TITLE 25. HEALTH SERVICES

PART 1. DEPARTMENT OF STATE HEALTH SERVICES

CHAPTER 97. COMMUNICABLE DISEASES

SUBCHAPTER F. SEXUALLY TRANSMITTED DISEASES INCLUDING ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV)

25 TAC §§97.131 - 97.134

The Executive Commissioner of the Health and Human Services Commission on behalf of the Department of State Health Services (department) proposes amendments to §§97.131 - 97.134, concerning the reporting of sexually transmitted diseases (STD), including Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV).

BACKGROUND AND PURPOSE

The amendments are proposed to update and clarify the disease reporting rules for STD, including HIV and AIDS and to make the STD reporting process more efficient and effective in Texas in accordance with Health and Safety Code, Chapter 81, amended by the 80th Legislature, 2007. The proposed amendments would require the reporting of additional types of STD laboratory tests: negative confirmatory tests for syphilis; non-detectable HIV viral loads; negative HIV Polymerase Chain Reaction (PCR) tests for infants up to three years of age; and HIV genotype resistance tests. The proposed amendments would also change the level of the reporting of CD4-T-Lymphyocyte (CD4) counts from the current level of <200 cells/microliter or less than 14% to all CD4 counts, regardless of level for adults and adolescents over the age of 12. The proposed amendments would also change the timeframes for reporting certain STD diagnoses and tests. The proposed amendments would have great public health benefit by improving the completeness and timeliness of STD reporting, resulting in increased number of cases of STD being identified and earlier public health interventions to control the spread of STD in Texas. The proposed amendments will also allow for better monitoring of the care and treatment given for HIV infection.

Government Code, §2001.039, requires that each state agency review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act), according to the schedule in the statute. Sections 97.131 - 97.134 have been reviewed and the department has determined that reasons for adopting the sections continue to exist because rules on this subject are needed. Revisions are proposed to clarify the rules, improve readability and better reflect the rules' statutory authority.

SECTION-BY-SECTION SUMMARY

Section 97.131.

Proposed amendments to §97.131(1) would add the acronym for the Centers for Disease Control and Prevention (CDC), update the agency and branch name, and update the mailing address for requesting publications from the department.

Existing §97.131(2) is proposed to be deleted, and existing §97.131(3) renumbered paragraph (7) with changes, because the STD defined here would instead be defined by inserting a cross-reference to the federal CDC definitions of those diseases. The acronym for Sexually Transmitted Diseases is also proposed to be added.

New definitions are proposed in §97.131 as these new terms are used in subsequent sections of rule text. The proposed new definitions are as follows:

(2) Confirmatory Test--A second analytical test that is done to detect disease, when an initial or screening test yields a preliminary positive result, which is independent of the initial test and uses a different technique and chemical principle in order to ensure reliability and accuracy.

(3) FASTA File--An electronic data format used to store nucleotide sequences of the Human Immunodeficiency Virus (HIV).

(4) HIV-Exposed Infant--Any infant born to an HIV-infected woman.

(5) Point of Care Tests--Diagnostic tests performed at or near the site of patient care that increase the likelihood of the patient receiving the results as well as referrals for treatment and support services in a timely manner. These tests are usually performed in emergency rooms, outpatient clinics and physician offices.

(6) Screening Test--An analytical test used to preliminarily detect the presence of disease. Positive screening test results should be followed by a confirmatory test to verify the presence of that disease.

Section 97.132.

Proposed changes to the introductory paragraph for §97.132 would clarify language by using the standard term "report." The amendments would also add "HIV-exposed infants" to the list of what triggers reporting because infants born to HIV-infected mothers are suspected to have HIV infection and must be reported according to Health and Safety Code, §81.042(b), which requires reporting of a patient that has or is suspected of having a reportable disease. Proposed amendments would also provide a cross-reference to §97.133 (relating to Reporting Information for Sexually Transmitted Diseases) regarding what must be reported, and would improve readability by using the term STD instead of listing each reportable disease separately (this tracks changes proposed for the definitions section of the rules).

Proposed amendments to §97.132(1) would better reflect the requirements of Health and Safety Code, §81.042 regarding reporting triggers as well as where the ultimate legal responsibility for reporting lies, and would improve readability by using the acronym STD.

Proposed amendments to §97.132(2) would better reflect the requirements of Health and Safety Code, §81.042, particularly subsection (e). Proposed amendments would also change the word "patient" to "person" because some of the persons reported will not be patients of the reporting person.

Proposed amendments to §97.132(3) would add language to include hospital laboratories as an entity required to report cases of STD, to track corresponding language in Health and Safety Code, §81.042(d), and would add the acronym for sexually transmitted diseases instead of listing each reportable STD separately. Proposed amendments would delete language about the type of tests and test results required to be reported because that information is provided in more detail in §97.133 and a cross-reference to §97.133 is already provided in this section.

Proposed amendments to §97.132(4) would replace the terminology "counseling and testing site or a community-based organization" with the term "testing program," to make the language consistent with Health and Safety Code, §85.002, and would add a reference to that section in the rule text. Proposed amendments also clarify the reason for the medical director or other physician to report cases of STD and would use the acronym STD instead of listing each reportable STD separately. Language regarding delegation of reporting duties would be deleted so that the rule does not improperly imply that the statutorily-designated persons can legally avoid their reporting responsibilities under the statute.

Proposed amendments to §97.132(5) would add language requiring local school authorities to report a child attending school who is suspected of having an STD, based on medical evidence. The amendments would also add a cross-reference to Health and Safety Code, §81.003, where the term "school authority" is defined. The proposed changes to this section (along with the existing rule text in the department's rule, §97.7) are necessary to be consistent with the requirements of Health and Safety Code, §81.042(c).

Section 97.133.

The introductory paragraph for §97.133 is proposed to be amended to remove an inappropriate qualifier statement, to add language that clarifies the reporting "trigger" to reflect Health and Safety Code, Chapter 81, and to use the acronym STD for sexually transmitted disease instead of listing each reportable STD separately and to delete language about the type of tests and test results required to be reported because this information is provided in §97.133(2) and (3).

Proposed amendments to §97.133(1) would improve readability and clarity by replacing language about how to report with a cross-reference to §97.133(2) which contains the most recent information on that subject.

The text in existing §97.133(2) is proposed to be moved to §97.133(1) as part of the reorganization of this section to improve flow and readability.

Existing subparagraphs in §97.133(1)(A) - (G) are proposed to be deleted because the STD listed and the most current forms used to report them will be in proposed new language in §97.133(2).

New language proposed for §97.133(2) would clearly state that the referenced persons have to report as described in the subsequent list in subparagraphs (A) - (E). The proposed amendments change the reporting forms for adult and adolescent HIV/AIDS and pediatric HIV/AIDS from CDC forms to department-specific forms (the department's Texas HIV/AIDS Adult/Adolescent case report form and the department's Texas HIV/AIDS pediatric case report form), and add the entire name of the department's forms in addition to the number of the form for the reporting forms that are not being changed. The proposed new language separates reporting requirements for physicians and other persons specified in amended §97.132(1), (2), (4), and (5) and laboratories as specified in §97.133(3) into two different subsections to improve clarity in the differences in reporting requirements for physicians and laboratories. The proposed amendments to §97.133(2) will also clarify that results from point of care tests must be reported.

Existing language at §97.133(3) is proposed to be replaced with language requiring persons in charge of a laboratory or any other facility described in §97.132(3) to report results, as described, for each person who has or is suspected of having an STD and/or is an HIV-exposed infant. The existing language in this section is proposed to be deleted as unnecessary, since §97.134 specifies how reporting should be done. The proposed new language in §97.133(3) lists the specific types of tests and test results required to be reported. The proposed new §97.133(3) would add language that clarifies that positive or reactive STD test results, including screening tests, are required to be reported. The proposed amendment changes the current requirement that only detectable HIV viral loads are reported, making both detectable and non-detectable HIV viral loads required to be reported. The proposed new §97.133(3) changes the reporting of CD4+T-lymphocytes (CD4s) from counts below 200 cells/microliter or less than 14% to all CD4 counts, regardless of level for adults and adolescents over 12 years of age. The proposed new §97.133(3) revises the requirement to report PCR tests for HIV (DNA or RNA) on all infants to include both positive and negative results for infants from birth to three years of age, instead of the existing requirement to report only positive PCR results. Adding a requirement to report negative PCR results for infants will enable the State to determine perinatal HIV transmission rates for Texas with more accuracy and will also decrease the amount of time public health workers spend on contacting health care providers to obtain negative PCR results on HIV-exposed infants. Overall, these changes to reporting requirements for HIV test results by laboratories and other listed entities will greatly enhance completeness of reporting for HIV and increase the number of new HIV cases reported, resulting in better data to target prevention interventions and allocate scarce resources. These changes will also result in better monitoring of severity of HIV disease and the quality of HIV care in Texas. These changes will allow a more accurate determination of the unmet needs for HIV care in Texas. The proposed new §97.133(3) changes the required reporting of confirmatory tests for syphilis from the existing requirement to only report positive (reactive) results to the requirement to report both reactive and non-reactive tests. This will allow public health personnel to spend less time investigating positive screening tests with missing confirmatory test results and decrease calls to physicians and laboratories to provide this information. The proposed new §97.133(3) also adds the requirement to report nucleotide sequences of HIV from resistance testing, e.g. FASTA files, so that the State can obtain more complete information for its HIV resistance surveillance activities, including monitoring the level and types of HIV medication resistance in Texas.

Section 97.134.

Proposed amendments to §97.134(a) would add clarifying language that specifies that case reports are confidential as provided by law, and would remove vague language.

Proposed amendments to §97.134(b) would delete the word "region" and replace it with "departmental regional office which covers the area" for clarity on who should receive case reports in the absence of a local health department director.

Proposed amendments to §97.134(c) would update the agency, branch name and the mailing address for sending reports of STD. A reference to the HIV/STD program website for obtaining additional reporting information is proposed to be added, and the statement about obtaining postage paid envelopes from the HIV/STD program is proposed to be deleted because there have been no requests for such envelopes for the past five years and the department is discontinuing that service.

Proposed amendments to §97.134(d) would specify data elements required to be reported for cases of STD and HIV infection or AIDS, to be consistent with amendments made to Health and Safety Code, §81.043 and §81.044 during the 80th Legislature, 2007. Text is proposed to be added that updates the reference to the department's health service regions, and text is proposed to be deleted that states forms can be obtained from the department's HIV/STD program and the related address since this entity does not provide reporting forms. Proposed amendments add a reference to the HIV/STD program website for a list of local health departments and the department's health service region offices where reporting forms can be obtained.

Proposed amendments to §97.134(e) would require a shorter reporting period for physicians and other referenced persons to submit reports of primary or secondary syphilis by telephone (i.e., within one working day of determining the diagnosis). Other STD retain the existing requirement that reporting be made within seven calendar days. The proposed amendment for reporting syphilis test results within one working day will allow public health authorities to respond more quickly to reported cases and interrupt the chain of transmission earlier, thereby reducing the spread of the disease. Primary and secondary (P&S) syphilis are the stages of syphilis where the disease is most transmissible. In Texas, cases of P&S syphilis have steadily increased from 398 in 2000 to 1,172 in 2007 indicating a need for more aggressive intervention measures for syphilis, including earlier disease reporting. The proposed amendment for reporting primary and secondary syphilis would also put Texas in compliance with the CDC syphilis surveillance recommendations. Currently, Texas is one of only seven states that have a syphilis reporting timeframe of seven calendar days; 29 states have syphilis reporting within one working day.

Proposed amendments to §97.134(f) would require any person in charge of a clinical laboratory or other entity as specified by §97.132(3) to submit syphilis test results within three working days of obtaining the test result, which is a change from the existing rule that requires weekly submission. Other STD retain the existing requirement that test results be reported within seven calendar days in §97.134(f). Syphilis is proposed to be treated separately for the same reasons previously stated in this preamble regarding proposed changes to §97.134(e). Laboratory reporting of syphilis tests is proposed to be within three working days of obtaining the test result compared to within one working day for physicians and other non-laboratory reporters. This timeframe is proposed based on feedback from stakeholders that were concerned that "within one day" reporting from laboratories could result in a laboratory triggering a disease intervention specialist (DIS) contacting a patient before the physician received the laboratory report. Feedback from laboratory stakeholders was that a "within one day" reporting time frame would be overly burdensome. A "within three-day" timeframe for reporting syphilis is recommended because it shortens the reporting timeframe but also allows a short time-lag for physicians to receive results before a DIS contacts the patient. Laboratory stakeholders also indicated that this timeframe would be not be as overly burdensome as a "within one-day" timeframe. Proposed amendments to §97.134(f) would add clarifying language that the requirement for laboratories to report quarterly if they have no positive test results for that calendar quarter is an additional requirement and does not replace other reporting requirements.

Existing language at §97.134(g) is proposed to be deleted in its entirety because a rule on the subject is not needed. New language is proposed for subsection (g), which would require health authorities to report each week to the department, using electronic or paper reports, all STD cases, including HIV infection and AIDS, to be consistent with amendments made to Health and Safety Code, §81.043, during the 80th Legislature, 2007. The proposed new language will also include the address for mailing paper reports and an email address to request information on how to file electronic reports.

FISCAL NOTE - STATE GOVERNMENT

Casey S. Blass, Director, Infectious Disease Prevention Section, has determined that for each of the first five years the sections are in effect, there will be no fiscal implications to state government. The proposed rule amendments will result in an increase in the volume and type of STD reports received by the department; however, other provisions in the proposed amendments would offset those resource demands by decreasing the amount of time which needs to be spent on case follow-up by department STD surveillance personnel. No new personnel are anticipated to be needed under the proposed rules.

FISCAL NOTE - LOCAL GOVERNMENT

Mr. Blass has also determined that for each of the first five years the sections are in effect, there will be no fiscal implications to local government. The proposed rule amendments will result in an increase in the volume and type of STD reports received by local health departments and may increase the number of new cases needing disease intervention services; however, other provisions in the proposed amendments should offset those resource demands by decreasing the amount of time needed for follow-up on preliminary positive STD results with a missing confirmatory test and follow-up on HIV-exposed infants without test results indicating final HIV status.

MICRO-BUSINESS AND SMALL BUSINESS IMPACT ANALYSIS

Once a person/entity is within the scope of these rule amendments, then the proposed rules would provide for certain things that must be done such that the impacts are definite (e.g., small business must devote resources necessary to file reports). Since these impacts will happen, the department analysis under Economic Impact Statement as follows will also serve to satisfy the Small Business Impact Analysis required by Government Code, §2006.002(a).

The Economic Impact Statement does not explicitly cover "micro-businesses," but Government Code, §2006.002(a), requires an analysis of the impacts on such businesses. The department could not discern any difference in the impact of these rules on small businesses versus micro-business as defined in the statute, so the analysis will consider them both together and refer to them collectively only as "small businesses."

There is no anticipated negative impact on local employment.

The definition of a "small business" for purposes of this requirement was codified at Government Code, §2006.001(2). Under this definition, a "small business" is an entity that is: for profit, independently owned and operated; and has fewer than 100 employees or less than $6 million in annual gross receipts. Independently owned and operated businesses are self-controlling entities that are not subsidiaries of other entities or otherwise subject to control by other entities (and are not publicly traded).

Mr. Blass has determined that there may be an adverse economic effect on those small businesses directly regulated by the proposed rules. Therefore, the following two analyses have been performed:

--ECONOMIC IMPACT STATEMENT

The areas of possible impacts to small businesses regarding the proposed rules involve reporting and the frequency of reporting. Possible impacts are discussed on a section-by-section basis, below.

The proposed amendments to §97.132 do not add persons to the list of those who must report beyond those mandated by existing statutory language (see discussion in the Section-By-Section Summary of this preamble). Because statutory provisions already require these persons to report as indicated, there is no new legal burden created by more clearly expressing at fact in §97.132.

The proposed amendments to §97.133 requiring the use of Texas specific forms to report adult/adolescent and pediatric HIV/AIDS cases will have no adverse effect on small businesses in Texas. The HIV/AIDS case report forms are primarily used by the HIV/AIDS reporting sites, which are all local or regional health departments, the Texas Department of Criminal Justice, or by a limited number of larger volume HIV testing sites and hospitals, all of which would be categorized as either nonprofit organizations or large businesses. The Texas-specific case report forms should be available free of charge from local and regional health departments.

The proposed amendments to §97.133 requiring laboratories that conduct HIV drug resistance testing to submit reports containing the nucleotide sequence (e.g., FASTA file) to the department will have no adverse effect on small business in Texas. HIV drug resistance testing is a highly specialized laboratory procedure that appears to be limited to a handful of large reference labs across the country. In a telephone survey of select laboratories doing business in Texas completed in March of 2009, only eight labs were identified that do this type of testing, none of which would be classified as a small business.

The proposed amendments to §97.133 requiring laboratories to report all PCR test results for children less than three years of age will have no adverse effect on small businesses in Texas. As with HIV drug resistance testing, HIV PCR testing appears to be a specialized test only performed in very large reference laboratories. In March of 2009, an informal survey of HIV/AIDS reporting sites was conducted to determine which labs reported positive PCR results, and only four very large laboratories were named. This was further confirmed through laboratory report information contained in STD*Management Information System (STD*MIS), the state STD data reporting system in Texas. None of the 107 positive PCR tests that were reported in 2007 through STD*MIS were from laboratories that would be classified as a small business.

The proposed amendments to §97.133 requiring the reporting of all levels of CD4 counts and percentages for adults and adolescents, and all detectable and non-detectable HIV viral load tests, will not have an effect on small businesses in Texas. STD*MIS laboratory report data was used to determine how many labs conduct CD4 and HIV viral load tests. In the first six months of 2008, 63 laboratories were listed as having performed either CD4 or viral load tests, and none of these would be classified as a small business.

The proposed amendments to §97.133 requiring laboratories to report all confirmatory syphilis test results will have an overall negligible effect on small business in Texas. To estimate the number of laboratories performing syphilis tests that might be affected, all syphilis lab reports from the first six months of 2008 were pulled from STD*MIS. In that period, 265 facilities were listed as the laboratory that performed any type of syphilis test with any result. After removing laboratories from the list that would be classified as government or nonprofit, and researching the size of the remaining businesses, only 24 organizations were left that might qualify as small business. Even if that number were doubled to account for small private facilities that may not have had a syphilis test reported in STD*MIS in the six-month period, this rule change should affect no more than 50 small businesses. If one assumes that the difference between the number of positive screening tests reported in STD*MIS from these 24 small labs and the number of positive confirmatory tests reported were all negative confirmatory tests, which are not currently reportable, the total additional volume to be reported per year is estimated to be 60 to 120 negative confirmatory test results. Since this total number of tests is spread across 50 estimated small laboratories, an average small lab will only be reporting two or three negative syphilis confirmatory results per year. Any extra costs associated with printing and mailing in these extra syphilis test results is mitigated by the fact that under the current reporting rule, local STD reporting sites are calling labs to follow up on positive screening tests that were received without an accompanying confirmatory test result. For small laboratories, having employees field calls from the health department and look up negative confirmatory results is presumed to be equally if not more costly to the business than just routinely submitting the negative confirmatory test result along with the positive screening test.

The proposed amendments to §97.134 revising the timeframe for laboratories to report syphilis test results within three working days of obtaining a result will have a nominal effect on small business in Texas. As described previously, the number of small business laboratories conducting syphilis tests in Texas is estimated at no more than 50. Requiring small labs to report syphilis results in three days as opposed to the current weekly rule will not have an effect on the number of tests reported, only the frequency with which these results are submitted to the health department. According to 2008 STD*MIS data, the average small laboratory reports eight syphilis lab tests per year, so even if each one of those tests required an individual transmittal to the health department, the cost would be quite low per year, per lab. One small business laboratory in Texas was consulted and they estimated that it takes a lab technician no more than ten minutes to print and mail out a test result. Lab technicians earn approximately $20 per hour. Reporting a single test result might cost a lab a maximum of $5, including man-hours, paper, envelope and postage. The total extra cost per year for the average small lab should be no more than $40.

The proposed amendments to §97.134 revising the timeframe and method for healthcare providers to report P&S syphilis diagnoses would have a negligible effect on small business in Texas. According to STD*MIS data, approximately 300 different healthcare providers diagnosed P&S syphilis cases in the first six months of 2008. Of that total, about half would clearly be classified as government, nonprofit, or large business providers. Factoring in some extra providers for a full year timeframe, the department estimates that 200 small business providers may be impacted by this rule change. The total number of P&S syphilis cases to be reported among these 200 healthcare providers is estimated at 400 cases per year, for an average of two cases per provider per year. While changing the timing of the case report from within seven days to within one working day for a provider may be slightly less convenient, the overall time and effort required to make the report will not change for these small businesses. In fact, with this proposed rule amendment also requiring diagnosing facilities to report P&S syphilis cases by telephone, these small businesses may incur less expense compared to the resources required to report cases on paper. Under this rule amendment, the average small business healthcare provider should be able to complete all of their P&S case reports for a year with two five-minute phone calls.

The proposed amendments to §97.134 deleting the portion stating that in addition to report forms, postage paid envelopes may be obtained from the HIV/STD Epidemiology Division without charge will not have an adverse effect on small business. The department has not provided any postage paid envelopes to any individual or organization wishing to report HIV/STD in the past five years or more. Making this change in the reporting rules will have no adverse effect on small business in Texas because no business is currently taking advantage of this offer and has not for many years.

--REGULATORY FLEXIBILITY ANALYSIS

The department considered several alternative methods to achieve the purpose of the rule change proposed for §97.134(e) - (f). Initially, the proposal was to make all syphilis test results reportable by laboratories within one day rather than three days. However, the early feedback received from meetings with key HIV/STD laboratory stakeholders in early 2009, was that one-day reporting would be excessively burdensome to lab workflow. Another concern expressed by stakeholders was that within one-day reporting from laboratories could result in a laboratory report triggering a DIS contacting a patient before the physician received the laboratory report. The three working-day time period for laboratory reporting for syphilis is being proposed as a compromise. Another alternative considered was to proscribe electronic lab reporting. The department may provide limited technical assistance to any laboratory that may be interested in moving towards the reporting of lab test results through secure electronic file transfers. After the initial set up, electronic reporting would reduce costs by eliminating the paper and postage from the equation and reducing the time spent by staff to complete the reporting process. However, it was determined that the department does not have the statutory authority to mandate electronic reporting from laboratories, and there are also technical issues regarding compatibility of different electronic data systems. Finally, the department also considered implementing a different timetable for syphilis reporting among small laboratories (as opposed to those that are not small businesses); however, this was not deemed to be adequately protective of public health and safety. P&S syphilis is increasing in Texas with case numbers tripling over the last eight years. Moving to within three-day reporting of syphilis for all laboratories will shorten the timeframe from its current reporting requirement, which will in turn allow earlier public health intervention but not be overly burdensome to laboratories.

REGULATORY ANALYSIS

The department has determined that this proposal is not a "major environmental rule" as defined by Government Code, §2001.0225. "Major environmental rule" is defined to mean a rule the specific intent of which is to protect the environment or reduce risk to human health from environmental exposure and that may adversely affect, in a material way, the economy, a sector of the economy, productivity, jobs, the environment or the public health and safety of a state or a sector of the state. This proposal is not specifically intended to protect the environment or reduce risks to human health from environmental exposure.

TAKINGS IMPACT ASSESSMENT

The department has determined that the proposed amendments do not restrict or limit an owner's right to his or her property that would otherwise exist in the absence of government action and, therefore, do not constitute a taking under Government Code, §2007.043.

PUBLIC BENEFIT

In addition, Mr. Blass has determined that for each year of the first five years the sections are in effect, the public will benefit from adoption of the sections. The public will benefit from adoption of the proposed amendments because more complete and timely STD reporting will result in enhanced STD data, increased identification of new cases of STD and earlier public health interventions to control the spread of STD in Texas. The enhanced data will allow public health officials to better target prevention and treatment programs for individuals at risk for HIV and other STD and will enable public health officials to identify disease outbreaks in specific geographical areas or in specific populations more quickly.

PUBLIC COMMENT

Comments on the proposal may be submitted to Nicole Hawkins, Department of State Health Services, HIV/AIDS Epidemiology and Surveillance Branch, MC 1873, P.O. Box 149347, Austin, TX 78714-9347, or by email to Nicole.Hawkins@dshs.state.tx.us. Comments will be accepted for 30 days following publication of this proposal in the Texas Register.

LEGAL CERTIFICATION

The Department of State Health Services General Counsel, Lisa Hernandez, certifies that the proposed rules have been reviewed by legal counsel and found to be within the state agencies' legal authority to adopt.

STATUTORY AUTHORITY

The amendments are authorized by the Health and Safety Code, Subtitle D, Chapter 81, Subchapter C, §§81.041 - 81.044, which grants the Texas Board of Health authority to identify each communicable disease or health condition that shall be reported under Chapter 81, authority to maintain and revise as necessary the list of reportable diseases, and authority to require reporting of HIV and AIDS. The proposed amendments are also authorized by the other statutory citations listed in the individual sections herein. The amendments are also authorized by the 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. The review of the rules implements Government Code, §2001.039.

The amendments affect Health and Safety Code, Chapters 81 and 1001; and Government Code, Chapter 531.

§97.131.Definitions.

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

(1) AIDS and HIV Infection--Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) infection are as defined by the Centers for Disease Control and Prevention (CDC) and in accordance with the Health and Safety Code, §81.101. The publication designating the most current definition may be requested from: Texas Department of State Health Services, TB/HIV/STD [ HIV/STD] Epidemiology and Surveillance Branch [ Division], P.O. Box 149347, [ 1100 West 49th Street,] Austin, Texas 78714-9347 [ 78756-3199].

(2) Confirmatory Test--A second analytical test that is done to detect disease, when an initial or screening test yields a preliminary positive result, which is independent of the initial test and uses a different technique and chemical principle in order to ensure reliability and accuracy.

[(2) Chancroid, Chlamydia trachomatis infection, gonorrhea and syphilis--These diseases are as defined by the Centers for Disease Control and Prevention. The publication designating the most current definition may be requested from: Texas Department of Health, HIV/STD Epidemiology Division, 1100 West 49th Street, Austin, Texas 78756-3199.]

(3) FASTA File--An electronic data format used to store nucleotide sequences of the Human Immunodeficiency Virus (HIV).

(4) HIV-Exposed Infant--Any infant born to an HIV-infected woman.

(5) Point of Care Tests--Diagnostic tests performed at or near the site of patient care that increase the likelihood of the patient receiving the results as well as referrals for treatment and support services in a timely manner. These tests are usually performed in emergency rooms, outpatient clinics and physician offices.

(6) Screening Test--An analytical test used to preliminarily detect the presence of disease. Positive screening test results should be followed by a confirmatory test to verify the presence of that disease.

(7) [(3)] Sexually transmitted disease (STD)--An infection, with or without symptoms or clinical manifestations, that is or may be transmitted from one person to another during or as a result of sexual relations, and that produces or might produce a disease in, or otherwise impair, the health of either person, or might cause an infection or disease in a fetus in utero or a newborn. Acquired Immune Deficiency Syndrome (AIDS), chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, and syphilis are sexually transmitted diseases reportable under these rules, and each are as defined by CDC (see http://www.cdc.gov/ncphi/disss/nndss/casedef/case_definitions.htm).

§97.132.Who Shall Report Sexually Transmitted Diseases.

The following shall report [provide information on] cases of STD and HIV-exposed infants, as detailed in §97.133 of this title (relating to Reporting Information for Sexually Transmitted Diseases) [AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, or syphilis]:

(1) A physician or dentist shall report each patient who has or is suspected of having an STD and/or is an HIV-exposed infant [that is diagnosed or treated for AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, or syphilis]. A physician or dentist may designate an employee of the clinic, including a school based clinic or physician's/dentist's office, to serve as the reporting officer. However, it is ultimately the responsibility of the [A] physician or dentist to ensure [who can assure ] that [a designated or appointed person in] the required reporting [clinic or office] is submitted [regularly reporting every occurrence of these diseases does not have to submit a duplicate report].

(2) The following persons [chief administrative officer of a hospital, medical facility, or penal institution] shall report each person [patient] who has or is suspected of having an STD and/or is an HIV-exposed infant, if a report is not made as required by persons specified in paragraphs (1), and (3) - (5) of this section: [is medically attended at the facility and is diagnosed with AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, or syphilis. The chief administrative officer may designate an employee of the institution to serve as the reporting officer. A chief administrative officer who can assure that a designated or appointed person in the institution is regularly reporting every occurrence of these diseases does not have to submit a duplicate report. Hospital laboratories may report through the reporting officer or independently in accordance with the hospital's policies and procedures.]

(A) a professional registered nurse;

(B) an administrator or director of a public or private temporary or permanent child-care facility (as defined in Title 40, Texas Administrative Code, Part 19, Chapter 746, Subchapter A, §746.105);

(C) an administrator or director of a nursing facility (as defined in Title 40, Texas Administrative Code, Part 1, Chapter 18, Subchapter A, §18.2);

(D) an administrator or director of a personal care facility (as defined in Title 40, Texas Administrative Code, Part 19, Chapter 705, Subchapter A, §705.1001);

(E) an administrator or director of an adult day-care facility (as defined in Title 40, Texas Administrative Code, Part 1, Chapter 98, Subchapter A, §98.2(3));

(F) an administrator or director of a maternity home (as defined in Texas Health and Safety Code, §249.001(3));

(G) an administrator or director of an adult respite care center (as defined in Texas Health and Safety Code, §242.181(3));

(H) an administrator of a home health agency (as defined in Texas Insurance Code, §1351.001(2));

(I) an administrator or health official of a public or private institution of higher education;

(J) an owner or manager of a restaurant, dairy, or other food handling or processing establishment or outlet;

(K) a superintendent, manager, or health official of a public or private camp, home, or institution;

(L) a parent, guardian, or householder;

(M) a health professional;

(N) an administrator or health official of a penal or correctional institution; or

(O) emergency medical service personnel, a peace officer, or a firefighter.

(3) Any person in charge of a clinical laboratory, hospital laboratory, blood bank, mobile unit, or other facility in which a laboratory examination of a blood specimen, or any specimen derived from a human body, [that] yields microscopic, cultural, serological or any other evidence of an STD [AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, or syphilis, including a CD4+ T lymphocyte cell count below 200 cells/microliter or a CD4+ T lymphocyte percentage of less than l4%,] shall report according to §97.133 of this title (relating to Reporting Information for Sexually Transmitted Diseases).

(4) The medical director or other physician responsible for the medical oversight of a testing program, as defined in Texas Health and Safety Code, §85.002, [counseling and testing site or a community-based organization ] shall report each patient who has or is suspected of having an STD and/or is an HIV-exposed infant. [that is diagnosed with AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection, or syphilis. The medical director or clinic physician may designate an employee of the counseling and testing site or community-based organization to serve as the reporting officer. A medical director or clinic physician who can assure that the designated reporting officer is regularly reporting every occurrence of these diseases, in accordance with §97.133 of this title, does not have to submit a duplicate report.]

(5) A local school authority, as defined at Texas Health and Safety Code, §81.003, shall report a child attending school who is suspected, based on medical evidence, of having an STD and/or is an HIV-infected infant. [School administrators, as defined in §97.1 of this title (relating to Definitions), who are not medical directors meeting the criteria described in this section, are exempt from reporting AIDS, chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection or syphilis.]

(6) (No change.)

§97.133.Reporting Information for Sexually Transmitted Diseases.

Reporting entities described in §97.132 of this title (relating to Who Shall Report Sexually Transmitted Diseases) shall report all information required by the department for each person who has or is suspected of having an STD and/or is an HIV-exposed infant and[, to the extent that the information is collected by the reporting entity,] for any specimen derived from a human body that yields microscopic, cultural, serological or any other evidence of STD [AIDS, chancroid, chlamydia trachomatis infection, gonorrhea, HIV infection or syphilis, including a CD4+ T lymphocyte cell count below 200 cells/microliter or a CD4+ T lymphocyte percentage of less than 14%].

(1) The department has established the reporting procedures required under Texas Health and Safety Code, §81.044, including the designation of specific forms and methods of reporting [which may be in writing, by telephone, by electronic data transmission, or by other means]. Completed written reports, electronic reports, and telephone reports shall be made in accordance with §97.134 of this title (relating to How to Report Sexually Transmitted Diseases).

[(A) Reports of AIDS, HIV infection, CD4+ T Lymphocyte cell count below 200 cells/microliter, or CD4+ T lymphocyte percentage of less than 14% shall be made using all of the information collected by the reporting entity found in the most current version of forms CDC 50.42B, CDC 50.42C, or STD-28.]

[(B) Reports of chancroid shall be made using all of the information collected by the reporting entity found in the most current version of form STD-27 or STD-28.]

[(C) Reports of chlamydia trachomatis infection shall be made using all of the information collected by the reporting entity found in the most current version of form STD-27 or STD-28.]

[(D) Reports of gonorrhea shall be made using all of the information collected by the reporting entity found in the most current version of form STD-27 or STD-28.]

[(E) Reports of syphilis shall be made using all of the information collected by the reporting entity found in the most current version of form STD-27 or STD-28.]

[(F) Reports pertaining to congenital syphilis shall be made using all of the elements found in the most current version of the form adopted by the Bureau of HIV and STD Prevention.]

[(G) Reports pertaining to enhanced perinatal HIV surveillance shall be made using all of the elements found in the most current version of the form adopted by the Bureau of HIV and STD Prevention.]

(2) Physicians and other persons as specified by §97.132(1), (2), (4), and (5) of this title are required to report.

(A) All diagnoses of adult or adolescent HIV infection and AIDS using all of the information found in the most current version of the department's Texas HIV/AIDS Adult/Adolescent case report form (available as specified in §97.134 of this title (relating to How to Report Sexually Transmitted Diseases) and all diagnoses of pediatric HIV infection and AIDS using all of the information from the most current version of the department's Texas HIV/AIDS pediatric case report form (available as specified in §97.134 of this title).

(B) Information on all HIV positive women giving birth and HIV exposed infants using all of the elements from the most current version of the department's Enhanced Perinatal HIV Surveillance form adopted by the department (available as specified in §97.134 of this title).

(C) All chancroid, Chlamydia trachomatis, gonorrhea, and syphilis infections using all of the information found in the most current version of the department's Confidential Report of Sexually Transmitted Diseases form (STD-27) for adults and adolescents (available as specified in §97.134 of this title).

(D) All congenital syphilis infections using all of the information found in the most current version of the department's Confidential Report of Sexually Transmitted Diseases form (STD-27).

(E) Positive or reactive results from point of care testing for STDs (including HIV) for adults, adolescents and HIV exposed infants using all of the information found in the most current version of the department's Confidential Report of Sexually Transmitted Diseases form (STD-27).

[(2) Completed written reports, electronic reports, and telephone reports shall be made in accordance with §97.134 of this title (relating to How to Report Sexually Transmitted Diseases).]

(3) Any person in charge of a laboratory or other facility as specified by §97.132(3) of this title is required to report the results for each person who has or is suspected of having an STD and/or is an HIV-exposed infant by providing all of the information sought in the most current version of the department's Notification of Laboratory Test Findings Indicating Presence of Chlamydia trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or CD4 Counts form (STD-28) (available as specified in §97.134 of this title), including the following.

(A) All positive or reactive STD test results, including screening tests, all HIV viral loads (detectable and non-detectable), and all CD4+T-lymphocyte cell counts and percentages for adults and adolescents over 12 years of age.

(B) Polymerase Chain Reaction tests (PCR) for HIV (DNA or RNA) on all infants from birth to three years of age, regardless of the test findings (e.g., negative or positive).

(C) All confirmatory tests for syphilis, regardless of result (e.g., reactive or non-reactive).

(D) HIV drug resistance testing that contains the resulting nucleotide sequences of the HIV (e.g., FASTA file).

[(3) Electronic reports shall be made in accordance with §97.134(i) of this title.]

§97.134.How to Report Sexually Transmitted Diseases.

(a) All case reports received by the health authority or the department are confidential as provided by law [records and not public records].

(b) Reporting forms and/or information from all entities required to report should be sent to the local health department director where the physician's office, hospital, laboratory or medical facility is located or, if there is no such facility, the reports should be forwarded to the regional director in the department's health service region office which covers the area [region] where the physician's office, hospital, laboratory, or medical facility is located.

(c) If any individual or entity is unsure where to report any of the diseases mentioned in this subchapter [ title], the reports shall be placed in a sealed envelope addressed as follows: Texas Department of State Health Services, TB/HIV/STD [HIV/STD] Epidemiology and Surveillance Branch [Division], MC 1873, P.O. Box 149347, [1100 West 49th Street, ] Austin, Texas 78714-9347 [78756-3199 ] and the envelope shall be marked "Confidential." The envelope shall be delivered with the seal unbroken to the TB/HIV/STD [HIV/STD] Epidemiology and Surveillance Branch [Division ] office for opening and processing of the contents. Additional reporting information can be obtained from the HIV/STD Program website at http://www.dshs.state.tx.us/hivstd/default.shtm. [Postage paid envelopes may be obtained by contacting the HIV/STD Epidemiology Division and are provided without charge.]

(d) Reports of STD and/or HIV-exposed infants shall contain all of the information found on the reporting forms specified in §97.133(2) of this title (relating to Reporting Information for Sexually Transmitted Diseases) including, but not limited to (reporting [Reporting ] forms can be obtained from local health departments and department health service regions;[ , regional offices, and the Texas Department of Health, HIV/STD Epidemiology Division, 1100 West 49th Street, Austin, Texas 78756-3199.] forms [Forms ] shall be provided without charge to individuals required to report;[.] a list of local health departments and the department's health service region offices that can provide reporting forms is available at http://www.dshs.state.tx.us/hivstd/healthcare/reporting/shtm):

(1) the patient's name, address, age, sex, race, and occupation; the date of onset of the disease or condition; the probable source of infection and the name of the attending physician or dentist; and

(2) reports of HIV infection or AIDS shall also contain the patient's ethnicity, national origin, and city and county of residence.

(e) Physicians and other persons as specified by §97.132(1), (2), (4), and (5) of this title must submit reports of primary or secondary syphilis by telephone within one working day of determining the diagnosis. All other reports [Reports] of STD [confirmed or suspected sexually transmitted diseases] including AIDS and HIV from physicians and other persons as specified by §97.132 of this title [ infection] must be submitted within seven calendar days of the determination of the existence of a reportable condition.

(f) Any person in charge of a clinical laboratory or other entity as specified by §97.132(3) of this title shall submit syphilis test results within three working days of obtaining the test result and shall submit all other test results within seven calendar days. In addition to required reporting, if [ Laboratories shall submit information weekly. If], during any calendar quarter, tests for chancroid, Chlamydia trachomatis infection, gonorrhea, HIV infection and syphilis are performed and all test results are negative, the person in charge of reporting for the laboratory shall submit a statement to this effect on or before January 5, April 5, July 5, and October 5 following that calendar quarter.

(g) A health authority shall report each week to the department all cases reported to the authority during the previous week of STD, including HIV infection and AIDS, using electronic or paper reports. Information on how to submit electronic reports can be obtained from the TB/HIV/STD Epidemiology and Surveillance Branch through an email request to HIVSTDreporting@dshs.state.tx.us. Paper reports should be mailed to the Texas Department of State Health Services, TB/HIV/STD Epidemiology and Surveillance Branch, MC 1873, P.O. Box 149347, Austin, TX, 78714-9347.

[(g) A local health director or regional director may authorize one or more employees under his/her supervision to receive the report from the physician by telephone and to physically complete the form; use of this alternative, if authorized, is at the option of the reporting physician. The local health department director or regional director shall implement a method for verifying the identity of the telephone caller when that person is unfamiliar to the employee.]

(h) - (i) (No change.)

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

Filed with the Office of the Secretary of State on July 20, 2009.

TRD-200902965

Lisa Hernandez

General Counsel

Department of State Health Services

Earliest possible date of adoption: August 30, 2009

For further information, please call: (512) 458-7111 x6972


CHAPTER 289. RADIATION CONTROL

The Executive Commissioner of the Health and Human Services Commission on behalf of the Department of State Health Services (department) proposes the amendments of §289.201, concerning general provisions for radioactive material, §289.203, concerning radiation notices, instructions, reports to workers, and inspection protocol, §289.251, concerning exemptions, general licenses, and general license acknowledgements, and §289.252, concerning licensing of radioactive material.

BACKGROUND AND PURPOSE

The amendments to §§289.201, 289.251, and 289.252 are necessary primarily to comply with compatibility requirements of the United States Nuclear Regulatory Commission (NRC). The amendments are the result of the NRC's adoption of requirements for the revision of skin dose limits and requirements for the expanded definition of byproduct material. Other amendments are made to §§289.201, 289.251, and 289.252 to clarify program policies and procedures. The amendments to §289.203 are necessary to incorporate requirements for notice of violation documents that are related to increased control violations and to update the Notice to Employees Form.

Government Code, §2001.039, requires that each state agency review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). Sections 289.201, 289.203, 289.251, and 289.252 have been reviewed and the department has determined that the reasons for adopting these sections continue to exist because rules on this subject are needed.

SECTION-BY-SECTION SUMMARY

Section 289.201(b) adds a definition for "consortium" as an association of medical use licensees and a Position Emission Tomography (PET) radionuclide production facility, since the term is used in §289.252(kk) regarding new requirements for the issuance of specific licenses for a medical facility or educational institution to produce PET radioactive drugs for noncommercial transfer to licensees in its consortium. The definition of "shallow dose equivalent" is revised. These definitions are items of compatibility with the NRC and as an agreement state, Texas must adopt them. In addition, the definition of "residential location" is added to define a term that is used in §289.252(x) regarding specific terms and conditions of licenses.

The reference to the Texas Radiation Control Act is revised to state the complete legal citation in §289.203(a).

The title for the referenced §289.202 rule section is corrected in §289.203(b)(1)(A).

Section 289.203(b)(1)(D) restructures the sentence and adds the words "not been labeled "withhold from public disclosure under Government Code, §552.101," or equivalent phrase, in accordance with §289.252(ii) of this title," to clarify that notices of violation involving radiological working conditions or orders issued relating to increased security controls that have been labeled to withhold from public disclosure, shall not be posted.

The words "shall be posted by each licensee or registrant as required by this section" are deleted at the end of the sentence and subsequently the words, "Each licensee or registrant shall post" are added to the beginning of the first sentence in §289.203(b)(3) to be consistent with sentence structure used in this subsection. The term "Bureau of Radiation Control (BRC)" is deleted and replaced with "RC" to be consistent with the nomenclature for the applicable referenced form.

New language is added to §289.203(d)(2) in order to maintain compatibility with the NRC and to be consistent with language used in the related "Notice to Employees" form.

Section §289.203(i) adds "RC Form 203-1" after "The following form," to be consistent with language used throughout the chapter. In addition, to be consistent with language used throughout the chapter, the Notice to Employees form, referenced as a figure in this subsection, is revised with the following changes: form number now reads "RC Form 203-1;" corrects the department name and address, as applicable, throughout the form; replaces "radiation" with "registration" in item 2 of "YOUR EMPLOYER'S RESPONSIBILITY;" replaces "personnel monitoring" with "individual monitoring devices" in item 3 of "WHAT IS COVERED BY THESE RULES;" corrects the title of §289.202 in item 1 of "REPORTS ON YOUR RADIATION EXPOSURE HISTORY" and in item 2 replaces "personnel monitoring" with "individual monitoring devices" and deletes "is required by" and replaces it with "are provided in accordance with."

Throughout §289.251, references are revised to reflect the renumbering of subsequent subsections due to the deletion of §289.251(k) regarding renewal of general license acknowledgements. Change is reflected in new renumbered §289.251(k) concerning amendment of general license acknowledgements and §289.251(l) concerning appendices. Other typographical and minor grammatical corrections are made throughout the section.

New §289.251(e)(1)(C) adds language to clarify that manufacturers, processors, and producers must have an NRC license to introduce exempt concentrations of radioactive material into a product or material and then distribute it. This is an item of compatibility with the NRC.

Section 289.251(e)(2)(A) adds subparagraphs (D) and (F) to the list of references to state all applicable references for the exemption which is an item of compatibility with the NRC.

In §289.251(e)(2)(B), the words," or owns" are added after "transfers" to maintain rules that are compatible with NRC.

New §289.251(e)(2)(F) adds the prohibition against combining exempt concentrations of radioactive material to increase the radiation level, except as specified. This is an item of compatibility with the NRC.

In §289.251(e)(3)(A)(i)(I)(-h-), the standard international units are added to be consistent with the format used for units of measure used throughout the chapter and the language is changed to clarify that the exemption applies to intact timepieces. This requirement is an item of compatibility with the NRC.

New §289.251(e)(3)(A)(i)(X) is added to include certain smoke detectors as specified. Smoke detectors were previously exempted under paragraph (3)(C) of this subsection. Modern smoke detector design is very consistent and doses have been evaluated. Based on this, a product-specific exemption is being added. This is also an item of compatibility with the NRC.

New §289.251(e)(3)(C)(i)(III) is added to clarify that the exemption includes gas and aerosol detectors manufactured or distributed before November 30, 2007, in accordance with a specific license issued by the department with comparable provisions to Title 10, Code of Federal Regulations (CFR), §32.26 to maintain rules that are compatible with NRC and as an agreement state.

Current §289.251(e)(3)(D) is deleted to remove resins containing scandium-46 and designed for sand consolidation in oil wells from the listing of exempt items. The exemption is deleted because it is obsolete. No products are being distributed for use under the exemption. This is also an item of compatibility with the NRC.

Section 289.251(f)(4)(H)(iv)(IX) adds language to allow transfer or disposal of the device containing radioactive material by export in accordance with Title 10, CFR, Part 110. This is also an item of compatibility with NRC.

Concerning §289.251(f)(4)(H)(iv)(XI), language is added to clarify the ability of a specific licensee to transfer radioactive material for possession and use under its own specific license, under certain conditions, without prior approval. This is an item of compatibility with the NRC.

New §289.251(f)(4)(H)(iv)(XIX) adds a requirement to assure that the general license acknowledgement holder comply with information contained in the device safety evaluation.

New §289.251(f)(4)(K) adds requirements for a general license for certain items and self-luminous products containing radium-226 such as antiquities, intact and non-intact timepieces, and luminous items installed in air, marine or land vehicles. These requirements are compatibility items with NRC.

Concerning §289.251(g)(1), 3.7 megabecquerels of radium-226 is added to the list of radioactive material that, if possessed, requires filing an application for acknowledgement. This requirement is a compatibility item with NRC.

Section 289.251(g)(1)(B) adds ", and serial number of the source" after "label" to require that the serial number also be provided to the department.

Clarifying language is added to §289.251(g)(3) to specify that the General License Acknowledgement Form shall be completed in accordance with the instructions contained in the form and that the completed form shall be submitted to the department within 30 days of receipt.

In §289.251(i)(2), language is added to clarify that radioactive material shall not be used or stored in residential locations and that each person holding a GLA issued by the department shall obtain prior approval from the agency before storing or using radioactive material in an area not previously authorized in the GLA.

Concerning §289.251(j), the subsection is revised to delete the requirements for expiration and renewal of GLAs and only address requirements for the termination of GLAs. The department has determined that GLAs will no longer have an expiration date assigned to them and will not require renewal since GLAs are primarily a tracking system.

Current §289.251(k) deletes the requirements for renewal of GLAs as a result of the department's determination that GLAs will no longer have an expiration date and therefore there is no longer a need for GLA renewals. Subsequent subsections are renumbered as reflected in new §289.251(k) and (l).

New §289.251(l)(1) and (l)(2), revises the table of exempt concentrations to state the correct abbreviation of Tantalum (73), Ytterbium (70), and Yttrium (39) and to be compatible with the NRC.

Throughout §289.252, references to §289.254 relating to licensing of radioactive waste processing and storage facilities and §289.260 relating to licensing of uranium recovery and byproduct material disposal facilities are deleted. These rules have been repealed as a result of Senate Bill 1604, 80th Legislative Session, 2007, that amended Health and Safety Code, §401.011, and transferred the regulatory authority for licensing and inspection of low-level waste processing and uranium recovery and disposal from the department to the Texas Commission on Environmental Quality (TCEQ). Other typographical, minor grammatical, and rule reference citation corrections are made throughout the section.

Concerning §289.252(d), "abandoned" is added after "denied" to clarify that the agency has the option to abandon the specific license application in addition to denying or issuing the license.

New §289.252(d)(11) is added to specify that action on a specific license application will be considered abandoned if the applicant does not respond within 30 days from the date of a request for any information by the agency. In addition, the new paragraph clarifies that abandonment of such actions does not provide an opportunity for a hearing but that the applicant retains the right to resubmit the application in accordance with paragraphs (1) through (7) of this subsection.

Concerning §289.252(e)(9) the department added "and/or used" after "stored" and deleted the word "storage" before "facility" to clarify that the requirement applies to facilities used for storage and/or use of radioactive material.

New §289.252(e)(11) adds a requirement that the applicant be listed on the Secretary of State's website as authorized to conduct business in the state in order for the department to verify this information prior to issuing a license.

New §289.252(f)(3)(O) and (g)(11) respectively, add that a specific duty of the radiation safety officer and the Radiation Safety Committee is to have knowledge of and ensure compliance with federal and state security measures for radioactive material to enhance awareness.

New §289.252(i)(5) adds the prohibition of the introduction of exempt concentrations by all persons except for those authorized by a license issued by NRC. This is an item of compatibility with the NRC.

New §289.252(n)(2) adds a requirement for a dry wipe test on each source containing more than 0.1 microcurie of americium-241 or radium-226 before transferring the source to a general licensee. This is an item of compatibility with the NRC.

Section 289.252(o) adds a reference for calibration, transmission, or reference sources used in medical settings. This requirement is an item of compatibility with the NRC.

Concerning §289.252(p), the standard international units of measure are added to be compatible with the NRC.

Section 289.252(r)(1)(A)(i) is revised to clarify that the applicant provide evidence of being registered with the United Stated Food and Drug Administration as the owner or operator of a drug establishment that engages in the manufacture, preparation, propagation, compounding, or processing of a drug in accordance with Title 21, CFR, §207.20(a). This requirement is an item of compatibility with the NRC.

New §289.252(r)(1)(A)(iv) adds as an option for the information required for a license, that the applicant provide evidence of operating as a nuclear pharmacy within a federal medical institution. This requirement is an item of compatibility with the NRC.

New §289.252(r)(1)(A)(v) adds as an option for the information required for a license, that the applicant provide evidence that a PET drug production facility be registered with a state agency. This requirement is an item of compatibility with the NRC.

New §289.252(r)(3)(A) - (D) is added to recognize nuclear pharmacists, who prepared only accelerator-produced radioactive drugs, before the effective date of the rule, to work as authorized nuclear pharmacists at a commercial nuclear pharmacy. This requirement is an item of compatibility with the NRC.

Concerning §289.252(x)(3), language is added to clarify that radioactive material shall not be used or stored in residential locations unless specifically authorized by the agency.

New §289.252(x)(9) is added to require licensees to measure strontium-82 and strontium-85 contamination before use of the first eluate when eluting strontium-82/rubidium-82 generators. This requirement is an item of compatibility with the NRC.

Section 289.252(y)(1) deletes the last sentence of the current paragraph because this statement is addressed in §289.252(y)(2).

New §289.252(ee)(1)(F) is added to specify the documents that out-of-state licensees shall have in their possession at all times when conducting work in Texas and make available for agency review upon request.

Concerning the table for §289.252(jj)(2), Calcium-45 is removed from the list of radionuclides for the 0.1 microcurie limit used for determining financial assurance for decommissioning to maintain compatibility with the NRC.

Concerning footnote 2 to the table for §289.252(jj)(9)(D), the words "with this Order" are deleted after "compliance" as they are not applicable to this statement.

New §289.252(kk) established requirements for issuing specific licenses for a medical facility or educational institution to produce PET drugs for noncommercial transfer within its consortium. Language is added to clarify that nothing in the authorization in accordance with this subsection relieves the licensee from complying with FDA, other federal, or state requirements for radioactive drugs, and includes requirements associated with the labeling and production of PET radioactive drugs by licensees authorized in accordance with this subsection to produce PET radioactive drugs for the noncommercial transfer to medical use licensees in their consortium. This new subsection also requires licensees to use the notification process in §289.252(r) of this title when permitting qualified authorized nuclear pharmacists to work as authorized nuclear pharmacists. These changes are made to maintain rules compatible with the NRC.

FISCAL NOTE

Susan E. Tennyson, Section Director, Environmental and Consumer Safety Section, has determined that for each year of the first five-year period that these sections are in effect, there will be no fiscal implications to the state or local government as a result of enforcing and administering the sections as proposed.

ECONOMIC IMPACT STATEMENT AND REGULATORY FLEXIBILITY ANALYSIS FOR SMALL AND MICRO-BUSINESSES

Ms. Tennyson has also determined that there will be no adverse economic impact on small businesses or micro-businesses required to comply with §§289.201, 289.203, 289.251, and 289.252 as proposed. This was determined by interpretation of the rules that small businesses and micro-businesses will not be required to alter their business practices in order to comply with the sections.

ECONOMIC COSTS TO PERSONS AND IMPACT ON LOCAL EMPLOYMENT

There are no anticipated economic costs to persons who are required to comply with the sections as proposed because the amendments are clarifying in nature and do not impose additional actions on the part of those required to comply. There is no anticipated negative impact on local employment.

PUBLIC BENEFIT

In addition, Ms. Tennyson has also determined that for each year of the first five years the sections are in effect, the public will benefit from adoption of the sections. The public benefit anticipated as the result of enforcing or administering these sections is ensure continued protection of the public, workers, and the environment from unnecessary exposure to radiation by ensuring that rules are clear and specific.

REGULATORY ANALYSIS

The department has determined that this proposal is not a "major environmental rule" as defined by Government Code, §2001.0225. "Major environmental rule" is defined to mean a rule the specific intent of which is to protect the environment or reduce risk to human health from environmental exposure and that may adversely affect, in a material way, the economy, a sector of the economy, productivity, competition, jobs, the environment or the public health and safety of a state or a sector of the state.

TAKINGS IMPACT ASSESSMENT

The department has determined that the proposed amendments do not restrict or limit an owner's right to his or her property that would otherwise exist in the absence of government action and, therefore, do not constitute a taking under Government Code, §2007.043.

PUBLIC COMMENT

Comments on the proposal may be submitted to Cindy Cardwell, Radiation Group, Policy/Standards/Quality Assurance Unit, Division of Regulatory Services, Environmental and Consumer Safety Section, Department of State Health Services, MC 1987, P.O. Box 149347, Austin, TX 78714-9347, (512) 834-6770, extension 2239, or by email to Cindy.Cardwell@dshs.state.tx.us. Comments will be accepted for 30 days following publication of the proposal in the Texas Register.

PUBLIC HEARING

A public hearing to receive comments on the proposal will be scheduled after publication in the Texas Register and will be held at the Department of State Health Services, Exchange Building, 8407 Wall Street, Austin, Texas 78754. The meeting date will be posted on the Radiation Control website (www.dshs.state.tx.us/radiation). Please contact Cindy Cardwell at (512) 834-6770, extension 2239, or Cindy.Cardwell@dshs.state.tx.us if you have questions.

LEGAL CERTIFICATION

The Department of State Health Services General Counsel, Lisa Hernandez, certifies that the proposed rules have been reviewed by legal counsel and found to be within the state agencies' authority to adopt.

SUBCHAPTER D. GENERAL

25 TAC §289.201, §289.203

STATUTORY AUTHORITY

The amendments are authorized by Health and Safety Code, §401.051, which provides the Executive Commissioner of the Health and Human Services Commission with authority to adopt rules and guidelines relating to the control of radiation; 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 for the operation and provision of health and human services by the department and for the administration of Health and Safety Code, Chapter 1001. The review of the rules implements Government Code, §2001.039.

The amendments affect the Health and Safety Code, Chapters 401 and 1001; and Government Code, Chapter 531.

§289.201.General Provisions for Radioactive Material.

(a) (No change.)

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

(1) - (21) (No change.)

(22) Consortium--An association of medical use licensees and a Position Emission Tomography (PET) facility in the same geographical area that jointly own or share in the operation and maintenance costs of the PET radionuclide production facility that produces PET radionuclides for use in producing radioactive drugs within the consortium for noncommercial distributions among its associated members for medical use. The PET radionuclide production facility within the consortium shall be located at an educational institution or a medical facility.

(23) [(22)] Constraint (dose constraint)--A value above which specified licensee actions are required.

(24) [(23)] Critical group--The group of individuals reasonably expected to receive the greatest exposure to residual radioactivity for any applicable set of circumstances.

(25) [(24)] Curie (Ci)--A unit of measurement of radioactivity. One curie (Ci) is that quantity of radioactive material that decays at the rate of 3.7 x 1010 disintegrations per second (dps). Commonly used submultiples of the curie are the millicurie (mCi) and the microcurie (µCi). One mCi = 1 x 10-3 Ci = 3.7 x 107 dps. One µCi = 1 x 10-6 Ci = 3.7 x 104 dps. One nanocurie (nCi) = 1 x 10-9 Ci = 3.7 x 101 dps. One picocurie (pCi) = 1 x 10-12 Ci = 3.7 x 10-2 dps.

(26) [(25)] Decommission--To remove a facility or site safely from service and reduce residual radioactivity to a level that permits the following:

(A) release of the property for unrestricted use and/or termination of license; or

(B) release of the property under alternate requirements for license termination.

(27) [(26)] Deep dose equivalent (Hd), that applies to external whole body exposure--The dose equivalent at a tissue depth of 1 centimeter (cm) (1,000 milligrams per square centimeter (mg/cm2)).

(28) [(27)] Depleted uranium--The source material uranium in which the isotope uranium-235 is less than 0.711 weight percent of the total uranium present. Depleted uranium does not include special nuclear material.

(29) [(28)] Discrete source--A radionuclide that has been processed so that its concentration within a material has been purposely increased for use for commercial, medical, or research activities.

(30) [(29)] Distinguishable from background--The detectable concentration of a radionuclide is statistically different from the background concentration of that radionuclide in the vicinity of the site, or, in the case of structures or equipment, in similar materials using adequate measurement technology, survey, and statistical techniques.

(31) [(30)] Distribution--The physical conveyance and authorized transfer of commodities from producers to consumers and any intermediate persons involved in that conveyance.

(32) [(31)] Dose--A generic term that means absorbed dose, dose equivalent, effective dose equivalent, committed dose equivalent, committed effective dose equivalent, total organ dose equivalent, or total effective dose equivalent. For purposes of this chapter, "radiation dose" is an equivalent term.

(33) [(32)] Dose equivalent (HT )--The product of the absorbed dose in tissue, quality factor, and all other necessary modifying factors at the location of interest. The units of dose equivalent are the sievert (Sv) and rem.

(34) [(33)] Dose limits--The permissible upper bounds of radiation doses established in accordance with this chapter. For purposes of this chapter, "limits" is an equivalent term.

(35) [(34)] Effective dose equivalent (HE)--The sum of the products of the dose equivalent to each organ or tissue (HT) and the weighting factor (wT) applicable to each of the body organs or tissues that are irradiated (HE = Σ wTHT).

(36) [(35)] Embryo/fetus--The developing human organism from conception until the time of birth.

(37) [(36)] Entrance or access point--Any opening through which an individual or extremity of an individual could gain access to radiation areas or to licensed sources of radiation. This includes portals of sufficient size to permit human access, irrespective of their intended use.

(38) [(37)] Exposure--The quotient of dQ by dm where "dQ" is the absolute value of the total charge of the ions of one sign produced in air when all the electrons (negatrons and positrons) liberated by photons in a volume element of air having mass "dm" are completely stopped in air. The SI unit of exposure is the coulomb per kilogram (C/kg). The roentgen is the special unit of exposure. For purposes of this chapter, this term is used as a noun.

(39) [(38)] Exposure rate--The exposure per unit of time.

(40) [(39)] External dose--That portion of the dose equivalent received from any source of radiation outside the body.

(41) [(40)] Extremity--Hand, elbow, arm below the elbow, foot, knee, and leg below the knee. The arm above the elbow and the leg above the knee are considered part of the whole body.

(42) [(41)] Generally applicable environmental radiation standards--Standards issued by the United States Environmental Protection Agency (EPA) under the authority of the Atomic Energy Act of 1954, as amended, that impose limits on radiation exposures or levels, or concentrations or quantities of radioactive material, in the general environment outside the boundaries of locations under the control of persons possessing or using radioactive material.

(43) [(42)] Gray (Gy)--The SI unit of absorbed dose. One gray is equal to an absorbed dose of 1 joule per kilogram (J/kg) or 100 rad.

(44) [(43)] High radiation area--An area, accessible to individuals, in which radiation levels from sources of radiation external to the body could result in an individual receiving a dose equivalent in excess of 0.1 rem (1 millisievert (mSv)) in one hour at 30 cm from any source of radiation or from any surface that the radiation penetrates.

(45) [(44)] Human use--The internal or external administration of radiation or radioactive material to human beings for healing arts purposes or research and/or development specifically authorized by the agency.

(46) [(45)] Individual--Any human being.

(47) [(46)] Individual monitoring--The assessment of:

(A) dose equivalent to an individual by the use of individual monitoring devices; or

(B) committed effective dose equivalent to an individual by bioassay or by determination of the time-weighted air concentrations to which an individual has been exposed, that is, DAC-hours. (See the definition for DAC-hours in §289.202(c) of this title); or

(C) dose equivalent to an individual by the use of survey data.

(48) [(47)] Individual monitoring devices--Devices designed to be worn by a single individual for the assessment of dose equivalent. For purposes of this chapter, "personnel dosimeter" and "dosimeter" are equivalent terms. Examples of individual monitoring devices include, but are not limited to, film badges, thermoluminescence dosimeters (TLDs), optically stimulated luminescence dosimeters (OSLs), pocket ionization chambers (pocket dosimeters), electronic personal dosimeters, and personal air sampling devices.

(49) [(48)] Inspection--An official examination and/or observation including, but not limited to, records, tests, surveys, and monitoring to determine compliance with the Act and rules, orders, requirements, and conditions of the agency.

(50) [(49)] Internal dose--That portion of the dose equivalent received from radioactive material taken into the body.

(51) [(50)] Ionizing radiation--Any electromagnetic or particulate radiation capable of producing ions, directly or indirectly, in its passage through matter. Ionizing radiation includes gamma rays and x rays, alpha and beta particles, high-speed electrons, neutrons, and other nuclear particles.

(52) [(51)] Land disposal facility--The land, buildings, and equipment that are intended to be used for the disposal of low-level radioactive waste (LLRW) into the subsurface of the land.

(53) [(52)] Lens dose equivalent--The external dose equivalent to the lens of the eye at a tissue depth of 0.3 cm (300 mg/cm2).

(54) [(53)] License--A form of permission given by the agency to an applicant who has met the requirements for licensing set out in the Act and this chapter.

(55) [(54)] Licensed material--Radioactive material received, possessed, used, or transferred under a general or specific license issued by the agency.

(56) [(55)] Licensee--Any person who is licensed by the agency in accordance with the Act and this chapter.

(57) [(56)] Licensing state--Any state with rules equivalent to the Suggested State Regulations for Control of Radiation relating to, and having an effective program for, the regulatory control of naturally occurring or accelerator-produced radioactive material (NARM) and has been designated as such by the Conference of Radiation Control Program Directors, Inc. For the purposes of evaluation and/or distribution of sealed sources, this includes Licensing State Status: Product Review Only.

(58) [(57)] Lost or missing radioactive material--Radioactive material whose location is unknown. This definition includes licensed material that has been shipped but has not reached its planned destination and whose location cannot be readily traced in the transportation system.

(59) [(58)] Low-level radioactive waste (LLRW)--Radioactive material that meets the following criteria:

(A) LLRW is radioactive material that is:

(i) discarded or unwanted and is not exempt by rule adopted under the Texas Radiation Control Act (Act), Health and Safety Code, §401.106;

(ii) waste, as that term is defined in Title 10, CFR, §61.2; and

(iii) subject to:

(I) concentration limits established in Title 10, CFR, §61.55, or compatible rules adopted by the agency or the Texas Commission on Environmental Quality (TCEQ), as applicable; and

(II) disposal criteria established in Title 10, CFR, or established by the agency or TCEQ, as applicable.

(B) LLRW does not include:

(i) high-level radioactive waste as defined by Title 10, CFR, §60.2;

(ii) spent nuclear fuel as defined by Title 10, CFR, §72.3;

(iii) byproduct material defined in the Act, Health and Safety Code, §401.003(3)(B);

(iv) naturally occurring radioactive material (NORM) waste that is not oil and gas NORM waste;

(v) oil and gas NORM waste; or

(vi) transuranics greater than 100 nanocuries per gram.

(60) [(59)] Manufacture--To fabricate or mechanically produce.

(61) [(60)] Member of the public--Any individual, except when that individual is receiving an occupational dose.

(62) [(61)] Minor--An individual less than 18 years of age.

(63) [(62)] Monitoring--The measurement of radiation, radioactive material concentrations, surface area activities, or quantities of radioactive material and the use of the results of these measurements to evaluate potential exposures and doses. For purposes of this chapter, "radiation monitoring" and "radiation protection monitoring" are equivalent terms.

(64) [(63)] NARM--Any naturally occurring or accelerator-produced radioactive material except source material or special nuclear material.

(65) [(64)] Natural radioactivity--Radioactivity of naturally occurring nuclides whose location and chemical and physical form have not been altered by man.

(66) [(65)] NRC--The United States Nuclear Regulatory Commission or its duly authorized representatives.

(67) [(66)] Occupational dose--The dose received by an individual in the course of employment in which the individual's assigned duties involve exposure to sources of radiation from licensed/registered and unlicensed/unregistered sources of radiation, whether in the possession of the licensee/registrant or other person. Occupational dose does not include dose received from background radiation, from any medical administration the individual has received, from exposure to individuals administered radioactive material and released in accordance with this chapter, from voluntary participation in medical research programs, or as a member of the public.

(68) [(67)] Particle accelerator--Any machine capable of accelerating electrons, protons, deuterons, or other charged particles in a vacuum and designed to discharge the resultant particulate or other associated radiation at energies usually in excess of 1 MeV.

(69) [(68)] Person--Any individual, corporation, partnership, firm, association, trust, estate, public or private institution, group, agency, local government, any other state or political subdivision or agency thereof, or any other legal entity, and any legal successor, representative, agent, or agency of the foregoing, other than NRC, and other than federal government agencies licensed or exempted by NRC.

(70) [(69)] Personnel monitoring equipment (See definition for individual monitoring devices.)

(71) [(70)] Pharmacist--An individual licensed by the Texas State Board of Pharmacy to compound and dispense drugs, prescriptions, and poisons.

(72) [(71)] Physician--An individual licensed by the Texas Medical Board.

(73) [(72)] Principal activities--Activities authorized by the license that are essential to achieving the purpose(s) for which the license was issued or amended. Storage during which no licensed material is accessed for use or disposal and activities incidental to decontamination or decommissioning are not principal activities.

(74) [(73)] Public dose--The dose received by a member of the public from exposure to sources of radiation released by a licensee, or to any other source of radiation under the control of a licensee/registrant. It does not include occupational dose or doses received from background radiation, from any medical administration the individual has received, from exposure to individuals administered radioactive material and released in accordance with this chapter, or from voluntary participation in medical research programs.

(75) [(74)] Quality factor (Q)--The modifying factor listed in subsection (n)(1) and (2) of this section that is used to derive dose equivalent from absorbed dose.

(76) [(75)] Quarter (calendar quarter)--A period of time equal to one-fourth of the year observed by the licensee, approximately 13 consecutive weeks, providing that the beginning of the first quarter in a year coincides with the starting date of the year and that no day is omitted or duplicated in consecutive quarters.

(77) [(76)] Rad--The special unit of absorbed dose. One rad is equal to an absorbed dose of 100 ergs per gram (erg/g) or 0.01 J/kg (0.01 gray).

(78) [(77)] Radiation--One or more of the following:

(A) gamma and x rays; alpha and beta particles and other atomic or nuclear particles or rays;

(B) emission of radiation from any electronic device to such energy density levels as to reasonably cause bodily harm; or

(C) sonic, ultrasonic, or infrasonic waves from any electronic device or resulting from the operation of an electronic circuit in an electronic device in the energy range to reasonably cause detectable bodily harm.

(79) [(78)] Radiation area--Any area, accessible to individuals, in which radiation levels could result in an individual receiving a dose equivalent in excess of 0.005 rem (0.05 mSv) in one hour at 30 cm from the source of radiation or from any surface that the radiation penetrates.

(80) [(79)] Radiation machine--Any device capable of producing ionizing radiation except those devices with radioactive material as the only source of radiation.

(81) [(80)] Radiation safety officer (RSO)--An individual who has a knowledge of and the authority and responsibility to apply appropriate radiation protection rules, standards, and practices, who must be specifically authorized on a radioactive material license, and who is the primary contact with the agency. Specific training and responsibilities for an RSO are listed in §289.252 of this title (relating to Licensing of Radioactive Material), §289.253 of this title (relating to Radiation Safety Requirements for Well Logging Service Operations and Tracer Studies), §289.255 of this title (relating to Radiation Safety Requirements and Licensing and Registration Procedures for Industrial Radiography), and §289.256 of this title (relating to Medical and Veterinary Use of Radioactive Material).

(82) [(81)] Radioactive material--Any material (solid, liquid, or gas) that emits radiation spontaneously.

(83) [(82)] Radioactive waste--As used in §289.254 of this title (relating to Licensing of Radioactive Waste Processing and Storage Facilities), this term is equivalent to LLRW.

(84) [(83)] Radioactivity--The disintegration of unstable atomic nuclei with the emission of radiation.

(85) [(84)] Radiobioassay (See definition for bioassay.)

(86) [(85)] Registrant--Any person issued a certificate of registration by the agency in accordance with the Act and this chapter.

(87) [(86)] Regulation (See definition for rule.)

(88) [(87)] Regulations of the United States Department of Transportation (DOT)--The requirements in Title 49, CFR, Parts 100 - 189.

(89) [(88)] Rem--The special unit of any of the quantities expressed as dose equivalent. The dose equivalent in rem is equal to the absorbed dose in rad multiplied by the quality factor (1 rem = 0.01 sievert (Sv)).

(90) [(89)] Research and development--Research and development is defined as:

(A) theoretical analysis, exploration, or experimentation; or

(B) the extension of investigative findings and theories of a scientific or technical nature into practical application for experimental and demonstration purposes, including the experimental production and testing of models, devices, equipment, materials, and processes.

(91) Residential location--Any area where a structure or structures are located in which people lodge or live, and the grounds on which these structures are located including, but not limited to, houses, apartments, condominiums, and garages.

(92) [(90)] Residual radioactivity--The radioactivity in structures, materials, soils, groundwater, and other media at a site resulting from activities under the licensee's control. This includes radioactivity from all licensed and unlicensed sources used by the licensee, but excludes background radiation. It also includes radioactive materials remaining at the site as a result of routine or accidental releases of radioactive material at the site and previous burials at the site, even if those burials were made in accordance with the provisions of Title 30, Texas Administrative Code, §336.334.

(93) [(91)] Restricted area--An area, access to which is limited by the licensee for the purpose of protecting individuals against undue risks from exposure to sources of radiation. Restricted area does not include areas used as residential quarters, but separate rooms in a residential building may be set apart as a restricted area.

(94) [(92)] Roentgen (R)--The special unit of exposure. One roentgen (R) equals 2.58 x 10-4 C/kg of air. (See definition for exposure.)

(95) [(93)] Rule (as defined in the Government Code, Chapters 2001 and 2002, as amended)--Any agency statement of general applicability that implements, interprets, or prescribes law or policy, or describes the procedure or practice requirements of an agency. The term includes the amendment or repeal of a prior section but does not include statements concerning only the internal management or organization of any agency and not affecting private rights or procedures. The word "rule" was formerly referred to as "regulation."

(96) [(94)] Sealed source--Radioactive material that is permanently bonded or fixed in a capsule or matrix designed to prevent release and dispersal of the radioactive material under the most severe conditions that are likely to be encountered in normal use and handling.

(97) [(95)] Shallow dose equivalent (Hs) (that applies to the external exposure of the skin of the whole body or the skin of an extremity)--The dose equivalent at a tissue depth of 0.007 cm (7 mg/cm2) [ averaged over an area of 1 square centimeter (cm2)].

(98) [(96)] SI--The abbreviation for the International System of Units.

(99) [(97)] Sievert--The SI unit of any of the quantities expressed as dose equivalent. The dose equivalent in sievert is equal to the absorbed dose in gray multiplied by the quality factor (1 Sv = 100 rem).

(100) [(98)] Site boundary--That line beyond which the land or property is not owned, leased, or otherwise controlled by the licensee.

(101) [(99)] Source material--Source material is defined as:

(A) uranium or thorium, or any combination thereof, in any physical or chemical form; or

(B) ores that contain by weight 0.05% or more of uranium, thorium, or any combination thereof; and

(C) does not include special nuclear material.

(102) [(100)] Source of radiation--Any radioactive material, or any device or equipment emitting or capable of producing radiation.

(103) [(101)] Special form radioactive material--Radioactive material that satisfies the following conditions.

(A) It is either a single solid piece or is contained in a sealed capsule that can be opened only by destroying the capsule;

(B) The piece or capsule has at least one dimension not less than 5 millimeters (mm) (0.2 inch); and

(C) It satisfies the requirements specified by NRC. A special form encapsulation designed in accordance with NRC requirements in effect on June 30, 1983, and constructed prior to July 1, 1985, may continue to be used. A special form encapsulation designed in accordance with NRC requirements in effect on March 31, 1996, and constructed prior to April 1, 1998, may continue to be used. A special form encapsulation either designed or constructed after April 1, 1998, must meet the requirements of this definition applicable at the time of its design or construction.

(104) [(102)] Special nuclear material--Special nuclear material is defined as:

(A) plutonium, uranium-233, uranium enriched in the isotope 233 or in the isotope 235, and any other material that NRC, in accordance with the provisions of the Atomic Energy Act of 1954, §51 as amended, determines to be special nuclear material, but does not include source material; or

(B) any material artificially enriched by any of the foregoing, but does not include source material.

(105) [(103)] Special nuclear material in quantities not sufficient to form a critical mass--Uranium enriched in the isotope 235 in quantities not exceeding 350 grams (g) of contained uranium-235; uranium-233 in quantities not exceeding 200 g; plutonium in quantities not exceeding 200 g; or any combination of them in accordance with the following formula.

(A) For each kind of special nuclear material, determine the ratio between the quantity of that special nuclear material and the quantity specified above for the same kind of special nuclear material. The sum of such ratios for all of the kinds of special nuclear material in combination shall not exceed "1" (i.e., unity).

(B) For example, the following quantities in combination would not exceed the limitation and are within the formula:

Figure: 25 TAC §289.201(b)(105)(B)

[Figure: 25 TAC §289.201(b)(103)(B)]

(106) [(104)] Special units--The conventional units historically used by licensees, for example, curie (activity), rad (absorbed dose), and rem (dose equivalent).

(107) [(105)] Survey--An evaluation of the radiological conditions and potential hazards incident to the production, use, transfer, release, disposal, and/or presence of sources of radiation. When appropriate, such survey includes, but is not limited to, tests, physical examination of location of materials and equipment, measurements of levels of radiation or concentration of radioactive material present, and evaluation of administrative and/or engineered controls.

(108) [(106)] Termination--A release by the agency of the obligations and authorizations of the licensee under the terms of the license. It does not relieve a person of duties and responsibilities imposed by law.

(109) [(107)] Test--A method of determining the characteristics or condition of sources of radiation or components thereof.

(110) [(108)] Texas Regulations for Control of Radiation (TRCR)--All sections of Title 25 Texas Administrative Code (TAC), Chapter 289.

(111) [(109)] Total effective dose equivalent (TEDE)--The sum of the effective dose equivalent for external exposures and the committed effective dose equivalent for internal exposures.

(112) [(110)] Total organ dose equivalent (TODE)--The sum of the deep dose equivalent and the committed dose equivalent to the organ receiving the highest dose as described in §289.202(rr)(1)(F) of this title.

(113) [(111)] Transport index--The dimensionless number (rounded up to the next tenth) placed on the label of a package, to designate the degree of control to be exercised by the carrier during transportation. The transport index is determined as follows:

(A) For non-fissile material packages, the number determined by multiplying the maximum radiation level in millisievert per hour (mSv/hr) at 1 meter (m) (3.3 feet) from the external surface of the package by 100 (equivalent to the maximum radiation level in millirem per hour (mrem/hr) at 1 m (3.3 feet); or

(B) For fissile material packages, the number determined by multiplying the maximum radiation level in mSv/hr at 1 m (3.3 feet) from the external surface of the package by 100 (equivalent to the maximum radiation level in mrem/hr at 1 m (3.3 feet), or, for criticality control purposes, the number obtained as described in 10 CFR 71.59, whichever is larger.

(114) [(112)] Type A quantity--A quantity of radioactive material, the aggregate radioactivity of which does not exceed A1 for special form radioactive material or A2 for normal form radioactive material, where A1 and A2 are given in §289.257(ff) of this title (relating to Packaging and Transportation of Radioactive Material) or may be determined by procedures described in §289.257(ff) of this title.

(115) [(113)] Type B quantity--A quantity of radioactive material greater than a type A quantity.

(116) [(114)] Unrefined and unprocessed ore--Ore in its natural form prior to any processing, such as grinding, roasting, beneficiating, or refining.

(117) [(115)] Unrestricted area (uncontrolled area)--An area, or access to, which is neither limited nor controlled by the licensee. For purposes of this chapter, "uncontrolled area" is an equivalent term.

(118) [(116)] Very high radiation area--An area, accessible to individuals, in which radiation levels from sources of radiation external to the body could result in an individual receiving an absorbed dose in excess of 500 rads (5 grays) in one hour at 1 meter (m) from a source of radiation or from any surface that the radiation penetrates. At very high doses received at high dose rates, units of absorbed dose, gray and rad, are appropriate, rather than units of dose equivalent, Sv and rem.

(119) [(117)] Veterinarian--An individual licensed by the Texas State Board of Veterinary Medical Examiners.

(120) [(118)] Waste--Low-level radioactive wastes containing source, special nuclear, or byproduct material that are acceptable for disposal in a land disposal facility. For the purposes of this definition, low-level radioactive waste means radioactive waste not classified as high-level radioactive waste, transuranic waste, spent nuclear fuel, or byproduct material as defined in paragraph (15)(B) - (E) of this subsection.

(121) [(119)] Week--Seven consecutive days starting on Sunday.

(122) [(120)] Whole body--For purposes of external exposure, head, trunk including male gonads, arms above the elbow, or legs above the knee.

(123) [(121)] Worker--An individual engaged in work under a license or certificate of registration issued by the agency and controlled by a licensee or registrant, but does not include the licensee or registrant.

(124) [(122)] Working level (WL)--Any combination of short-lived radon daughters in 1 liter of air that will result in the ultimate emission of 1.3 x 105 million electron volts (MeV) of potential alpha particle energy. The short-lived radon daughters are--for radon-222: polonium-218, lead-214, bismuth-214, and polonium-214; and for radon-220: polonium-216, lead-212, bismuth-212, and polonium-212.

(125) [(123)] Working level month (WLM)--An exposure to one working level for 170 hours--2,000 working hours per year divided by 12 months per year is approximately equal to 170 hours per month.

(126) [(124)] Year--The period of time beginning in January used to determine compliance with the provisions of this chapter. The licensee may change the starting date of the year used to determine compliance by the licensee provided that the change is made at the beginning of the year and that no day is omitted or duplicated in consecutive years.

(c) - (o) (No change.)

§289.203.Notices, Instructions, and Reports to Workers; Inspections.

(a) Scope and purpose. This section establishes requirements for notices, instructions, and reports by licensees or registrants to individuals engaged in activities under a license or certificate of registration, and options available to such individuals in connection with agency inspections of licensees or registrants to ascertain compliance with the provisions of the Texas Radiation Control Act (Act), Health and Safety Code, Chapter 401, and rules, orders, licenses, and certificates of registration issued thereunder regarding radiological working conditions. The requirements in this section apply to all persons who receive, possess, use, or transfer sources of radiation licensed by or registered with the agency in accordance with this chapter.

(b) Posting of notices to workers.

(1) Each licensee or registrant shall post current copies of the following documents:

(A) the requirements in this section and in §289.202 of this title (relating to Standards for Protection Against Radiation from Radioactive Materials [Material]) or §289.231 of this title (relating to General Provisions and Standards for Protection Against Machine-Produced Radiation), as applicable;

(B) - (C) (No change.)

(D) any notice of violation involving radiological working conditions[,] or order that has:

(i) been issued in accordance with §289.201 of this title (relating to General Provisions for Radioactive Material), §289.205 of this title (relating to Hearing and Enforcement Procedures), and §289.231 of this title; and [.]

(ii) not been labeled "withhold from public disclosure under Government Code, §552.101," or equivalent phrase, in accordance with §289.252(ii) of this title (relating to Licensing of Radioactive Material).

(2) (No change.)

(3) Each licensee or registrant shall post RC [ Bureau of Radiation Control (BRC)] Form 203-1, "Notice to Employees," as contained in subsection (i) of this section, or an equivalent document containing at least the same wording as RC [BRC] Form 203-1 [, shall be posted by each licensee or registrant as required by this section].

(4) (No change.)

(c) (No change.)

(d) Notifications and reports to individuals.

(1) Radiation exposure data for an individual and the results of any measurements, analyses, and calculations of radioactive material deposited or retained in the body of an individual shall be made available [reported annually] to the individual as specified in this section. The information reported shall include data and results obtained in accordance with agency requirements, orders, license or certificate of registration conditions, as shown in records maintained by the licensee or registrant in accordance with §289.202 or §289.231 of this title, as applicable. Each notification and report shall:

(A) - (D) (No change.)

(2) Each licensee or registrant shall provide an annual written report to advise each worker [ annually]of the worker's dose as shown in records maintained by the licensee or registrant in accordance with §289.202(rr) or §289.231(dd) of this title, as applicable, if the individual requests his or her annual dose report in writing.

(3) - (5) (No change.)

(e) - (h) (No change.)

(i) Notice to employees. The following form, RC Form 203-1, or an equivalent as stated in subsection (b)(3) of this section, shall be posted.

Figure: 25 TAC §289.203(i) (.pdf)

[Figure: 25 TAC §289.203(i)]

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

Filed with the Office of the Secretary of State on July 20, 2009.

TRD-200902959

Lisa Hernandez

General Counsel

Department of State Health Services

Earliest possible date of adoption: August 30, 2009

For further information, please call: (512) 458-7111 x6972


SUBCHAPTER F. LICENSE REGULATIONS

25 TAC §289.251, §289.252

STATUTORY AUTHORITY

The amendments are authorized by Health and Safety Code, §401.051, which provides the Executive Commissioner of the Health and Human Services Commission with authority to adopt rules and guidelines relating to the control of radiation; 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 for the operation and provision of health and human services by the department and for the administration of Health and Safety Code, Chapter 1001. The review of the rules implements Government Code, §2001.039.

The amendments affect the Health and Safety Code, Chapters 401 and 1001; and Government Code, Chapter 531.

§289.251.Exemptions, General Licenses, and General License Acknowledgements.

(a) - (d) (No change.)

(e) Exemptions for radioactive material other than source material.

(1) Exempt concentrations.

(A) Except as provided in subparagraph (B) of this paragraph, any person is exempt from this section and §289.252 of this title if that person receives, possesses, uses, transfers, or acquires products or materials containing radioactive material in concentrations not in excess of those listed in subsection (l)(1) [(m)(1)] of this section.

(B) (No change.)

(C) A manufacturer, processor, or producer of a product or material is exempt from the requirements for a license, as specified in §289.252 of this title, if the manufacturer, processor, or producer transfers radioactive material contained in a product or material that does not exceed the concentrations specified in subsection (l)(1) of this section, and that has been introduced into the product or material by a licensee holding a specific license issued by the NRC that expressly authorizes such introduction. The exemption specified in this subparagraph does not apply to the transfer of radioactive material contained in any food, beverage, cosmetic, drug, or other commodity or product designed for ingestion or inhalation by, or application to, a human being.

(2) Exempt quantities.

(A) Except as provided in subparagraphs (C), (D), and (F) [ subparagraph (C)] of this paragraph, any person is exempt from these rules if that person receives, possesses, uses, transfers, or acquires radioactive material in individual quantities, each of which does not exceed the applicable quantity set forth in subsection (l)(2) [(m)(2)] of this section.

(B) Any person who possesses radioactive material received or acquired, prior to September 25, 1971, in accordance with the general license provided in subsection (f)(4)(A) of this section is exempt from the requirements for a license set forth in §289.252 of this title if that person possesses, uses, [or ] transfers, or owns such radioactive material.

(C) (No change.)

(D) No person may, for purposes of commercial distribution, transfer radioactive material in quantities greater than the individual quantities set forth in subsection (l)(2) [ (m)(2)]of this section, knowing or having reason to believe that such quantities of radioactive material will be transferred to persons exempt in accordance with this paragraph or equivalent regulations of the NRC, any agreement state, or any licensing state, except in accordance with a specific license issued by the NRC in accordance with Title 10, CFR, §32.18 or by the agency in accordance with §289.252(j) of this title, which states that the radioactive material may be transferred by the licensee to persons exempt in accordance with this paragraph or the equivalent regulations of the NRC, any agreement state, or any licensing state.

(E) The schedule of quantities set forth in subsection (l)(2) [ (m)(2)] of this section applies only to radioactive materials distributed as exempt quantities in accordance with a specific license issued by the agency, another licensing state, or the commission. Subsection (l)(2) [(m)(2)] of this section does not apply to radioactive materials that have decayed from quantities not originally exempt and does not make such material, or the sources or devices in which the material is contained except from the licensing requirements in this section or §289.252 of this title.

(F) No person may, for purposes of producing an increased radiation level, combine quantities of radioactive material covered by this exemption so that the aggregate quantity exceeds the limits set forth in subsection (l)(2) of this section, except for radioactive material combined within a device placed in use before May 3, 1999, or as otherwise permitted by the requirements in this title.

(3) Exempt items.

(A) Certain items containing radioactive material.

(i) Except for persons who apply radioactive material to, or persons who incorporate radioactive material into the following products, any person is exempt from this chapter if that person receives, possesses, uses, transfers, or acquires the following products:

(I) timepieces, hands, or dials containing not more than the following specified quantities of radioactive material and not exceeding the following specified levels of radiation:

(-a-) - (-g-) (No change.)

(-h-) 1 µCi (0.037 megabecquerel (MBq)) of radium-226 per timepiece in intact timepieces manufactured prior to January 1, 1986 [1 µCi of radium-226 per timepiece in timepieces, hands, or dials manufactured or initially distributed prior to January 1, 1986];

(II) - (VII) (No change.)

(VIII) ionizing radiation measuring instruments containing, for purposes of internal calibration or standardization, a source of radioactive material not exceeding the applicable quantity set forth in subsection (l)(2) [(m)(2)] of this section or 0.05 µCi of americium-241; [or]

(IX) spark gap irradiators containing not more than 1 µCi of cobalt-60 per spark gap irradiator for use in electrically ignited fuel oil burners having a firing rate of at least 3 gallons per hour; or [.]

(X) ionization chamber smoke detectors containing not more than 1 microcurie (µCi) of americium-241 per detector in the form of a foil and designed to protect life and property from fires.

(ii) (No change.)

(B) (No change.)

(C) Gas and aerosol detectors containing radioactive material.

(i) Except for persons who manufacture, process, [or ] produce, or initially transfer gas and aerosol detectors containing radioactive material, any person is exempt from this chapter if that person receives, possesses, uses, transfers, owns, or acquires radioactive material in gas and aerosol detectors designed to protect life or property from fires and airborne hazards provided that:

(I) detectors containing radioactive material shall have been manufactured, imported, or transferred in accordance with a specific license issued by the NRC in accordance with Title 10, CFR, §32.26, or an agreement state or a licensing state in accordance with §289.252(k) of this title; [and]

(II) the specific license issued in accordance with §289.252 of this title authorizes the initial transfer of the detectors to persons who are exempt from regulatory requirements; and [.]

(III) this exemption also covers gas and aerosol detectors manufactured or distributed before November 30, 2007, in accordance with a specific license issued in accordance with §289.252 of this title or under comparable provisions to Title 10, CFR, §32.26, authorizing distribution to persons exempt from regulatory requirements.

(ii) - (iii) (No change.)

[(D) Resins containing scandium-46 and designed for sand consolidation in oil wells. Any person is exempt from this chapter if that person receives, possesses, uses, transfers, or acquires synthetic plastic resins containing scandium-46, which are designed for sand consolidation in oil wells. Such resins shall have been manufactured or imported in accordance with a specific license issued by the NRC, or shall have been manufactured in accordance with the specifications contained in a specific license issued by the agency or any agreement state to the manufacturer of such resins in accordance with licensing requirements equivalent to those in Title 10, CFR, §§32.16 and 32.17. This exemption does not authorize the manufacture of any resins containing scandium-46.]

(4) (No change.)

(f) General licenses. In addition to the requirements of this section, all general licenses, unless otherwise specified, are subject to the requirements of §289.201 of this title (relating to General Provisions for Radioactive Material), §289.202(ww) and (xx) of this title (relating to Standards for Protection Against Radiation from Radioactive Materials), §289.204 of this title (relating to Fees for Certificates of Registration, Radioactive Material Licenses, Emergency Planning and Implementation, and Other Regulatory Services), §289.205 of this title (relating to Hearing and Enforcement Procedures), and §289.257 of this title (relating to Packaging and Transportation of Radioactive Material).

(1) - (3) (No change.)

(4) General licenses for radioactive material other than source material.

(A) - (G) (No change.)

(H) General license for certain detecting, measuring, gauging, or controlling devices and certain devices for producing light or an ionized atmosphere.

(i) - (iii) (No change.)

(iv) Any person who receives, acquires, possesses, uses, or transfers radioactive material in a device in accordance with the general license in this subparagraph shall do the following:

(I) - (VI) (No change.)

(VII) immediately suspend operation of the device if there is a failure of, or damage to, or any indication of a possible failure of or damage to, the shielding of the radioactive material or the "on-off" mechanism, or indicator, or upon the detection of 185 becquerels (0.005 µCi) or more of removable radioactive material. The device shall not be operated until it has been repaired by the manufacturer or other person holding a specific license from the agency, the NRC, an agreement state, or a licensing state to repair such devices. The device and any radioactive material from the device may only be disposed of by transfer to a person authorized by a specific license to receive the radioactive material in the device. A report, prepared in accordance with §289.202(xx) and (yy) of this title, containing a brief description of the event and the remedial action taken and in the case of detection of 185 becquerels (0.005 µCi) or more removable radioactive material or failure of, or damage to a source likely to result in contamination of the premises or the environs, a plan for ensuring that the premises and environs are acceptable for unrestricted use shall be furnished to the agency within 30 days. Under these circumstances, the requirements in §289.202(ddd) of this title may be applicable, as determined by the agency on a case-by-case basis;

(VIII) (No change.)

(IX) transfer or dispose of the device containing radioactive material only by export in accordance with Title 10, CFR, Part 110, by transfer to another general licensee as authorized in subclauses (XII) and (XVI) of this clause or to a person authorized to receive the device by a specific license issued by the agency in accordance with §289.252(l) of this title, or an equivalent specific license issued by the NRC, an agreement state, or a licensing state, or as otherwise approved under subclause (XI) of this clause;

(X) (No change.)

(XI) obtain written agency approval before transferring the device to any other specific licensee not specifically identified in subclause (IX) of this clause; however, a holder of a specific license may transfer a device for possession and use under its own specific license without prior approval, if, the holder:

(-a-) verifies that the specific license authorizes the possession and use, or applies for and obtains an amendment to the license authorizing the possession and use;

(-b-) removes, alters, covers, or clearly and unambiguously augments the existing label (otherwise required by clause (iv)(I) of this subparagraph) so that the device is labeled in compliance with §289.202(cc) of this title; however the manufacturer, model number, and serial number must be retained;

(-c-) obtains the manufacturer's or initial transferor's information concerning maintenance that would be applicable under the specific license (such as leak testing procedures); and

(-d-) reports the transfer under subclause (X) of this clause.

(XII) - (XIII) (No change.)

(XIV) report changes to the mailing address for the location of use (including change in name of general licensee) to the agency within 30 days of the effective date of the change. If it is a portable device, a report of address change is only required for a change in the device's primary place of storage; [ and]

(XV) not hold devices that are not in use for longer than two years. If devices with shutters are not being used, the shutter shall be locked in the closed position. The testing required by clause (iv) of this subparagraph need not be performed during the period of storage only. However, when devices are put back into service or transferred to another person, and have not been tested within the required test interval, they shall be tested for leakage before use or transfer and the shutter tested before use. Devices kept in standby for future use are excluded from the two-year time limit if the general licensee performs quarterly physical inventories of these devices while they are in standby. The licensee shall make and maintain, for intervals of five years, records of the quarterly physical inventories for inspection by the agency; [.]

(XVI) not export the device containing radioactive material except in accordance with Title 10, CFR, Part 110; [.]

(XVII) comply with the provisions of §289.202(ww) and (xx) of this title for reporting radiation incidents, theft or loss of licensed material, but shall be exempt from the other requirements of §289.202 and §289.203 of this title; [.]

(XVIII) respond to written requests from the agency to provide information relating to the general license within 30 calendar days of the date of the request, or other time specified in the request. If the general licensee cannot provide the requested information within the allotted time, it shall, within that same time period, request a longer period to supply the information by providing the agency a written justification for the request; and [.]

(XIX) assure that the device is used in accordance with information contained in the device safety evaluation.

(I) - (J) (No change.)

(K) General license for certain items and self-luminous products containing radium-226.

(i) A general license is hereby issued to any person to acquire, receive, possess, use, or transfer radium-226 contained in the following products.

(I) Antiquities originally intended for use by the general public. For purposes of this subclause, antiquities are products distributed for use by the general public in the late 19th and early 20th centuries; such as radium emanator jars, revigators, radium water jars, radon generators, refrigerator cards, radium bath salts, and healing pads.

(II) Intact timepieces containing greater than 1 µCi (0.037 MBq), nonintact timepieces, and timepiece hands and dials no longer installed in timepieces.

(III) Luminous items installed in air, marine, or land vehicles.

(IV) All other luminous products, provided that no more than 100 items are used or stored at the same location at any one time.

(V) Small radium sources containing no more than 1 µCi (0.037 MBq) of radium 226.

(ii) Any person who acquires, receives, possesses, uses, or transfers radioactive material in accordance with this subparagraph shall do the following.

(I) Provide to the agency within 30 days of any indication of possible damage to the product that could result in a loss of the radioactive material. The report should include a brief description of the event, and the remedial action taken.

(II) Not abandon products containing radium-226.

(-a-) The product, and any radioactive material from the product, may only be disposed of according to §289.202 of this title or as otherwise approved by the agency.

(-b-) The product, and any radioactive material from the product, may be transferred to a person authorized by a specific license to receive the radium-226 or as otherwise approved by the agency.

(III) The general license in this subparagraph does not authorize the manufacture, assembly, disassembly, repair, or import of products containing radium-226, except that timepieces may be disassembled and repaired provided that paint containing radium-226 is not applied or removed.

(g) General license acknowledgements for radioactive material other than source material. In addition to the requirements of this section, all general license acknowledgement holders, unless otherwise specified, are subject to the requirements of §§289.201, 289.202(ww) and (xx), 289.204, 289.205, and 289.257 of this title.

(1) Persons possessing a general license for devices in accordance with subsection (f)(4)(H) of this section and being in the possession of radioactive material in devices containing at least 370 MBq (10 mCi) of cesium-137, 3.7 MBq (0.1 mCi) of strontium-90, 37 MBq (1 mCi) of cobalt-60, 3.7 MBq (0.1 mCi) of radium-226, 37 MBq (1 mCi) of americium-241, or any transuranic (for example, element with atomic number greater than uranium (92)), based on the activity indicated on the label on the device, shall file an application for acknowledgement within 30 days of receipt, acquisition, or possession of such a device. The application shall be on a form prescribed by the agency to include the following information and any other information specifically requested by the agency:

(A) (No change.)

(B) information about each device to include the manufacturer (or initial transferor), model number, and serial number of the device, and the radioisotope and activity (as indicated on the label), and serial number of the source;

(C) - (G) (No change.)

(2) (No change.)

(3) Persons possessing [in possession of ] a device meeting the criteria of paragraph (1) of this subsection shall respond annually to the General License Acknowledgement Self Evaluation Form provided by the agency. The form shall be completed in accordance with the instructions contained in the form. The completed form shall be submitted to the agency within 30 days of receipt. [ Response should be in accordance with the instructions on the form.]

(h) Issuance of general license acknowledgements.

(1) - (2) (No change.)

(3) The agency may request, and the licensee shall provide, additional information after the general license acknowledgement has been issued to enable the agency to determine whether the general license acknowledgement should be modified in accordance with subsection (k) [(l)] of this section.

(i) Specific terms and conditions.

(1) (No change.)

(2) Each person holding a general license acknowledgement issued by the agency in accordance with this section shall confine use and possession of the devices and radioactive material identified in the general license acknowledgement to the locations specified in the general license acknowledgement. Radioactive material shall not be used or stored in residential locations unless authorized by the agency. Each person holding a general license acknowledgement issued by the agency shall obtain prior approval from the agency before storing or using radioactive material in an area not previously authorized in the general license acknowledgement.

(3) - (5) (No change.)

(j) Termination [Expiration and termination ] of general license acknowledgements [ acknowledgement].

[(1) Each general license acknowledgement expires at the end of the day, in the month and year stated in the general license acknowledgement.]

[(2) Expiration of the general license acknowledgement does not relieve the holder of the general license acknowledgement of the requirements of this chapter.]

(1) [(3)] Each holder of a general license acknowledgement shall notify the agency immediately, in writing, and request termination of the general license acknowledgement when the holder of the general license acknowledgement decides to terminate all activities involving materials specified in the general license acknowledgement.

[(4) No less than 30 days before the expiration date specified in a general license acknowledgement, the holder of the general license acknowledgement shall submit an application for general license acknowledgement renewal in accordance with subsection (k) of this section.]

(2) [(5)] Each holder of a general license acknowledgement shall, no less than 30 days before vacating or relinquishing possession of control of premises that have been used as a place of storage or use of radioactive material as a result of general licensed activities, notify the agency in writing of intent to vacate and do the following: [.]

(A) terminate use of radioactive material;

(B) dispose of radioactive material in accordance with this section and/or §289.202(ff) of this title; and

(C) pay any outstanding fees in accordance with §289.204 of this title.

[(6) If a holder of a general license acknowledgement does not submit an application for renewal in accordance with subsection (k) of this section, such person shall on or before the expiration date specified in the general license acknowledgement:]

[(A) terminate use of radioactive material; and]

[(B) dispose of radioactive material in accordance with this section and/or §289.202(ff).]

[(k) Renewal of general license acknowledgements.]

[(1) Applications for renewal of general license acknowledgements shall be filed in accordance with subsection (g)(1) or (f)(4)(G)(iv) of this section, as applicable.]

[(2) If a holder of a general license acknowledgement has properly filed a renewal application for the same activities at least 30 days before the expiration of the existing general license acknowledgement in accordance with this section, such existing general license acknowledgement shall not expire until the application has been finally determined by the agency.]

(k) [(l)] Amendment of general license acknowledgements.

(1) The holder of the general license acknowledgement required by subsection (g)(1) of this section shall report in writing to the agency any changes in information furnished by the holder of the general license acknowledgement. The report shall be submitted within 30 days after the effective date of such change.

(2) Applications for amendments of a general license acknowledgement shall be filed in accordance with subsection (g)(1)(A) - (F) of this section, as applicable, and shall specify the respects in which the holder of a general license acknowledgement desires a general license acknowledgement to be amended.

(l) [(m)] Appendices.

(1) Exempt concentrations.

Figure: 25 TAC §289.251(l)(1)

[Figure: 25 TAC §289.251(m)(1)]

(2) Exempt quantities.

Figure: 25 TAC §289.251(l)(2)

[Figure: 25 TAC §289.251(m)(2)]

§289.252.Licensing of Radioactive Material.

(a) Purpose. The intent of this section is as follows.

(1) (No change.)

(2) Unless otherwise exempted, no person shall receive, possess, use, transfer, own, or acquire radioactive material except as authorized by the following:

(A) a specific license issued in accordance with this section and/or any of the following sections:

[(i) §289.254 of this title (relating to Licensing of Radioactive Waste Processing and Storage Facilities);]

(i) [(ii)] §289.255 of this title (relating to Radiation Safety[,] Requirements and Licensing and Registration Procedures for Industrial Radiography);

(ii) [(iii)] §289.256 of this title (relating to Medical and Veterinary Use of Radioactive Material);

(iii) [(iv)] §289.258 of this title (relating to Licensing and Radiation Safety Requirements for Irradiators);

(iv) [(v)] §289.259 of this title (relating to Licensing of Naturally Occurring Radioactive Material (NORM)); or

>[(vi) §289.260 of this title (relating to Licensing of Uranium Recovery and Byproduct Material Disposal Facilities); or]

(B) (No change.)

(3) (No change.)

(b) Scope. In addition to the requirements of this section, the following additional requirements are applicable.

(1) All licensees, unless otherwise specified, are subject to the requirements in the following sections:

(A) (No change.)

(B) §289.202 of this title (relating to Standards for Protection Against Radiation from Radioactive Materials [Material]);

(C) - (F) (No change.)

(2) (No change.)

[(3) Licensees engaged in radioactive waste processing and/or storage are subject to the requirements of §289.254 of this title.]

(3) [(4)] Licensees engaged in industrial radiographic operations are subject to the requirements of §289.255 of this title.

(4) [(5)] Licensees using radioactive material for medical or veterinary use are subject to the requirements of §289.256 of this title.

(5) [(6)] Licensees using sealed sources in irradiators are subject to the requirements of §289.258 of this title.

(6) [(7)] Licensees possessing or using naturally occurring radioactive material are subject to the requirements of §289.259 of this title.

[(8) Licensees engaged in uranium recovery and byproduct material disposal are subject to the requirements of §289.260 of this title.]

(c) (No change.)

(d) Filing application for specific licenses. The agency may, at any time after the filing of the original application, require further statements in order to enable the agency to determine whether the application should be denied, abandoned or the license should be issued.

(1) - (10) (No change.)

(11) Action on a specific license application will be considered abandoned if the applicant does not respond within 30 days from the date of a request for any information by the agency. Abandonment of such actions does not provide an opportunity for a hearing; however, the applicant retains the right to resubmit the application in accordance with paragraphs (1) - (7) of this subsection.

(e) General requirements for the issuance of specific licenses. A license application will be approved if the agency determines that:

(1) - (3) (No change.)

(4) the applicant satisfied [satisfies] any applicable special requirement in this section and other sections as specified in subsection (a)(2)(A) of this section;

(5) - (6) (No change.)

(7) the applicant submitted [submitsan ] adequate operating, safety, and emergency procedures [manual];

(8) the applicant's permanent facility is located in Texas (if the applicant's permanent facility is not located in Texas, reciprocal recognition shall be sought as required by subsection (ee) of this section); [and]

(9) the owner of the property is aware that radioactive material is stored and/or used on the property, if the proposed [storage] facility is not owned by the applicant. The applicant shall provide a written statement from the owner, or from the owner's agent, indicating such. This paragraph does not apply to property owned or held by a government entity or to property on which radioactive material is used under an authorization for temporary job site use; [.]

(10) there is no reason to deny the license as specified in subsections (d)(10) or (x)(8) [subsection (d)(10) or (x)(7)] of this section; and [.]

(11) the applicant is listed on the Secretary of State's website as authorized to conduct business in the state, unless the applicant is exempt. All applicants using an assumed name in their application shall file an assumed name certificate with the Secretary of State and/or the office of the county clerk as required under the Business and Commerce Code, Chapter 71.

(f) Radiation safety officer.

(1) - (2) (No change.)

(3) The specific duties of the RSO include, but are not limited to, the following:

(A) - (L) (No change.)

(M) to ensure that personnel are complying with this chapter, the conditions of the license, and the operating, safety, and emergency procedures of the licensee; [and]

(N) to serve as the primary contact with the agency;and [.]

(O) to have knowledge of and ensure compliance with federal and state security measures for radioactive material.

(4) - (5) (No change.)

(g) The duties and responsibilities of the Radiation Safety Committee (RSC) include but are not limited to the following:

(1) - (8) (No change.)

(9) evaluating new uses of radioactive material; [and]

(10) reviewing and approving permitted program and procedural changes prior to implementation; and [.]

(11) having knowledge of and ensuring compliance with federal and state security measures for radioactive material.

(h) Specific licenses for broad scope authorization for multiple quantities or types of radioactive material for use in research and development.

(1) - (2) (No change.)

(3) Unless specifically authorized, in accordance with a separate license, persons licensed according to paragraph (1) of this subsection shall not:

(A) receive, acquire, own, possess, use, or transfer devices containing 100,000 curies (Ci) or more of radioactive material in sealed sources used for irradiation of materials;

(B) conduct activities for which a specific license issued by the agency in accordance with subsections (i) - (u) of this section and §289.255, §289.256, and §289.259 [ §§289.254, 289.255, 289.256, and §289.259] of this title is required;

(C) - (D) (No change.)

(i) Specific licenses for introduction of radioactive material into products in exempt concentrations.

(1) - (4) (No change.)

(5) No person may introduce radioactive material into a product or material knowing or having reason to believe that it will be transferred to persons exempt in accordance with §289.251 of this title except as specified with a license issued by the NRC.

(j) Specific licenses for commercial distribution of radioactive material in exempt quantities.

(1) Authority to transfer possession or control by the manufacturer, processor, or producer of any equipment, device, commodity, or other product containing source material or byproduct material whose subsequent possession, use, transfer, and disposal by all other persons are exempted from regulatory requirements may be obtained only from the United States Nuclear Regulatory Commission (NRC), Washington, DC 20555.

(2) (No change.)

(3) The license issued in accordance with paragraph (2) of this subsection is subject to the following conditions.

(A) - (C) (No change.)

(D) In addition to the labeling information required by subparagraph (C) of this paragraph, the label affixed to the immediate container, or an accompanying brochure, shall:

(i) state that the contents are exempt from the NRC [ United States Nuclear Regulatory Commission (NRC)], agreement state, or licensing state requirements;

(ii) - (iii) (No change.)

(4) - (5) (No change.)

(k) - (m) (No change.)

(n) Specific licenses for the manufacture of calibration sources containing americium-241, plutonium, or radium-226 for commercial distribution to persons generally licensed in accordance with §289.251(f)(4)(D) of this title.

(1) In addition to the requirements in subsection (e) of this section, a specific license to manufacture calibration sources containing americium-241, plutonium, or radium-226 to persons generally licensed in accordance with §289.251(f)(4)(D) of this title will be issued if the agency approves the information submitted by the applicant. The information shall satisfy the requirements of Title 10, CFR, §§32.57, 32.58, 32.59, and 32.102, and Title 10, CFR, §70.39 [10 CFR 70.39] or their equivalent.

(2) Each person licensed in accordance with this section shall perform a dry wipe test on each source containing more than 0.1 µCi (3.7 kilobecquerels) of americium-241 or radium-226 before transferring the source to a general licensee in accordance with §289.251(f)(4)(D) of this title. This test shall be performed by wiping the entire radioactive surface of the source with a filter paper with the application of moderate pressure. The radioactivity on the paper shall be measured by using radiation detection instrumentation capable of detecting 0.005 µCi (0.185 kilobecquerel) of americium-241 or radium-226. If removable contamination from any source wipe test exceeds 0.005 µCi (0.185 kilobecquerels) of americium-241 or radium-226, the source is deemed to be leaking and it shall not be transferred to a general licensee.

(o) Specific licenses for the manufacture and commercial distribution of sealed sources or devices containing radioactive material for medical use. In addition to the requirements in subsection (e) of this section, a specific license to manufacture and commercially distribute sealed sources and devices containing radioactive material to persons licensed in accordance with §289.256 of this title for use as a calibration, transmission, or reference source or for use of sealed sources listed in §289.256(rr), (bbb), and (ddd) [§289.256(bb), §289.256(cc), and §289.256(dd)] of this title will be issued if the agency approves the following information submitted by the applicant:

(1) - (4) (No change.)

(p) Specific licenses for the manufacture and commercial distribution of radioactive material for certain in vitro clinical or laboratory testing in accordance with the general license. In addition to the requirements in subsection (e) of this section, a specific license to manufacture or commercially distribute radioactive material for use in accordance with the general license in §289.251(f)(4)(G) of this title will be issued if the agency approves the following information submitted by the applicant:

(1) documentation that the radioactive material will be prepared for distribution in prepackaged units of:

(A) iodine-125 in units not exceeding 10 microcuries (µCi) (0.37 megabecquerel) each;

(B) iodine-131 in units not exceeding 10 µCi (0.37 megabecquerel) each;

(C) carbon-14 in units not exceeding 10 µCi (0.37 megabecquerel) each;

(D) hydrogen-3 (tritium) in units not exceeding 50 µCi (1.85 megabecquerels) each;

(E) iron-59 in units not exceeding 20 µCi (0.74 megabecquerel) each;

(F) cobalt-57 in units not exceeding 10 µCi (0.37 megabecquerel) each;

(G) selenium-75 in units not exceeding 10 µCi (0.37 megabecquerel) each; or

(H) mock iodine-125 in units not exceeding 0.05 µCi (1.85 kilobecquerels) of iodine-129 and 0.005 µCi (0.185 kilobecquerel) of americium-241 each;

(2) evidence that each prepackaged unit will bear [bears] a durable, clearly visible label:

(A) identifying the radioactive contents as to chemical form and radionuclide, and indicating that the amount of radioactivity does not exceed 10 µCi (0.37 megabecquerel) of iodine-125, iodine-131, carbon-14, cobalt-57, or selenium-75; 50 µCi (1.85 megabecquerels) of hydrogen-3 (tritium); 20 µCi (0.74 megabecquerel) of iron-59; or mock iodine-125 in units not exceeding 0.05 µCi (1.85 kilobecquerels) of iodine-129 and 0.005 µCi (0.185 kilobecquerel) of americium-241; and

(B) (No change.)

(3) - (4) (No change.)

(q) (No change.)

(r) Specific licenses for the manufacture, preparation, or transfer for commercial distribution of radioactive drugs containing radioactive materials for medical use.

(1) In addition to the requirements in subsection (e) of this section, a specific license to manufacture, prepare, or transfer for commercial distribution, radioactive drugs containing radioactive material for use by persons authorized in accordance with §289.256 of this title will be issued if the agency approves the following information submitted by the applicant:

(A) evidence that the applicant is at least one of the following:

(i) registered [or licensed] with the United States Food and Drug Administration (FDA) as the owner or operator of a drug establishment that engages in the manufacture, preparation, propagation, compounding, or processing of a drug in accordance with Title 21, CFR, §207.20(a) [manufacturer];

(ii) registered or licensed with a state agency as a drug manufacturer; [or]

(iii) (No change.)

(iv) operating as a nuclear pharmacy within a federal medical institution; or

(v) a positron emission tomography (PET) drug production facility registered with a state agency.

(B) - (C) (No change.)

(2) A licensee shall possess and use instrumentation to measure the radioactivity of radioactive drugs and shall have procedures for the use of the instrumentation. The licensee shall measure, by direct measurement or by a combination of measurements and calculations, the amount of radioactivity in dosages of alpha, beta, or photon-emitting radioactive drugs prior to transfer for commercial distribution. In addition, the licensee shall:

(A) - (C) (No change.)

(3) A licensee described in paragraph (1)(A)(iii) or(iv) of this subsection shall prepare radioactive drugs for medical use as defined [described ] in §289.256 of this title with the following provisions. [:]

(A) Radioactive drugs shall be prepared by either an authorized nuclear pharmacist, as specified in subparagraphs (B) and (C) of this paragraph, or an individual under the supervision of an authorized nuclear pharmacist as specified in §289.256(s) of this title.

[(A) radioactive drugs shall be prepared by a nuclear pharmacist(s) designated in the application as the individual user(s) who has completed the training and experience requirements specified in §289.256 of this title;]

(B) A pharmacist shall be allowed to work as an authorized nuclear pharmacist if:

(i) the individual qualifies as an authorized nuclear pharmacist as defined in §289.256 of this title;

(ii) the individual meets the requirements specified in §289.256(k)(2) and (m) of this title, and the licensee has received from the agency, an approved license amendment identifying this individual as an authorized nuclear pharmacist; or

(iii) the individual is designated as an authorized nuclear pharmacist in accordance with subparagraph (C) of this paragraph.

(C) May designate a pharmacist, as defined in §289.256 of this title, as an authorized nuclear pharmacist if:

(i) the individual was a nuclear pharmacist preparing only radioactive drugs containing accelerator-produced radioactive material; and

(ii) the individual practiced at a pharmacy at a government agency or federally recognized Indian Tribe or at all other pharmacies prior to the effective date of this rule as noticed by the NRC or the agency.

(D) Provide the following to the agency:

(i) a copy of each individual's certification by a specialty board whose certification process has been recognized by the NRC, agency, or an agreement state as specified in §289.256(k)(1) of this title with the written attestation signed by a preceptor as required by §289.256(k)(2)(C) of this title; or

(ii) the agency, NRC, or another agreement state license, or

(iii) the permit issued by a broad scope licensee or the authorization from a commercial nuclear pharmacy authorized to list its own authorized nuclear pharmacist; or

(iv) documentation that only accelerator-produced radioactive materials were used in the practice of nuclear pharmacy at a government agency or federally recognized Indian Tribe or at all other locations of use prior to the effective date of this rule as noticed by the NRC or the agency; and

(v) a copy of the Texas State Board of Pharmacy licensure or registration, no later than 30 days after the date that the licensee allows, in accordance with subparagraph (B)(i) and (iii) of this paragraph, the individual to work as an authorized nuclear pharmacist.

(E) [(B)] The [the] radiopharmaceuticals for human use shall be processed and prepared according to instructions that are furnished by the manufacturer on the label attached to or in the FDA-accepted instructions in the leaflet or brochure that accompanies the generator or reagent kit. [;]

(F) [(C)] If [if] the authorized nuclear pharmacist elutes generators or processes radioactive material with the reagent kit in a manner that deviates from instructions furnished by the manufacturer on the label attached to or in the leaflet or brochure that accompanies the generator or reagent kit or in the accompanying leaflet or brochure, a complete description of the deviation shall be made and maintained for inspection by the agency for a period of three years. [; and]

[(D) provide to the agency a copy of each individual's certification by the Texas State Board of Pharmacy or the permit issued by a licensee of broad scope, and a copy of the state pharmacy license. If the licensee adds a nuclear pharmacist(s) to the license, this shall be completed no later than 30 days after the date that the licensee allows the individual(s) to work as a nuclear pharmacist.]

(4) Nothing in this subsection relieves the licensee from complying with applicable FDA, or other federal[,] and state requirements governing radioactive drugs.

(s) - (w) (No change.)

(x) Specific terms and conditions of licenses.

(1) - (2) (No change.)

(3) Each person licensed by the agency in accordance with this section shall confine use and possession of the radioactive material licensed to the locations and purposes authorized in the license. Radioactive material shall not be used or stored in residential locations unless specifically authorized by the agency.

(4) (No change.)

(5) Each licensee shall notify the agency's Radiation Safety Licensing Branch [agency ], in writing, immediately following the filing of a voluntary or involuntary petition for bankruptcy by the licensee or its parent company, if the parent company is involved in the bankruptcy.

(6) The notification in paragraph (5) [(4) ] of this subsection shall include:

(A) - (B) (No change.)

(7) - (8) (No change.)

(9) Each licensee preparing technetium-99m radiopharmaceuticals from molybdenum-99/technetium-99m generators or rubidium-82 from strontium-82/rubidium-82 generators shall test the generator eluates for molybdenum-99 breakthrough or strontium-82 and strontium-85 contamination, respectively, in accordance with §289.256 of this title. The licensee shall record the results of each test and retain each record for 3 years after the record is made for inspection by the agency.

(y) Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas.

(1) Except as provided in paragraph (2) of this subsection and subsection (z)(2) of this section, each specific license expires at the end of the day, in the month and year stated in the license. [Expiration of the specific license does not relieve the licensee of the requirements of this chapter.]

(2) - (17) (No change.)

(z) - (dd) (No change.)

(ee) Reciprocal recognition of licenses.

(1) Subject to this section, any person who holds a specific license from NRC, any agreement state, or any licensing state, and issued by the agency having jurisdiction where the licensee maintains an office for directing the licensed activity and at which radiation safety records are normally maintained, is granted a general license to conduct the activities authorized in such licensing document within the State of Texas provided that:

(A) - (C) (No change.)

(D) the out-of-state licensee supplies such other information as the agency may request; [and]

(E) the out-of-state licensee shall not transfer or dispose of radioactive material possessed or used in accordance with the general license provided in this subsection except by transfer to a person:

(i) (No change.)

(ii) exempt from the requirements for a license for such material in accordance with §289.251(e)(1) of this title ; and [.]

(F) The out-of-state licensee shall have the following documents in their possession at all times when conducting work in Texas, and make them available for agency review upon request:

(i) a copy of the agency letter granting the licensee reciprocal recognition of their out-of-state license;

(ii) a copy of the licensee's operating and emergency procedures;

(iii) a copy of the licensee's radioactive material license;

(iv) a copy of all applicable sections of 25 TAC, Chapter 289; and

(v) a copy of the completed BRC Form 252-3 notifying the agency of the licensee's intent to work in Texas.

(2) - (3) (No change.)

(ff) - (hh) (No change.)

(ii) Increased controls (ICs). Licensees possessing sources containing radioactive material, at any given time, in quantities greater than or equal to the quantities of concern listed in subsection (jj)(9) of this section shall:

(1) (No change.)

(2) limit access to such radioactive material and devices to only approved individuals who require access to perform their duties.

(A) The licensee shall allow only trustworthy and reliable individuals, approved in writing by the licensee, to have unescorted access to radioactive material quantities of concern (RAM QC) and devices.

(B) - (C) (No change.)

(D) Service providers shall be escorted unless determined to be trustworthy and reliable by an NRC [ U.S. Nuclear Regulatory Commission (NRC)] required background investigation as an employee of a manufacturing and distribution (M&D) licensee. Written verification attesting to or certifying the person's trustworthiness and reliability shall be obtained from the M&D [ manufacturing and distribution] licensee providing the service.

(E) The licensee shall document the basis for concluding that there is reasonable assurance that an individual granted unescorted access is trustworthy and reliable, and does not constitute an unreasonable risk for unauthorized use of RAM QC [radioactive material quantities of concern]. The licensee shall maintain a list of persons approved for unescorted access to such radioactive material and devices by the licensee.

(3) Each licensee shall have a documented program to monitor and immediately detect, assess, and respond to unauthorized access to RAM QC [radioactive material quantities of concern] and devices in use or in storage. Enhanced monitoring shall be provided during periods of source delivery or shipment, where the delivery or shipment exceeds 100 times the values listed in subsection (jj)(9) of this section.

(A) - (E) (No change.)

(4) (No change.)

(5) For domestic highway and rail shipments, prior to shipping licensed radioactive material that exceeds 100 times the quantities in subsection (jj)(9) of this section per consignment, the licensee shall:

(A) Notify the NRC Director, Office of Nuclear Material Safety and Safeguards U.S. Nuclear Regulatory Commission, Washington, DC 20555, in writing, at least 90 days prior to the anticipated date of shipment. The NRC will issue the Order to implement the Additional Security Measures (ASMs) for the transportation of RAM QC [ Radioactive Material Quantities of Concern (RAM QC)]. The licensee shall not ship this material until the ASMs for the transportation of RAM QC are implemented or the licensee is notified otherwise, in writing, by the NRC.

(B) (No change.)

(6) - (8) (No change.)

(9) The licensee shall retain documentation required by these ICs [increased controls] for inspection by the agency for three years after they are no longer effective.

(A) - (D) (No change.)

(E) After the license is terminated or amended to reduce possession limits below the quantities of concern, the licensee shall retain all documentation required by these ICs [ increased controls] for three years.

(10) Detailed information generated by the licensee that describes the physical protection of RAM QC [ radioactive material quantities of concern], is sensitive information and shall be protected from unauthorized disclosure.

(A) - (B) (No change.)

(jj) Appendices.

(1) (No change.)

(2) Isotope quantities (for use in subsection (gg) of this section).

Figure: 25 TAC §289.252(jj)(2)

[Figure: 25 TAC §289.252(jj)(2)]

(3) - (8) (No change.)

(9) Radionuclide quantities of concern. The following methods shall be used to determine which sources of radioactive material require ICs [increased controls (ICs)]:

(A) - (C) (No change.)

(D) quantities of radioactive materials used to determine quantities of concern. The following table contains quantities of radioactive materials to be used in determining a quantity of concern.

Figure: 25 TAC §289.252(jj)(9)(D)

[Figure: 25 TAC §289.252(jj)(9)(D)]

(kk) Requirements for the issuance of specific licenses for a medical facility or educational institution to produce Positron Emission Tomography (PET) radioactive drugs for noncommercial transfer to licensees in its consortium.

(1) A license application will be approved if the agency determines that an application from a medical facility or educational institution to produce PET radioactive drugs for noncommercial transfer to licensees in its consortium authorized for medical use in accordance with §289.256 of this title includes:

(A) a request for authorization for the production of PET radionuclides or evidence of an existing license issued in accordance with this section, the NRC, or another agreement states requirements for a PET radionuclide production facility within its consortium from which it receives PET radionuclides;

(B) evidence that the applicant is qualified to produce radioactive drugs for medical use by meeting one of the criteria in subsection (r)(1)(A) of this section;

(C) identification of individual(s) authorized to prepare the PET radioactive drugs if the applicant is a pharmacy, and documentation that each individual meets the requirements of an authorized nuclear pharmacist as specified in subsection (r)(3)(B) of this section; and

(D) information identified in subsection (r)(1)(B) of this section on the PET drugs to be noncommercially transferred to members of its consortium.

(2) Authorization in accordance with paragraph (1) of this subsection to produce PET radioactive drugs for noncommercial transfer to medical use licensees in its consortium does not relieve the licensee from complying with applicable FDA, other federal, and state requirements governing radioactive drugs.

(3) Each licensee authorized in accordance with paragraph (1) of this subsection to produce PET radioactive drugs for noncommercial transfer to medical use licensees in its consortium shall:

(A) satisfy the labeling requirements in subsection (r)(1)(C) of this section for each PET radioactive drug transport radiation shield and each syringe, vial, or other container used to hold a PET radioactive drug intended for noncommercial distribution to members of its consortium; and

(B) possess and use instrumentation meeting the requirements of §289.202(p)(2)(D) of this title to measure the radioactivity of the PET radioactive drugs intended for noncommercial distribution to members of its consortium and meet the procedural, radioactivity measurement, instrument test, instrument check, and instrument adjustment requirements in subsection (r)(2) of this section.

(4) A licensee that is a pharmacy authorized in accordance with paragraph (1) of this subsection to produce PET radioactive drugs for noncommercial transfer to medical use licensees in its consortium shall require that any individual that prepares PET radioactive drugs shall be:

(A) an authorized nuclear pharmacist that meets the requirements in subsection (r)(3)(B) of this section; or

(B) an individual under the supervision of an authorized nuclear pharmacist as specified in §289.256(s) of this title.

(5) A pharmacy, authorized in accordance with paragraph (1) of this subsection to produce PET radioactive drugs for noncommercial transfer to medical use licensees in its consortium that allows an individual to work as an authorized nuclear pharmacist, shall meet the requirements of subsection (r)(3)(D) of this section.

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

Filed with the Office of the Secretary of State on July 20, 2009.

TRD-200902960

Lisa Hernandez

General Counsel

Department of State Health Services

Earliest possible date of adoption: August 30, 2009

For further information, please call: (512) 458-7111 x6972