TITLE 40. SOCIAL SERVICES AND ASSISTANCE

PART 1. DEPARTMENT OF AGING AND DISABILITY SERVICES

CHAPTER 19. NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

SUBCHAPTER C. NURSING FACILITY LICENSURE APPLICATION PROCESS

40 TAC §§19.201, 19.210, 19.214

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts amendments to §§19.201, 19.210, and 19.214 in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2501).

The amendments are adopted by HHSC, on behalf of DADS, as part of a project adopting a new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation and home and community support services agencies, which is published elsewhere in this issue of the Texas Register. DADS is adopting these amendments to the licensing rules for nursing facilities to reference new Chapter 99.

DADS received no comments regarding adoption of the amendments.

The amendments are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 242, which authorizes DADS to license and regulate nursing facilities.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902907

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


CHAPTER 90. INTERMEDIATE CARE FACILITIES FOR PERSONS WITH MENTAL RETARDATION OR RELATED CONDITIONS

SUBCHAPTER B. APPLICATION PROCEDURES

40 TAC §90.11, §90.17

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts amendments to §90.11 and §90.17, in Chapter 90, Intermediate Care Facilities for Persons with Mental Retardation or Related Conditions, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2509).

The amendments are adopted by HHSC, on behalf of DADS, as part of a project adopting a new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation (ICFs/MR) and home and community support services agencies, which is published elsewhere in this issue of the Texas Register. DADS is adopting these amendments to the licensing rules for (ICFs/MR) to reference new Chapter 99.

DADS received no comments regarding adoption of the amendments.

The amendments are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 252, which authorizes DADS to license and regulate ICFs/MR.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902908

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


CHAPTER 92. LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES

SUBCHAPTER B. APPLICATION PROCEDURES

40 TAC §92.11

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts an amendment to §92.11, in Chapter 92, Licensing Standards for Assisted Living Facilities, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2511).

The amendments are adopted by HHSC, on behalf of DADS, as part of a project adopting a new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation and home and community support services agencies, which is published elsewhere in this issue of the Texas Register. DADS is adopting an amendment to the licensing rules for assisted living facilities to reference new Chapter 99.

DADS received no comments regarding adoption of the amendments.

The amendment is adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; Texas Health and Safety Code, Chapter 247, which authorizes DADS to license and regulate assisted living facilities.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902909

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


CHAPTER 97. LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts amendments to §§97.2, 97.11, 97.21, 97.241, 97.244, and the repeal of §97.223 in Chapter 97, Licensing Standards for Home and Community Support Services Agencies, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2513).

The amendments are adopted by HHSC, on behalf of DADS, as part of a project adopting a new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation and home and community support services agencies (HCSSAs), which is published elsewhere in this issue of the Texas Register. DADS is adopting these amendments to the licensing rules for HCSSAs to reference new Chapter 99 and a repeal of a section in the HCSSA rules governing criminal offenses that may constitute a bar to licensure, because those offenses are listed in Chapter 99.

DADS received no comments regarding adoption of the amendments and repeal.

SUBCHAPTER A. GENERAL PROVISIONS

40 TAC §97.2

The amendment is adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 142, which authorizes DADS to license and regulate HCSSAs.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902910

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


SUBCHAPTER B. CRITERIA AND ELIGIBILITY, APPLICATION PROCEDURES, AND ISSUANCE OF A LICENSE

40 TAC §97.11, §97.21

The amendments are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 142, which authorizes DADS to license and regulate HCSSAs.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902911

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


SUBCHAPTER C. MINIMUM STANDARDS FOR ALL HOME AND COMMUNITY SUPPORT SERVICES AGENCIES

DIVISION 2. CONDITIONS OF A LICENSE

40 TAC §97.223

The repeal is adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 142, which authorizes DADS to license and regulate HCSSAs.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902912

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


DIVISION 3. AGENCY ADMINISTRATION

40 TAC §97.241, §97.244

The amendments are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Health and Safety Code, Chapter 142, which authorizes DADS to license and regulate HCSSAs.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902913

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


CHAPTER 98. ADULT DAY CARE AND DAY ACTIVITY AND HEALTH SERVICES REQUIREMENTS

SUBCHAPTER B. APPLICATION PROCEDURES

40 TAC §98.11, §98.19

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts amendments to §98.11 and §98.19, in Chapter 98, Adult Day Care and Day Activity and Health Services Requirements, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2522).

The amendments are adopted by HHSC, on behalf of DADS, as part of a project adopting a new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation and home and community support services agencies, which is published elsewhere in this issue of the Texas Register . DADS is adopting these amendments to the licensing rules for adult day care facilities to reference new Chapter 99.

DADS received no comments regarding adoption of the amendments.

The amendments are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; and Texas Human Resources Code, Chapter 103, which provides DADS with the authority to license and regulate adult day care facilities.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902914

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734


CHAPTER 99. CRIMINAL CONVICTIONS BARRING FACILITY LICENSURE

40 TAC §99.1, §99.2

The Health and Human Services Commission (HHSC), on behalf of the Department of Aging and Disability Services (DADS), adopts new §99.1 and §99.2 in Chapter 99, Criminal Convictions Barring Facility Licensure, without changes to the proposed text published in the April 17, 2009, issue of the Texas Register (34 TexReg 2524).

The new sections are adopted by HHSC, on behalf of DADS, to establish new Chapter 99 governing criminal convictions barring licensure for nursing facilities, assisted living facilities, adult day care facilities, intermediate care facilities for persons with mental retardation (ICFs/MR), and home and community support services agencies (HCSSAs). As part of the adoption for the Chapter 99 rules, DADS is adopting a repeal and amendments to the licensing rules for all other facility types to reference new Chapter 99. The amendments to the licensing rules are published elsewhere in this issue of the Texas Register.

DADS received no comments regarding adoption of the new sections.

The new sections are adopted under Texas Government Code, §531.0055, which provides that the HHSC executive commissioner shall adopt rules for the operation and provision of services by the health and human services agencies, including DADS; Texas Human Resources Code, §161.021, which provides that the Aging and Disability Services Council shall study and make recommendations to the HHSC executive commissioner and the DADS commissioner regarding rules governing the delivery of services to persons who are served or regulated by DADS; Texas Health and Safety Code, Chapter 242, which authorizes DADS to license and regulate nursing facilities; Texas Health and Safety Code, Chapter 252, which authorizes DADS to license and regulate ICFs/MR; Texas Health and Safety Code, Chapter 247, which authorizes DADS to license and regulate assisted living facilities; Texas Human Resources Code, Chapter 103, which authorize DADS to license and regulate adult day care facilities; and Texas Health and Safety Code, Chapter 142, which authorizes DADS to license and regulate HCSSAs.

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

Filed with the Office of the Secretary of State on July 16, 2009.

TRD-200902915

Kenneth L. Owens

General Counsel

Department of Aging and Disability Services

Effective date: September 1, 2009

Proposal publication date: April 17, 2009

For further information, please call: (512) 438-3734