TITLE 25.HEALTH SERVICES

Part 1. DEPARTMENT OF STATE HEALTH SERVICES

Chapter 146. TRAINING AND REGULATION OF PROMOTORES(AS) OR COMMUNITY HEALTH WORKERS

25 TAC §§146.1 - 146.10

The Executive Commissioner of the Health and Human Services Commission (commission), on behalf of the Department of State Health Services (department), adopts amendments to §§146.1 - 146.10, concerning the regulation of training and certification of promotores or community health workers without changes to the proposed text as published in the July 8, 2005, issue of the Texas Register (30 TexReg 3973) and, therefore, the sections will not be republished.

BACKGROUND AND PURPOSE

The Promotor(a) or Community Health Worker Training and Certification Advisory Committee (committee) has provided advice to the Health and Human Services Commission and the department related to the review of applications and the recommendation of qualifying applicants as sponsoring institutions, training instructors or as promotores(as) or community health workers. The committee also recommends new or amended rules for the approval of the Health and Human Services Commission. This committee is a successor to, and continues many functions of the Promotora Program Development Committee mentioned in the Health and Safety Code, §48.002(a) and §48.003(a). The committee is established under the Health and Safety Code, §11.016, which allows the Health and Human Services Commission to establish advisory committees. Government Code, Chapter 2110, governs the committee concerning state agency advisory committees.

Health and Safety Code, Chapter 48, requires the department to establish a program designed to train and educate persons who act as promotoras or community health workers. This chapter also requires minimum standards for the certification of promotoras or community health workers. These rules are reasonable and necessary to accomplish this legislative mandate.

SECTION-BY-SECTION SUMMARY

Amendments cover definitions; the purpose of the advisory committee; applicability; application requirements and procedures for promotores or community health workers, instructors, and sponsoring institutions/training programs; types of certificates and applicant eligibility; standards for the approval of curricula; and continuing education requirements. Amendments also reflect the new agency name as "Department of State Health Services." The amended language clarifies the rules and improves the ability of promotores(as) or community health workers to obtain the training and certification established by Health and Safety Code, Chapter 48. Also, it improves the ability of the certification program to expedite the process of reviewing applications for certification of instructors and training programs.

COMMENTS

The department, on behalf of the commission, did not receive any public comments concerning the proposal during the comment period.

LEGAL CERTIFICATION

The Department of State Health Services' General Counsel, Cathy Campbell, certifies that the adoption has been reviewed by legal counsel and found to be within the state agencies' authority to adopt.

STATUTORY AUTHORITY

The amendments are adopted under the Health and Safety Code, Chapter 48, which requires the department to adopt rules on the establishment and operation of the training and certification for promotores or community health workers; and Government Code, §531.0055, and Health and Safety Code, §1001.075, which authorize the Executive Commissioner of the Health and Human Services Commission to adopt rules and policies necessary for the operation and provision of health and human services by the department and for the administration of Health and Safety Code, Chapter 1001.

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 December 28, 2005.

TRD-200506123

Cathy Campbell

General Counsel

Department of State Health Services

Effective date: January 17, 2006

Proposal publication date: July 8, 2005

For further information, please call: (512) 458-7111