TITLE social-services-and-assistance

Part II. Texas Rehabilitation Commission

Chapter 104. Informal and Formal Appeals by Applicants/Clients of Decisions by a Rehabilitation Counselor or Agency Official.

40 TAC §§104.1, 104.2, 104.5, 104.6, 104.8

The Texas Rehabilitation Commission (TRC) proposes amendments to §§104.1, 104.2, 104.5, 104.6, and 104.8, concerning Informal and Formal Appeals by Applicants/clients of Decisions by a Rehabilitation Counselor or Agency Official. This action is taken to more fully inform appellants of their rights to a fair hearing.

Charles E. Harrison, Jr., Deputy Commissioner for Financial Services, has determined that for the first five-year period the proposed amendments will be in effect, there will be no fiscal implications for state or local government as a result of enforcing or administering the rules.

Mr. Harrison, Jr., also has determined that for each year of the first five years the amendments are in effect, the public benefit anticipated is to more fully inform appellants of their rights to a fair hearing. There will be no effect on small businesses. There is no anticipated economic costs to persons who are required to comply with the rules as proposed.

Comments on the proposal may be submitted to Charles W. Schiesser, Texas Rehabilitation Commission, 4900 North Lamar Boulevard, Suite 7110, Austin, Texas 78751.

The amendments are proposed under Texas Human Resources Code Annotated, Title 7, §111.018, which provides the Texas Rehabilitation Commission with the authority to promulgate rules consistent with Title 7, Texas Human Resources Code Annotated.

The Texas Human Resources Code, Chapter 111, Title 7, §111.018 is affected by these proposed amendments.

§104.1.Purpose and Scope.

(a)

Purpose. The purpose of these rules is to provide the Texas Rehabilitation Commission with a system for the institution, conduct, and determination of "informal" and "formal appeals" as those terms are defined herein. These rules shall be liberally construed in accordance with the purpose for which they were adopted. These rules inform all applicants and persons served by TRC of their due process right to appeal when they are dissatisfied with any determination made by a rehabilitation counselor or agency official regarding the furnishing or denial of services.

(b)

Statutory Authority. These rules are created [under the authority delegated to the Commission by] pursuant to the Rehabilitation Act of 1973, as amended, 29 United States Code Annotated (USCA) §§701 et seq. and Department of Education Regulations at 34 Code of Federal Regulation (CFR), §361.48. Federal laws and regulations prevail over state laws and regulations. The Administrative Procedure Act, Texas Government Code Annotated, §§2001.001 et seq. does not apply to client administrative hearings which are conducted pursuant to federal law.

(c)

(No change.)

§104.2.Definitions.

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

Commission

- The Texas Rehabilitation Commission (TRC), its officers and agents.

Impartial hearing officer (IHO)

- Individual who is selected on a random basis and is appointed by the commissioner to hear a formal appeal pursuant to these rules. The IHO is selected from a pool of qualified persons identified jointly by TRC and by members of the TRAC.

Respondent

- The Texas Rehabilitation Commission (TRC).

Texas Rehabilitation Commission Advisory Council (TRAC)

- The council created by Human Resources Code, Title 7, §111.016 in accordance with the federal Rehabilitation Act amendments of 1992, Public Law 102-569.

§104.5.Formal Appeal.

(a)

(No change.)

(b)

Role of Commissioner's Office for Administrative Hearings. Upon receipt of the Petition for Administrative Hearing, the Commissioner's Office for Administrative Hearings shall:

(1)-(2)

(No change.)

(3)

select the impartial hearings officer (IHO), who is appointed by the commissioner, on a random basis from a [panel of] pool of qualified persons identified jointly by TRC and the TRAC in accordance with [individuals pursuant to] the Rehabilitation Act [Amendments of 1992, (Public Law 102-569)] within ten days of receipt of the Petition for Administrative Hearing and immediately forward a copy of the Petition for Administrative Hearing to the IHO.

(4)-(8)

(No change.)

(c)

Impartial Hearing Officer.

(1)

Qualifications. The IHO:

(A)

cannot be an employee of a public agency [(other than an administrative law judge, hearing examiner, or employee of an institution of higher education)];

(B)-(F)

(No change.)

(2)

(No change.)

(d)

(No change.)

(e)

Prehearing Procedures.

(l)-(2)

(No change.)

(3)

Settlement Conferences.

(A)

Upon request of any party and approval by the IHO, or at the IHO's discretion, a conference outside the presence of the IHO may be held to address settlement.

(B)-(C)

(No change.)

(4)

(No change.)

(f)-(i)

(No change.)

(j)

Hearing.

(1)

The IHO shall set the date and time for the hearing. The hearing must take place within 45 days of the request unless additional time is granted as authorized by law. The location shall be the Commission's regional or area office nearest the Appellant's residence or as agreed to by the parties.

(2)-(5)

(No change.)

(k)

Impartial Hearing Officer Decision.

(1)

Within 30 days of the hearing completion date, the IHO shall issue [a decision] an opinion based on the provisions of the approved State plan, the applicable regulations, and the Act which shall contain separately stated :

(A)

Findings of fact; [and conclusions of law, separately stated; and]

(B)

[If appropriate, an order.] Conclusions of law; and

(C)

Opinion.

(2)

The Commissioner's Office for Administrative Hearings shall submit the IHO [decision] opinion to the Commissioner with a copy to each party.

§104.6.Action by the Commissioner.

(a)

The Commissioner cannot delegate the responsibility for making any final Commission [decision] order to any other officer or employee of the Commission.

(b)

Within 20 days of the mailing of the IHO's [decision], opinion the Commissioner will decide whether or not to formally review the [decision] IHO opinion by studying the [decision] opinion and the official case record. The Commissioner shall notify the appellant in writing of his or her intent to review within 20 days of the mailing of the IHO opinion.

(1)

If the Commissioner fails to provide the required written notice, the IHO opinion is final.

(2)

[1] If the Commissioner decides not to formally review the IHO's [decision], opinion the [decision] opinion of the IHO becomes [the] final. [ Commission decision, and] In that case, the Commissioner will issue an order [affirming] making the [decision] opinion of the IHO final .

(3)

[2] If the Commissioner decides to formally review the IHO's [decision], opinion, the Commissioner will issue an order to that effect and written notice of this [decision] order will be sent to the Appellant by certified mail, return receipt requested.

(4)

[3] The parties will then have 15 days [from the date the notice that the Commissioner has decided to review the IHO's decision is mailed by the Commissioner's Office for Administrative Hearings] in which to submit any additional relevant evidence. The fifteeen day period begins on the date of the order that informs the parties that the Commissioner will review the opinion of the IHO.

(5)

[4] Within 30 days of the mailing of [notice of intent] the Commissioner's order to review the IHO's [decision], opinion the Commissioner shall [make a final decision] issue a final order and provide a full report to all parties in writing of [that decision], the reasons for the order including [the] findings of fact [and grounds for the decision] and conclusions of law separately stated.

(c)

The Commissioner's [decision to review] order reviewing the IHO's [decision] opinion will be based on the following standards of review.

(1)

The Commissioner may not overturn or [nor] modify [a decision] an opinion of an IHO, or part of [a decision], an opinion that supports the position of the Appellant unless the Commissioner concludes, based on clear and convincing evidence, that the [decision] opinion of the IHO is clearly erroneous on the basis of being contrary to federal or state law, including policy.

(2)-(3)

(No change.)

(4)

The review [Review] may result in affirming the [decision] opinion of the IHO in whole or in part or reversing or remanding the case to the IHO for further proceedings.

(5)

The review [Review] may result in reversing or remanding the [decision] opinion of the IHO when the record of the hearing or [decision] opinion contains any one or more of the following, and the [decision] opinion is found to be:

(A)-(F)

(No change.)

(6)

When none of the conditions in paragraph (5) of this subsection are present in the record of the hearing or the [decision, review shall result in affirming the decision] opinion, an order affirming the opinion of the IHO shall be issued .

§104.8.Judicial Review of Final Order.

[29 United States Code Annotated §722(d)(1), provides the Commissioner with authority to establish procedures for appealing agency decisions including judicial review.] Pursuant to these rules and 29 United States Code §722 (d)(1) [that authority, the Commissioner grants exclusive jurisdiction to] the district [court] courts of Travis County, Texas, have jurisdiction to hear appeals of final [decisions] orders of the Commission. The standard of review will be by substantial evidence. A party may seek judicial review of the final order of the Commission by appealing to the Travis County District [Court] Courts within 30 days of receipt of notice that a party's motion for rehearing has been overruled.

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.

Issued in Austin, Texas, on January 9, 1997.

TRD-9700391

Charles W. Schiesser

Associate Commissioner for Legal Services

Texas Rehabilitation Commission

Earliest possible date of adoption: February 21, 1997

For further information, please call: (512) 424-4051