ADOPTED RULES An agency may take final action on a section 30 days after a proposal has been published in the Texas Register. The section becomes effective 20 days after the agency files the correct document with the Texas Register, unless a later date is specified or unless a federal statute or regulation requires implementation of the action on shorter notice. If an agency adopts the section without any changes to the proposed text, only the preamble of the notice and statement of legal authority will be published. If an agency adopts the section with changes to the proposed text, the proposal will be republished with the changes. TITLE 25. HEALTH SERVICES PART I. Texas Department of Health CHAPTER 29. Purchased Health Services On behalf of the State Medicaid Director, the Texas Department of Health (department) submits adopted amendments to sec.29.606 and sec.29.1125, concerning payment for hospital services and coverage of procurement of nonsolid organs, in its purchased health services rules, without changes to the proposed text as published in the July 26, 1996, issue of the Texas Register (21 TexReg 6935). The sections as amended provide for reimbursement for transplant diagnosis related groups that are based on Medicaid-specific data. The amendments allow the department to calculate relative weights for organ transplant diagnosis related groups with less than 10 observations, using Medicaid-specific data. The relative weights include organ procurement for both solid and nonsolid organs. No comments were received regarding the adoption of these amendments. SUBCHAPTER G. Hospital Services 25 TAC sec.29.606 This amendment is adopted under the Human Resources Code, sec.32.021 and Government Code sec.531.021, which provides the Health and Human Services Commission with the authority to adopt rules to administer the state's medical assistance program and are submitted by the Texas Department of Health under its agreement with the Health and Human Services Commission to operate the purchased health services program and as authorized under Chapter 15, sec.1.07, Acts of the 72nd Legislature, First Called Session (1991). 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. Issued in Austin, Texas, on November 7, 1996. TRD-9616172 Susan K. Steeg General Counsel Texas Department of Health Effective date: November 28, 1996 Proposal publication date: July 26, 1996 For further information, please call: (512) 458-7236 SUBCHAPTER L. General Administration 25 TAC sec.29.1125 This amendment is adopted under the Human Resources Code, sec.32.021 and Government Code sec.531.021, which provides the Health and Human Services Commission with the authority to adopt rules to administer the state's medical assistance program and are submitted by the Texas Department of Health under its agreement with the Health and Human Services Commission to operate the purchased health services program and as authorized under Chapter 15, sec.1.07, Acts of the 72nd Legislature, First Called Session (1991). 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. Issued in Austin, Texas, on November 7, 1996. TRD-9616173 Susan K. Steeg General Counsel Texas Department of Health Effective date: November 28, 1996 Proposal publication date: July 26, 1996 For further information, please call: (512) 458-7236 TITLE 30. ENVIRONMENTAL QUALITY PART I. Texas Natural Resource Conservation Commission CHAPTER 330.Municipal Solid Waste SUBCHAPTER N.Landfill Mining 30 TAC sec.sec.330.401-330.419 The Texas Natural Resource Conservation Commission (commission) adopts new Subchapter N, sec.sec.330.401-330.419, concerning recovery of materials from landfills. Section 330.407 and sec.330.417 are adopted with changes to the proposed text as published in the September 3, 1996 issue of the Texas Register (21 TexReg 8386). Sections 330.401-330.406, 330.408-330.416, and 330.418-330.419 are adopted without changes and will not be republished. EXPLANATION OF ADOPTED RULES. The purpose of these new sections is to provide regulation for facilities known as landfill mining facilities. These facilities will be exempt from permit requirements, will be required to register with the commission, and will be required to design and operate in accordance with requirements set forth in a new section. The statutory basis for the rules is found in House Bill 2315, 74th Legislature, which amended the Health and Safety Code, Chapter 361, the Solid Waste Disposal Act, sec.361.0861 and sec.361.092. The statute directs the commission to establish rules to exempt from permit requirements the recovery of materials from landfills, to adopt rules establishing minimum standards for the issuance of registrations for the recovery of material from municipal solid waste landfills, and to establish a registration procedure for recovery operations. HEARING AND COMMENTERS. A public hearing was held on September 23, 1996, in Austin. No interested commenters attended the hearing. Only one commenter submitted testimony during the comment period which closed on October 3, 1996. The one commenter, Browing-Ferris Industries a large landfilling company, supported the proposal without recommended changes. The commission has changed language in sec.330.407(c)(2) to clarify that notices to the public shall be both mailed and published. Language in sec.330.407(f) has been changed to clarify a reference and to clarify the rights of the applicant and persons affected regarding a motion for reconsideration. Language in sec.330.417(b)(4) regarding the date of the publication of a reference document has been changed to the 1995 publication date. TAKINGS IMPACT ASSESSMENT. The commission has prepared a Takings Impact Assessment for these rules pursuant to Texas Government Code Annotated Section 2007.043. The following is a summary of that assessment. The specific purpose of the proposed rules is to regulate activities associated with the extraction of material from municipal solid waste landfills. The rules will establish the level of agency authorization as a registration in lieu of the previously required permit level. The rules will provide the specific operational and design standards for obtaining an authorization for a landfill mining operation. New landfill mining facilities must comply with all technical and administrative standards stipulated by the new regulations. The proposed rules are necessary to advance the agency's mission of providing adequate public health and safety relative to facilities wishing to engage in the management of the recovery of usable material from waste in municipal solid waste landfills. The proposed rules will establish specific operating and management standards which currently do not exist under Chapter 330; therefore, both the regulated community and the public will be accorded greater assurance that human health and the environment are being protected. Promulgation and enforcement of these rules will not affect private real property. STATUTORY AUTHORITY. The new sections are adopted under the authority of the Texas Water Code, sec.5.103, which provides the commission with the authority to adopt any rules necessary to carry out the powers and duties under the provisions of the Texas Water Code and other laws of this state, and under House Bill 2315, as passed by the 74th Legislature; and pursuant to the Texas Solid Waste Disposal Act, Texas Health and Safety Code sec.361.024, which provides the commission with the authority to regulate municipal solid waste and adopt rules as necessary to regulate the operation, management, and control of solid waste under its jurisdiction. sec.330.407. Registration Application Processing. (a) An application shall be submitted to the executive director. When an application is administratively complete, the executive director shall assign the application an identification number. (b) The applicant and the commission shall conduct a public meeting in the local area, when the application is administratively complete, to describe the proposed action to the general public. The public meeting shall be held as prescribed in sec.305.107 of this title (relating to Public Meeting and Notice Requirements). (c) The requirements for public notice are as follows: (1) When an application is administratively complete the chief clerk shall mail notice to adjacent landowners. The chief clerk also shall mail notice to other affected landowners as directed by the executive director. (2) When an application is technically complete the chief clerk shall mail notice to adjacent landowners. The chief clerk shall also mail notice to other affected landowners as directed by the executive director. The applicant shall publish notice in the county in which the facility is located, and in all adjacent counties. The published notice shall be published once a week for three consecutive weeks. The applicant should attempt to obtain publication in a Sunday edition of a newspaper. The mailed and published notices shall explain the method for submitting a motion for reconsideration. (3) Notice issued under paragraphs (1) or (2) of this subsection shall contain the following information: (A) the identifying number given the application by the executive director; (B) the type of registration sought under the application; (C) the name and address of the applicant(s); (D) the date on which the application was submitted; and (E) a brief summary of the information included in the application. (d) The executive director or his designee shall, after review of any application for registration of a landfill mining facility, determine if he will approve or deny an application in whole or in part. The executive director shall base his decision on whether the application meets the requirements of this subchapter and the requirements of sec.330.403 of this title (relating to General Requirements). (e) At the same time that the executive director's final decision is mailed to the applicant, a copy or copies of this decision shall also be mailed to all adjacent landowners and to other affected landowners as directed by the executive director. (f) In regard to motions for reconsideration, notwithstanding sec.50.31(c)(8) of this title (relating to Purpose and Applicability), applications for registration under this subchapter are governed by sec.50.39(b)-(f) of this title (relating to Motion for Reconsideration). The applicant or a person affected may file with the chief clerk a motion for reconsideration under sec.50.39(b)-(f) of this title of the executive director's final decision. sec.330.417. Sampling and Analysis Requirements for Soil Final Product. (a) Applicability. Facilities that receive a registration under this subchapter, are required to test final product in accordance with this section. (b) Analytical methods. Facilities which use analytical methods to characterize their final product must use methods such as those described in the following publications: (1) Chemical and physical analysis shall utilize: (A) "Test Methods for the Evaluation of Solid Waste, Physical/Chemical Methods" (SW-846); (B) "Methods for Chemical Analysis of Water and Wastes" (EPA-600); or (2) Analysis of pathogens shall utilize "Standard Methods for the Examination of Water and Wastewater" (Water Pollution Control Federation, 1995). (3) Analysis for salinity and pH shall utilize North Central Regional (NCR) Method 14 for Saturated Media Extract Method contained in "Recommended Test Procedure for Greenhouse Growth Media" NCR Publication Number 221 (Revised), Recommended Chemical Soil Test Procedures, Bulletin Number 49 (Revised), October 1988, pages 34-37. (4) Analysis of total, fixed and volatile solids shall utilize Method 2540 G (Total, Fixed, and Volatile Solids in Solid and Semi-solid Samples) as described in "Standard Methods for the Examination of Water and Wastewater" (Water Pollution Control Federation, 1995). (c) Sample collection. Sample collection, preservation and analysis shall assure valid and representative results pursuant to an agency-approved quality assurance quality control (QAQC) plan. (d) Documentation. (1) Owners or operators of registered facilities shall record and maintain all of the following information regarding their activities of operation for three years after the final product is shipped off-site or upon site closure: (A) batch numbers identifying the final product sampling batch; (B) the quantities, types and sources of materials processed and the dates processed; (C) the quantity and final product grade assigned described in sec.330.418 of this title (relating to Final Soil Product Grades); (D) the date of sampling; and (E) all analytical data used to characterize the final product, including laboratory quality assurance/quality control data. (2) The following records shall be maintained on-site permanently or until site closure: (A) sampling plan and procedures; (B) training and certification records of staff; and (C) soil final product test results. (3) Records shall be available for inspection by executive director representatives during normal business hours. (4) The executive director may at any time request by registered or certified mail that a soil generator submit copies of all documentation listed in paragraph (1) of this subsection for auditing the final soil product grade. Documentation requested under this section shall be submitted within ten (10) working days of receipt of the request. (e) Sampling frequencies. All final soil product must be sampled and assigned a final product grade set forth in sec.330.418 of this title at a minimum rate of one sample for every 5,000 cubic yard batch of final soil product or annually, whichever is more frequent. Each sample will be a composite of nine grab samples as discussed in subsection (f) of this section. (f) Sampling requirements. The operator shall utilize the protocol in an executive director approved facility QAQC plan. The executive director may at any time request that split samples be provided to an agency representative. Specific sampling requirements which must be satisfied include: (1) Sampling from stockpiles. One third of the grab samples shall be taken from the base of the stockpile (at least 12 inches into the pile at ground level), one third from the exposed surface and one third from a depth of two feet from the exposed surface of the stockpile. (2) Sampling from conveyors. Sampling times shall be selected randomly at frequencies which provide the same number of subsamples per volume of mined soil product as is required in subsection (d) of this section. (A) If samples are taken from a conveyor belt, the belt shall be stopped at that time. Sampling shall be done along the entire width and depth of the belt. (B) If samples are taken as the material falls from the end of a conveyor, the conveyor does not need to be stopped. Free-falling samples need to be taken to minimize the bias created as larger particles segregate or heavier particles sink to the bottom as the belt moves. In order to minimize sampling bias, the sample container shall be moved in the shape of a "D" under the falling product to be sampled. The flat portion of the "D" shall be perpendicular to the beltline. The circular portion of the "D" shall be accomplished to return the sampling container to the starting point in a manner so that no product to be sampled is included. (g) Analytical requirements. Final product subject to the sampling requirements of this section will be tested for all of the following parameters. The executive director may at any time request that additional parameters be tested. These parameters are intended to address public health and environmental protection. (1) total metals, to include: (A) arsenic; (B) cadmium; (C) chromium; (D) copper; (E) lead; (F) mercury; (G) molybdenum; (H) nickel; (I) selenium; and (J) zinc. (2) weight percent of foreign matter, dry weight basis. (3) pH by the saturated media extract method. (4) salinity by the saturated media extract electrical conductivity method. (5) pathogens: (A) salmonella; and (B) fecal coliform. (6) polychlorinated-biphenyls. (7) asbestos. (h) Data precision and accuracy. Analytical data quality shall be established by the United States Environmental Protection Agency standard laboratory practices to ensure precision and accuracy. (i) Reporting requirements. (1) Facilities must report the following information to the executive director on a semi-annual basis for each sampling batch of final soil product. Reports must include, but may not be limited to all of the following information: (A) batch numbers identifying the final soil product sampling batch; (B) the quantities and types of waste materials processed the dates processed; (C) the quantity of final soil product; (D) the final soil product grade or permit number of the disposal facility receiving the final product if it is not Grade 1 or Grade 2 as established in sec.330.418 of this title; (E) all analytical results used to characterize the final soil product including laboratory quality assurance/quality control data and chain-of-custody documentation; and (F) the date of sampling. (2) Reports must be submitted to the executive director within two months after the reporting period ends. 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. Issued in Austin, Texas, on November 12, 1996. TRD-9616337 Kevin McCalla Director, Legal Division Texas Natural Resource Conservation Commission Effective date: December 3, 1996 Proposal publication date: September 3, 1996 For further information, please call: (512) 239-1970 TITLE 40. SOCIAL SERVICES AND ASSISTANCE PART I. Texas Department of Human Services CHAPTER 90. Intermediate Care Facilities for Persons with Mental Retardation or Related Conditions SUBCHAPTER B. Application Procedures 40 TAC sec.90.14, sec.90.15 The Texas Department of Human Services (DHS) adopts amendments to sec.90.14 and sec.90.15, without changes to the proposed text as published in the October 1, 1996, issue of the Texas Register (21 TexReg 9437). Justification for the amendments is that the policy will be easier to find. The amendments will function by referencing sec.533.065 of the Texas Health and Safety Code, which governs the approval or expansion of beds, and adding rules which clarify what constitutes the timely filing of a licensure application. During the public comment period, DHS received one comment from New Avenues of Hope, Inc. Comment: The Health and Safety Code sec.533.062 was not intended to restrict beds located within an ICF/MR which do not require Medicaid funding. Applying the ICF/MR Bed Plan to non-Medicaid reimbursed beds has a negative impact of restricting the growth of private pay beds. Response: Under Health and Safety Code sec.222.042, the department may not license or approve as meeting licensing standards new ICF/MR beds or the expansion of an existing ICF/MR facility unless the new beds or the expansion was included in the plan approved by the Health and Human Services Commission (the commission) in accordance with sec.533.062. Subsection (f) of sec.533.062 directs the commission to adjust the plan after legislative action on the appropriation for long-term care services for persons with mental retardation, to ensure that the number of ICF/MR beds licensed or approved as meeting licensing requirements and the capacity of the HCS waiver program are within appropriated amounts. The reference to "ICF/MR beds licensed or approved as meeting licensing requirements" indicated that the plan approved by the commission under sec.533.062 was meant to include all ICF/MR beds, not just those beds certified to participate in the Medicaid program. Commission staff have indicated that the plan covers all ICF/MR beds, not only those that are Medicaid-certified. The sections are being adopted as proposed. The amendments are adopted under the Human Resources Code, Title 2, Chapter 22, which authorizes the department to administer public assistance programs, and under the Health and Safety Code, Chapter 242, which authorizes the department to license ICF-MR facilities, and sec.222.042, which restricts the department's authority to license these facilities. The amendments implement the Human Resources Code, sec.sec.22.001-22.030, and Chapter 242 and sec.222.042 of the Health and Safety Code. 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. Issued in Austin, Texas, on November 8, 1996. TRD-9616300 Glenn Scott General Counsel, Legal Services Texas Department of Human Services Effective date: January 1, 1997 Proposal publication date: October 1, 1996 For further information, please call: (512) 438-3765 CHAPTER 96. Certification of Long Term Care Facilities 40 TAC sec.96.6 The Texas Department of Human Services (DHS) adopts an amendment to sec.96.6, without changes to the proposed text as published in the October 4, 1996, issue of the Texas Register (21 TexReg 9624). Justification for the amendment is to give providers clearer understanding of the informal administrative review process. The amendment will function by clarifying the Informal Administrative Review (IAR) process. The surveyors will inform providers of their right to an IAR in writing; requests for an IAR will be made in writing and can be faxed; time lines were changed uniformly to seven calendar days; and all references to the Texas Department of Health were changed to DHS. The department received no comments regarding adoption of the section. The amendment is adopted under the Human Resources Code, Title 2, Chapter 22, which authorizes the department to administer public assistance programs, and under the Health and Safety Code, Chapter 242, which authorizes the department to license ICF-MR facilities, and sec.222.043, which establishes a review process for ICF-MR surveys. The amendment implements the Human Resources Code, sec.sec.22.001-22.030, and Chapter 242 and sec.222.043 of the Health and Safety Code. 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. Issued in Austin, Texas, on November 8, 1996. TRD-9616305 Glenn Scott General Counsel, Legal Services Texas Department of Human Services Effective date: January 1, 1997 Proposal publication date: October 4, 1996 For further information, please call: (512) 438-3765