Part 1.
TEXAS DEPARTMENT OF HEALTH
Chapter 313.
ATHLETIC TRAINERS
Subchapter A. GENERAL GUIDELINES AND REQUIREMENTS
25 TAC §§313.9, 313.10, 313.12
The Advisory Board of Athletic Trainers (board) adopts amendments
to §§313.9, 313.10 and 313.12 concerning the licensure and regulation
of athletic trainers without changes to the proposed text as published in
the November 2, 2001 issue of the
Texas Register
, (26 TexReg 8706), and therefore the sections will not be republished.
The sections are amended to accurately reflect that examination dates are
set and announced by the board; to correct citations; to allow the board to
issue a temporary license to persons who were licensed and allowed the license
to expire; and to establish independent study courses and training as acceptable
forms of continuing education.
The following comments were received during the comment period concerning
the proposed amendments.
Comment: Concerning §313.10, the commenter supported the rules as
proposed.
Response: The board agrees. No change was made as a result of this comment.
Comment: Concerning §313.12, the commenter recommended the board recognize
university credit coursework.
Response: The board currently accepts university level coursework for continuing
education. No change was made as a result of this comment.
The amendments are adopted under the Occupations Code, Chapter
451, §451.103, which authorizes the board to adopt rules necessary for
the performance of its duties.
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 January 30, 2002.
TRD-200200586
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: February 19, 2002
Proposal publication date: November 2, 2001
For further information, please call: (512) 458-7236
Chapter 500.
EXECUTIVE COMMITTEE FOR THE CENTER FOR RURAL HEALTH INITIATIVES
Subchapter B. TEXAS OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM
25 TAC §500.25
The Office of Rural Community Affairs (office) adopts amendments
to §500.25, concerning the Outstanding Rural Scholar Recognition Program
eligibility requirements for recognition. The amended section is adopted with
changes to the proposed text as published in the November 23, 2001, issue
of the
Texas Register
(26 TexReg 9508).
The section contains requirements for the Texas Outstanding Rural Scholar
Recognition Program (ORS).
The purpose of the Outstanding Rural Scholar Recognition Program is to
recognize, encourage, and financially support students in health care professions
studies at institutions of higher education and to lead them to provide health
care in rural communities in Texas.
The adopted amendment will inform prospective rural scholars of the eligibility
requirements.
These rules were originally proposed by the Center for Rural Health Initiatives;
however pursuant to House Bill 7 enacted by the 77th Texas Legislature, the
center's rules have been transferred to the Office of Rural Community Affairs.
All rules and decisions of the center continued as rules and decisions of
the office under section 13 of House Bill 7. This includes the proposal of
rules.
No comments were received on the proposal during the comment period; changes
are needed to address House Bill 7. The following changes have been made in
the section:
All references to the Center for Rural Health Initiatives (center) are
changed to the Office of Rural Community Affairs (office).
The amendments are adopted under the Government Code, §
487.112 which provides the office with the authority to adopt rules concerning
the Outstanding Rural Scholar Recognition Program, and §487.052, which
allows the office to adopt rules to implement Chapter 487.
§500.25.Requirements for Forgiveness Loan.
(a)
Eligibility Criteria for Forgiveness Loan.
(1)
Initial Loan. To be eligible to apply for a forgiveness
loan under this program, the student shall:
(A)
meet the eligibility requirements and be recognized as
an outstanding rural scholar;
(B)
receive public recognition of the student's selection as
an outstanding rural scholar. Each sponsor shall send the Office proof of
public recognition of the student. Such recognition may include an announcement
in local newspapers of the student's selection and public recognition of the
student at civic gatherings or school assemblies;
(C)
have the sponsor's commitment to provide 50% of the student's
costs of education;
(D)
not have defaulted on nor owe a refund on any state or
federal aid.
(2)
Subsequent Loan. A student who has received an initial
loan shall have priority for subsequent loans provided the following requirements
are satisfied:
(A)
the student maintains satisfactory academic progress in
the educational program in accordance with the prescribed degree plan;
(B)
the student files a degree plan complete with graduation
date;
(C)
the student files a course plan, financial aid disclosure
statement and grade report each academic term;
(D)
the student completes the same number of credit hours for
which the student enrolled at the beginning of the academic term each academic
term, unless circumstances outside the student's control such as severe illness
suffered by the student or a family member, or death of a family member have
necessitated the student to reduce the credit load. The student shall present
to the Office verification of the reason for dropping below the initial number
of credit hours for which initially enrolled at the beginning of the academic
term. Such verification may include a sworn affidavit from a qualified physician
as to the student's or family member's health status, or a death certificate
in the case of a death in the student's family. If the student repeatedly
drops below the initial number of credit hours during the course of the academic
program, the Office in concurrence with the sponsor shall determine whether
the student is in breach of contract and whether the student should be discontinued
from the program. However, the advisory committee may unilaterally recommend
removal of a student from the program should the advisory committee determine
that the student is not maintaining satisfactory academic progress to attain
the prescribed degree; and
(E)
state funds are available for subsequent loans.
(b)
Application for Forgiveness Loan. The student shall submit
the completed forgiveness loan application. The forgiveness loan application
shall be in a form prescribed by the Office and may include but is not limited
to:
(1)
student personal information;
(2)
health care professional education program the student
is pursuing;
(3)
name and relation of a cosigner for forgiveness loan;
(4)
name of the academic institution the student shall attend;
(5)
cost of attendance at the academic institution;
(6)
other financial aid the student will receive;
(7)
length of academic year;
(8)
estimated graduation date;
(9)
signature of financial aid officer;
(10)
name and address of sponsoring rural community organization;
and
(11)
signature of sponsor representative.
(c)
Conditions for Forgiveness Loan.
(1)
The student shall use the proceeds of the forgiveness loan
only for educational expenses at the agreed upon academic institution.
(2)
The annual forgiveness loan shall not exceed the annual
cost of attendance at the eligible academic institution the student attends.
(3)
The cost of attendance shall be determined by the academic
institution's financial aid office. A student may receive other financial
aid in the form of grants, scholarships and loans for which the student may
be eligible. However, it is recommended that the student decline any loans
other than the forgiveness loan. The Office shall reduce the amount of the
forgiveness loan by the amount of other financial aid a student receives in
order that the total financial aid a student receives does not exceed the
allowable cost of attendance as determined by the financial aid office.
(4)
The executive director may authorize forgiveness loans
to be awarded to eligible students provided the:
(A)
student has submitted a forgiveness loan application;
(B)
sponsor has executed a Memorandum of Understanding with
the Office in which the sponsor agrees to provide 50% of the student's costs
of attendance for the academic year;
(C)
sponsor and the student have executed a contract with the
Office in which the:
(i)
sponsor agrees to provide 50% of the student's cost of
attendance for the duration of the student's academic program as determined
by the eligible academic institution;
(ii)
sponsor agrees to provide a practice or employment opportunity
for the student upon certification or licensure in the prescribed health care
profession;
(iii)
student agrees to provide a course plan, grade report
or transcript and financial aid disclosure statement each academic term;
(iv)
student agrees to complete the prescribed health care
professional education program within the time period determined by the eligible
academic institution for the specified degree;
(v)
student agrees to attain certification or licensure in
the prescribed health care profession;
(vi)
in the case of medical students, the student agrees to
complete a residency program in family practice, emergency medicine, general
internal medicine, general pediatrics, general surgery, or general obstetrics
and gynecology;
(vii)
student agrees to return to the sponsoring rural community
within 60 days of attaining certification or licensure or completing the prescribed
residency program in the case of medical students;
(viii)
student agrees to provide health care on a full-time
basis in the sponsoring rural community for a period of obligated service
equal to the same number of years loan support was provided;
(ix)
office agrees to provide 50% of the student's cost of
attendance for the duration of the student's academic program;
(x)
office agrees to report the student's status to the sponsor
at least once a year;
(xi)
student agrees to coordinate with the sponsoring community
regarding rural rotations, preceptorships or other programs in the sponsoring
community; and
(xii)
student agrees to meet with his or her sponsoring community
annually in order for the participant to receive his or her check from the
office to keep the sponsoring community and office informed of career goals,
interns etc.
(d)
Disbursement of Forgiveness Loan Funds. Disbursements shall
be made according to a schedule determined by the Office. Before a disbursement
is made:
(1)
the student shall execute a promissory note with the Office
to pay the forgiveness loan in the event of breach of contract. The promissory
note must be cosigned:
(A)
a cosigner of a promissory note executed under these rules
shall be a person signing a note, other than the student, who is a citizen
or permanent resident of the United States over 21 years of age and who is
gainfully employed or otherwise demonstrates financial responsibility;
(B)
a cosigner may be a relative other than the student's spouse
and may not be a student;
(C)
a cosigner is jointly and severally responsible for the
promissory note in the event of breach of contract;
(2)
the sponsor shall remit to the Office an amount equal to
50% of the disbursement; and
(3)
a state warrant for the prescribed disbursement will be
made payable to the student at the academic institution the student attends,
and shall be sent to the financial aid office of the academic institution.
Disbursements shall not be sent directly to the student.
(e)
Refunds.
(1)
A student shall be responsible for refunding the Office
an amount equal to:
(A)
the cost of attendance paid for courses not completed;
and
(B)
any amount of financial aid received from other sources.
(2)
The Office may:
(A)
deduct the refund from the student's next scheduled loan
disbursement;
(B)
request the financial aid office of the academic institution
the student attends to remit an institutional check for the amount of the
refund; or
(C)
require the student to remit a personal check for the amount
of the refund in the event the student will not receive any more loan disbursements.
(f)
Loan Forgiveness.
(1)
A student who receives a forgiveness loan under this program
shall be forgiven the total forgiveness loan by providing full-time health
care practice for an obligated period of service equal to 12 months for each
year loan support is provided. If employment is on less than a full-time basis,
forgiveness shall be prorated.
(2)
The obligated period of service shall begin on the date
full-time employment or practice begins in the sponsoring rural community
after the student has become certified or licensed in the health care profession
for which sponsored.
(3)
Only outstanding principal and interest remaining unpaid
shall be eligible for forgiveness.
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 January 31, 2002.
TRD-200200600
Robt. J. "Sam" Tessen
Executive Director
Center for Rural Health Initiatives
Effective date: February 20, 2002
Proposal publication date: November 23, 2001
For further information, please call: (512) 936-6710
25 TAC §§500.701, 500.703, 500.705, 500.707
The Office of Rural Community Affairs (Office) adopts new §§500.
701, 500.703, 500.705, and 500.707, relating to the designation of a hospital
as a rural hospital. New §§500.701, 500.705, and 500.707 are adopted
with changes to the proposed text as published in the November 23, 2001, issue
of the
Texas Register
(26 TexReg 9510). Section
500.703 is adopted without changes to the proposed text and will not be republished.
These rules are adopted to implement the federal laws cited in the rules
and House Bill (HB) 7 passed during the 77th Texas Legislature.
The Office's criteria for determining the eligibility of urban hospitals
to be designated as rural hospitals is derived from the criteria that was
established previously under the critical access hospital program, also administered
by the Office. The four criteria can be easily found and verified. It is the
goal of the Office to ensure that the process not be an onerous one and that
the decision to seek such a designation be initiated by the hospital.
These rules were originally proposed by the Center for Rural Health Initiatives;
however pursuant to House Bill 7, the Center's rules have been transferred
to the Office of Rural Community Affairs. All rules and decisions of the Center
are continued as rules and decisions of the Office under section 13 of House
Bill 7. This includes the proposal of rules.
No comments were received on the proposal during the comment period; however,
changes are needed to address House Bill 7. The following changes have been
made:
In §500.701(a) (42 United States Code §1395) is changed to (42
United States Code §1395l) and (42 United States Code §1395) is
changed to (42 United States Code §1395i-4). The citations are changed
due to the Federal Public Law.
In §500.701(d) the Health and Safety Code §106.020 changed to
the Government Code §487.401 as a result of HB 7 becoming law.
All references to the Center for Rural Health Initiatives (Center) are
changed to the Office of Rural Community Affairs (Office).
In §500.705(b)(2) the word "and" is changed to "land". This change
is a result of the designation criteria.
In §500.707(b)(3) the wording is stricken after license to clarify
the procedures for designation.
In §500.707(b)(4) the word "director" is changed to "directors". This
is a grammatical change.
The new sections are adopted under the Government Code, §487.401
which provides the Office with the authority to adopt rules concerning the
designation of a hospital as a rural hospital, and §487.052 which allows
the Office to adopt rules to implement Chapter 487.
§500.701.Purpose.
(a)
Federal Public Law 106-113 (also known as H.R. 3426), Title
IV-Rural Provider Provisions, Section 401. Permitting Reclassification of
Certain Urban Hospitals as Rural Hospitals provides procedures under which
certain urban hospitals may apply for reclassification as rural hospitals
for all purposes under the Medicare inpatient hospital prospective payment
system (42 United States Code §1395ww), the Medicare prospective payment
for hospital outpatient department services (42 United States Code §1395l),
and the Medicare rural hospital flexibility program including designation
of critical access hospitals (42 United States Code §1395i-4).
(b)
The federal law allows a hospital for these Medicare purposes
to be treated as being located in the rural area of the state in which the
hospital is located if the hospital satisfies certain criteria stated in the
law.
(c)
The statutory criteria in pertinent part is that the hospital
applying for reclassification is located in an area designated by any law
or regulation of the state as a rural area or is designated by the state as
a rural hospital.
(d)
The Government Code, §487.401 (enacted by Acts 2001,
77th Legislature, Chapter 1424 (House Bill 7) requires the Office to adopt
rules that establish a procedure for designating a hospital as a rural hospital
in order for the hospital to qualify for federal funds under federal regulations
relating to Medicare prospective payment systems for inpatient hospital services.
Federal law then allows use of the state's designation for the other purposes
discussed in this section.
(e)
This subchapter establishes the procedure under which the
Office will designate a hospital as a rural hospital. Once a hospital has
received its designation from the Office under this subchapter, the hospital
must submit an application directly to the Centers for Medicare and Medicaid
Services (CMS) seeking reclassification under Medicare provisions.
§500.705.Designation Criteria.
(a)
The hospital being considered must meet all four of the
criteria established in subsection (b) of this section.
(b)
The hospital must be located in:
(1)
a county with a population of 75,000 persons or less;
(2)
a county with a population density of less than 100 persons
per square mile of land area;
(3)
a municipality of 10,000 persons or less; and
(4)
a rural census tract
§500.707.Procedures for Designation.
(a)
The Office will accept a request for designation only by
letter.
(b)
The request must include the following:
(1)
name of the county(s) in which the hospital is physically
located;
(2)
name of the municipality(s) in which the hospital is physically
located;
(3)
name of the hospital as it appears on its hospital license;
and
(4)
signature of the chief administrative Officer or chairperson
of the hospital's board of directors.
(c)
The Office will complete its review based on the criteria
in this subchapter and render a decision within seven working days of the
Office's receipt of a completed request.
(d)
The Office will notify the requesting hospital of its final
decision.
(e)
The hospital is responsible for applying to CMS for reclassification
under Medicare provisions.
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 January 31, 2002.
TRD-200200599
Robt. J. "Sam" Tessen
Executive Director
Center for Rural Health Initiatives
Effective date: February 20, 2002
Proposal publication date: November 23, 2001
For further information, please call: (512) 936-6710
25 TAC §§500.801, 500.803, 500.805, 500.807, 500.809
The Office of Rural Community Affairs (Office) adopts new §§500.801,
500.803, 500.805, 500.807 and 500.809, concerning the Rural Communities Health
Care Investment Program (Investment Program). Specifically, these rules cover
definitions; purpose, administration and duties of the Investment Program;
administration and use of funds; contracts; and advisory committee. The new
sections are adopted with changes to the proposed text as published in the
November 23, 2001, issue of the
Texas Register
(26 TexReg 9511).
The Investment Program is established under the Health and Safety Code,
Chapter 106, Subchapter H, §§106.301 - 106.310 enacted in Senate
Bill 126 by the 77th Texas Legislature. Although Section 11 of House Bill
7 repeals Chapter 106, the Code Construction Act, Government Code, §311.025
requires that if amendments (i.e., House Bill 7 and Senate Bill 126) to the
same law are enacted at the same legislative session without reference to
each other, the amendments should be harmonized, if possible, to give effect
to each one. In this case Senate Bill 126 can be given effect by recognizing
that House Bill 7 repealed the pre-existing provisions of Chapter 106. There
is no indication that the Legislature intended to also repeal the new provisions
in Senate Bill 126.
The rules will assist the Office in implementing the Investment Program,
which is designed to attract and retain rural health care professionals.
These rules were originally proposed by the Center for Rural Health Initiatives;
however pursuant to House Bill 7 enacted by the 77th Texas Legislature, the
Center's rules have been transferred to the Office of Rural Community Affairs.
All rules and decisions of the Center are continued as rules of the Office
under section 13 of House Bill 7. This includes the proposal of rules.
No comments were received on the proposal during the comment period; however,
changes are needed to address the following changes:
All references of the Center for Rural Health Initiatives (Center) are
changed to the Office of Rural Community Affairs (Office).
In §500.801(6) a semicolon is inserted after "less," the word "and"
is deleted, and a semicolon is added after "underserved area." These changes
reflect the definition in law.
In §500.803(c) a period is inserted after "Office". The remaining
words are deleted as unnecessary.
In §500.803(d)(7) the word "and" is deleted as a result of adding
paragraphs(9) and (10).
In §500.803(d)(8) the period is changed to a semicolon as a result
of adding paragraphs (9) and (10).
In §500.803(d)(9) is added and reads as follows, "assurance that recipients
provide access to government-funded health benefit programs in qualifying
communities, as evidenced by affidavits submitted to the Office annually by
the recipients;". This wording is added to meet the requirements in the law
at §106.306(4).
In §500.803(d)(10) is added and reads as follows, "the requirement
that the benefiting community assist the Office in contracting with the recipients."
This wording is added to meet requirements in the law at §106.306(9).
In §500.807(e)(1) new wording is added to explain the penalty. This
wording explains how this rule fits the statutory language.
In §500.807(e)(3) a period is inserted after the word "fees" to end
the sentence regarding the liability of the health professionals.
In §500.809 "(a)" is inserted because subsections (b), (c), and (d)
are added. Subsections (b) - (d) are added because the Government Code, Chapter
2110 relates to the advisory committees of state agencies and requires agencies
to adopt rules on the purpose, tasks, and reporting of the agency's advisory
committee. The language reads as follows:
(b) The purpose of the panel is to advise the executive committee.
(c) The tasks of the panel are to assist with the program and provide input
regarding the program.
(d) The panel will report to the Executive Committee in writing at least
annually.
The new sections are adopted under the Health and Safety Code, §106.306
that provides the Office's executive committee with the authority to adopt
rules concerning the Investment Program and Government Code, §487.052,
which allows the Office to adopt rules to implement Chapter 487.
§500.801.Definition of Terms.
The following words and terms, when used in this chapter, shall have
the following meanings, unless the context clearly indicates otherwise.
(1)
Advisory Panel--a committee appointed by the Office of
Rural Community Affairs which assists the Office in recruiting and retaining
health professionals in medically underserved areas in the State of Texas.
(2)
Office--the Office of Rural Community Affairs established
by the 77th Legislature.
(3)
Executive Committee--the nine member governing body of
the Office, appointed by the governor, lieutenant governor, and speaker.
(4)
Health professional--any provider of health care or health
related services, other than a physician, who holds a license, certificate,
registration, permit or other authorization required by law or a state agency
rule that the individual must obtain in order to practice in a health care
profession.
(5)
Investment Program--the Rural Communities Health Care Investment
Program that was created to attract and retain rural health professionals.
(6)
Medically Underserved Community--a community that is located
in a county with a population of 50,000 residents or less; which has been
designated under state or federal law as either a health professional shortage
or medically underserved area; or which the Office has designated as a medically
underserved area.
(7)
Permanent endowment fund--a special state treasury fund,
outside general revenue, that supports the Investment Program.
(8)
Recipient--an eligible health professional or student in
a degree program preparing to become a health professional who receives a
loan reimbursement or stipend through the Investment Program.
§500.803.The Purpose, Administration, and Duties of the Rural Communities Health Care Investment Program.
(a)
The Investment Program assists rural communities in the
recruitment and retention of health professionals to their community.
(b)
The Investment Program seeks state and federal funds that
are intended to further economic development in rural areas.
(c)
The Investment Program is administered by the Office.
(d)
The Investment Program attracts and retains health professionals
through assisting medically underserved communities in recruiting health professionals
to practice in those communities by providing:
(1)
loan reimbursement for health professionals who serve in
those communities;
(2)
a stipend, payable in periodic installments, to health
professionals who agree to serve in those communities;
(3)
reasonable efforts to contract with health professionals
from a variety of health professions;
(4)
encouragement of the use of telecommunications or telemedicine,
as appropriate;
(5)
priority of the provision of loan reimbursements and stipends
to:
(A)
health professionals ineligible for any other state loan
forgiveness, loan repayment or stipend;
(B)
health professionals who are graduates of health professional
degree programs in this state; and
(C)
health professionals that use telecommunications, as appropriate;
(6)
priority to a medically underserved community of a recipient's
services if the community contributes to the cost of the loan reimbursement
or stipend;
(7)
the requirement that a medically underserved community
engage in actions designed to recruit and retain the loan reimbursement or
stipend recipient who will serve that community;
(8)
the designation of certain areas of the state as medically
underserved;
(9)
assurance that recipients provide access to government-funded
health benefit programs in qualifying communities, as evidenced by affidavits
submitted to the Office annually by the recipients; and
(10)
the requirement that the benefiting community assist the
Office in contracting with the recipients.
§500.805.Administration and Use of Funds.
(a)
The permanent endowment fund is composed of:
(1)
money transferred at the direction of the legislature;
(2)
gifts and grant contributions which may be solicited and
accepted by the comptroller or the Office, subject to any limitation or requirement
placed on the gift or grant by the donor or granting entity;
(3)
investment returns; and
(4)
amounts recovered for breach of contract.
(b)
The fund may be administered by the Office or at the Office's
option, the Comptroller.
(c)
The Office or the comptroller shall invest the fund in
a manner intended to preserve the purchasing power of the fund's assets and
the fund's annual distributions.
(d)
Annual fund distributions shall be determined by the investment
and distribution policy adopted by the administrator of the fund's assets.
(e)
The amount available for distribution from the fund, including
any gift or grant, may be appropriated only for stipend and loan reimbursement
provisions or fund management expenses.
(f)
The Office shall provide a report on the endowment fund
to the Legislative Budget Board no later than November 1 of each year.
§500.807.Contracts.
(a)
A health professional may receive assistance under this
subchapter only if the health professional signs a contract agreeing to provide
health care services in a medically underserved community.
(b)
A student enrolled in a health professional degree program
may contract with the Office for the loan reimbursement program prior to obtaining
the license required to practice as a health professional.
(c)
The Office may contract with a health professional for
part-time services under the stipend program.
(d)
A health professional that participates in any loan reimbursement
program is not eligible for a stipend.
(e)
A contract under this section must provide that a health
professional that does not provide the required services to the community
or provides those services for less than the required time is personally liable
to the state for:
(1)
two times the total amount of assistance the health professional
received from the Office and the medically underserved community. This is
the amount of the assistance plus a penalty in the same amount;
(2)
interest on the amount, equal to the prime rate accrued
quarterly; and
(3)
the state's reasonable expenses incurred in obtaining payment,
including a reasonable attorney's fees.
(f)
The participating health professional must establish an
Office and residence in the medically underserved area before receiving any
portion of the stipend.
§500.809.Advisory Committee.
(a)
The Advisory Committee is appointed by the Office to assist
in the Office's duties. The advisory panel must consist of at least the following:
(1)
one representative from the Texas Higher Education Coordination
Board;
(2)
one representative from the institutions of higher education
that offer degrees in health professions that are relevant to the Investment
Program;
(3)
one representative from a hospital in a medically underserved
community;
(4)
one physician practicing in a medically underserved community;
(5)
one health professional, other than a physician, practicing
in a medically underserved community; and
(6)
one public representative who resides in a medically underserved
community.
(b)
The purpose of the panel is to advise the executive committee.
(c)
The tasks of the panel are to assist with the program and
provide input regarding the program.
(d)
The panel will report to the Executive Committee in writing
at least annually.
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 January 31, 2002.
TRD-200200601
Robt. J. "Sam" Tessen
Executive Director
Center for Rural Health Initiatives
Effective date: February 20, 2002
Proposal publication date: November 23, 2001
For further information, please call: (512) 936-6710
Chapter 621.
EARLY CHILDHOOD INTERVENTION
Subchapter B. EARLY CHILDHOOD INTERVENTION SERVICE DELIVERY
Part 5.
CENTER FOR RURAL HEALTH INITIATIVES
Subchapter J. DESIGNATION OF A HOSPITAL AS A RURAL HOSPITAL
Subchapter K. RURAL COMMUNITIES HEALTH CARE INVESTMENT PROGRAM
Part 8.
INTERAGENCY COUNCIL ON EARLY CHILDHOOD INTERVENTION