);

(D) has failed or refused to properly complete or submit any application form(s) or endorsement(s), or presented false information on the application form, or any other form or document required by the department to verify the applicant's qualifications;

(E) has been in violation of the Act, §123.14 of this title (relating to Violations, Complaints, and Subsequent Actions), the code of ethics as set out in §123.12 of this title (relating to Professional and Ethical Standards), or any other applicable provision of this chapter;

(F) has been convicted of a felony or misdemeanor, if the crime directly relates to the duties and responsibilities of a respiratory care practitioner as set out in §123.13 of this title (relating to Certifying or Permitting Persons with Criminal Backgrounds To Be Respiratory Care Practitioners);

(G) holds a license, certification, or registration to practice respiratory care in another state or jurisdiction and that license, certification, or registration has been suspended, revoked, or otherwise restricted by the licensing entity in that state or jurisdiction for reasons to the person's professional competence or conduct which could adversely affect the health and welfare of a patient;

(H) is not currently practicing, or has not practiced within the 12-month period preceding the date of application, respiratory care, as set out in §123.7(d)(1)(B) of this title (relating to Types of Certificates and Temporary Permits and Applicant Eligibility); or

(I) has submitted a copy of a National Board for Respiratory Care, Inc. (NBRC) certificate in lieu of examination results in accordance with subsection (b)(4)(B)(i) of this section, but is not recognized by the NBRC as a certified respiratory therapist or registered respiratory therapist.

(2) If after review the administrator determines that the application should not be approved, the administrator shall give the applicant written notice of the reason for the proposed decision and of the opportunity for a formal hearing. The formal hearing shall be conducted according to the Administrative Procedure Act, Texas Government Code 2001, et seq. Within 10 days after receipt of the written notice, the applicant shall give written notice to the administrator that the applicant either waives the hearing, or wants the hearing. Receipt of the written notice is deemed to occur on the tenth day after the notice is mailed unless another date of receipt is reflected on a United States Postal Service return receipt. If the applicant fails to respond within 10 days after receipt of the notice of opportunity, or if the applicant notifies the administrator that the hearing be waived, the applicant is deemed to have waived the hearing. If the hearing has been waived, the department shall disapprove the application.

(3) An applicant whose application has been disapproved under paragraph (1)(E) and (F) of this subsection shall be permitted to reapply after a period of not less than one year from the date of the disapproval and shall submit with the reapplication proof satisfactory to the department of compliance with all rules of the board and the provisions of the Act in effect at the time of reapplication. The date of disapproval is the effective date of a disapproval order signed by the commissioner of health or the commissioner's designee.

§123.16.Suspension of License Relating to Child Support and Child Custody.

(a) On receipt of a final court or attorney general's order suspending a license due to failure to pay child support or for failure to comply with the terms of a court order providing for the possession of or access to a child, the department shall immediately determine if the Respiratory Care Practitioner Certification has issued a certificate to the person named in the order. If a license has been issued the department shall:

(1) record the suspension of the license in the departments records;

(2) report the suspension as appropriate; and

(3) demand surrender of the suspended license.

(b) The department shall implement the terms of a final court or attorney general's order suspending a license without additional review or hearing. The department will provide notice as appropriate to the licensee or to others concerned with the license.

(c) The department may not modify, remand, reverse, vacate, or stay a court or attorney general's order suspending a license issued under the Texas Family Code, Chapter 232, and may not review, vacate, or reconsider the terms of an order.

(d) A licensee who is the subject of a final court or attorney general's order suspending his or her license is not entitled to a refund for any fee paid to the department.

(e) If a suspension overlaps a license renewal period, an individual with a license suspended under this section shall comply with the standard renewal procedures in the Respiratory Care Practitioner Certification Act, Texas Occupations Code, §604.153, and §604.157, of this title (relating to Issuance of Renewal Certificate and Renewal of Temporary Permit). However, the license will not be renewed until the requirements of subsections (g) and (h) of this section are met.

(f) An individual who continues to use the titles "respiratory care," "respiratory therapist," "respiratory care practitioner," "certified respiratory care practitioner," "respiratory therapy technician," or the letters "RCP" or any other words, letters, abbreviations, or insignia indicating or implying that the person is a respiratory care practitioner after the issuance of a court or attorney general's order suspending the license is liable for the same civil and criminal penalties provided for engaging in the prohibited activity without a license or while a license is suspended as any other license holder of the department.

(g) On receipt of a court or attorney general's order vacating or staying an order suspending a license, the department shall promptly issue the affected license to the individual if the individual is otherwise qualified for the license.

(h) The individual must pay a reinstatement fee as referred in §123.4 of this title (relating to Fees) prior to issuance of the license under subsection (g) of this section.

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 July 2, 2004.

TRD-200404352

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


Chapter 125. SPECIAL CARE FACILITIES

The Texas Department of Health (department) adopts the repeal of existing §§125.1 - 125.9, and new §§125.1 - 125.3, 125.11 - 125.15, 125.31 - 125.35, 125.51, 125.61, 125.62, 125.71 - 125.73, 125.81 - 125.83, and 125.91 - 125.96, concerning the regulation of special care facilities. Sections 125.2, 125.12, 125.31, 125.32, 125.82, 125.83, 125.91 - 125.95 are adopted with changes to the proposed text as published in the March 26, 2004, issue of the Texas Register (29 TexReg 3109). Sections 125.1, 125.3, 125.11, 125.13 - 125.15, 125.33 - 125.35, 125.51, 125.61, 125.62, 125.71 - 125.73, 125.81, and 125.96 are adopted without changes, and therefore the sections will not be republished.

These rules are adopted in accordance with Health and Safety Code (HSC), Chapter 248, which charges the department with the responsibility to license special care facilities. 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 Procedures Act). Sections 125.1 - 125.9 have been reviewed and the department has determined that reasons for adopting the sections continue to exist in that a rule on this subject is needed; however, the rules needed revision as described in this preamble. The repeals and new sections are required as a result of the provisions of Senate Bill (SB) 1152, 78th Legislature, Regular Session, 2003, which amended Government Code, Chapter 2054, regarding the Texas Online Authority; the revisions to the Health and Safety Code (HSC), Chapter 248, required by Senate Bill 162, adding probation as a new penalty alternative; and House Bill 2292, 78th Legislature, Regular Session, 2003, which revised HSC, §§12.0111 and 12.0112, regarding two-year terms for fees. The repeal of existing rules and new sections allows the reorganization and renumbering of the sections for clarification

The sections for repeal cover definitions, application and issuance of a license, processing of applications and fees, operating standards, license denial, suspension or revocation, criminal and administrative penalties. The new sections cover general provisions, facility licensing, operational requirements, waivers, inspections and investigations, enforcement, safety requirements and facility design and construction. The most notable differences between the rules being repealed and the adopted new rules are summarized as follows.

New §125.1 describes the purpose of the rules and the authority for their promulgation. New §125.2 includes some definitions from the rules being repealed, and eliminates certain definitions which are not included in the proposed new sections, or which were obsolete. New §125.3 describes the process for determining the occupancy classification of a facility, which relates to fire safety and construction requirements.

New §§125.11 - 125.15 describes the processing of applications and issuance of licenses, time periods for processing and issuing licenses, and fees. The new sections include transition to a two-year license renewal cycle, an increase in licensing fees, and for the recovery of costs associated with application and renewal application processing through Texas Online. Portions of the requirements in the new sections were previously located in §§125.2, 125.4, 125.5 and 125.8 of the rules for repeal.

New §§125.31 - 125.35 contains provisions related to facility administration and polices and procedures; resident care and services; resident rights, including new requirements related to resident rights and abuse and neglect; resident records and the requirements for a residential AIDS hospice designation that were formerly addressed in the proposed repeal of §125.6.

New §125.51 includes the process by which facilities may request a waiver or modification for certain provisions in the rules.

New §§125.61 and 125.62 describes inspection and investigation procedures and protocols and the process for lodging a complaint regarding a Texas Department of Health representative.

New §§125.71 - 125.73 includes the process for denying, suspending, revoking or probating a license, and the imposition of civil, criminal penalties and administrative penalties.

New §§125.81 - 125.83 provides requirements related to general safety, emergency preparedness and fire safety.

New §§125.91 - 125.96 contains provisions for new and existing facility construction, spatial requirements, elevators, the process for the preparation, submittal, review and approval of construction plans, and requirements related to architectural inspections and project approval.

The department published a Notice of Intention to Review for Title 25, Texas Administrative Code, Part I, Chapter 125, Special Care Facilities, §§125.1 - 125.8, as required by Government Code, §2001.039, in the Texas Register (24 TexReg 1003) on February 12, 1999. There were no comments received by the department on the sections following publication of the notice.

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

Comment: Concerning §125.2, one commenter requested the department add definitions for "advanced practice nurse" and "practitioner" in order to be consistent with other statutes, regulations, and current practice. The commenter stated that nurse practitioners and clinical nurse specialists are two types of advanced practice nurses who frequently work with physicians in providing medical care in hospitals and nursing and hospice facilities in accordance with state law and Centers for Medicare and Medicaid Services regulations and guidelines.

Response: The department agrees and has added the requested definitions for "advanced nurse practitioner" and "practitioner." The new definitions are provided in §125.2(1) and (25).

Comment: Concerning §125.2(17) of the proposed rules, one commenter pointed out that both registered nurses and licensed vocational nurses are now included under Occupations Code, Chapter 301, and recommended that the definition reflect this change. The commenter further stated that both registered and vocational nurses are licensed by the Board of Nurse Examiners and recommended that the definition reflect the change.

Response: The department agrees with the commenter and has changed Occupations Code, Chapter 302 to Occupations Code, Chapter 301, and has deleted the word "Vocational" to reflect the correct name of the licensing board, Board of Nurse Examiners. The paragraph is renumbered §125.2(18).

Comment: Concerning §125.32(b)(3), one commenter suggested that the word "notify" be changed to "notifying" in the paragraph.

Response: The department agrees and has replaced the incorrect word as suggested.

Comment: Concerning §125.32(c) in general, one commenter recommended changes be made throughout the subsection so that references to physicians would also include other practitioners, and that nurses in special care facilities should be permitted to accept orders from physicians, dentists, podiatrists, physician assistants and advanced practice nurses in accordance with Board of Nurse Examiners rules and position papers.

Response: The department agrees with the commenter and has made the recommended changes in §125.32(c)(1), (3), (7) and (8).

Comment: Concerning §125.32(c)(7)(B), one commenter recommended the phrase "or controlled substances" be inserted after "dangerous drugs" in the subparagraph because the Health and Safety Code definition of "dangerous drugs" excludes controlled substances.

Response: The department agrees and has inserted the suggested phrase in the rule.

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 §125.2(7) and (10), renumbered as §125.2(8) and (11), "or its successor" was added after "Health" because the agency name will change and the Board of Health will be dissolved on September 1, 2004.

Change: Concerning §125.2(27), renumbered as §125.2(29), the reference to the section relating to Residential AIDS Hospice Designation was corrected to §125.35.

Change: Concerning §125.12(a)(2), the reference to §125.95 of this title was changed to reflect the correct title, which is Construction, Inspections, and Approval of Projects for New or Existing Facilities in the Absence of Local Codes and Regulations.

Change: Concerning Chapter 125, the name of Subchapter C was changed to Operational Requirements.

Change: Concerning §125.31(a)(3)(A)(ii), the comma was deleted following "and" in conjunction with Texas Register format.

Change: Concerning §125.82(a), the catch title in subsection (a) was eliminated to be consistent with the formatting in the section.

Change: Concerning §125.83(a), superfluous language was deleted from the end of the subsection.

Change: Concerning §125.83(a)(2)(B), the first sentence of the subparagraph was reorganized for clarification.

Change: Concerning §125.91(c)(3)(D)(vi)(II), the reference to the section relating to Preparation, Submittal, Review and Approval of Plans was corrected to §125.94, and the comma was removed after the word "Review" to reflect the correct punctuation in the title of the section.

Change: Concerning §125.92(g)(1), the first sentence of the paragraph was reworded for clarification.

Change: Concerning §125.93(f)(2), the measurement for the elevator car door opening was changed from inches to feet for consistency with other measurements in the subsection.

Change: Concerning §125.94(a)(2)(C), the word "be" was added to correct a grammatical error.

Change: Concerning §125.95(b), the word "surveys" was changed to "inspections" for consistency with the terminology in the subsection.

Change: Concerning §125.95(b)(1), the word "inspection" was changed to "inspections" to correct a grammatical error.

Change: Concerning §125.95(b)(3), the word "a" was changed to "an" for grammatical correctness.

Change: Concerning §125.95(c), the word "or" was changed to "and" to clarify that the department must also approve the structure prior to occupancy.

The commenter was the Coalition for Nurses in Advanced Practice. The commenter was neither for nor against the rules in their entirety; however, the commenter expressed concerns and made recommendations for change as discussed in the summary of comments.

25 TAC §§125.1 - 125.9

The repeals are adopted under Health and Safety Code, §248.026, 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 July 5, 2004.

TRD-200404371

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Chapter 125. SPECIAL CARE FACILITIES

Subchapter A. GENERAL PROVISIONS

25 TAC §§125.1 - 125.3

The new sections are adopted under Health and Safety Code, §248.026, 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.

§125.2.Definitions.

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

(1) Advanced practice nurse--A registered nurse approved by the Texas Board of Nurse Examiners to practice as an advanced practice nurse. The term includes a nurse practitioner, nurse-midwife, nurse anesthetist, and a clinical nurse specialist.

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

(3) Administration of medication--The direct application of any medication by injection, inhalation, ingestion, or any other means to the body of a patient. The preparation of medication is part of the administration of medication and is the act or process of making ready a medication for administration, including the calculation of a resident's medication dosage; altering the form of the medication by crushing, dissolving, or any other method; pouring a quantity of a liquid to be ingested; reconstitution of an injectable medication; drawing an injectable medication into a syringe; preparing an intravenous admixture; or any other act required to render the medication ready for administration.

(4) AIDS--Acquired immune deficiency syndrome.

(5) Assistance with medication or treatment regimen--Aid provided to a resident who self-administers their own medication or treatment, such as reminding a resident to take a medication at the prescribed time, opening and closing a medication container, returning a medication to the proper storage area, and assisting in reordering medications from a pharmacy. Such ancillary aid shall not include administration of any medication.

(6) Bereavement--The process by which a survivor of a deceased person mourns and experiences grief.

(7) Bereavement services--Support services offered to a family during bereavement. Family includes a significant other(s).

(8) Board--The Texas Board of Health or its successor.

(9) Controlled substance--A drug, controlled substance, or immediate precursor as defined in the Texas Controlled Substance Act, Health and Safety Code, §481.002, or the Federal Controlled Substance Act of 1970, Public Law 91-513.

(10) Dangerous drugs--Any dangerous drug as defined in the Texas Dangerous Drug Act, Health and Safety Code, §483.001.

(11) Department--The Texas Department of Health or its successor.

(12) Dietitian--A person who is currently licensed by the Texas State Board of Examiners of Dietitians.

(13) Director--The director of the Health Facility Licensing and Compliance Division of the Texas Department of Health or his or her designee.

(14) Facility--A special care facility.

(15) Fast-track project--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.

(16) Hospice services--Services, including services provided by unlicensed personnel under the delegation of a registered nurse or physical therapist, provided to a resident or resident's family as part of a coordinated program which includes palliative care for terminally ill residents and support services for a resident and a resident's family that are available 24 hours a day, seven days a week, during the last stages of illness, during death, and during bereavement; and are provided by a medically directed interdisciplinary team.

(17) Incident--An unusual or abnormal event or occurrence in, at, or affecting the facility or the residents of the facility.

(18) Licensed vocational nurse--An individual who is currently licensed as a licensed vocational nurse (LVN) by the Board of Nurse Examiners in accordance with Texas Occupations Code, Chapter 301.

(19) Local health authority--The physician having local jurisdiction to administer state and local laws or ordinances relating to public health as defined in the Health and Safety Code, Chapter 121, Subchapter B.

(20) Medical care--Care that is:

(A) required for improving life span and quality of life, for comfort, for prevention and treatment of illness, and for maintenance of bodily and mental function;

(B) under the continued supervision of a physician; and

(C) provided by a registered nurse or licensed vocational nurse available to carry out a physician's plan of care for a resident.

(21) Nursing care--Services provided by nursing personnel as prescribed by a physician, including services to:

(A) promote and maintain health;

(B) prevent illness and disability;

(C) manage health care during acute and chronic phases of illness, including end of life care;

(D) provide guidance and counseling of individuals and families; and

(E) provide referrals to physicians, other health care providers, and community resources when appropriate.

(22) Palliative care--Services that focus primarily on the reduction or abatement of physical, psychosocial, and spiritual symptoms of a terminal illness.

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

(24) Physician--An individual who is:

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

(25) Practitioner--A physician, podiatrist, dentist, or an advanced practice nurse or physician assistant to whom a physician has delegated authority to sign a prescription order, when relating to pharmacy services.

(26) Presurvey conference--A conference held with department staff and the applicant and/or his or her representative to review licensure standards, survey documents, and facility policies and procedures and provide consultation prior to issuance of a license and the on-site licensure inspection.

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

(28) Resident--An individual accepted for care in a special care facility.

(29) Residential AIDS hospice--A special care facility licensed and designated as a residential AIDS hospice in accordance with §125.35 of this title (relating to Residential AIDS Hospice Designation).

(30) Social worker--A person who is currently licensed as a social worker in accordance with Texas Occupations Code, Chapter 505.

(31) Special care facility--An institution or establishment that provides a continuum of nursing or medical care or services primarily to persons with acquired immune deficiency syndrome or other terminal illnesses. The term includes a special residential care facility.

(32) 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.

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 July 5, 2004.

TRD-200404372

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter B. FACILITY LICENSING

25 TAC §§125.11 - 125.15

The new sections are adopted under Health and Safety Code, §248.026, 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.

§125.12.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) evidence of project and occupancy approval under local codes, if applicable, or in accordance with §125.95 of this title (relating to Construction, Inspections, and Approval of Projects for New or Existing Facilities in the Absence of Local Codes and Regulations).

(3) the appropriate license fee as required in §125.15 of this title (relating to Fees).

(b) Presurvey conference. The applicant or the applicant's 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, survey documents and facility policies and procedures, and provide consultation prior to the on-site licensure survey. The department staff conducting the presurvey conference is responsible for making a recommendation regarding the issuance of the initial license. The department may waive the presurvey conference requirement.

(c) Residential AIDS hospice designation. The designation must be requested at the time of license application. The facility shall provide evidence of compliance with §125.35 of this title (relating to Residential AIDS Hospice Designation) at the time of the presurvey conference.

(d) Issuance of license. When it is determined that the facility has complied with subsections (a) and (b) of this section and, if applicable, subsection (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) and (b) of this section, and, if applicable subsection (c) of this section.

(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 §125.71 of this title (relating to License Denial, Suspension, Revocation and Probation).

(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 248, 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.

(h) Change of ownership. A change of ownership occurs when there is a change in the person legally responsible for the operation of the facility, whether by lease or by ownership. If a corporate licensee amends its articles of incorporation to revise its name and the tax identification number does not change, this subsection does not apply, except that the corporation must notify the department within 10 calendar days after the effective date of the name change. The sale of stock of a corporate licensee does not cause this subsection to apply. A change of ownership requires submission of an initial license application.

(1) The new owner shall submit an application for an initial license to the department prior to the date of the change of ownership or not later than 10 calendar days following the date of a change of ownership. The application shall be in accordance with subsection (a) of this section. In addition to the documents required in subsection (a) of this section, the applicant shall include the effective date of the change of ownership.

(2) Surveys. The on-site construction and health surveys required by subsection (g) of this section, and §125.61 of this title (relating to Inspection and Investigation Procedures) may be waived by the department.

(3) Issuance of license. When the new owner has complied with the provisions of subsection (a) of this section, the department shall issue a license which shall be effective the date of the change of ownership.

(4) Expiration of license. The expiration date of the license shall be in accordance with subsection (d)(2) of this section.

(5) License void. The previous owner's license shall be void on the effective date of the new owner's license.

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 July 5, 2004.

TRD-200404373

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter C. OPERATIONAL REQUIREMENTS

25 TAC §§125.31 - 125.35

The new sections are adopted under Health and Safety Code, §248.026, 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.

§125.31.General Functions.

(a) Administration and staffing.

(1) Legal responsibility. There shall be an individual or individuals that assume(s) full legal responsibility for the overall conduct of the facility and are responsible for compliance with all applicable laws and rules of the department.

(2) Facility director.

(A) The facility director, who is to be accountable for the overall management of the facility, shall be named in writing.

(B) The director's responsibilities shall be defined in writing.

(C) If the facility can be successfully managed with less than the director's full-time management, the director may be less than full-time. In such instances, the director shall assign another responsible individual who can perform management tasks so that there is administrative management essentially for the usual and customary 40-hours-per-week business operations.

(D) There shall be a competent individual authorized to be in charge of the facility when the director is absent.

(E) The director shall be at least 18 years of age and shall be qualified by education or training to perform the duties required to manage the facility.

(F) The director shall be responsible for coordinating the provision of all services.

(3) Personnel requirements.

(A) The facility shall have written personnel policies and procedures for paid staff and volunteer staff which include at a minimum:

(i) written position descriptions that include responsibilities for all positions in the facility;

(ii) qualifications for employment for all positions in the facility; and

(iii) the process for filling a position, evaluating performance and termination.

(B) The facility shall maintain personnel records which contain sufficient information to support appropriate placement of an individual in a position. The file shall include a copy of the individual's current license or certification, if applicable, or other evidence that license or certification status was verified.

(C) The facility shall be staffed at all times with sufficient qualified personnel to meet the needs of residents and maintain a clean and safe environment. A minimum of one staff person shall be on duty at all times. A qualified staff person will be designated as in charge on each shift.

(4) Contracted services. If a facility does not employ a person qualified to provide a required or needed service, it shall have a contract with an outside resource to provide the service directly to residents or to act as a consultant to the facility. The facility maintains responsibility for ensuring that contract staff is qualified to perform the services to be provided and that they are appropriately supervised.

(5) Volunteer services. Volunteer staff may be placed in any position for which they are qualified. Requirements in paragraph (6) of this subsection shall apply to all volunteer staff.

(6) Staff development and training.

(A) All staff shall receive orientation training prior to being allowed to work with residents. Orientation shall include information pertaining to the facility's mission and philosophy, position specific responsibilities and all operational policies and procedures.

(B) All staff must participate in periodic staff development training designed to update their knowledge and skills in providing care to residents. Training will also include a review of operational policies and procedures.

(C) The facility shall maintain documentation which verifies each staff person's participation in the orientation training program and staff development training.

(b) Policies and procedures. The facility shall adopt, implement and enforce written policies and procedures detailing the operations of the facility. The policies shall be reviewed and updated annually. In addition to describing the operations of the facility and the manner in which care and services will be provided, the policies and procedures shall include:

(1) Resident admission.

(A) Admission policies shall include qualifications and criteria for admission based on the mission and philosophy of the facility.

(B) Policies may include restriction of admission and retention of individuals with regard to illegal drug use, alcohol abuse, or actions that pose a threat to the health and safety of other residents or staff.

(C) Policies shall require a written admission agreement between the resident and the facility that addresses the care and services to be provided and the method of payment for services.

(D) The facility policy shall require that a chronological register of all residents admitted to and discharged from the facility be maintained. The register shall contain at least the name of the resident, date of birth, date of admission, date of discharge or death, and disposition.

(2) Infection control and universal precautions. There shall be written policies and procedures providing for a safe and sanitary environment, and the control of communicable diseases and infections in staff, residents, and visitors. The policy shall also provide for monitoring compliance of the facility and its staff with universal precautions in accordance with the Health and Safety Code (HSC), Chapter 85, Subchapter I, (relating to the Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus by Infected Health Care Workers).

(3) Determination of death. If applicable, there shall be a written policy with protocols to be used in determining death that complies with HSC, Title 8, Subtitle A, Chapter 671, Subchapter A (relating to Determination of Death).

(4) Special waste. The facility shall comply with the requirements set forth by the department in §1.131-1.137 of this title (relating to Definition, Treatment, and Disposition of Special Waste from Health Care Related Facilities), and the Texas Commission on Environmental Quality requirements in Title 30, Texas Administrative Code, Subchapter Y, §330.1004 (relating to Generators of Medical Waste).

(5) Confidentiality of records. There shall be a written policy that addresses the confidentiality of resident information.

(6) Advance directives. There shall be policies and procedures regarding the use of advance directives in the facility. These policies and procedures shall be in accordance with the Advance Directives Act, HSC, Chapter 166. Violations of §166.004 may result in the assessment of administrative penalties, in accordance with HSC, §248.0545 (relating to Violation of Law Relating to Advance Directives).

§125.32.Resident Care and Services.

(a) Physician services.

(1) Each resident shall have an attending physician who is charge of the resident's medical care.

(2) The facility shall make a reasonable effort to contact the resident's physician within 72 hours after admission to obtain any information relating to the care of the resident. Any relevant information obtained from the physician will be recorded in the resident's care document.

(3) In the event of an acute illness, condition, or accident requiring medical and/or nursing care beyond the capabilities of the facility, the resident shall be transferred, in a medically appropriate manner, to a hospital or other health care facility as appropriate where needed services and facilities are available.

(b) Nursing services.

(1) Licensed nurses shall function consistent with the nursing practices recognized and authorized by Texas Board of Nurse Examiners.

(2) When nursing services are provided, nursing personnel are responsible for ensuring that residents receive treatments, medications, and diets as prescribed; receive preventive care to prevent and minimize the incidence of skin breakdown; are kept comfortable with personal hygiene needs met; are protected from accident and injury through the initiation of appropriate safety measures; and are treated with kindness and respect.

(3) Nursing or attendant personnel on duty shall be responsible for obtaining emergency medical care when a resident's condition so requires and shall be responsible for notifying the attending physician.

(c) Medications.

(1) Medications shall be provided as required for those residents on a physician or practitioner-ordered medication therapy regimen.

(2) Upon admission, and as part of the plan of care, the admitting physician shall determine whether a resident can self-administer his or her medications or will require administration by qualified personnel in accordance with paragraph (7) of this subsection.

(3) Each resident's health status shall be reviewed at least quarterly, or more often if indicated, to determine if any changes are necessary in the medication administration procedures.

(A) The appropriateness for a resident to self-administer medications shall be reviewed by facility staff and the attending physician or an advanced practice nurse working in collaboration with the attending physician.

(B) A resident's drug regimen review shall be incorporated into the individual's plan of care.

(4) Medications must be kept secured at all times. Only the resident and authorized facility staff shall have access to the secured medications. Residents self-administering their medications may:

(A) keep medications in their possession at all times;

(B) secure their medications within their locked room if the room is not shared with others, or in a locked cabinet in their room; or

(C) allow the facility to keep residents' medications in a central medication storage area under control of facility staff.

(5) The central medication storage shall be kept locked when facility staff is not actually in or at the storage area.

(6) Residents may be permitted entrance or access to the storage area for the purpose of self-administering their medications or treatments or receiving assistance with their medication or treatment regimen. A facility staff member shall remain in or at the storage area the entire time any resident is in the storage area.

(7) Medications that are administered to a resident shall be administered only by a registered professional nurse, licensed vocational nurse, or an individual under direct delegation orders by a physician and in conformance with all laws, rules, and recognized professional standards of practice. A home health agency who is providing services within a special care facility may use a home health medication aide in accordance with 40 Texas Administrative Code, §95.128 (relating to Home Health Medication Aides).

(A) The person administering medications shall properly record the medications administered. This record will be retained in the resident file.

(B) Medications classified as dangerous drugs or controlled substances may not be taken by or administered to residents unless the medication was obtained directly from or under a valid prescription or order of a physician or practitioner. If facility staff administer the medications, they shall only be administered under written orders, or verbal orders which are subsequently verified in writing by the treating physician or practitioner.

(C) All injectable medication, intravenous solutions, or medications administered by way of a tube inserted in a cavity of the body shall be administered under physician's or practitioner's orders by a physician, registered professional nurse, licensed vocational nurse, or other individual qualified under state law.

(D) If administration of medications to residents is performed by a registered professional nurse or licensed vocational nurse the following shall apply.

(i) There shall be a specific area designated for medication that is:

(I) sufficient in size and/or space for the storage of all medications that are being administered to residents and for the preparation of medications for administration to residents;

(II) lockable and shall be maintained locked at all times when not occupied;

(III) accessible only to persons authorized to administer medications to residents;

(IV) equipped with a sink having hot and cold water available at all times; and

(V) adequately ventilated and temperature controlled.

(ii) A medication storage cart may be used in addition to the medication room for the storage of residents' medications. When not in use, the medication storage cart must be kept locked in the locked medication room or in the designated locked storage room that shall be used only for the storage of the cart.

(8) When a resident needs assistance with taking oral medication, only those individuals approved in writing by the director of the facility may provide that assistance.

(A) A mechanism will be developed, implemented and monitored by the facility director to insure that the resident is given only those medications that have been prescribed by the resident's physician or practitioner at the intervals detailed on the resident's medication container.

(B) When assistance with taking oral medication is provided, the facility will maintain a medication record which documents the medication, date, and time taken. The name of the individual who assisted the resident taking the oral medication shall also be documented.

(C) The facility director or designee will monitor the medication records daily to insure accuracy.

(9) Medication requiring refrigeration shall be stored in a separate refrigerator designated for medications which is kept in the secured medication storage area. Medications may be stored in an area within the common refrigerator if they are stored in a manner that prevents contamination of the medications, and allows for the security of the medication to be maintained.

(10) Medication under storage control of the facility shall be returned to the resident upon dismissal from the facility, or as directed by the physician.

(11) Medications of a resident shall not be used for another resident. When a resident is dismissed from or otherwise leaves the facility for a period of time greater than 48 hours, medications which had been under the control of the resident and left in the facility shall be secured under locked storage control of the facility until reclaimed by the resident and no longer than 90 days. Medications of deceased residents shall not remain in the facility for more than 7 days after the resident's death. Medications of deceased residents and medications which have been left unclaimed in the facility for more than 90 days shall be handled in one of the following manners.

(A) Medications may be returned to any licensed pharmacy for destruction in accordance with regulations of the Texas Board of Pharmacy governing the destruction of dangerous drugs or controlled substances. A record shall be maintained by the facility which itemizes the quantity and strength of each medication returned to a pharmacy for destruction. Such record shall be signed by the director of the facility and the pharmacist accepting the drugs for destruction and shall be retained in the resident's file.

(B) Medications may be destroyed beyond reclamation on site by the facility director. Drugs should be destroyed by incineration, if possible. Small amounts of drugs may be flushed into the sewer system unless prohibited by local ordinance. Large quantities of drugs may be destroyed by removing the drugs from the prescription containers, placing them in a strong plastic container, and adulterating the drugs with water or bleach.

(i) A record of the destruction shall be maintained by the facility and include:

(I) the name, strength, and quantity of the drug;

(II) the method of destruction; and

(III) the signature of the facility director who destroyed the drugs and signatures of two other individuals who witnessed the destruction.

(ii) This record shall be retained in the resident's file.

(12) Controlled substances and drugs under storage control of the facility shall be kept separately locked in a permanently affixed compartment within the medicine room or medication storage cart.

(A) A separate record must be maintained for each controlled substance and drug.

(B) The record shall include, but not be limited to, prescription number, name and strength of drug, date received by the facility, date and time each dose is provided, signature of person providing the dose, name of resident, and the original amount received with the balance verifiable by drug inventory at least daily.

(13) All residents' medications shall be properly labeled in accordance with applicable laws and regulations.

(d) Dietary services.

(1) A dining room, rooms, or space with appropriate furnishings shall be provided. The dining space and furnishings should allow the residents who can come to the dining room to dine at one sitting. Where alternate or second meal services are employed, quantity and quality shall be maintained.

(2) The facility shall have a kitchen or dietary area to meet the food service needs of the residents. It shall include provisions for the storage, refrigeration, preparation, and serving of food; for dish and utensil cleaning; and for refuse storage and removal.

(3) Meal service at intervals of at least three meals per day, seven days per week, shall be provided or arranged to be commensurate with the needs of the residents. Meals shall be palatable and meet the nutritional needs of the residents.

(4) Procedures to prevent cross contamination shall be observed in the storage, preparation, and distribution of food; in the cleaning of dishes, equipment, and work area; and in the storage and disposal of waste. The facility shall provide storage of food for emergency use for a minimum of four calendar days.

(5) All dishes and utensils shall be washed in an automatic dishwasher or by the use of manual dishwashing procedures.

(A) A three-compartment sink shall be used if washing, rinsing and sanitizing of utensils and equipment is done manually; or a two-compartment sink may be utilized if single service tableware is provided, or when an approved detergent sanitizer is used.

(B) Cleaning and sanitizing may be done by spray-type or immersion dishwashing machines or by any other type of machine or device if it is demonstrated that it thoroughly cleans and sanitizes equipment and utensils either by chemical or mechanical sanitization.

(6) Sanitary hand washing and drying provisions shall be provided in the kitchen area and shall include soap, water and individual disposable towels.

(e) Social services/pastoral care. Services to meet identified social, spiritual, and emotional needs shall be offered to the resident. Services may also be available to the resident's family, responsible party, and significant other persons. Acceptance of these services will be at the option of the resident.

(f) Personal care services.

(1) The facility shall provide personal care services in accordance with the individualized needs of each resident.

(2) Personal care services shall include normal activities of daily, and may include:

(A) assistance with their medications;

(B) assistance with hygiene;

(C) assistance with dressing;

(D) assistance with ambulation; and

(E) emotional support.

(g) Laboratory services.

(1) A facility that provides laboratory services shall comply with the Clinical Laboratory Improvement Amendments of 1988 (CLIA 1988), in accordance with the requirements specified in 42 Code of Federal Regulations (CFR), Chapter IV, Part 493, §§493.1-493.1780. CLIA 1988 applies to all facilities with laboratories that examine human specimens for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings.

(2) The facility shall ensure that all laboratory services provided to its residents through a contractual agreement are performed in a facility certified in the appropriate specialties and subspecialties of service in accordance with the requirements specified in 42 CFR, Chapter IV, Part 493 to comply with CLIA 1988.

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 July 5, 2004.

TRD-200404374

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter D. WAIVERS

25 TAC §125.51

The new section is adopted under Health and Safety Code, §248.026, 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 July 5, 2004.

TRD-200404375

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter E. INSPECTIONS AND INVESTIGATIONS

25 TAC §125.61, §125.62

The new sections are adopted under Health and Safety Code, §248.026, 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 July 5, 2004.

TRD-200404376

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter F. ENFORCEMENT

25 TAC §§125.71 - 125.73

The new sections are adopted under Health and Safety Code, §248.026, 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 July 5, 2004.

TRD-200404377

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter G. SAFETY REQUIREMENTS AND FIRE PROTECTION

25 TAC §§125.81 - 125.83

The new sections are adopted under Health and Safety Code, §248.026, 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.

§125.82.Emergency Preparedness.

(a) Each SCF shall develop written plans for effective preparedness, mitigation, response, and recovery from disasters.

(b) The administration must have in effect and available to all personnel written copies of a plan for the protection of all persons in the event of fire and for their remaining in place, for their evacuation to areas of refuge, and from the building when necessary. The plan must include special staff actions including fire protection procedure needed to ensure the safety of any resident and must be amended or revised when needed. All employees must be periodically instructed and kept informed with respect to their duties and responsibilities under the plan. A copy of the plan must be readily available at all times within the facility. This written plan must reflect the current evacuation capabilities of the resident or patient.

(c) The SCF must have written preparedness and response plan. Procedures to be followed in an internal or external disaster should be attached to the plan. The plan must address, at a minimum, the eight core functions of emergency management, which are: direction and control; warning (how the facility will be notified of emergencies and who they will notify); communication (with whom and by what mechanism); sheltering arrangements; evacuation (destinations, routes); transportation; health and medical needs; and resource management (supplies, staffing, emergency equipment, records). A copy of the plan must be provided to the local emergency management coordinator and should address those emergencies that could affect the facility. Information about the local emergency management coordinator may be obtained from the office of the local mayor or county judge.

§125.83.Fire Safety Requirements.

(a) Fire evacuation classification rating and National Fire Protection Association (NFPA) compliance. All documents published by NFPA as referenced in these rules may be obtained by writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471 or (800)344-3555.

(1) An existing special care facility, which was licensed prior to the effective date of the rules, shall:

(A) comply, at a minimum, with the edition of the National Fire Protection Association 101, Code for Safety to Life from Fire in Buildings and Structures, 2000 edition (NFPA 101), under which it was initially licensed, or

(B) if classified as a health care occupancy, with NFPA 101, Chapter 19, 2000 edition; or

(C) if classified as an occupancy other than a health care occupancy, NFPA 101, Chapter 33; or

(D) if classified as an occupancy other than a health care occupancy, the applicable code as determined by the local fire authority.

(2) A new special care facility shall be classified as a Limited Care Facility (LCF) or a Residential Board and Care Facility (RBCF).

(A) A LCF, as the term is defined in §125.3(b)(1) of this title (relating to Occupancy Classification), shall be classified as a health care occupancy and shall comply with NFPA 101, Chapter 18.

(B) For an RBCF, as the term is defined in §125.3(b)(2) of this title, the fire evacuation classification rating shall be determined based on the evacuation capability of the residents. A RBCF shall be designated as having an evacuation capability of prompt or impractical.

(i) To be designated as prompt, all residents must be able to travel from their living unit to a central location, such as a lobby, living room or dining room area, on the level of the building where the fire exit to the outside of the facility is located, within a 13 minute period without continuous staff assistance. Elevators cannot be used as an evacuation route.

(ii) A RBCF that is not able to meet all criteria specified in clause (i) of this subparagraph will be designated as impractical.

(C) A RBCF with an evacuation capability of prompt shall be classified as a residential board and care occupancy, and must comply with NFPA 101, Chapter 32.

(D) A RBCF with an evacuation capability rating of impractical shall be classified as a health care occupancy and must comply with subparagraph (A) of this paragraph.

(b) Fire protection. Fire protection shall be provided in accordance with the requirements of NFPA 101, §12-7, and §125.91 of this title (relating to Construction Requirements). When required or installed, sprinkler systems for exterior fire exposures shall comply with NFPA 80A, Recommended Practice for Protection of Buildings from Exterior Fire Exposures, 1996 edition.

(c) Fire inspections.

(1) Annual inspection. Approval of the fire protection of a SCF by the local fire department shall be a prerequisite for licensure.

(2) Purpose of inspection. The purpose of these inspections shall be to ascertain and to cause to be corrected any conditions liable to cause fire or violations of any of the provisions or intent of these rules, or of any other applicable ordinances, which affect fire safety in any way.

(3) Hazardous or dangerous conditions or materials. Whenever any of the officers, members, or inspectors of the fire department or bureau of fire prevention find in any building or upon any premises dangerous or hazardous conditions or materials, removal or remedy of dangerous conditions or materials shall be carried out in a manner specified by the head of the local fire department.

(4) Access for inspection. At all reasonable hours, the chief of the fire department, the chief of the bureau of fire prevention, or any of the fire inspectors may enter any building or premises for the purpose of making an inspection or investigation which may be deemed necessary under the provisions of these rules.

(d) Fire reporting. All occurrences of fire shall be reported to the local fire authority and shall be reported in writing to the director as soon as possible but not later than 10 calendar days following the occurrence. Any fire causing injury or death to a resident shall be reported within 24 hours of incident.

(e) Smoking rules. Each SCF shall adopt, implement and enforce a smoking policy. The policy shall include the minimal provisions of NFPA 101, §18.7.4, or §32.7.4.

(f) Fire extinguishing systems. Inspection, testing, and maintenance of fire-fighting equipment shall be conducted by each SCF.

(1) Water-based fire protection systems. All fire sprinkler systems, fire pumps, fire standpipe and hose systems, water storage tanks, and valves and fire department connections shall be inspected, tested and maintained in accordance with NFPA 25, Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems, 1998 edition.

(2) Range hood extinguishers. Fire extinguishing systems for commercial cooking equipment, such as at range hoods, shall be inspected and maintained in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Cooking Operations, 1998 edition.

(3) Portable fire extinguishers. Every portable fire extinguisher located in a SCF or upon SCF property shall be installed, tagged, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers, 1998 edition.

(A) Extinguishers in resident corridors must be spaced so that travel distance is not more than 75 feet. The minimum size of extinguishers must be either 2 1/2 gallon for water type of five pounds for ABC type. In large facilities, at least one portable Underwriters Laboratory or Factory Mutual-approved five-pound Class B:C dry chemical fire extinguisher, rechargeable type, is required in each laundry, kitchen and walk-in mechanical room.

(B) Extinguishers must be surface wall-mounted or recessed in an approved cabinet where they are not subject to physical damage or dislodgement.

(g) Fire protection and evacuation plan. A plan for the protection of patients in the event of fire and their evacuation from the building when necessary shall be formulated according to NFPA 101, §18.7, or §32.7. Copies of the plan shall be available to all staff.

(1) Posting requirements. An evacuation floor plan shall be prominently and conspicuously posted for display throughout the SCF in public areas that are readily visible to patients, residents, employees, and visitors.

(2) Annual training. Each SCF shall conduct an annual training program for instruction of all personnel in the location and use of fire-fighting equipment. All employees shall be instructed regarding their duties under the fire protection and evacuation plan.

(h) Fire drills. The SCF shall conduct fire drills on a regular basis.

(1) For existing facilities which were licensed prior to the effective date of these rules, fire drills shall be conducted at least quarterly.

(2) New facilities shall conduct fire drills as follows:

(A) A LCF shall conduct fire drills quarterly for each shift.

(B) A RBCF shall conduct fire drills quarterly with not less than two drills conducted during the night when residents are sleeping.

(i) The drills may be announced in advance to the residents.

(ii) The drills shall involve the residents, family, and staff in accordance with the emergency plan.

(iii) Residents shall be informed of evacuation procedures and locations of exits.

(3) All fire drills shall be documented on a form. There shall be an evaluation of each drill with respect to the fire plan.

(4) The fire drill for a new facility classified as a LCF or a RBCF shall include communication of alarms, and use of fire-fighting equipments. The LCF drill may include simulation of evacuation of patients.

(5) When drills are conducted between 9:00 p.m. and 6:00 a.m., a coded announcement may be used instead of audible alarms in a LCF.

(i) Fire alarm system.

(1) For existing facilities which were licensed prior to the effective date of these rules, a fire alarm system must be provided only if required by local code, or under the applicable NFPA 101 occupancy category under which the facility was initially licensed.

(2) For new facilities, all buildings used for resident care shall have an approved fire alarm system. Each fire alarm system shall be installed and tested in accordance with NFPA 101, §9.6, 1999 edition.

(j) System for communicating an alarm of fire. A reliable communication system shall be provided as a means of reporting a fire to the fire department. This is in addition to the automatic alarm transmission to the fire department, required by NFPA 101, §§18.3.4.3, 32.2.3.4, or 32.3.3.4.

(k) Fire department access. As an aid to fire department services, every SCF shall provide the following.

(1) Driveways. The SCF shall maintain driveways, free from all obstructions, to main buildings for fire department apparatus use.

(2) Submission of plans. Upon request, the SCF shall submit a copy of the floor plans of the building to the local fire department officials.

(3) Outside identification. The SCF shall place proper identification on the outside of the main building showing the locations of siamese connections and standpipes as required by the local fire department services.

(l) Fire department protection. When a SCF is located outside of the service area or range of the public fire protection, arrangements shall be made to have the nearest fire department respond in case of a fire.

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 July 5, 2004.

TRD-200404378

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Subchapter H. PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS

25 TAC §§125.91 - 125.96

The new sections are adopted under Health and Safety Code, §248.026, 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.

§125.91.Construction Requirements.

(a) General. When local regulations are in effect and enforced governing the construction of a SCF, the SCF shall be constructed in accordance with the local regulations. An existing SCF may voluntarily comply with any of the following requirements.

(b) Existing special care facilities. In the absence of local regulations, an existing SCF shall comply with the following sections.

(1) Compliance.

(A) A licensed SCF which is licensed prior to the effective date of these rules is considered to be an existing licensed SCF and shall continue, at a minimum, to meet the licensing requirements under which it was originally licensed.

(B) In lieu of meeting the requirements in subparagraph (A) of this paragraph, an existing licensed SCF may, instead, comply with National Fire Protection Association 101, Code for Safety to Life from Fire in Buildings and Structures, 2000 edition (NFPA 101), Chapter 33, Existing Residential Board and Care Facilities, or Chapter 19, Existing Health Care Occupancies. All documents published by NFPA as referenced in these rules may be obtained by writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471, or (800) 344-3555.

(2) Remodeling and additions. All remodeling, renovations, additions and alterations to or relocation of an existing SCF shall be done in accordance with the requirements for new construction in subsection (c) of this section. When existing conditions make such changes impractical, the department may grant a conditional approval of minor deviations from the requirements of subsection (c) of this section, if the intent of the requirements is met and if the care, safety and welfare of residents will not be jeopardized. The operation of the SCF, accessibility of individuals with disabilities, and safety of the residents shall not be compromised by a condition(s) that is not in compliance with this chapter.

(A) Building equipment alterations or installations. Any alteration or any installation of new building equipment, such as mechanical, electrical, plumbing, fire protection, or piped medical gas system shall comply with the requirements for new construction and may not be replaced, materially altered, or extended in an existing SCF until complete plans and specifications have been submitted to the department, and the department has reviewed and approved the plans and specifications in accordance with §125.94 of this title (relating to Preparation, Submittal, Review and Approval of Plans).

(B) Minor remodeling or alterations. Minor remodeling or alterations within an existing SCF which do not involve alterations to load bearing members and partitions, change functional operation, affect fire safety, add or subtract services, or involve any of the major changes listed in subparagraph of this paragraph are considered to be minor projects and require evaluation and approval by the department. An SCF shall submit a written request for evaluation, a brief description of the proposed changes, and sketches of the area being remodeled or altered. Based on such submittal, the department will evaluate and determine whether any additional submittals or inspections are required. The department will notify the SCF of its decision.

(C) Major remodeling or alterations. All remodeling or alterations which involve alterations to load bearing members or partitions, change functional operation, affect fire safety, or add or delete services, are considered major projects. A SCF shall comply with this subparagraph prior to beginning construction of major projects.

(i) Submittal of plans. Plans shall be submitted in accordance with §125.94 of this title for all major remodeling or alterations.

(ii) Phasing of construction in existing facilities. Projects involving alterations of or additions to existing buildings shall be programmed and phased so that on-site construction will minimize disruptions of existing functions.

(I) Access, exit access, fire protection and all necessary functions shall be maintained so that the safety of the occupants will not be jeopardized during construction.

(II) Construction, dust, objectionable fumes and vapor barriers shall be provided to separate areas undergoing demolition and construction from occupied areas.

(III) Temporary sound barriers shall be provided where intense, prolonged construction noises will disturb patients, residents or staff in the occupied portions of the building.

(3) Previously licensed SCF. A previously licensed SCF that has been vacated for 12 months or longer or used for other purposes shall comply with all the requirements for new construction contained in subsection (c) of this section in order to be licensed.

(c) Construction requirements for new SCFs.

(1) SCF location. A SCF may be a distinct separate part of an existing hospital. It may occupy an entire separate independent structure, or it may be located within another building such as an office building or commercial building.

(A) Accessibility to facility. The location of a proposed new SCF shall be easily accessible to service vehicles and fire protection apparatus.

(B) Means of egress. A SCF shall have at least two exits remotely located in accordance with NFPA 101, §§18.2.4.1, 32.2.2.1, and 32.3.2.4. When a required means of egress from the SCF is through another portion of the building, that means of egress shall comply with the requirements of NFPA 101 which are applicable to the occupancy of the other building. Such means of egress shall be open, available, unlocked, unrestricted, and lighted at all times during the SCF hours of operation.

(C) Hazardous locations.

(i) Underground and above ground hazards. A new SCF or an addition(s) to an existing SCF shall not be constructed within 125 feet of a hazardous location or easement. Hazardous locations include underground liquid butane or propane, liquid petroleum or natural gas transmission lines, high-pressure lines, or under high voltage electrical lines.

(ii) Fire hazards. A new SCF shall not be built within 300 feet of above ground or underground storage tanks containing liquid petroleum or other flammable liquids used in connection with a bulk plant, marine terminal, aircraft refueling, bottling plant of a liquefied petroleum gas installation, or near other hazardous or hazard producing areas.

(iii) Health and safety hazards. A new SCF shall not be located in a building which, because of its location, physical condition, state of repair, or arrangement of facilities, would be determined hazardous to the health or safety of the resident.

(D) Undesirable locations.

(i) Nuisance producing sites. A new SCF shall not be located near nuisance producing sites such as industrial sites, feed lots, sanitary landfills, or manufacturing plants which produce excessive noise or air pollution.

(ii) Flood plains. Construction of a new SCF shall be avoided in designated flood plains. Where such is unavoidable, access and required SCF components shall be constructed at least one foot above the designated flood plain. This requirement also applies to new additions to an existing SCF or a portion of facility which has been licensed previously as a SCF, but which has been vacated or used for other purposes. This requirement does not apply to remodeling of an existing licensed SCF.

(iii) Cemeteries. A new SCF shall not be located near a cemetery in a manner that allows direct views of the cemetery from resident rooms, dining area, living areas or front entry of the facility.

(2) SCF site. The SCF site shall include paved roads, walkways, and parking in accordance with the requirements set out in this paragraph.

(A) Paved roads and walkways.

(i) Paved roads shall be provided within lot lines for access from public roads to the main entrance and to service entrances. Gravel-based roads are permitted in rural areas.

(ii) Finished surface walkways shall be provided for pedestrians. When public transportation or walkways serve the site, finished surface walkways or paved roads shall extend from the public conveyance to the building entrance.

(B) Parking.

(i) Off street parking shall be provided at the minimum ratio of one space for each four resident beds, one space for each daytime staff member, and one visitor space for every four resident beds, or per local code, whichever is more stringent.

(ii) Handicapped parking. Parking spaces for handicapped persons shall be provided in accordance with the Americans with Disabilities Act (ADA) of 1990, Public Law 101-336, 42 United States Code, Chapter 126, and Title 36 Code of Federal Regulations, Part 1191, Appendix A, Accessibility Guidelines for Buildings and Facilities.

(3) Building design and construction requirements. Every building and every portion thereof shall be designed and constructed to sustain all dead and live loads in accordance with accepted engineering practices and standards and local governing building codes. Where there is no local governing building code, the International Building Code (IBC), 2000 edition, or the International Residential Code (IRC) shall govern: The IBC and IRC are published by the International Code Council, 5203 Leesburg Pike, Suite 600, Falls Church, VA 22041, telephone (703) 931-4533.

(A) General architectural requirements. All new construction, including conversion of an existing building to a SCF or establishing a separately licensed SCF within another existing building, shall comply with NFPA 101, Chapter 32, New Residential Board and Care Occupancies, or Chapter 18, New Health Care Occupancies, and this subchapter.

(i) Construction types for multiple building occupancy.

(I) Mixed occupancies. When a SCF is part of another occupancy, the SCF shall be separated from the other occupancy with a minimum of 2-hour fire rated construction, in accordance with NFPA 101, §18.1.2.3, and §32.1.2.

(II) Small facility. When a SCF is classified as a small facility for residential board and care occupancy, the SCF shall comply with NFPA 101, §32.2.1.3, Minimum Construction Requirements.

(III) Large facility. When a SCF is classified as a large facility for residential board and care occupancy, the SCF shall comply with NFPA 101, §32.3.1.3, Minimum Construction Requirements.

(IV) Multistory buildings. When a SCF is located in a multistory building of two or more stories, the entire building shall meet the construction requirements of NFPA 101, §32.3.1.3, or §18.1.6.2. A SCF shall not be located in a multistory building that does not comply with the minimum construction requirements of NFPA 101, §18.1.6.2. or §32.3.1.3.

(V) Single story buildings. When a SCF is part of a one-story building that does not comply with the construction requirements of NFPA 101, §§18.1.6.1, 32.2.1.3, or 32.3.1.3. The SCF must be separated from the remainder of the building with a 2-hour fire rated construction. The designated SCF portion shall have the construction type upgraded to comply with NFPA 101, §§18.1.6.1, 32.2.1.3, or 32.3.3.1.3, as applicable.

(ii) Special design provisions. Special provisions shall be made in the design of a facility if located in a region where local experience shows loss of life or extensive damage to buildings resulting from hurricanes, tornadoes, or floods.

(iii) Foundations. Foundations shall rest on natural solid bearing if satisfactory bearing is available. Proper soil-bearing values shall be established in accordance with nationally recognized requirements. If solid bearing is not encountered at practical depths, the structure shall be supported on driven piles or drilled piers designed to support the intended load without detrimental settlement, except that one-story buildings may rest on a fill designed by a soils engineer. When engineered fill is used, site preparation and placement of fill shall be done under the direct full-time supervision of the soils engineer. The soils engineer shall issue a final report on the compacted fill operation and certification of compliance with the job specifications.

(iv) Physical environment. A physical environment that protects the health and safety of resident, personnel, and the public shall be provided in each facility. The physical premises of the facility and those areas of the facility's physical structure that are used by the residents (including all stairwells, corridors, and passageways) shall meet the local building and fire safety codes and the requirements of this chapter.

(v) Handicapped requirements. Special considerations that benefit handicapped residents, staff, and visitors shall be provided. Each SCF shall comply with the Americans with Disabilities Act (ADA) of 1990, Public Law 101-336, 42 United States Code, Chapter 126, and Title 36, Code of Federal Regulations, Chapter XI, Part 1191, Appendix A, Accessibility Guidelines for Buildings and Facilities.

(vi) Other regulations. Certain projects may be subject to other regulations, including those of federal, state, and local authorities. The more stringent standard or requirement shall apply when a difference in requirements exists.

(vii) Exceeding minimum requirements. Nothing in these sections shall be construed to prohibit a better type of building construction or otherwise safer conditions than the minimum requirements specified in these sections.

(viii) Equivalency. Nothing in these sections is intended to prevent the use of systems, methods, or devices of equivalent or superior quality, strength, fire resistance, effectiveness, durability, performance and safety to those prescribed by these sections, provided technical documentation which demonstrates equivalency is submitted to the department for approval.

(ix) Separate freestanding buildings (not for resident use). Separate freestanding buildings for non-patient use which are located at least 20 feet from the SCF building such as the heating plant, boiler plant, repair workshops, or general storage may be designed and constructed in accordance with other applicable occupancy classification requirements listed in NFPA 101.

(B) General detail requirements.

(i) Corridors. The minimum clear and unobstructed width of a public corridor shall be at least four feet in a RBCF. In a LCF, the minimum clear and unobstructed width of public corridor shall be at least eight feet.

(ii) Doors and windows.

(I) Door types. Doors at all openings between corridors and rooms or spaces subject to occupancy shall be swing type. Elevator doors are excluded from this requirement.

(II) Door swing. Doors, except doors to spaces such as small closets that are not subject to occupancy, shall not swing into corridors in a manner that might obstruct traffic flow or reduce the required corridor width. Large walk-in type closets are considered as occupied spaces.

(III) Labeled doors. Labeled fire doors shall be listed by an independent testing laboratory and shall meet the construction requirement for fire doors in NFPA 80, Standard for Fire Doors and Fire Windows, 1999 edition. Reference to a labeled door shall be construed to include labeled frame and hardware.

(IV) Glazing. Glass doors, sidelights, borrowed lights, and windows located within 12 inches of a door jamb or with a bottom-frame height of less than 18 inches above the finished floor shall be glazed with safety glass or plastic glazing material that will resist breaking and will not create dangerous cutting edges when broken. Similar materials shall be used for wall openings unless otherwise required for fire safety. Safety glass, tempered glass, or plastic glazing materials shall be used for shower doors, bath enclosures, interior windows, and doors (which have glazing).

(V) Operable windows. All operable windows shall be insect screened.

(iii) Ceiling heights. The minimum ceiling height shall be eight feet with the following exceptions. Ceilings in storage rooms, toilet rooms, and other minor rooms not meant for resident of public use shall be not less than seven feet six inches.

(iv) Toilet room accessories. Grab bars shall be provided at resident showers and tubs. The bars shall be one and one-half inches in diameter, shall have one and one-half inches clearance to walls, and shall have sufficient strength and anchorage to sustain a concentrated vertical or horizontal load of 250 pounds. Grab bars intended for use by the disabled shall also comply with ADA requirements.

(v) Hand drying. Provisions for hand drying shall be included at all hand washing facilities. Hot air dryers or individual paper units shall be provided and must be enclosed in such a way as to provide protection against dust or soil.

(vi) Rooms with heat producing equipment. Rooms containing heat producing equipment such as mechanical and electrical equipment and laundry rooms shall be insulated and ventilated to prevent floors of any occupied room located above it from exceeding a temperature differential of 10 degrees Fahrenheit above the ambient room temperature.

(C) General finish requirements.

(i) Floor finishes.

(I) General. Floor materials shall be easily cleanable, wear resistant, and appropriate for the location involved. In areas subject to frequent wet cleaning methods, floor materials shall not be physically affected by germicidal and cleaning solutions. Floors that are subject to traffic while wet, such as shower areas, shall have non-slip surfaces.

(II) Threshold and expansion joint covers. Thresholds at doorways may not exceed 3/4 inch in height for exterior sliding doors or 1/2 inch for other type doors. Raised thresholds and floor level changes at accessible doorways shall be beveled with a slope no greater than 1:2. Expansion joint covers may not exceed 1/2 inch in height and shall have beveled edges with a slope no greater than 1:2.

(ii) Wall finishes. Wall finishes shall be smooth, washable, moisture resistant, and cleanable by standard housekeeping practices. Wall finishes shall be in compliance with the requirements of NFPA 101, §18.3.3, and §32.3.3.3, relating to flame spread.

(I) Finishes at plumbing fixtures. Wall finishes shall be water resistant in the immediate area of plumbing fixtures.

(II) Wet cleaning methods. Wall finishes in areas subject to frequent wet cleaning methods shall be impervious to water, tightly sealed; and without voids.

(iii) Ceiling finishes.

(I) General. All occupied rooms and spaces shall be provided with finished ceilings, unless otherwise noted. Ceilings that are a part of a rated roof and ceiling assembly or a floor-ceiling assembly shall be constructed of listed components (by a nationally recognized testing laboratory) and installed in accordance with the listing.

(II) Special requirements. Finished ceilings may be omitted in mechanical and equipment spaces, shops, and similar spaces unless required for fire-resistive purposes.

(iv) Floor, wall, and ceiling penetrations. Floor, wall, and ceiling penetrations by pipes, ducts, and conduits shall be tightly sealed to minimize entry of dirt particles, rodents, and insects. Joints of structural elements shall be similarly sealed.

(v) Cubicle curtains, draperies, and other hanging fabrics. Cubicle curtains, draperies, and other hanging fabrics shall be noncombustible or flame retardant and shall pass both the small scale and large scale test of NFPA 701, Standard Methods of Fire Tests for Flame-Resistant Textiles and Films, 1996 edition. Copies of laboratory test reports for installed materials shall be submitted to the department at the time of the final construction inspection.

(D) General mechanical requirements. This subparagraph contains requirements for mechanical systems; air-conditioning, heating and ventilating systems; steam and hot and cold water systems; plumbing fixtures; piping systems; and thermal and acoustical insulation.

(i) Cost. All mechanical systems shall be designed for overall efficiency and life cycle costing, including operational costs. Recognized engineering practices shall be followed to achieve the most economical and effective results except that in no case shall patient care or safety be sacrificed for conservation.

(ii) Equipment location. Mechanical equipment may be located indoors or outdoors (when in a weatherproof enclosure), or in a separate building(s).

(iii) Vibration isolation. Mechanical equipment shall be mounted on vibration isolators as required to prevent unacceptable structure-borne vibration. Ducts, pipes, etc., connected to mechanical equipment which is a source of vibration shall be isolated from the equipment with vibration isolators.

(iv) Performance and acceptance. Prior to completion and acceptance of the facility, all mechanical systems shall be tested, balanced, and operated to demonstrate to the design engineer or his representative that the installation and performance of these systems conform to the requirements of the plans and specifications.

(I) Material lists. Upon completion of the contract, the owner shall obtain from the construction contractor parts lists and procurement information with numbers and description for each piece of equipment.

(II) Instructions. Upon completion of the contract, the owner shall obtain from the construction contractor instructions in the operational use and maintenance of systems and equipment as required.

(v) Heating, ventilating, and air conditioning (HVAC) systems.

(I) Code requirements. All central HVAC systems shall comply with and shall be installed in accordance with the requirements of NFPA 90A, Standard for the Installation of Air Conditioning and Ventilating Systems, 1999 edition, or NFPA 90B, Standard for the Installation of Warm Air Heating and Air-Conditioning Systems, 1999 edition, as applicable and the requirements contained in this clause. Air handling units serving two or more rooms are considered to be central units.

(-a-) Temperature and humidity. The indoor design temperature shall be 75 degrees Fahrenheit with relative humidity of not less than 30 percent.

(-b-) Thermostat gauges. Thermostats shall be provided for all heating and cooling systems with an on and off switch.

(-c-) Air handling duct requirements. Fully ducted supply, return and exhaust air systems shall be provided for all resident care areas. Combination systems, utilizing both ducts and plenums for movement of air in these areas shall not be permitted.

(-1-) Protection of ducts penetrating fire and smoke partitions. Combination fire and smoke leakage limiting dampers (Class II) shall be installed in accordance with manufacturer's instructions for all ducts penetrating 1 and 2-hour rated fire and smoke partitions required by NFPA 101, §12-6.3.7, Subdivision of Building Space, (not required in SCFs meeting the provisions of NFPA 101, §12-6.3.7.3, Exception).

(-2-) Fail-safe installation. Combination smoke and fire dampers shall close on activation of the fire alarm system by smoke detectors installed and located as required by NFPA 72, Chapter 5, National Fire Alarm Code, 1996 edition; NFPA 90A, Chapter 4; and NFPA 101, §12-6.3.7; by activation of the fire sprinkler system; and upon loss of electrical power. Smoke dampers shall not close by fan shut-down alone. This requirement applies to all existing and new installations.

(-3-) Interconnection of air handling fans and smoke dampers. Air handling fans and smoke damper controls shall be interlocked so that closing of smoke dampers will not damage the ducts.

(-4-) Frangible devices. The use of frangible (non-resetting) devices for shutting smoke dampers shall not be permitted.

(-d-) Outside air intake locations. Outside air intakes shall be located at least 10 feet from exhaust outlets of ventilating systems, combustion equipment stacks, plumbing vents, or areas which may collect vehicular exhaust or other noxious fumes. (Prevailing winds and proximity to other structures may require other arrangements).

(-e-) Pressure relationship. Ventilation systems for a LCF shall be designed and balanced to provide pressure relationships contained in Table 1 of this title. For reductions and shut down of ventilation systems when a room is unoccupied, the provisions in Note 4 of Table 1 of this title shall be followed.

(-f-) Duct linings. Friable internal linings shall not be used in ducts, air terminal units, or other air system components. This requirement shall not apply to air terminal units and sound attenuators that have approved nonfriable coverings, e.g., foil facing, over such linings.

(II) Thermal and acoustical insulation for air handling systems. Asbestos containing insulation materials shall not be used.

(-a-) Thermal duct insulation. Air ducts and casings with outside surface temperature below the ambient dew point or temperature above 80 degrees Fahrenheit shall be provided with thermal insulation.

(-b-) Insulation in air plenums and ducts. When installed, linings in air ducts and equipment shall meet the Erosion Test Method described in Underwriters' Laboratories, Inc., Standard 181, Factory-Made Duct Materials and Air Duct Connectors. This document may be obtained from the Underwriters' Laboratories, Inc., 333 Pfingsten Road, Northbrook, IL 60062-2096.

(-c-) Insulation flame spread and smoke developed ratings. Interior and exterior insulation, including finishes and adhesives on the exterior surfaces of ducts and equipment, shall have a flame spread rating of 25 or less and a smoke developed rating of 50 or less as required by NFPA 90A, Chapters 2 and 3 and as determined by an independent testing laboratory in accordance with NFPA 255, A Standard Method of Test of Surface Burning Characteristics of Building Materials, 1999 edition.

(-d-) Friable insulation. Insulation of soft and spray-on types shall not be used where it is subject to air currents or mechanical erosion or where loose particles may create a maintenance problem or occupant discomfort.

(vi) Piping systems and plumbing fixture requirements. All piping systems and plumbing fixtures shall be designed and installed in accordance with the requirements of the International Plumbing Code (IPC), 2000 edition. The IPC is published by the International Code Council, 5203 Leesburg Pike, Suite 600, Falls Church, VA 22041, telephone (703) 931-4533.

(I) Water supply piping systems. Water supply piping systems shall be designed to supply water at sufficient pressure to operate all fixtures and equipment during maximum demand.

(-a-) Valves. Each water service main, branch main, riser, and branch to a group of fixtures shall be valved. Stop valves shall be provided at each fixture.

(-b-) Backflow preventers. Backflow preventers (vacuum breakers) shall be installed on hose bibs, laboratory sinks, janitor sinks, bedpan-flushing attachments, and on all other fixtures to which hoses or tubing can be attached. Connections to high hazard sources, e.g., x-ray film processors, shall be from a cold-water hose bibb through a reduced pressure principle type backflow preventer (RPBFP).

(-c-) Flushing valves. Flush valves installed on plumbing fixtures shall be of a quiet operating type, equipped with silencers.

(-d-) Water storage tanks. Water storage tanks shall be fabricated of corrosion-resistant metal or lined with noncorrosive material.

(II) Fire sprinkler systems. When provided, fire sprinkler systems shall comply with the requirements of NFPA 101, §7-7, Automatic Sprinklers and Other Extinguishing Equipment, and the requirements of this subclause. All fire sprinkler systems shall be designed, installed, and maintained in accordance with the requirements of NFPA 13, Standard for the Installation of Sprinkler Systems, 1999 edition, and shall be certified as required by §125.94 of this title (relating to Preparation, Submittal, Review and Approval of Plans).

(vii) Steam and hot water systems.

(I) Boilers. When provided, boilers shall have the capacity, based upon the net ratings published by the Hydronics Institute or another acceptable national standard, to supply the normal heating, hot water, and steam requirements of all systems and equipment.

(-a-) Valves. Supply and return mains and risers of cooling, heating, and process steam systems shall be valved to isolate the various sections of each system. Each piece of equipment shall be valved at the supply and return ends except that vacuum condensate returns need not be valved at each piece of equipment.

(-b-) Boiler certification. When required, the SCF shall ensure compliance with Texas Department of Licensing and Regulation, Boiler Section, Texas Boiler Law, 1995 (Health and Safety Code, Chapter 755, Boilers), which requires certification documentation for boilers to be posted on site at each boiler installation.

(II) Domestic hot water system. Hot water distribution system serving all resident care areas shall be under constant recirculation to provide continuous hot water at each hot water outlet.

(-a-) Capacity of water heating equipment. Water heating equipment shall have sufficient capacity to supply water for all residents' needs based on accepted engineering practices using actual number and type of fixtures and for heating, when applicable.

(-b-) Water temperature measurements. Water temperatures shall be measured at hot water point of use or at the inlet to processing equipment. Hot water temperature at point of use for residents, staff and visitors shall not exceed 110 degrees Fahrenheit.

(viii) Drainage systems. Building sewers shall discharge into a community sewage system. Where such a system is not available, a facility providing sewage treatment must conform to applicable local and state regulations.

(I) Above ground piping. Soil stacks and roof drains installed above ground within buildings shall be drain-waste-vent (DWV) weight or heavier and shall be: copper pipe, copper tube, cast iron pipe, or Schedule 40 polyvinyl chloride (PVC) pipe. In LCF schedule 40 polyvinylchloride (PVC) pipe is not permitted.

(II) Underground piping. All underground building drains shall be cast iron soil pipe, hard temper copper tube (DWV or heavier), acrylonitrile-butodiene-styrene (ABS) plastic pipe (DWV Schedule 40 or heavier), or PVC pipe (DWV Schedule 40 or heavier. Underground piping shall have at least 12 inches of earth cover or comply with local codes.

(ix) Thermal insulation for piping systems and equipment. Asbestos containing insulation materials shall not be used.

(I) Insulation. Insulation shall be provided for the following:

(-a-) boilers, smoke breeching, and stacks;

(-b-) steam supply and condensate return piping;

(-c-) hot water piping and all hot water heaters, generators, converters, and storage tanks;

(-d-) chilled water, refrigerant, other process piping, equipment operating with fluid temperatures below ambient dew point, and water supply and drainage piping on which condensation may occur. Insulation on cold surfaces shall include an exterior vapor barrier; and

(-e-) other piping, ducts, and equipment as necessary to maintain the efficiency of the system.

(II) Flame spread. Flame spread shall not exceed 25 and smoke development rating shall not exceed 50 for pipe insulation as determined by an independent testing laboratory in accordance with NFPA 255, Standard Method of Test of Surface Burning Characteristics of Building Materials, 1996 edition.

(x) Plumbing fixtures. Plumbing fixtures shall be made of nonabsorptive, acid resistant materials and shall comply with the requirements of the International Plumbing Code, 2000 edition, and this clause.

(I) Sink and lavatory controls. All lavatories used by residents and staff shall be trimmed with valves or electronic controls.

(II) Back flow or siphoning. All plumbing fixtures and equipment shall be designed and installed to prevent the back-flow or back-siphonage of any material into the water supply. The over-the-rim type water inlet shall be used wherever possible. Vacuum-breaking devices shall be properly installed when an over-the-rim type water inlet cannot be utilized.

(III) Floor drains or floor sinks. Where floor drains or floor sinks are installed, they shall be of a type that can be easily cleaned by removal of the cover. Removable stainless steel mesh shall be provided in addition to a grilled drain cover to prevent entry of large particles of waste which might cause stoppages.

(IV) Under counter piping. Under counter piping and above floor drains shall be arranged (raised) so as not to interfere with cleaning of the floor below the equipment.

(E) General electrical requirements. All electrical material and equipment, including conductors, controls, and signaling devices, shall be installed in compliance with applicable sections of the NFPA 70, National Electrical Code, 1999 edition, NFPA 99, 1999 edition, the requirements of this subparagraph; and as necessary to provide a complete electrical system. Electrical systems and components shall be listed by nationally recognized listing agencies as complying with available standards and shall be installed in accordance with the listings and manufacturer's instructions.

(i) All fixtures, switches, sockets, and other pieces of apparatus shall be maintained in a safe and working condition.

(ii) Extension cords and cables shall not be used for permanent wiring.

(iii) All electrical heating devices shall be equipped with a pilot light to indicate when the device is in service, unless equipped with a temperature limiting device integral with the heater.

(iv) All equipment, fixtures, and appliances shall be properly grounded in accordance with NFPA 70.

(v) Under-counter electrical installations shall be arranged (raised) to not interfere with cleaning of the floor below the equipment.

(vi) Installation testing and certification. The electrical installations, including grounding continuity, fire alarm, and communication systems, shall be tested to demonstrate that equipment installation and operation is appropriate and functional. A written record of performance tests on special electrical systems and equipment must show compliance with applicable codes and standards and shall be available to the department upon request.

(vii) Electrical safeguards. Shielded isolation transformers, voltage regulators, filters, surge suppressors, and other safeguards shall be provided as required where power line disturbances are likely to affect fire alarm components, data processing, equipment used for treatment, and automated laboratory diagnostic equipment.

(viii) Services and switchboards. Main switchboards shall be located in an area separate from plumbing and mechanical equipment and shall be accessible to authorized persons only. Switchboards shall be convenient for use, readily accessible for maintenance, away from traffic lanes, and located in dry, ventilated spaces free of corrosive or explosive fumes, gases, or any flammable material. Overload protective devices must operate properly in ambient temperatures.

(ix) Panelboard. Distribution panels containing circuit breakers that control lighting and power to essential and normal electrical circuits shall be located within the SCF.

(x) Wiring. When a SCF provides an essential electrical system all conductors for controls, equipment, lighting and power operating at 100 volts or higher shall be installed in metal or metallic raceways in accordance with the requirements of NFPA 70, Article 517. All surface mounted wiring operating at less than 100 volts shall be protected from mechanical injury with metal raceways to a height of seven feet above the floor. Conduits and cables shall be supported in accordance with NFPA 70, Article 300.

(xi) Lighting.

(I) In LCF lighting intensity for staff and patient needs shall comply with guidelines for health care facilities set forth in the Illuminating Engineering Society of North America (IES) Handbook published by the Illuminating Engineering Society of North America, 120 Wall Street, New York, NY 10025-4001.

(-a-) Consideration should be given to controlling light intensity and wavelength to prevent harm to the patient's eyes.

(-b-) Approaches to buildings and parking lots, and all spaces within buildings shall have fixtures that can be illuminated as necessary. All rooms including storerooms, electrical and mechanical equipment rooms, and all attics shall have sufficient artificial lighting so that all spaces shall be clearly visible.

(II) Means of egress and exit sign lighting intensity shall comply with NFPA 101, §§5-8, 5-9 and 5-10.

(III) Electric lamps which may be subject to breakage or which are installed in fixtures in confined locations when near woodwork, paper, clothing, or other combustible materials, shall be protected by wire guards, or plastic shields.

(xii) Receptacles.

(I) Appliances shall be grounded in accordance with NFPA 99, Chapter 9.

(II) A minimum of one duplex receptacle in each wall shall be installed in each work area or room other than storage or lockers. Each examination and work table shall have access to a minimum of two duplex receptacles.

(xiii) Grounding requirements. Fixed electrical equipment shall be grounded in accordance with the requirements of NFPA 99, §3-3.1.2, and NFPA 70, Article 517-13.

(xiv) Nurses calling systems.

(I) An audible voice two way communication nurse call system shall be provided in a SCF when it is classified as a LCF. The audible signal shall sound at a nurse station or similar control station.

(II) Distinct visible and audible signals shall be activated in the nurse's duty station, lounge, and workroom, soiled workroom and clean workroom.

(xv) Essential electrical system (EES). When SCF provides or requires an essential electrical system, the EES system shall comply with the requirements of NFPA 99, §3-5. A Type I EES shall be provided for LCF when patients require the use of life-support systems.

(xvi) Fire alarm system. A fire alarm system which complies with the requirements of NFPA 101, §§12-6.3.4, 32.2.3.4.1, 32.3.3.4.1, NFPA 70, Article 760; and NFPA 72, Chapter 3, shall be provided in each facility.

(I) Fire alarm system shall be installed by or under direct supervision of a fire alarm installer licensed by the State Fire Marshal.

(II) The SCF shall submit a copy of the Fire Alarm Installation Certificate (State Fire Marshal's form FML 009 040392) to the department for all new installations and for any material changes to the existing systems.

§125.92.Minimum Spatial Requirements for New Facilities.

(a) Administration and public suite.

(1) Entrance. Entrances shall be located at grade level, be accessible to individuals with disabilities, and protected against inclement weather. When an SCF is located on a floor above grade level, elevators shall be accessible and shall meet the requirements of §125.93 of this title (relating to Elevators).

(2) Waiting area. A waiting area or foyer shall be provided which includes having access to the following rooms and items:

(A) public toilet facilities; and

(B) telephone(s) for public use.

(3) General or individual office(s). An office(s) shall be provided for business transactions, records, and administrative and professional staff.

(4) Resident records area. Resident record storage space shall be located within a secure designated area under direct visual supervision of administrative staff.

(b) Dietary suite. In addition to the requirements of §125.32(d) of this title (relating to Resident Care and Services), the facility shall provide the following.

(1) Dining area for ambulatory patients, staff, and visitors. A dining area for ambulatory patients, staff, and visitors with a minimum floor space of 15 square feet per person to be seated shall be provided. The footage requirement does not include serving area. The dining area and service areas shall be separate from the food preparation and distribution area.

(2) Food service for a 50-bed residence or more. The food service for a 50-bed residence or more shall be provided by an on-site food preparation system or an off-site food service system or a combination of the two. The following minimum functional elements shall be provided on-site regardless of the type of dietary services.

(A) Receiving area. A receiving area shall be provided and shall have direct access to the outside for incoming dietary supplies or off-site food preparation service and shall be separate from the general receiving area. The receiving area shall contain a control station and an area for breakout for loading, unloading, uncrating, and weighing supplies. The entrance area to the receiving area shall be covered from the weather.

(B) Storage spaces. Storage spaces shall be convenient to receiving area and food preparation area and shall be located to exclude traffic through the food preparation area. Regardless of the type of food services provided, the facility shall provide storage of food for emergency use for a minimum of four calendar days.

(i) Storage space(s) shall be provided for bulk, refrigerated, and frozen foods.

(ii) A cleaning supply storage room or closet shall be provided to store non-food items that might contaminate edibles. This storage area may be combined with the housekeeping room.

(C) Counter space. Counter space shall be provided for food prep work, equipment, and an area to assemble trays for distribution for patient meals.

(D) Hand washing fixtures. Hand washing fixtures with hands-free operable controls shall be conveniently located at all food preparation area and serving areas.

(E) Cart distribution system. When a cart distribution system is provided, space shall be provided for storage, loading, distribution, receiving, and sanitizing of the food service carts. The cart traffic shall be designed to eliminate any danger of cross-circulation between outgoing food carts and incoming soiled carts, and the cleaning and sanitizing process. Cart circulation shall not be through food processing areas.

(F) Ware washing room. A ware washing room equipped with commercial type dishwasher equipment shall be located separate from the food preparation and serving areas. Space shall be provided for receiving, scraping, sorting, and stacking soiled tableware and for transferring clean tableware to the using areas. Hand washing facilities with hands-free operable controls shall be located within the soiled dish wash area. A physical separation to prevent cross traffic between "dirty side and "clean side" of the dish wash areas shall be provided.

(G) Three-compartmented sink. A three-compartmented sink of adequate size for pot washing shall be provided convenient to the food preparation area. It shall have direct access to the SCF waste collection and disposal facilities.

(H) Food waste storage room. A food waste storage room shall be conveniently located to the food preparation and ware washing areas but not within the food preparation area. It shall have direct access to the SCF waste collection and disposal facilities.

(I) Storage areas and sanitizing facilities. Storage areas and sanitizing facilities for garbage or refuse cans, carts, and mobile tray conveyors shall be provided. All containers for trash storage shall have tight-fitting lids.

(J) Housekeeping room. A housekeeping room shall be provided for the exclusive use of the dietary department. Where hot water or steam is used for general cleaning, additional space within the room shall be provided for the storage of hoses and nozzles.

(K) Dietary office. An office shall be provided for the use of the food service manager or the dietary service manager. In smaller facilities, a designated alcove may be located in an area that is part of the food preparation area.

(L) Toilet room. A toilet room shall be provided for the exclusive use of the dietary staff. Toilets shall not open directly into the food preparation areas, but must be in a close proximity to them. For larger facilities, a locker room or space for lockers shall be provided for staff belongings.

(M) Additional service areas, rooms and facilities. When an on-site food preparation system is used, in addition to the items required in subparagraphs (A) - (L) of this paragraph, the following service areas, rooms, and facilities shall be provided.

(i) When food preparation systems are provided, there shall be space and equipment for preparing, cooking, and baking.

(ii) A patient tray assembly and distribution area shall be located within close proximity to the food preparation and distribution areas.

(iii) When food is prepared on-site, the storage room shall be adequate to accommodate food for a seven-calendar day menu cycle.

(iv) An additional room(s) shall be provided for the storage of clean cooking wares, extra trays, flatware, plastic and paper products, and portable equipment.

(v) Provisions shall be made for drying and storage of pots and pans from the pot washing room or area.

(N) Details.

(i) Food storage shelves shall not be less than four inches above the finished floor and the space below the bottom shelf shall be closed in and sealed tight for ease of cleaning.

(ii) Operable windows and doors not equipped with automatic closing devices shall be equipped with insect screens.

(iii) Food processing areas in the central dietary kitchen shall have ceilings height not less than nine feet. In a facility classified as a RBCF, ceiling height shall not be less then eight feet. Ceiling mounted equipment shall be supported from rigid structures located above the finished ceilings.

(iv) Mirrors shall not be installed at hand washing fixtures in the food preparation areas.

(O) Finishes.

(i) Floors in areas used for food preparations, food assembly, and soiled and clean ware cleaning shall be water-resistance and greaseproof. Floor surfaces, including tile joints, shall be resistant to food acids.

(ii) Wall bases in food preparation, food assembly, soiled and clean ware cleaning and other areas which are frequently subject to wet cleaning methods shall be made integral and coved with the floor, tightly sealed to the wall, constructed without voids that can harbor insects, retain dirt particles, and be impervious to water.

(iii) In the dietary and food preparation areas, the wall construction, finishes, and trims, including the joints between the wall and the floor, shall be free of voids, cracks, and crevices.

(iv) The ceiling in food preparation and food assembly areas shall be washable. Smooth moisture impervious materials such as painted lay-in gypsum wallboard or vinyl faced acoustic tile in a metal grid.

(v) The ceiling in the soiled and clean ware cleaning area shall be monolithic from wall to wall (painted solid gypsum wallboard), smooth and without fissures, open joints, or crevices and with a washable and moisture impervious finish.

(c) Laboratory suite. When a laboratory is located on-site the following minimum items shall be provided:

(1) a room with work counter, utility sink, and storage cabinets or closet(s); and

(2) specimen collection facilities. For dip stick urinalysis, urine collection rooms shall be equipped with water closet and lavatory. Blood collection facilities shall have space for a chair, work counter and hand washing facilities.

(d) Laundry and linen storage and processing suite. Clean linen shall be available in a quantity sufficient to meet the needs of the residents. Clean linens shall be stored in clean linen storage areas.

(1) The SCF shall provide an area or room with a washer and dryer for resident use.

(2) In a facility classified as a large RBCF or a LCF, soiled and clean processing operations shall be separated and arranged to provide a one-way traffic pattern from soiled to clean areas. The following rooms and items shall be provided:

(A) a soiled linen processing room which includes areas for receiving, holding, sorting, and washing;

(B) a clean linen processing room which includes areas for drying, sorting, folding, and holding prior to distribution;

(C) supply storage cabinets in the soiled and clean linen processing rooms;

(D) hand washing facilities within the soiled linen processing room; and

(e) Medication room. The medication room shall be in compliance with the spatial and security requirements under §125.32(c)(7)(D) of this title.

(f) Resident bedroom suite.

(1) Bedrooms shall be arranged and equipped for adequate delivery of services and for comfort and privacy.

(2) Useable bedroom clear floor space shall be not less than 80 square feet for a one-bed room and not less than 60 square feet (40 square feet where bassinets or cribs are used) per bed for a multiple-bed room. Larger rooms are recommended for those residents needing nursing care. A bedroom shall be not less than eight feet in the smallest dimension.

(3) No more than four beds shall be in any bedroom.

(4) In the bedrooms and for each resident there shall be a bed, chair, table, dresser, and closet space or wardrobe providing security and privacy for clothing and personal belongings.

(5) Each resident bedroom shall have at least one operable outside window that can be readily opened from the inside without the use of tools. The height of the windowsill shall not exceed 36 inches from the floor. Operable window sections may be restricted for security or safety reasons, but the required one operable section shall not be restricted to less than six inches. Each window shall be provided with a flame-retardant shade, curtain, or blind.

(6) All resident rooms shall open upon an egress corridor leading to an exterior exit either by stairway or a door opening to the exterior.

(7) All resident rooms shall be arranged for convenient and sheltered resident access to living or public areas, restrooms, and dining facilities.

(g) Resident toilet and bathing facilities.

(1) If the SCF houses both male and female residents, all bedrooms shall have separate private, connecting, or general toilet rooms for each sex. The general toilet room or bathing room shall be accessible from a corridor or public space. A lavatory shall be readily accessible to each water closet. The facility shall provide at least one full bath on each resident sleeping floor.

(2) One water closet and one lavatory shall be provided for each four residents or fraction thereof. One tub or one shower shall be provided for each six residents or fraction thereof.

(3) Privacy partitions and shields shall be provided at water closets and bathing units in rooms for multi-resident use.

(4) A public or staff toilet, commode and lavatory, complying with accessibility standards, is required for every facility up to and including 50 beds. Facilities over 50 beds must have separate public toilets and staff toilets (this is in addition to the staff toilet(s) required for the dietary staff).

(5) All bathrooms, toilet rooms, and other odor-producing rooms shall be ventilated with operable windows or powered exhaust to the exterior for order control.

(6) Soap and towel dispensers shall be provided at all hand washing facilities.

(h) Recreation, living, or day room.

(1) Recreation, living, or day room space and furniture shall be provided to allow seating of residents. Each facility shall have at least one space of not less than 144 square feet. A facility with a capacity of nine or more residents shall provide a space of 10 square feet more per resident in addition to the 144 square feet minimum.

(2) At least one of the recreation, living, or day room areas shall have exterior windows providing a view to the outside.

(i) Additional service areas.

(1) Janitor's closet. A sufficient number of janitor closets shall be provided throughout the facility to maintain a clean and sanitary environment. The closet shall contain a floor receptor or service sink and storage space for housekeeping supplies and equipment.

(2) Storage room. A resident storage room shall be a minimum of 50 square feet per six resident beds or fraction thereof.

(3) Medical gas storage room. When provided or required by National Fire Protection Association 101, (NFPA 101), Code for Safety to Life from Fire in Buildings and Structures, 2000 edition, a medical gas storage room shall comply with the requirements of NFPA 99, Chapter 4-4, Gas and Vacuum Systems. All documents published by the ASME/ANSI as referenced in this section may be obtained by writing the ANSI, 25 West 43rd Street, New York, N.Y. 10036. All documents published by NFPA as referenced in these rules may be obtained by writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471, or (800) 344-3555.

(4) Area for emergency crash cart, if provided. An area or alcove located out of traffic and conveniently located near medication room or similar staff control room shall be provided for an emergency crash cart.

(5) Medical waste processing. Space and facilities shall be provided for the safe storage and disposal of waste as appropriate for the material being handled and in compliance with all applicable rules and regulations.

§125.93.Elevators.

(a) General. All buildings that have resident services located on other than the main entrance floor shall have electric or electro hydraulic elevators. The elevators shall be installed in sufficient quantity, capacity, and speed to ensure that the average interval of dispatch time will not exceed one minute, and average peak loading can be accommodated.

(b) Requirements for new elevators. New elevators shall be installed in accordance with the requirements of Health and Safety Code (HSC), Chapter 754, Elevators, Escalators, and Related Equipment, and ASME/ANSI A17.1, Safety Code for Elevators and Escalators, 1996 edition, published by the American Society of Mechanical Engineers and the American National Standards Institute. All new elevators shall conform to the Fire Fighters' Service Requirements of ASME/ANSI A17.1, in accordance with National Fire Protection Association 101, (NFPA 101), Code for Safety to Life from Fire in Buildings and Structures, 2000 edition, §7-4.4. All documents published by the ASME/ANSI as referenced in this section may be obtained by writing the ANSI, 25 West 43rd Street, New York, N.Y. 10036. All documents published by NFPA as referenced in these rules may be obtained by writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471, or (800) 344-3555.

(c) Requirements for existing elevators. Existing elevators shall comply with the ASME/ANSI A17.1, Part XII, Alterations, Repair, Replacements, and Maintenance, and ASME/ANSI A17.3, Safety Code for Existing Elevators and Escalators, current edition. All existing elevators having a travel distance of 25 feet or more above or below the level that best serves the needs of emergency personnel for fire fighting or rescue purposes shall conform to Fire Fighters' Service Requirements of ASME/ANSI A17.3, as required by NFPA 101, §7-4.5.

(d) Elevator machine rooms. Elevator machine rooms that contain solid-state equipment for elevators having a travel distance of more than 50 feet above the level of exit discharge or more than 30 feet below the level of exit discharge shall be provided with independent ventilation or air-conditioning systems with the capability to maintain an operating temperature during fire fighter service operations. The operating temperature shall be established by the elevator equipment manufacturer's specifications and shall be posted in each such elevator machine room. When standby power is connected to the elevator, the machine room ventilation or air conditioning shall also be connected to standby power. These requirements are not applicable to existing elevators.

(e) Elevator car size. Minimum elevator car size shall be five feet wide and five feet deep. A minimum LCF elevator car size shall be five feet wide and eight feet deep.

(f) Elevator and elevator shaft doors. When light beams are used for operating door-opening devices, the beams shall be used in combination with door edge devices and shall be interconnected with a system of smoke detectors. The light control feature shall be disengaged when smoke is detected in any elevator lobby.

(1) The smallest elevator car door opening shall be at least three feet wide and seven feet high.

(2) The elevator car door opening for a LCF elevator shall be at least four feet wide and seven feet high.

(3) The elevator cars for LCF shall be at least five feet by eight inches wide by eight feet six inches deep.

(g) Type of controls and alarms. Elevator call buttons, controls, and door safety stops shall be of a type that will not be activated by heat or smoke.

(h) Leveling. All elevators shall be equipped with an automatic leveling device of the two-way automatic maintaining type with an accuracy of one-half inch.

(i) Operation. All elevators, except freight elevators, shall be equipped with a two-way key operated service switch permitting cars to bypass all landing button calls and be dispatched directly to any floor.

(j) Accessibility of controls and alarms. Elevator controls, alarm buttons, and telephones shall be accessible to wheelchair occupants in accordance with the Americans with Disabilities Act.

(k) Location. Elevators shall not open to an exit.

(l) Testing. An SCF shall have all elevators and escalators routinely and periodically inspected and tested in accordance with ASME/ANSI A17.1. All elevators equipped with fire fighter service shall be subject to a monthly operation with a written record of the findings made and kept on the premises as required by NFPA 101, §7-4.8, Elevator Testing.

(m) Certification. An SCF shall obtain a certificate of inspection evidencing that the elevators and related equipment were inspected in accordance with the requirements in HSC, Chapter 754, Subchapter B, and determined to be in compliance with the safety standards adopted under HSC, §754.014, administered by the Texas Department of Licensing and Regulation. The certificate of inspection shall be on record in each center.

§125.94.Preparation, Submittal, Review and Approval of Plans.

(a) Compliance.

(1) When local regulations are in effect and enforced governing the construction of a new SCF or the renovation or modification of an existing SCF, the SCF shall be constructed in accordance with the local regulations and submission of construction documents to the department is not required. An SCF may voluntarily submit construction documents to the department.

(2) In the absence of local regulations, a new or existing SCF shall comply with the following subparagraphs (A) - (E) of this paragraph, and subsections (b) - (e) of this section.

(A) Facility owners or operators may not begin construction of a new building or additions to or renovations or conversions of existing buildings until final construction documents are reviewed and approved by the department.

(B) Plans and specifications describing the construction of new buildings and additions to or renovations and conversions of existing buildings shall be prepared by registered architects and/or licensed professional engineers.

(C) A program narrative shall be prepared in accordance with subsection (b) of this section and submitted to the department at the time of the submission of the Application for Plan Review.

(D) Preliminary plans shall be prepared and submitted in accordance with subsection (c) of this section.

(E) Final plans and specifications shall be prepared and submitted in accordance with subsection (d) of this section.

(b) Functional program narrative. The facility shall provide a functional program narrative presented on facility letterhead and signed by facility administration. The narrative shall include the functional description of each space and the following:

(1) departmental relationships, number of patient beds in each category, and other basic information relating to the fulfillment of the facility's objectives;

(2) a description of each function to be performed, approximate space needed for these functions, occupants of the various spaces, types of equipment required, interrelationship of various functions and spaces;

(3) energy conservation measures, included in building, mechanical and electrical designs; and

(4) the type of construction (existing or proposed) as stated in §18-1.6.2, or §32.1.1.3, National Fire Protection Association 101, Code for Safety to Life from Fire in Buildings and Structures, 2000 edition (NFPA 101), published by the National Fire Protection Association. All documents published by the NFPA as referenced in this section may be obtained by writing or calling the NFPA at the following address and telephone number: Post Office Box 9101, 1 Batterymarch Park, Quincy, Massachusetts 02169-7471, (800) 344-3555.

(c) Preliminary documents. Preliminary documents shall consist of a functional program narrative, preliminary plans, and outline specifications. These documents shall contain sufficient information to establish the project scope, description of functions to be performed, project location, required fire safety and exiting requirements, building construction type, compartmentation showing fire and smoke barriers, bed count and services, and the usage of all spaces, areas, and rooms on every floor level.

(1) Preparation of preliminary plans. Preliminary plans shall be of a sufficiently large scale to clearly illustrate the proposed design but not less than one-eighth inch equals one foot. Preliminary plans shall provide the following information.

(A) Floor area and bed distribution. The total floor area on each level involved in construction, together with the proposed bed distribution, shall be shown on the drawings.

(B) Floor plan. Each floor plan shall indicate and identify all individual spaces, doors, windows and means of egress.

(C) Existing floor plan. An overall floor plan showing existing spaces, smoke partitions, smoke compartments, and exits and their relationship to the new construction shall be submitted on all renovations or additions to an existing facility. Plans for remodeling of spaces above or below the level of discharge shall include the level of discharge floor plan, showing all exits at that level. When there are two different levels of discharge, plans for both levels shall be submitted.

(D) Construction type and fire rating. Building sections shall be provided to illustrate construction type and fire protection rating. Section(s) shall be drawn at a scale sufficiently large to clearly present the proposed construction system.

(E) Area map. A map of the area within a two mile radius of the facility site shall be provided and any hazardous and undesirable location noted in §125.91(c) of this title (relating to Construction Requirements) shall be identified.

(F) Site plan. A site plan shall be submitted and shall indicate the location of the proposed building(s) in relation to property lines, existing buildings or structures, access and approach roads, and parking areas and drives. Any overhead or underground utilities or service lines shall also be indicated.

(G) Outline specifications. Outline specifications shall provide a general description of the construction, materials, and finishes that are not shown on the drawings.

(2) Submission of preliminary plans. One set of preliminary plans, outline specifications covering the construction of new buildings or alterations, additions, conversions, modernizations, or renovations to existing buildings, a functional program narrative, a completed and signed Application for Plan Review, and the applicable plan review fee in accordance with §125.15 of this title (relating to Fees) shall be submitted to the Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756, for review and approval. For convenience, preliminary plans may be reduced for preliminary submittal. The cost of submitting plans and specifications shall be borne by the sender.

(3) Preliminary plan review. All deficiencies noted in the preliminary plan review shall be satisfactorily resolved.

(d) Construction documents. Construction documents or final plans and specifications shall be submitted to the department for review and approval prior to start of construction. All final plans and specifications shall be appropriately sealed and signed by a registered architect and a professional engineer licensed by the State of Texas.

(1) Preparation of construction documents. Construction documents shall be well prepared so that clear and distinct prints may be obtained, shall be accurately and adequately dimensioned, and shall include all necessary explanatory notes, schedules, and legends and shall be adequate for contract purposes. Compliance with model building codes and this chapter shall be indicated. The type of construction, as classified by National Fire Protection Association 220, Standard on Types of Building Construction, 1999 edition, shall be provided for existing and new facilities. Final plans shall be drawn to a sufficiently large scale to clearly illustrate the proposed design but not less than one-eighth inch equals one foot. All rooms shall be identified by usage on all plans (architectural, fire safety, mechanical, electrical, etc.) submitted. Separate drawings shall be prepared for each of the following branches of work.

(A) Architectural plans. Architectural drawings shall include the following:

(i) site plan showing all new topography, newly established levels and grades, existing structures on the site (if any), new buildings and structures, roadways, walks, and the extent of the areas to be landscaped. All structures which are to be removed under the construction contract and improvements shall be shown. A general description of the immediate area surrounding the site shall be provided;

(ii) plan of each floor and roof to include fire and smoke separation, means of egress, and identification of all spaces;

(iii) schedules of doors, windows, and finishes;

(iv) elevations of each facade;

(v) sections through building; and

(vi) scaled details as necessary.

(B) Fire safety plans. These drawings shall be provided for all newly constructed buildings, conversions of existing buildings for facilities, additions to existing licensed facilities, and remodeled portions of existing buildings containing licensed facilities. Fire safety plans shall be of a sufficiently large scale to clearly illustrate the proposed design but not less than one-sixteenth inch equals one foot and shall include the following information:

(i) separate fire safety plans (preferably one floor plan per sheet) shall indicate location of fire protection rated walls and partitions, location and fire resistance rating of each fire damper, and the required means of egress (corridors, stairs, exits, exit passageways):

(I) when a new building is to contain a proposed facility, when an existing building is converted to a facility, or when an addition is made to an existing facility building, plans of each floor and roof shall be provided;

(II) when a portion of a building is remodeled or when a new service is added, only the plan of the floor where the remodeling will take place or new service will be introduced and the plan of the floor of discharge shall be provided;

(ii) designated smoke compartments with floor areas of each compartment, location and fire resistance rating (one or two hour) of each smoke partition, location, type and fire resistance rating of each smoke damper;

(iii) location of all required fire alarm devices, including all fire alarm control panels, manual pull stations, audible and visual fire alarm signaling devices, smoke detectors (ceiling and duct mounted), fire alarm annunciators, fire alarm transmission devices, fire sprinkler flow switches and control valve supervisory switches on each of the floor plans; and

(iv) areas protected with fire sprinkler systems (pendant, sidewall or upright, normal or quick response, and temperature rating shall be indicated), stand pipe system risers and sizes with valves and inside and outside fire department connections, fire sprinkler risers and sizes, location and type of portable fire extinguishers.

(C) Equipment drawings. Equipment drawings shall include the following:

(i) all equipment necessary for the operation of the facility as planned. The design shall indicate provisions for the installation of large and special items of equipment and for service accessibility;

(ii) fixed equipment (equipment which is permanently affixed to the building or which must be permanently connected to a service distribution system designed and installed during construction for the specific use of the equipment). The term "fixed equipment" includes items such as laundry extractors, walk-in refrigerators, communication systems, and built-in casework (cabinets);

(iii) movable equipment (equipment not described in clause (ii) of this subparagraph as fixed). The term "moveable equipment" includes wheeled equipment, plug-in type monitoring equipment, and relocatable items; and

(iv) equipment which is not included in the construction contract but which requires mechanical or electrical service connections or construction modifications. The equipment described in this clause shall be identified on the drawings to ensure its coordination with the architectural, mechanical, and electrical phases of construction.

(D) Structural drawings. Structural drawings shall include:

(i) plans for foundations, floors, roofs, and all intermediate levels;

(ii) a complete design with sizes, sections, and the relative location of the various members;

(iii) a schedule of beams, girders, and columns;

(iv) dimensioned floor levels, column centers, and offsets;

(v) details of all special connections, assemblies, and expansion joints; and

(vi) special openings and pipe sleeves dimensioned or otherwise noted for easy reference.

(E) Mechanical drawings. Documentation for selection of the type of heating and cooling system based on requirements contained in §125.91(c)(3)(D) of this title shall be included with the mechanical plans. Mechanical drawings shall include:

(i) complete ventilation systems (supply, return, exhaust), all fire and smoke partitions, locations of all dampers, registers, and grilles, air volume flow at each device, and identification of all spaces (e.g. corridor, patient room, operating room);

(ii) boilers, chillers, heating and cooling piping systems (steam piping, hot water, chilled water), and associated pumps;

(iii) cold and warm water supply systems, water heaters, storage tanks, circulating pumps, plumbing fixtures, emergency water storage tank(s) (if provided), and special piping systems such as for deionized water;

(iv) drain piping systems (waste and soiled piping systems, roof drain systems);

(v) fire protection piping systems (sprinkler piping systems, fire standpipe systems, water or chemical extinguisher piping system for cooking equipment); and

(vi) piping riser diagrams, equipment schedules, control diagrams or narrative description of controls, filters, and location of all duct mounted smoke detectors.

(F) Electrical drawings. Electrical drawings shall include:

(i) electrical service entrance with service switches, service feeders to the public service feeders, and characteristics of the light and power current including transformers and their connections;

(ii) location of all normal electrical system and essential electrical system conduits, wiring, receptacles, light fixtures, switches and equipment which require permanent electrical connections, on plans of each building level;

(iii) telephone and communication, fixed computers, terminals, connections, outlets, and equipment;

(iv) nurses calling system showing all stations, signals, and annunciators on the plans;

(v) in addition to electrical plans, single line diagrams prepared for:

(I) complete electrical system consisting of the normal electrical system transformers, conduit, wire sizes, main switchboard, power panels, light panels, and equipment for additions to existing buildings, proposed new facilities, and remodeled portions of existing facilities. Feeder and conduit sizes shall be shown with schedule of feeder breakers or switches;

(II) a single line diagram of the complete fire alarm system showing all control panels, signaling and detection devices and the room number where each device is located; and

(vi) schedules of all panels indicating connected load at each panel.

(2) Final plan review. All deficiencies noted in the final plan review shall be satisfactorily resolved before approval of project for construction will be granted.

(3) Construction approval. Construction shall not begin until written approval by the department is received by the owner of the facility.

(4) Construction document changes. Any changes to construction documents which affect or change the function, design, or designated use of an area shall be submitted to the department for approval prior to authorization of the modifications.

(e) Special submittals.

(1) Designer certified construction documents. In an effort to shorten the plan review and approval process, design professionals may submit, at the discretion of the department, a set of final construction documents, the department's completed checklist of licensing requirements and a certification letter which states that the plans and specifications, based on the department's checklist comply with the requirements of this chapter. Project certification forms shall be signed by the licensee or applicant and the architect(s) and engineer(s) of record.

(2) Fast-track projects. Submittal of fast-track projects shall be at the discretion of the department and shall be submitted in not more than three separate packages.

(A) First package. The first package shall include:

(i) a map showing the location of the proposed facility site and adjacent surrounding area at least two miles in radius identifying any hazardous and undesirable location noted in §125.91(c) of this title;

(ii) preliminary architectural plans and a detailed building site plan showing all adjacent streets, site work, underslab mechanical, electrical, and plumbing work, and related specifications; and

(iii) foundation and structural plans.

(B) Second package. The second package shall include complete architectural plans and details with specifications and fire safety plans as described in subsection (c) of this section.

(C) Third package. The third package shall include complete mechanical, electrical, equipment and furnishings, and plumbing plans and specifications, as described in subsection (c) of this section.

(3) Fire sprinkler systems. Fire sprinkler systems shall comply with the requirements of National Fire Protection Association 13, Standard for the Installation of Sprinkler systems, 1999 edition. Fire sprinkler systems shall be designed or reviewed by an engineer who is registered by the Texas State Board of Registration for Professional Engineers in fire protection specialty or is experienced in hydraulic design and fire sprinkler system installation. A short resume shall be submitted if registration is not in fire protection specialty.

(A) Fire sprinkler working plans, complete hydraulic calculations and water supply information shall be prepared in accordance with NFPA 13, §§8-1, 8-2 and 8-3, for new fire sprinkler systems, alterations of and additions to existing ones.

(B) Certification of changes in an existing system is not required when relocation of not more than twenty sprinkler heads is involved.

(C) One set of fire sprinkler working plans (sealed by the engineer), calculations and water supply information shall be forwarded to the department together with the engineer's certification letter stating that the sprinkler system design complies with the requirements of NFPA 13. Certification of the fire sprinkler system shall be submitted prior to system installation.

(D) Upon completion of the fire sprinkler system installation and any required corrections, written certification by the engineer, stating that the fire sprinkler system is installed in accordance with NFPA 13 requirements, shall be submitted prior to or with the written request for the final construction inspection of the project.

(f) Resubmittal of construction documents. When construction is delayed for longer than one year from the plan approval date, construction documents shall be resubmitted to the department for review and approval. The plans shall be accompanied by a new Application for Plan Review and a plan review fee.

(g) Project delay or cancellation. The licensee or owner shall provide written notification to the department when a project has been placed on hold, canceled or abandoned.

(h) On-hold projects. The department may close a project file after one year of its receipt of an Application for Plan Review for projects that have been placed on hold.

§125.95.Construction, Inspections, and Approval of Projects for New or Existing Facilities in the Absence of Local Codes and Regulations.

(a) Construction.

(1) Major construction. Construction, of other than minor alterations, shall not commence until the final plan review deficiencies have been satisfactorily resolved, the appropriate plan review fee, according to the plan review schedule in §125.15 of this title (relating to Fees), has been paid, and the department has issued a letter granting approval to begin construction. Such authorization does not constitute release from the requirements contained in this chapter. If the construction takes place in or near occupied areas, adequate provision shall be made for the safety and comfort of occupants.

(2) Construction commencement notification. The architect of record or the licensee or applicant shall provide written notification to the department when construction will commence. The department shall be notified in writing of any change in the completion schedules.

(3) Completion. Construction shall be completed in compliance with the construction documents including all addenda or modifications approved for the project.

(b) Construction inspections. All facilities including those which maintain certification under Title XVIII of the Social Security Act (42 United States Code, §1395 et seq.), are subject to construction inspections.

(1) Number of construction inspections. A minimum of two construction inspections of the project is generally required for the purpose of verifying compliance with subchapters G and H of this chapter and the approved plans and specifications. The final plan approval letter will inform the architect of record and the owner as to the minimum number of inspections required for the project.

(2) Requesting an inspection. The architect of record or the licensee shall request a inspection by submitting an Application for Inspection and the construction inspection fee in accordance with §125.15(d) of this title for each intermediate inspection, final inspection, and reinspection requested. Inspection requests by contractors will not be honored.

(A) The architect of record or the licensee shall request an intermediate construction inspection to occur at approximately 80% completion. All major work above the ceiling shall be completed at the time of the intermediate inspection, however ceilings should not be installed.

(B) The architect of record or the licensee shall request a final construction inspection at 100% completion. One-hundred percent completion means that the project is completed to the extent that all equipment is operating in accordance with specifications, all necessary furnishings are in place, and patients could be admitted and treated in all areas of the project.

(3) Reinspection. Depending upon the number and nature of the deficiencies cited during the final inspection, the surveyor may require that an inspection be conducted to confirm correction of all deficiencies cited. The request for re-inspection shall be submitted in accordance with paragraph (2) of this subsection.

(c) Approval of project. Patients shall not occupy a new structure or remodeled or renovated space until approval has been received from the local building and fire authorities and the department.

(1) Documentation requirements. The licensee shall submit the following documents to the department before the project will be approved:

(A) written approval of the project by the fire authority;

(B) a certificate of occupancy for the project issued by the local building authority;

(C) written certification by the engineer, stating that the fire sprinkler system is installed in accordance with the requirements of NFPA 13, Standard for the Installation of Sprinkler Systems, 1999 edition, if applicable;

(D) fire alarm system certification (form FML-009 040392 of the Office of the State Fire Marshal), if applicable;

(E) a written plan of correction signed by the licensee for any deficiencies noted during the final inspection;

(F) a copy of documentation indicating the flame spread rating and the smoke development rating of any wall covering installed in this project. Provide a signed letter or statement corroborating the installation of the product in the project;

(G) a copy of documentation indicating that draperies, curtains, and other similar loosely hanging furnishings and decorations are flame resistant as demonstrated by passing both the small and large-scale tests of National Fire Protection Association (NFPA) 701, Standard Methods of Fire Tests for Flame-Resistant Textiles and Films, 1999 edition, as required by NFPA 101, Code for Safety to Life from Fire in Buildings and Structures, §18-7.5, and provide a signed letter or statement corroborating the installation of the product in the project. All documents published by NFPA as referenced in these rules may be obtained by writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471, or (800) 344-3555.

(H) a Final Construction Approval form signed by the licensee; and

(I) any other documentation or information required due to the type of the project.

(2) Verbal occupancy approval.

(A) If, during the final inspection, the surveyor finds only a few minor deficiencies that do not jeopardize resident health, safety and welfare, the surveyor may grant verbal approval for occupancy contingent upon the documents listed in paragraph (1)(A)-(E) of this subsection being provided to and approved by the surveyor at the time of the final inspection.

(B) Verbal occupancy approval allows the licensee to occupy the project. However, the licensee must submit the documents required in paragraph (1)(F)-(I) of this subsection before the project receives final approval.

(3) Final approval. Upon its receipt and acceptance of the documents required in paragraph (1) of this subsection, the department will issue final approval of the project.

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 July 5, 2004.

TRD-200404379

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 25, 2004

Proposal publication date: March 26, 2004

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


Chapter 128. PERMITS FOR CONTACT LENS DISPENSERS

The Texas Department of Health (department) adopts amendments to §§128.3, 128.9, and 128.11-128.12, the repeal of §128.5, and new §128.5, concerning the regulation of persons filling contact lens prescriptions without changes to the proposed text as published in the April 30, 2004, issue of the Texas Register (29 TexReg 4052), and therefore the sections will not be republished.

The repeal and new rule implement the "Fairness to Contact Lens Consumers Act", Public Law 108-164, a change in federal law affecting the dispensing of contact lenses. The amendments are necessary to implement House Bill 2985, 78th Legislature, 2003, which added Occupations Code, Chapter 101, Subchapter G, which establishes the Office of Patient Protection within the Health Professions Council and requires additional fees to fund it; Senate Bill 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; House Bill 2292, 78th Legislature, 2003, which revised Health and Safety Code, §§12.0111 and 12.0112, and requires two-year licenses effective January 1, 2005; and Senate Bill 161, 78th Legislature, 2003, which amends Occupations Code, Chapter 353, relating to emergency suspension. The amendments also clarify the department's current complaint process.

The department received no public comments during the comment period for these amendments.

25 TAC §§128.3, 128.5, 128.9, 128.11, 128.12

The amendments and new section are adopted under the Occupations Code, Chapter 353, which authorizes the Board of Health (board) to adopt rules necessary to implement the section; and the 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 July 1, 2004.

TRD-200404342

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


25 TAC §128.5

The repeal is adopted under the Occupations Code, Chapter 353, which authorizes the Board of Health (board) to adopt rules necessary to implement the section; and the 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 July 1, 2004.

TRD-200404343

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


Chapter 129. OPTICIANS' REGISTRY

25 TAC §§129.4, 129.7 - 129.9, 129.11

The Texas Department of Health (department) adopts amendments to §§129.4, 129.7 - 129.9, and 129.11, concerning the voluntary registration of opticians. Section 129.4 is adopted with changes to the proposed text as published in the April 30, 2004, issue of the Texas Register (29 TexReg 4053). Sections 129.7 - 129.9, and 129.11 are adopted without changes, and therefore the sections will not be republished.

The amendments are necessary to implement House Bill 2985, 78th Legislature, 2003, which added Occupations Code, Chapter 101, Subchapter G, which establishes the Office of Patient Protection within the Health Professions Council and requires additional fees to fund it; Senate Bill 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; House Bill 2292, 78th Legislature, 2003 which revised Health and Safety Code, §12.0111 and §12.0112, and requires two-year licenses effective January 1, 2005; and Senate Bill 161, 78th Legislature, 2003 which amends Occupations Code, Chapter 352, relating to emergency suspension.

The department received no public comments during the comment period for these amendments. However, the department made minor editorial changes due to staff comments to clarify the amendment to §129.4.

Change: Concerning §129.4(a)(1), the fee for an initial registration issued for a two-year term is increased to twice the fee required to issue a registration for a term of one year.

Change: Concerning §129.4(a)(2), the fee for an initial dual registration issued for a two-year term is increased to twice the fee required to issue a registration for a term of one year.

The amendments are adopted under the Occupations Code, Chapter 352, which authorizes the Board of Health (board) to adopt procedural and substantive rules in accordance with the statute; and the 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.

§129.4.Fees.

(a) Schedule of fees. The fees are as follows:

(1) application and registration fee:

(A) for a registration issued for one year--$50;

(B) for a registration issued for two years--$100;

(2) initial dual application and registration fee:

(A) for a registration issued for one year--$80;

(B) for a registration issued for two years--$160;

(3) registration renewal fee;

(A) for a registration issued for one year--$50;

(B) for a registration issued for two years--$100;

(4) dual registration renewal fee;

(A) for a registration issued for one year--$80;

(B) for a registration issued for two years--$160;

(5) late registration fee--a fee that is one and one-half times the registration renewal fee if renewed within 90 days of expiration or a fee that is two times the registration renewal fee if renewed more than 90 days but less than one year after expiration;

(6) duplicate certificate fee--$20; and

(7) examination fee--the then current fee assessed by the Texas Department of Health's (department's) designee for the examination.

(b) Payment of fees. If paid by mail, all fees shall be submitted in the form of a personal check, certified check for guaranteed funds or a money order made payable to the Texas Department of Health. If submitted in person, cash may be accepted by the department's cashier.

(c) Nonrefundable fees. All fees submitted to the department are nonrefundable.

(d) For all applications and renewal applications, the department is authorized to collect fees to fund the Office of Patient Protection, Health Professions Council, as mandated by law.

(e) 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.

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 July 1, 2004.

TRD-200404346

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


Chapter 130. CODE ENFORCEMENT REGISTRY

25 TAC §§130.4, 130.11, 130.12, 130.15, 130.20

The Texas Department of Health (department) adopts amendments to §§130.4, 130.11, 130.12. 130.15, and 130.20, concerning the registration of code enforcement officers. Section 130.4 is adopted with changes to the proposed text as published in the April 30, 2004, issue of the Texas Register (29 TexReg 4055) as a result of staff recommendations. Sections 130.11, 130.12, 130.15, and 130.20 are adopted without changes, and therefore the sections will not be republished.

The amendments are necessary to implement House Bill 2985, 78th Legislature, 2003, which added Occupations Code, Chapter 101, Subchapter G, which establishes the Office of Patient Protection within the Health Professions Council and requires additional fees to fund it; Senate Bill 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; House Bill 2292, 78th legislature, 2003 which revised Health and Safety Code, §§12.0111 and 12.0112, and requires two-year licenses effective January 1, 2005; and Senate Bill 161, 78th Legislature, 2003, which amends Occupations Code, Chapter 1952, relating to administrative penalties.

Amendments to §130.4 clarify that the application fee for a registration with a two-year term will be equal to the fee required for a renewal for a two-year term.

The department received no public comments during the comment period for these amendments. However, the department made a minor editorial change due to staff comments to clarify the rules in the amendment to §130.4.

Change: Concerning §130.4(a)(1), the application fee for a registration issued for a two-year term is increased to equal the fee required to renew a registration for a term of two years.

The amendments are adopted under the Occupations Code, Chapter 1952, which authorizes the Board of Health (board) to adopt standards, education requirements, and fees by rule for the registration of code enforcement officers; and the 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.

§130.4.Fees.

(a) The schedule of fees is as follows:

(1) application fee (includes initial registration):

(A) for a registration issued for a one year term--$50; and

(B) for a registration issued for a two year term--$100;

(2) renewal fee:

(A) for a registration issued for a one year term--$50; and

(B) for a registration issued for a two year term--$100;

(3) reinstatement fee--$50;

(4) registration fee for an upgrade (for code enforcement officers in training)--$20;

(5) certificate or identification card replacement fee--$20 each;

(6) examination fees:

(A) department administered--$50; or

(B) administered by department's designee--the amount specified in the contract between the department and the designee, not to exceed $50; and

(7) reexamination fee--$50.

(b) All fees are nonrefundable.

(c) All fees shall be submitted in the form of certified checks for guaranteed funds; money orders; checks from state agencies, municipalities, counties; or other political subdivisions of the state made payable to the department.

(d) For all applications and renewal applications, the department is authorized to collect fees to fund the Office of Patient Protection, Health Professions Council, as mandated by law.

(e) 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.

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 July 1, 2004.

TRD-200404345

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


Chapter 169. ZOONOSIS CONTROL

Subchapter A. RABIES CONTROL AND ERADICATION

25 TAC §169.26

The Texas Department of Health (department) adopts an amendment to §169.26, concerning facilities for the quarantining or impounding of animals. Section 169.26 is adopted without changes to the proposed text as published in the March 26, 2004, issue of the Texas Register (29 TexReg 3141) and will not be republished.

The section is amended to clarify existing language so personnel working in animal quarantine and impoundment facilities have a clearer understanding of the required minimum standards for storage of nonperishable foods, primary enclosures, and outdoor facilities.

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

Comment: Three commenters agree with proposed §169.26 in its entirety.

Response: The department agrees with the commenters. No change was made as a result of the comments.

Three individual commenters were in favor of the rule in its entirety.

After careful consideration of the alternatives, the department adopts these amendments as the best compromise between preserving public health, humane treatment of quarantined and impounded animals, and the economic limitations of the entities which operate these facilities.

The amendment is adopted under Texas Health and Safety Code, Chapter 826, "Rabies," §826.011, which requires the Texas Board of Health (board) to administer this program; §826.051, which requires the board to adopt rules governing the types of facilities that may be used to quarantine or impound animals; 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.

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 July 1, 2004.

TRD-200404347

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: March 26, 2004

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


Chapter 181. VITAL STATISTICS

The Texas Department of Health (department) adopts amendments to §§181.1-181.2, 181.5-181.8, 181.10, 181.13-181.14, 181.22-181.24, 181.26, 181.28-181.32, 181.44-181.45, and new 181.33 and 181.34, concerning administrative procedures, issuance of vital records events and statistical information, and the Central Adoption Registry of the Bureau of Vital Statistics. Sections 181.1 and 181.28 are adopted with changes to the proposed text as published in the March 26, 2004, issue of the Texas Register (29 TexReg 3141). The amendments to §§181.2, 181.5-181.8, 181.10, 181.13-181.14, 181.22-181.24, 181.26, 181.29-181.32, 181.44-181.45 and new §§181.33-181.34 are adopted without changes and will not be republished.

Specifically, the amendments cover the following: Subchapter A clarifies key vital statistics words and terms; provides instructions and requirements for the preservation, transportation, and final disposition of dead bodies; set requirements regarding access, confidentiality and filing of supplemental birth certificates, fetal death certificates; and defines the form and content of birth, death, and fetal death certificates. Subchapter B provides instructions, sets requirements, and fees for issuance of certified copies, and registration of birth and death records; defines how abused, misused or flagged records are handled; provides instructions and requirements for filing of amendment to medical certification of the certificate of death; sets minimum requirements for adoption reporting and index access; and establishes notification, maintenance, and preservation requirements for out-of-business child-placing agencies' records. Subchapter C establishes rules for notifying adoptive parents about the Central/Voluntary Adoption Registry; defines the duties, responsibilities and fees associated with the voluntary adoption registries; and provides guidelines pertaining to the confidentiality, notification and the release of information. The new sections provide instructions and requirements for registering a certificate of death by catastrophe and instructions; and requirements for reporting assisted reproduction procedures performed by a health care facility under a gestational agreement.

There were no comments received concerning the proposed rules, however, minor revisions were made due to staff comments.

Change: Concerning §181.1(4), the word "Certification" was changed to "Certified" for clarity.

Change: Concerning §181.28(c)(1), the word "document" was replaced with the word "documents" to correct grammar.

Subchapter A. MISCELLANEOUS PROVISIONS

25 TAC §§181.1, 181.2, 181.5 - 181.8, 181.10, 181.13, 181.14

The amendments are adopted under authority of the Health and Safety Code, §191.003, which provides the Board of Health with authority to adopt necessary rules for collecting, recording, transcribing, compiling, and preserving vital statistics; 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, department, and the Commissioner of Health.

§181.1.Definitions.

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

(1) Applicant--A person who requests a service pertaining to a record of birth or death, verification of marriage or divorce, or release of personal data. (Also, see definition for properly qualified applicant).

(2) Birth records--Records governing births filed pursuant to the Texas Vital Statistics Act, the Health and Safety Code, Title 3.

(3) Bureau of Vital Statistics (Bureau)--The office within the Texas Department of Health charged with the implementation of the Texas Vital Statistics Act.

(4) Certified--A certified statement, form, or letter, of the facts stated on the form or document as filed in the Bureau of Vital Statistics, certified by the state registrar or duly appointed designee, over the respective signature and may bear the seal of the Bureau of Vital Statistics.

(5) Certified copy--An abstract or photocopy of the original record issued as filed with the Bureau of Vital Statistics, and issued on a designated form or security paper which shall bear the "state seal", the Texas Department of Health-Bureau of Vital Statistics or the seal of their office, and the facsimile signature of the State Registrar or the local registration official.

(6) Dead body--A lifeless human body or such parts of the human body or the bones thereof from the state of which it may be reasonably concluded that death occurred.

(7) Disinterment--To exhume, unbury, or take out of the grave.

(8) Death records--Records governing deaths and fetal deaths filed pursuant to the Texas Vital Statistics Act.

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

(10) Embalming--The act of disinfecting or preserving a human dead body, entire or in part, by the use of chemical substances, fluids, or gases in the body; or by the introduction of the same into the body by vascular or hypodermic injection; or by direct application into the organs or cavities; or by any other method intended to disinfect or preserve a dead body or restore body tissues and structures.

(11) Fetal death (stillbirth)--Death prior to the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of pregnancy; the death is indicated by the fact that after such separation, the fetus does not breathe or show any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.

(12) Genealogist--An individual who traces the descent of persons or families. He or she may be an individual family member or a person hired by the family to trace a family tree or do family research.

(13) Identification of applicant--Each applicant must present a current form of government issued photo identification along with his or her application. If the applicant is unable to present a current form of photo identification, two valid supporting forms of identification may be presented, one of which bears the applicant's signature.

(14) Immediate family member--The registrant, his or her guardian, or the children, spouses, parents, siblings, or grandparents of the registrant.

(15) Indexes--An index to or listing of birth records, death records, applications for marriage licenses, and reports of divorce or annulment of marriage.

(A) Consolidated indexes--These indexes are vital records consisting of more than one event year. Consolidated indexes may be prepared for any vital event at the discretion of the State Registrar in the form prescribed.

(B) General birth and death indexes--These indexes are maintained or established by the bureau of vital statistics or a local registration official which shall be prepared by event year, in alphabetical order by surname of the registrant, followed by any given names or initials, the date of the event, the county of occurrence, the state or local file number, the name of the father, the maiden name of the mother, and sex of the registrant.

(C) Summary birth and death index--These indexes are maintained or established by the Bureau of Vital Statistics or a local registration official which shall be prepared by event year, in alphabetical order by surname of the registrant, followed by any given names or initials, the date of the event, the county of occurrence, and sex of the registrant.

(16) Interment--Burial or the act of placing in a grave.

(17) Legal representative (personal representative or agent)--An attorney in fact, a funeral director, or any other person designated by affidavit, contract, or court order acting on behalf and for the benefit of the registrant or his or her immediate family. In order to determine the need for protection for personal property rights when the legal representative is acting on behalf and for the benefit of the registrant or the registrant's immediate family or other entity having a direct and tangible interest in the record, the state registrar, local registrar, or county clerk shall require a designation document or an attested statement to that effect.

(18) Live birth--The complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of pregnancy, which, after such separation, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each product of such a birth is considered live born.

(19) Local registration official--A county clerk or person authorized by the Vital Statistics Act to maintain a duplicate system of records for each birth, death, or fetal death that occurs in the person's jurisdiction.

(20) Non-institutional Birth--A birth occurring outside a hospital or birthing center licensed by the Texas Department of Health.

(21) Person in charge of interment--Any person who places or causes to be placed a fetus, dead body or the ashes, after cremation, in a grave, vault, urn, or other receptacle, or otherwise disposes thereof.

(22) Properly qualified applicant (qualified applicant)--The registrant, or immediate family member either by blood, marriage or adoption, his or her guardian, or his or her legal agent or representative. Local, state and federal law enforcement or governmental agencies and other persons may be designated as properly qualified applicants by demonstrating a direct and tangible interest in the record when the information in the record is necessary to implement a statutory provision or to protect a personal legal property right. A properly qualified applicant may also be a person who has submitted an application for a request to release personal information and has been approved as outlined in §181.11 of this title (relating to Requests for Personal Data).

(23) Registrant--The individual named on the certificate of birth, death, or fetal death; application for marriage license; or report of divorce or annulment of marriage.

(24) Registrar--The State Registrar or a local registrar as recognized by the Texas Department of Health, Bureau of Vital Statistics.

(25) Research copy--A plain paper noncertified reproduction of the complete original document or a portion of the original document.

(26) Search--The act of examining the files and/or indexes maintained by the Bureau of Vital Statistics for a specific record or information.

(27) Signature--The name of a person written with his or her own hand; or by an electronic process approved by the State Registrar.

(28) State Registrar--The Chief, Bureau of Vital Statistics, Texas Department of Health.

(29) Supplemental Birth Certificate--A new birth certificate prepared and filed by the Bureau, which is based upon a paternity determination, or adoption. This new birth certificate replaces the original certificate of birth.

(30) Birth Verification--A noncertified statement only of the registrant's name, date of birth, and place of birth as it appears on the birth index filed with the Bureau of Vital Statistics.

(31) Death Verification--A noncertified statement only of the registrant's name, date of death, and place of death as it appears on the death index filed with the Bureau of Vital Statistics.

(32) Fetal Death Verification--A noncertified statement only of the registrant's name, date of delivery, and place of delivery as it appears on the fetal death index filed with the Bureau of Vital Statistics.

(33) Marriage Verification--A noncertified statement only of the registrant's name, date of marriage, and place of marriage as it appears on the application for marriage license index filed with the Bureau of Vital Statistics.

(34) Report of Divorce or Annulment of Marriage Verification--A noncertified statement only of the registrant's name, date of divorce, and place of divorce as it appears on the report of divorce or annulment of marriage index as it appears on the birth index filed with the Bureau of Vital Statistics.

(35) Vital statistics--The registration, preparation, transcription, collection, compilation, distribution and preservation of data pertaining to births, adoptions, paternity determinations, deaths, fetal deaths, suits affecting parent child relationship, court of continuing jurisdiction, marital status, and such other data as deemed necessary by the department.

(36) Vital Statistics Act--The Health and Safety Code, Title 3.

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 July 2, 2004.

TRD-200404361

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


Subchapter B. VITAL RECORDS

25 TAC §§181.22 - 181.24, 181.26, 181.28 - 181.34

The amendments and new rules are adopted under authority of the Health and Safety Code, §191.003, which provides the Board of Health with authority to adopt necessary rules for collecting, recording, transcribing, compiling, and preserving vital statistics; 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, department, and the Commissioner of Health.

§181.28.Instructions and Requirements for Issuance of Certified Copies of Vital Records by the State Registrar, Local Registrar, or County Clerk.

(a) Birth certificates.

(1) The state registrar, local registrar, or county clerk shall issue only two types of certified copies:

(A) a full reproduction of the legal portion of the original record as filed in their office with any addendum(s); or

(B) an abstract of birth facts, taken from the original record. Probate records and delayed records may not be abstracted. An abstract shall be issued in one of four styles:

(i) a standard certified abstract;

(ii) a wallet-sized certified abstract;

(iii) a typewritten certified abstract prepared in accordance with Health and Safety Code, §192.005 or §192.011, or when the condition of the original record does not permit full reproduction; or

(iv) an heirloom style certified abstract which may only be issued by the State Registrar.

(2) Each certified copy of a record, or abstract of birth facts, shall be issued over the signature or facsimile thereof of the officer to whom the record is entrusted, and shall bear the seal of their office, and a statement of certification:

(A) either as a part of the custodian's files; or

(B) as authorized to be issued from the state registrar's file.

(3) All certified copies of birth records shall include the following information, if known:

(A) state or local file number;

(B) given name(s);

(C) surname;

(D) date of birth;

(E) state, and city or county of birth;

(F) sex;

(G) father's name;

(H) mother's maiden name;

(I) date of filing;

(J) date certified copy issued;

(K) certification statement;

(L) signature or facsimile signature of the custodian; and

(M) the seal of their office.

(b) Death certificates.

(1) The state registrar, local registrar, or county clerk shall issue only two types of certified copies:

(A) a full reproduction of the original record and any addenda as filed in their office; or

(B) a certified abstract of death facts, taken from the original record.

(2) All certified copies of death records shall include:

(A) state or local file number;

(B) given name(s);

(C) surname;

(D) date of death;

(E) date of birth;

(F) state, city or county of death;

(G) sex;

(H) date of filing;

(I) date certified copy issued;

(J) certification statement;

(K) signature or facsimile signature of the custodian; and

(L) the seal of their office.

(c) Security features. No certified copy or abstract shall be issued unless the issuing office provides security features in the paper used for issuance. Each sheet or document shall be made on paper which contains as a minimum the following features:

(1) consecutive numbers - documents that contain sequential numbers for control purposes;

(2) background security features - a repetitious design consisting of a pattern that hinders counterfeiting efforts;

(3) a copy void pantograph - the word void appears when the document is photocopied;

(4) an engraved border - a border that is produced from engraved artwork containing images from fine lines to very complex patterns;

(5) microline printing or security thread - a line of small alpha characters in capitol letters that requires a magnifying glass to read;

(6) sensitized security paper - paper that is reactive to chemicals commonly used to alter documents;

(7) prismatic printing - a rainbow printing that is used as a deterrent to color copying;

(8) erasable fluorescent printing - fluoresces under ultraviolet light and reacts to any attempt to erase in such a manner as to be immediately detectable;

(9) non-optical brighteners - paper without added optical paper brighteners that will not fluoresce under ultraviolet light;

(10) complex colors - colors that are developed by using a mixture of two or more of the primary colors (red, yellow and blue) and black is required;

(11) intaglio printing - the printing process in which the paper is firmly pressed into the inked engraved plate. Once the paper is removed, the ink sticks to the top of the paper, creating a texture that can be felt with your fingers;

(12) latent image - designs in the engraved border that contains hidden images that appear only when viewed from a prescribed angle to a light source. The intaglio process can print these images;

(13) watermark - a three-dimensional graphic element molded into the paper in a continuous pattern during the paper manufacturing process.

(d) Other permitted security features. Other security features such as, but not limited to the following, may also be incorporated in the paper used:

(1) security laminate - a plastic laminate is placed over printed information as to reveal any attempts to alter the printed material; or

(2) security thread - micro printed polyester thread that is introduced into the paper during the forming process so that the thread is embedded and is an integral part of the paper.

(e) Record retention. A record of the date issued, document number, name and address and form of identification to whom issued shall be made and maintained for a period of three years from the date issued. The application form, with the document number inserted, used to apply for a record will fulfill this requirement.

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 July 2, 2004.

TRD-200404362

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


Subchapter C. CENTRAL ADOPTION REGISTRY

25 TAC §181.44, §181.45

The amendments are adopted under authority of the Health and Safety Code, §191.003, which provides the Board of Health with authority to adopt necessary rules for collecting, recording, transcribing, compiling, and preserving vital statistics; 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, 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 July 2, 2004.

TRD-200404363

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 22, 2004

Proposal publication date: March 26, 2004

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


Chapter 229. FOOD AND DRUG

The Texas Department of Health (department) adopts the repeal of §§229.181 - 229.184 and new §§229.181 - 229.184, concerning the licensure of food manufacturers, food wholesalers, and warehouse operators. New §§229.182 - 229.184 are adopted with changes to the proposed text as published in the April 30, 2004, issue of the Texas Register (29 TexReg 4066). New §229.181 and the repeal of §§229.181 - 229.184 are adopted without changes and will not be republished.

The new rules are adopted to implement Senate Bill (SB) 1152, 78th Legislature, 2003, which amended Government Code, Chapter 2054, to require participation in Texas Online; House Bill 2292, 78th Legislature, 2003, which revised Health and Safety Code, §12.0111 and §12.0112, and requires two-year licenses effective January 1, 2005; SB 381, 78th Legislature, 2003, which amended Health and Safety Code, Chapter 431, to create an exception from licensing for certain restaurants; SB 1826, 78th Legislature, 2003, which amended Health and Safety Code, Chapter 431, to change the definition of manufacture to include relabeling, and increased criminal penalties for violations of the chapter; and SB 1803, 78th Legislature, 2003, which amended Health and Safety Code, Chapter 431, to increase criminal penalties for violations of the chapter, and established authority to license warehouse operators and register certain food wholesalers who meet the requirements of the chapter. The new rules rename the subchapter, reorganize the sections, and clarify license requirements and fees.

The department received no public comments during the comment period for the proposal. 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 proposed §§229.182(a), (c), (d), (f), (g), (g)(2), (h), and (h)(2)(A), 229.183(2), and 229.184(a), the word "registration" is added to clarify that these rules also cover registration.

Change: Concerning proposed §229.182(a)(7), the department "or its successor" language is added.

Change: Concerning proposed §229.182(b)(1) - (9), the language is changed to clarify that a license expires either one or two years from the start date of the regulated activity rather than the expiration date printed on the license or registration; §229.182(b)(5) and (6) were also changed to add the word "food," to clarify the type of wholesaler required to be licensed under those subsections.

Change: Concerning proposed §229.182(c) and (h)(2)(C), the language regarding contacting the department is clarified.

Change: Concerning proposed §229.182(d)(1)(B) and (C), unnecessary language concerning the physical and mailing addresses is deleted.

Change: Concerning §229.182(d)(2)(B), the words "addresses" and "warehouses" are being clarified.

Subchapter L. LICENSURE OF FOOD MANUFACTURERS AND FOOD WHOLESALERS--INCLUDING GOOD MANUFACTURING PRACTICES AND GOOD WAREHOUSING PRACTICES IN MANUFACTURING, PACKING AND HOLDING HUMAN FOOD

25 TAC §§229.181 - 229.184

The repeals are adopted under the Health and Safety Code, §431.241, which provides the Board of Health (board) with the authority to adopt rules for the efficient enforcement of Chapter 431; 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.

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 July 1, 2004.

TRD-200404348

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


Subchapter L. LICENSURE OF FOOD MANUFACTURERS, FOOD WHOLESALERS, AND WAREHOUSE OPERATORS

25 TAC §§229.181 - 229.184

The new rules are adopted under the Health and Safety Code, §431.241, which provides the Board of Health (board) with the authority to adopt rules for the efficient enforcement of Chapter 431; 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.

§229.182.Licensing/Registration Fee and Procedures.

(a) License/registration required.

(1) A person who manufactures food must obtain a food manufacturer's license for each place of business as described in subsection (b)(1) or (2) of this section; also, a food manufacturer who distributes its own food, and/or food from another manufacturer must only obtain a food manufacturer's license. When calculating the amount of the licensing fee, the manufacturer must include the total for all food manufactured and wholesaled from the place of business.

(2) A person who distributes food, but who does not manufacture food, must obtain a food wholesaler's license for each place of business as described in subsection (b)(3) or (4) of this section.

(3) A person who distributes food, but who does not manufacture food, and who chooses to store that food with a warehouse operator licensed under subsection (b)(8) or (9) of this section, must register as a food wholesaler under subsection (b)(7) of this section.

(4) A person who distributes food and drugs, food and medical devices, or food and drugs and medical devices, must obtain a wholesaler with combination products license, as described in subsection (b)(5) or (6) of this section, for each place of business; this license is required even if the products are stored in a separate warehouse or with a warehouse operator licensed under subsection (b)(8) or (9) of this section.

(5) A warehouse operator storing food for a registered food wholesaler must obtain a warehouse operator license as described in subsection (b)(8) or (9) of this section for each such warehouse. A warehouse operator who distributes only food is required to obtain only a warehouse operator license. A warehouse operator who distributes combination products (food and drugs, food and medical devices, or food, drugs, and medical devices) and is also required to obtain a wholesaler's license under subsection (b)(5) or (6) of this section will be issued only one license. The license fee to be paid will be the higher of the two applicable fees.

(6) A warehouse operated by a food manufacturer which is totally separate from any manufacturing location, including locations from which foods are held for limited periods of time for distribution, must obtain a warehouse operator license as described in subsection (b)(8) or (9) of this section for each such warehouse.

(7) A retail food store that also manufactures food and is required to be permitted by the Texas Department of Health or its successor (department) pursuant to Health and Safety Code, Chapter 437, and the Texas Food Establishment Regulations, §229.370 and §229.371 of this title (relating to Permitting Retail Food Establishments), will be issued only one license or permit. The license or permit fee to be paid will be the higher of the two applicable fees.

(8) A wholesaler who distributes combination products and who is also required to be licensed as a warehouse operator under this section will be issued only one license. The license fee to be paid will be the higher of the two applicable fees.

(9) A food manufacturer required to be licensed exclusively pursuant to Health and Safety Code, Chapter 432, relating to Food, Drug, Device and Cosmetic Salvage, Chapter 433, relating to Meat and Poultry Inspection, Chapter 435, relating to Dairy Products, Chapter 436, relating to Aquatic Life, or Chapter 440, relating to Frozen Desserts, is not required to license pursuant to this chapter.

(b) Licensing and registration fees.

(1) Food manufacturer. This subsection applies to all new and renewal applications received by the department prior to January 1, 2005. Licenses issued under this subsection expire one year from the start date of the regulated activity. All food manufacturers in Texas shall obtain a license annually with the department and shall pay a license fee as follows:

(A) $25 for each place of business having gross annual manufactured food sales of $0.00 - $9,999.99;

(B) $50 for each place of business having gross annual manufactured food sales of $10,000 - $24,999.99;

(C) $100 for each place of business having gross annual manufactured food sales of $25,000 - $99,999.99;

(D) $250 for each place of business having gross annual manufactured food sales of $100,000 - $199,999.99;

(E) $400 for each place of business having gross annual manufactured food sales of $200,000 - $999,999.99;

(F) $500 for each place of business having gross annual manufactured food sales of $1 million - $9,999,999.99; and

(G) $750 for each place of business having gross annual manufactured food sales greater than or equal to $10 million.

(2) Food manufacturer. This subsection applies to all new and renewal applications received by the department on or after January 1, 2005. Licenses issued under this subsection expire two years from the start date of the regulated activity. All food manufacturers in Texas shall obtain a license every two years with the department and shall pay a license fee as follows:

(A) $50 for each place of business having gross annual manufactured food sales of $0.00 - $9,999.99;

(B) $100 for each place of business having gross annual manufactured food sales of $10,000 - $24,999.99;

(C) $200 for each place of business having gross annual manufactured food sales of $25,000 - $99,999.99;

(D) $500 for each place of business having gross annual manufactured food sales of $100,000 - $199,999.99;

(E) $800 for each place of business having gross annual manufactured food sales of $200,000 - $999,999.99;

(F) $1000 for each place of business having gross annual manufactured food sales of $1 million - $9,999,999.99; and

(G) $1500 for each place of business having gross annual manufactured food sales greater than or equal to $10 million.

(3) Food wholesaler. This subsection applies to all new and renewal applications received by the department prior to January 1, 2005. Licenses issued under this subsection expire one year from the start date of the regulated activity. All food wholesalers in Texas shall obtain a license annually with the department. Except as provided for in paragraph (5) of this subsection, food wholesalers shall pay a license fee as follows:

(A) $100 for each place of business having gross annual food sales of $0.00 - $199,999.99;

(B) $200 for each place of business having gross annual food sales of $200,000 - $499,999.99;

(C) $300 for each place of business having gross annual food sales of $500,000 - $999,999.99;

(D) $400 for each place of business having gross annual food sales of $1 million - $9,999,999.99; and

(E) $600 for each place of business having gross annual food sales of greater than or equal to $10 million.

(4) Food wholesaler. This subsection applies to all new and renewal applications received by the department on or after January 1, 2005. Licenses issued under this subsection expire two years from the start date of the regulated activity. Except as provided for in paragraph (7) of this subsection, all food wholesalers in Texas shall obtain a license every two years with the department and shall pay a license fee as follows:

(A) $200 for each place of business having gross annual food sales of $0.00 - $199,999.99;

(B) $400 for each place of business having gross annual food sales of $200,000 - $499,999.99;

(C) $600 for each place of business having gross annual food sales of $500,000 - $999,999.99;

(D) $800 for each place of business having gross annual food sales of $1 million - $9,999,999.99; and

(E) $1200 for each place of business having gross annual food sales of greater than or equal to $10 million.

(5) Wholesaler with combination products. This subsection applies to all new and renewal applications received by the department prior to January 1, 2005. Licenses issued under this subsection expire one year from the start date of the regulated activity. A food wholesaler who is required to be licensed under this section and who is also required to be licensed as a wholesale distributor of drugs under §229.252(a)(1) of this title (relating to Licensing Fee and Procedures) and/or as a device distributor under §229.439(a)(1) of this title (relating to Licensure Fees) shall pay a combined licensure fee for each place of business. The licensure fee shall be based on the combined gross annual sales of these regulated products (foods, drugs, and/or devices) as follows:

(A) $200 for each place of business having combined gross annual sales of $0.00 - $199,999.99;

(B) $300 for each place of business having combined gross annual sales of $200,000 - $499,999.99;

(C) $400 for each place of business having combined gross annual sales of $500,000 - $999,999.99;

(D) $500 for each place of business having combined gross annual sales of $1 million - $9,999,999.99; and

(E) $750 for each place of business having combined gross annual sales greater than or equal to $10 million.

(6) Wholesaler with combination products. This subsection applies to all new and renewal applications received by the department on or after January 1, 2005. Licenses issued under this subsection expire two years from the start date of the regulated activity. A food wholesaler who is required to be licensed under this section and who is also required to be licensed as a wholesale distributor of drugs under §229.252(a)(1) of this title or as a device distributor under §229.439(a)(1) of this title shall pay a combined licensure fee for each place of business. The licensure fee shall be based on the combined gross annual sales of these regulated products (foods, drugs, and/or devices) as follows:

(A) $400 for each place of business having combined gross annual sales of $0.00 - $199,999.99;

(B) $600 for each place of business having combined gross annual sales of $200,000 - $499,999.99;

(C) $800 for each place of business having combined gross annual sales of $500,000 - $999,999.99;

(D) $1000 for each place of business having combined gross annual sales of $1 million - $9,999,999.99; and

(E) $1500 for each place of business having combined gross annual sales greater than or equal to $10 million.

(7) Food wholesaler registration. Except as provided in paragraphs (5) and (6) of this subsection, a food wholesaler is not required to obtain a license under this section for a place of business if all of the food distributed from that place of business will be stored in a warehouse licensed under this section. A food wholesaler that is not required to obtain a license for a place of business under this section shall register each place of business with the department pursuant to subsection (d)(2) of this section, but only one registration fee must be paid by each such food wholesaler. A food wholesaler who meets this subsection's requirements shall pay a registration fee as follows:

(A) $50 for a one year registration, on a form received by the department prior to January 1, 2005. A registration issued under this subsection expires one year from the start date of the regulated activity;

(B) $100 for a two-year registration, on a form received by the department on or after January 1, 2005. A registration issued under this subsection expires two years from the start date of the regulated activity;

(8) Warehouse operator. This subsection applies to all new and renewal applications received by the department prior to January 1, 2005. Licenses issued under this subsection expire one year from the start date of the regulated activity. All warehouse operators in Texas shall obtain a license annually with the department. The fee paid must be based on the maximum amount of square feet dedicated to food storage during the licensing period. A warehouse operator shall pay a license fee as follows:

(A) $175 for each place of business having food storage of 0 - 6,000 square feet;

(B) $350 for each place of business having food storage of 6,001 - 24,000 square feet;

(C) $525 for each place of business having food storage of 24,001 - 75,000 square feet;

(D) $700 for each place of business having food storage of 75,001 - 250,000 square feet; and

(E) $1000 for each place of business having food storage of 250,001 or more square feet.

(9) Warehouse operator. This subsection applies to all new and renewal applications received by the department on or after January 1, 2005. Licenses issued under this subsection expire two years from the start date of the regulated activity. All warehouse operators in Texas shall obtain a license every two years with the department. The fee paid must be based on the maximum amount of square feet dedicated to food storage during the licensing period. A warehouse operator shall pay a license fee as follows:

(A) $350 for each place of business having food storage of 0 - 6,000 square feet;

(B) $700 for each place of business having food storage of 6,001 - 24,000 square feet;

(C) $1,050 for each place of business having food storage of 24,001 - 75,000 square feet;

(D) $1,400 for each place of business having food storage of 75,001 - 250,000 square feet; and

(E) $2,000 for each place of business having food storage of 250,001 or more square feet.

(10) A firm that has more than one business location may request a one-time proration of fees when applying for a license for each new location. Upon approval by the department, the expiration date of the license for the new location will be established the same as the firm's previously licensed locations.

(11) 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.

(12) All license/registration fees paid under this section are non-refundable.

(13) If the license/registration category changes during the license period, the license shall be renewed in the proper category at the time of renewal.

(c) License/registration forms. License/registration forms may be obtained from the department, located at 1100 West 49th Street, Austin, Texas 78756-3182, or from the website at www.tdh.state.tx.us/bfds/lic/apps.html.

(d) License/registration application. All food manufacturers, food wholesalers, and warehouse operators shall file a license application on a form authorized by the department.

(1) The application form shall be signed and verified, and shall contain the following information:

(A) the name of the legal entity to be licensed, including the name under which the business is conducted;

(B) the physical address of the place of business;

(C) the mailing address of the place of business;

(D) if a sole proprietorship, the name of the proprietor; if a partnership, the names of all partners; if a corporation, the name of the corporation, the date and place of incorporation and name and address of its registered agent in the state; or if any other type of association, the names of the principals of such association;

(E) the names of those individuals in an actual administrative capacity which, in the case of a sole proprietorship shall be the managing proprietor; in a partnership, the managing partner; in a corporation, the officers and directors; in any other association, those in a managerial capacity; and

(F) a list of categories of gross annual sales or square footage as applicable, which must be marked and adhered to by the licensee in the determination and paying of the license fee.

(2) Food wholesalers who meet the requirements to register under subsection (b)(7) of this section, must submit a registration form authorized by the department which shall be signed and verified, and contain the following information:

(A) the name of the legal entity to be registered, including the name under which the business is conducted;

(B) the name, telephone number, and physical addresses of the licensed warehouses where the food wholesaler's food products are or will be stored;

(C) the physical address where the food wholesaler's distribution records are located and available for review upon inspection;

(D) the mailing address and telephone number where the food wholesaler may be contacted; and

(E) a description of the type of food products being distributed by the food wholesaler.

(e) Two or more establishments. If the food manufacturer, food wholesaler, or warehouse operator operates more than one place of business, each place of business shall be licensed separately by listing the name and address of each place of business on the license application.

(f) Issuance of license/registration. As applicable, the department may license/register a manufacturer, food wholesaler, or warehouse operator who meets the requirements of this section and §229.183 of this title (relating to Minimum Standards for Licensure/Registration).

(1) The initial license/registration shall be valid for one year from the start date of the regulated activity which becomes the anniversary date, for all applications received by the department prior to January 1, 2005, and for two years from the anniversary date for all applications received on or after January 1, 2005.

(2) The renewal license/registration shall be valid for one year from the anniversary date, unless an amendment occurs, for all applications received by the department prior to January 1, 2005, and for two years from the anniversary date for all applications received on or after January 1, 2005.

(3) A current license/registration shall only be issued when all past due fees and late fees are paid.

(g) Renewal of license/registration.

(1) For each licensing/registration period, the food manufacturer, food wholesaler, or warehouse operator shall renew its license/registration as applicable following the requirements of this section and §229.183 of this title.

(2) A person who holds a license/registration issued by the department under the Health and Safety Code shall renew the license/registration by filing an application for renewal on a form authorized by the department accompanied by the appropriate licensing/registration fee. A licensee/registrant must file for renewal before the expiration date of the current license. A person who files a renewal application after the expiration date must pay an additional $100 as a delinquency fee.

(3) Failure to submit the renewal during the licensing/registration period may subject the food manufacturer, food wholesaler, or warehouse operator to the offense provisions under the Health and Safety Code, Chapter 431, to the provision of §229.184 of this title (relating to the Refusal, Revocation, or Suspension of License/Registration), and to the provisions of §229.222 of this title (relating to Penalties).

(h) Amendment of license/registration.

(1) Fees. A license or registration that is amended during the licensing or registration period, including a change of name, ownership (change in legal entity), or a notification of a change in the location of a licensed or registered place of business required under the Health and Safety Code, §431.2251, will require a new application and submission of license or registration fees as outlined in subsection (b) of this section.

(2) Change in name, ownership, status, or location of business.

(A) Not later than the 31st day before the date of the change in the name, status, or location of a licensed/registered place of business, the license/registration holder shall provide written notice to the department of the intended change. The notice shall include, as applicable:

(i) The new name of the legal entity to be licensed or registered, including the name under which the business is conducted;

(ii) The physical and mailing address of the new location;

(iii) The name and physical address of the licensed warehouse where the food wholesaler's food products will be stored;

(iv) The physical address where the food wholesaler's distribution records are located and available for review upon inspection; and

(v) The mailing address and telephone number where the food wholesaler may be contacted.

(B) Not later than the 10th day after completion of the change of location, the licensee or registrant shall forward to the department the name and residence address of the individual in charge of the new place of business.

(C) Notice is considered adequate if the licensee or registrant provides the intent and verification notices to the department by certified mail, return receipt requested, mailed to the department at 1100 West 49th Street, Austin, Texas 78756-3182.

(i) This section does not apply to:

(1) a person, firm, or corporation that harvests, packages, washes, or ships raw fruits or vegetables;

(2) a direct seller who is not otherwise engaged in manufacturing;

(3) a person engaged solely in the distribution of alcoholic beverages in sealed containers by holders of licenses or permits issued under the Alcoholic Beverage Code, Chapters 19, 20, 21, 23, 64, or 65;

(4) a food service establishment or a commissary which distributes food primarily intended for immediate consumption on the premises of a retail outlet under common ownership unless the business regularly engages in the labeling, combining, and purifying of food which is either sold for resale or packaged for sale in other than individual portions; or

(5) a restaurant that provides food for immediate human consumption to a political subdivision or to a licensed nonprofit organization if the restaurant would not otherwise be considered a food wholesaler.

§229.183.Minimum Standards for Licensure/Registration.

Food manufacturers, food wholesalers, and warehouse operators.

(1) All food manufacturers, and warehouse operators in Texas shall comply with §§229.211 - 229.221 of this title (relating to Current Good Manufacturing Practice and Good Warehousing Practice in Manufacturing, Packing, or Holding Human Food) in addition to the existing standards contained in the Health and Safety Code, Chapters 431, 434, and 438.

(2) All food wholesalers in Texas, including those food wholesalers registered under §229.182 of this title (relating to Licensing/Registration Fees and Procedures), shall comply with §§229.211 - 229.219 of this title, in addition to the existing standards contained in the Health and Safety Code, Chapters 431, 434, and 438.

(3) Living areas. No manufacturing or holding of foods for distribution shall be conducted in any room used as living or sleeping quarters. All food manufacturing and storage shall be separated from any living or sleeping quarters by complete partitioning.

(4) Food labeling. If a person, firm, or corporation labels an article of food, the label shall meet the requirements of the Health and Safety Code, Chapter 431.

§229.184.Refusal, Revocation, or Suspension of Licensure/Registration.

(a) Basis. The department may, after providing an opportunity for a hearing, refuse an application for a license/registration from a food manufacturer, food wholesaler, or warehouse operator, or may revoke or suspend a license/registration for violations of the requirements in §229.182 of this title (relating to Licensing/Registration Fee and Procedures), and §229.183 of this title (relating to Minimum Standards for Licensure/Registration), or for interference with the department in the performance of its duty under these rules.

(b) Hearings. Any hearings for the refusal, revocation, or suspension of a license/registration are governed by §§1.21, 1.23, 1.25, and 1.27 of this title (relating to Formal Hearing Procedures).

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 July 1, 2004.

TRD-200404349

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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


Chapter 265. GENERAL SANITATION

Subchapter K. REGISTRATION OF SANITARIANS

25 TAC §§265.143, 25.147, 265.151, 265.152, 265.155

The Texas Department of Health (department) adopts amendments to §§265.143, 265.147, 265.151, 265.152, and 265.155, concerning the registration of sanitarians. Sections 265.143 and 265.147 are adopted with changes to the proposed text as published in the April 30, 2004, issue of the Texas Register (29 TexReg 4071) as a result of staff recommendations. Sections 265.151, 265.152, and 265.155 are adopted without changes, and therefore the sections will not be republished.

The amendments are necessary to implement House Bill 2985, 78th Legislature, 2003, which added Occupations Code, Chapter 101, Subchapter G, which established the Office of Patient Protection and requires additional fees to fund it; Senate Bill 1152, 78th Legislature, 2003, which amends Government Code, Chapter 2054, to require participation in Texas Online; and Senate Bill 161, 78th Legislature, 2003, which amends Occupations Code, Chapter 1953, relating to emergency suspensions and administrative penalties. The two-year licensing fee amendments are required as a result of revisions to the Health and Safety Code, Chapter 12, §§12.0111 and 12.0112, pursuant to House Bill 2292, 78th Legislature, 2003. Amendments to §265.143 clarify that the license fee for a registration with a two-year term will be twice that required for a one-year term.

The department received no public comments during the comment period for these amendments. However, the department made a minor editorial change due to staff comments to clarify the rules in the amendment to §265.143.

Change: Concerning §265.143(b)(2), the fee for an initial registration issued for a two-year term is increased to twice the fee required to issue a registration for a term of one year.

Change: Concerning §265.147(b), the reference to §256.142 was changed to §265.142 to correct the rule section.

The amendments are adopted under the Occupations Code, Chapter 1953, which authorizes the Board of Health (board) to adopt rules to administer and enforce the chapter; and the Health and Safety Code, §12.001, which provides the board with authority to adopt rules for the performance of every duty imposed by law on the board, the department, and the commissioner of health.

§265.143.Fees.

(a) All fees shall be submitted in the form of a certified check, cashier's check or money order; checks from state agencies, municipalities, counties, or other political subdivisions of the state are also acceptable. All fees shall be made payable to the Texas Department of Health and are not refundable.

(b) The schedule of fees is as follows:

(1) application processing fee:

(A) sanitarian-in-training--$75; or

(B) registered sanitarian (including reciprocity)--$90;

(2) initial registration fee:

(A) sanitarian-in-training (in effect for two years after date of issue)--$50;

(B) registered sanitarian (for a one year term)--$25; or

(C) registered sanitarian (for a two year term)--$50;

(3) registration renewal fee:

(A) sanitarian-in-training (one-time renewal for a two year period)--$150; or

(B) registered Sanitarian (for a one year term)--$75; or

(C) registered Sanitarian (for a two year term)--$150;

(4) reinstatement (late) fee--$75;

(5) processing fee for upgrading from a sanitarian-in-training to a sanitarian--$90;

(6) certificate of registration (framing size) or identification card (billfold size) replacement fee--$20;

(7) examination fee--$50 for a department exam or the actual cost of any prescribed exam; or

(8) reexamination fee--$50 for a department exam or the actual cost of any prescribed exam;

(9) continuing education sponsor approval fee--$100 per sponsor. Pre-approved providers are exempt from this fee; or

(10) exemption fee for retired sanitarians--$150.

(c) The month the initial registration is issued will establish the anniversary date for future registration renewal.

(d) For all applications and renewal applications, the department is authorized to collect fees to fund the Office of Patient Protection, Health Professions Council, as mandated by law.

(e) 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.

§265.147.Continuing Education Requirements.

(a) Each sanitarian registered by the department must meet the renewal requirements set out in this section.

(b) Each registered sanitarian must obtain and show proof of not less than 12 continuing education contact hours related to the fields of consumer health, environmental health or sanitation as defined in §265.142 of this title (relating to Definitions) within the 12 months preceding renewal of a registration issued for a one year term, or 24 hours taken within the 24 months preceding renewal for a registration issued for a two year term.

(c) Only the following continuing education activities shall serve as a basis for registration renewal:

(1) approved by the department or its designee in accordance with this section; or

(2) approved by another professional regulatory agency in the State of Texas as acceptable continuing education for license renewal.

(d) Only continuing education activities provided by one of the following types of sponsors shall be approved by the department in accordance with these rules:

(1) a governmental agency;

(2) an accredited college or university;

(3) an association with a membership of 25 or more persons; or

(4) a commercial education business.

(e) Government agencies, non-profit organizations, and accredited colleges and universities are pre-approved as sponsors for continuing education when the activity is conducted or sponsored in compliance with these rules and is directly related to environmental health, consumer health, or sanitation.

(f) Continuing education activities conducted by approved sponsors must meet the following criteria:

(1) the activity must have significant educational or practical content to maintain appropriate levels of competency;

(2) the activity must have a record keeping procedure provided by the sponsor which includes a register of who took the course and the number of continuing education units earned;

(3) the sponsor must include procedures for verifying participant's attendance as well as comprehension of subject matter presented. These procedures may include, but are not limited to, examinations, post-activity questionnaires, field demonstrations, in-class workbooks or handout materials, and/or question and answer periods to assure participant understanding of the subject matter;

(4) the activity must be at least 50 minutes in length of actual instruction time. Round table discussions and more than one speaker for the total of 50 minutes per activity is permissible. No credit will be given for time used to promote the sponsor or other nonrelevant activities; and

(5) the sponsor must ensure the activity complies with all applicable federal and state laws, including the Americans with Disabilities Act (ADA) requirements for access to activities.

(g) Acceptable continuing education activities include the following:

(1) conferences;

(2) home-study training modules (including professional journals requiring successful completion of a test document);

(3) lectures;

(4) panel discussions;

(5) seminars;

(6) accredited college or university courses;

(7) video or film presentations with live instruction;

(8) field demonstrations;

(9) teleconferences;

(10) computer based training; or

(11) other activities approved by the department.

(h) Continuing education instructors must have one of the following credentials:

(1) certification as a registered sanitarian by the department;

(2) instructors at the Texas Engineering Extension Service;

(3) hold a faculty position at an accredited college or university;

(4) department personnel; or

(5) teaching or work experience determined by the sponsor to be sufficient.

(i) To obtain department approval to provide approved continuing education, the sponsor must submit:

(1) a completed application on department forms;

(2) the fee prescribed in §265.143(b)(9) of this title (relating to Fees); and

(3) any additional information or material requested by the department.

(j) The application and information must be submitted to the department at least 60 days in advance of the first date on which the sponsor plans to provide continuing education activities.

(k) The department shall approve, reject, or request additional information within 30 days of receipt of the application.

(l) Each approved continuing education sponsor shall be sanctioned for one year from date of approval. Sponsors who wish to continue approval should submit a sponsor approval form and fee as prescribed in §265.143(b)(9) of this title at least 30 days prior to the end of the one year period.

(m) Sponsors of approved continuing education activities shall:

(1) at the conclusion of the activity distribute to those registered sanitarians who have successfully completed the activity a certificate of completion which shall include the name of the sponsor, the date and name of the activity, and the continuing education units earned;

(2) maintain a copy of the register for two years and provide it to the department upon request.

(n) Each registered sanitarian shall collect and keep certificates of completion from all courses completed. These certificates of completion will be used to document a registered sanitarian's attendance at approved courses. Transcripts showing coursework in environmental or consumer health from an accredited college or university, or written verification of hours approved by the National Environmental Health Association (NEHA) will also be accepted. The department will conduct random audits for compliance with this requirement.

(o) The department may deny, revoke, or refuse to renew approval if the sponsor fails to maintain or provide records related to the provision of continuing education to the department, or fails to comply with any other requirements that are a basis for approval or that are a part of this subchapter.

(p) A registered sanitarian or sponsor may file a written request for an extension of time for compliance with any deadline in this subsection. Such request for extension, not to exceed 90 days, shall be granted by the department if the registered sanitarian or sponsor files appropriate documentation to show good cause for failure to comply timely with the requirements of this subsection. Good cause includes, but is not limited to, extended illness, extended medical disability, or other extraordinary hardship which is beyond the control of the person seeking the extension.

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 July 1, 2004.

TRD-200404344

Susan K. Steeg

General Counsel

Texas Department of Health

Effective date: July 21, 2004

Proposal publication date: April 30, 2004

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