Adopted Sections 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 1. ADMINISTRATION Part IV. Office of the Secretary of State Chapter 81. Elections Political Parties 1 TAC sec.sec.81.100-81.133 The Office of the Secretary of State adopts the repeal of sec.sec.81.100-81.133, concerning elections, without changes to the proposed text as published in the September 20, 1991, issue of the Texas Register (16 TexReg 1569). The repeals regard the financing of the 1992 primary elections with state funds, including the determination of necessary and proper expenses relating to the proper conduct of the primary elections by party officials and the procedures for requesting reimbursement by the parties for such expenses. The repeals are adopted under the Texas Election Code, sec.31.003 and sec.173. 006, which provides the Office of the Secretary of State with the authority to obtain and maintain uniformity in the application, interpretation, and operation of provisions under the Texas Election Code and other election laws, and in performing such duties, to prepare detailed and comprehensive written directives and instructions based on such laws, and to adopt rules consistent with the Election Code that reduce the cost of the primary elections or facilitate the holding of the elections within the amount appropriated by the legislature for that purpose. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 30, 1991. TRD-9113473 Tom Harrison Special Assistant for Elections Office of the Secretary of State Effective date: November 20, 1991 Proposal publication date: September 20, 1991 For further information, please call: (512) 463-5650 1 TAC sec.sec.81.100-81.138 The Office of the Secretary of State adopts new sec.sec.81.100-81.138, concerning elections, with changes to the proposed text as published in the September 20, 1991, issue of the Texas Register (16 TexReg 1569). Sections 81.100-81.138 concern the financing of the 1992 primary elections with state funds, including the determination of necessary and proper expenses relating to the proper conduct of the primary elections by party officials and the procedures for requesting reimbursement by the parties for such expenses. During the Fifth Biannual Election Law Seminar for County Chairs conducted by the Office of the Secretary of State on September 30, 1991, county chairs commented orally regarding the proposed primary finance rules that appeared in the September 20, 1991, edition of the Texas Register. Additionally, several written comments were received in reference to the proposed rules. Democratic and Republican chairs, county clerks, election administrators, party executive committee members, and primary administrators objected to parts of the rules as proposed. This is a summary of the comments received. The rules have been rewritten in response to comments concerning payment of election clerks; reimbursements to an entity or business in which the county chair, chair's spouse, or chairs family has a financial interest; chair's compensation; employee fidelity bonds; office rent and equipment; authorization of primary fund expenditures; legal expenses; transportation costs; payment of preprinted combination form of registered voters; and misuse and misappropriation of state funds. Several commenters objected to sec.81.101, stating that the proposed section would be burdensome, presumes fraud and misuse of funds, and fails to address the shortage of alternative services in certain smaller counties in the state. Section 81.101 establishes the check writing policy for primary funds. This section addresses the fiduciary responsibility of the chairs to account for the state funds entrusted to them in a manner that minimizes risk of loss and accurately documents each financial transaction. The election judge is not prohibited from dispensing the clerks' compensation in the form of checks payable to the clerks. Instead, the rule negates the past practice of tendering one check to the election judge, who in turn paid the election clerks in cash, or with the judge's personal checks. Appropriate compensation procedures should demonstrate the actual recipient of state funds. This procedure is also consistent with federal tax laws, under which tax liability could be incurred for the amount of a check made payable to a judge, even though the compensation would ultimately be paid out to the election clerks. Several commenters requested that the following provision be deleted: "No payment may be made from the primary fund to an entity or business in which the county chair, chair's spouse, or chairs family has a financial interest." The secretary of state has amended this section to read that payments from the primary fund may be made to county chairs or county chairs relatives for "office rental, incidental administrative costs, election day workers, and county chair's compensation." In response to comments received concerning section 81.103, the proposed rule has been changed to permit the employment of one additional full-time supervisory employee at a gross compensation not to exceed $1,800 per month for county with more than 100,000 registered voters. Several county chairs commented that the proposed rule did not provide adequate compensation for the necessary personnel to administer the primary elections process. The final version of the primary finance rules have been amended to reflect this change. Several commenters asked if the employment of administrative personnel for the primary elections was necessary. Section 81.103, as adopted states that the employment of administrative personnel for the conduct of the primary election is not required. Section 81.105 provides that contract services costing in excess of $500 must be pre-approved by the Office of the Secretary of State. This proposed rule is consistent with past practices of the office. Such approval will entail review of the reasonableness of the fee or rate as reflective of the prevailing rate or fee in the locale. Typical services that are subject to this provision include preparation and transportation of election equipment, and rental of poll furniture. One commenter suggested that the provision be deleted. It is the duty of the secretary of state to determine that primary fund expenditures are being made in accordance with statutory requirements. It would be inappropriate to permit expenditure of state funds without such pre-approval and examination. Some commenters disagreed with sec.81.107 and asserted that certain early voting costs should be paid from the primary fund. The Office of the Secretary of State is without authority to change sec.81.107, which merely restates statutory law. The Texas Election Code prohibits the use of primary funds for early voting, with the exception of the cost of the ballot. (Texas Election Code sec.173.003 (Vernon 1986)). Several commenters noted financial and administrative difficulties with the fidelity bond requirement, as such a bond may be impossible or cost prohibitive to obtain in some areas. The secretary of state recognizes that these difficulties may exist, and sec.81.108 has been amended to delete the mandatory language of the proposed rule. The provision now recommends that the county chair and those persons whose responsibilities include the receipt and/or expenditure of primary funds obtain a fidelity bond. Some commenters asserted that as proposed, sec.81.109 did not adequately reimburse the county chairs for use of an office located at a county chair's residence or place of business. They noted that primary funds could be used to rent office space in residences and county chairs' personal offices in previous primary election cycles. They maintained that it would not be cost effective to require the county chairs to rent office space outside the home or the chair's place of business. The secretary of state recognizes that no cost savings would result from this provision; however, the intent of sec.81.109 as proposed, was to avoid the appearance of a conflict of interest. The secretary of state recognizes that the majority of county chairs do not require, and thus do not rent office space for the primary election. Section 81.109, as adopted, allows for the rental of office space in which the county chair has a financial interest by the county chair submitting a statement concerning the necessity of such rental. Section 81.109, as adopted also notes that the rental of office space is not necessarily required for the conduct of the primary elections. Section 81.110 establishes certain restrictions concerning the rental or lease of party owned office equipment. Several commenters requested reimbursement for costs associated with the use of such equipment. The provision has been amended as follows: "The county party many not rent or lease party owned equipment to the primary fund, but may be reimbursed for incidental costs of supplies in connection with primary election use of party owned equipment. Supplies include paper, ribbon, toner, etc. All such costs must be associated with activities necessary and directly related to the conduct of primary elections." Some commenters asserted that reimbursement for up to two phone lines under sec.81.112 was insufficient and that primary funds should cover the cost for more than two lines. The secretary of state disagrees that the primary fund should be responsible for costs incurred above the two line maximum and notes that additional lines could be paid for by the parties. Comments were received concerning the lack of sources available for obtaining at least three competitive bids in some counties in purchasing products and services under sec.81.113. The secretary of state has considered these comments, but notes that other options exist under the rule. Bids can be obtained from other counties, or documentation can be provided on the lack of availability of competitive quotations. Commenters suggested that the prohibition against a rubber stamp signature as the sole authorization for checks is unduly burdensome, as it could require a county chair to sign thousands of checks in some counties. The rule does not require the county chair to be the sole signatory on a check, nor does it eliminate the use of a mechanical signature. A rubberstamp signature cannot be traced, which makes it difficult to secure from potential misuse for unauthorized transactions. As the majority of checks are handwritten, it is reasonable to request that an original signature appear on the check, possibly the signature of the preparer. The revision to the proposed rule does not preclude the use of a mechanical signature. It states that such a signature may not be the only signature on the check. Section 81.118 is revised to reflect these changes. Proposed sec.81.119 required that the primary finance account be closed by July 1 following the primary elections. Several commenters noted that costs might be saved if they were permitted to leave the account open. Check costs were cited as an example. The last sentence of sec.81.119 is amended to permit such a practice. The last line of the provision reads: "A final account reconciliation must be completed and all unexpended and uncommitted primary funds returned by July 1 following the primary elections." Section 81.120 requires that all contracts for legal services receive the prior written approval from the secretary of state. During the 1990 primaries, $112,811.13 was expended on legal fees. Chairs are reminded that the Office of the Secretary of State has legal staff that can be of assistance during the primary process and can answer questions and provide direction that may obviate the need for additional legal expenses. It is necessary for the secretary of state to determine that the legal expenses are reasonable, necessary, and directly related to the conduct of the primary election before approval is given. Only if the contract for legal services has received written approval will primary funds be authorized. The title of sec.81.124 is changed for clarification from "Transportation Costs Not Payable" to "Mileage and Personal Costs Not Payable. No payment from the primary fund is permitted for mileage or other personal expenses incurred by the county chair or primary fund employees in the performance of their duties. Party chairs objected to sec.81.129 that prohibited payment for preprinted combination forms of registered voters. Convenience for the elections worker and assistance to the voters were cited as reasons for use of the preprinted form. The proposed rule shall be amended as follows: "Payments from the primary fund for a preprinted combination form of registered voters are limited to $20 or actual costs, whichever is less, per precinct for each party". A commenter asked if primary funds could be used for dividers and covers for voter registration lists. Section 81.129 has been amended to disallow the use of primary funds for voter registration list covers and dividers. Section 81.137 concerns county chairs' compensation. Commenters objected to the reduction of the chairs compensation by the amount paid to administrative personnel. As outlined by statute, the rule does provide that the chair receive an amount not less than $300 nor more than $8,000 or 5.0% of the total expenses incurred by the county party for holding the primary elections. The proposed rule is amended to permit full compensation for chairs who employ the equivalent of one full time administrative person. In instances in which the chair employs several people, the entitlement to compensation is to be reduced accordingly. A commenter requested that sec.81.138 be amended to state that misuse or misappropriation of any primary funds may be referred to the proper prosecuting authority for enforcement of applicable civil and/or criminal penalties. The proposed rule states that such matters will be referred. The secretary of state is without discretion to refer matters that establish misuse or misappropriation of state funds. If after careful examination, misuse or misappropriation is apparent, the matter will be referred to the proper authority. The new sections are adopted under the Texas Election Code, sec.31.003 and sec.173. 006, which provides the Office of the Secretary of State with the authority to obtain and maintain uniformity in the application, interpretation, and operation of provisions under the Texas Election Code and other election laws, and in performing such duties, to prepare detailed and comprehensive written directives and instructions based on such laws, and to adopt rules consistent with the Election Code that reduce the cost of the primary elections or facilitate the holding of the elections within the amount appropriated by the legislature for that purpose. sec.81.100. Payable Costs. In accordance with the Texas Election Code, sec.173.001, only expenses necessary and directly related to the conduct of primary elections are payable from primary funds. The Texas Election Code, sec.173.006, allows the secretary of state to adopt rules consistent with the Election Code that reduce the cost of primary elections. Political expenses, those expenses which would be incurred if there were no election, and expenses for any activity forbidden by statute or rule are not primary election costs subject to primary fund reimbursement. Examples of non-payable expenses include, but are not limited to: expenses incurred in connection with a convention of a political party, any food or drink items, all costs associated with voter registration drives, and get out the vote campaigns. Pursuant to the Texas Election Code, sec.173.031, primary funds include filing fees, contributions to the primary fund, state appropriations, and other income earned by the fund. Any refund of money expended from the primary fund is also part of the primary fund. sec.81.101. Payee of Checks Restricted. Except for the check written to establish a petty cash fund, no check written on the primary fund shall be made payable to cash or bearer. All checks other than the check written to establish a petty cash fund shall be made payable to an entity or person. No checks from the primary fund may be made payable to the county party as contributions or to election judges as reimbursement for payments to election clerks. The only payments which may be made from the primary fund to an entity or business in which the county chair, chair's spouse, or chair's family has a financial interest are those payments for office rental, election day workers, incidental administrative costs, and the county chair's compensation. sec.81.102. Form of Payments; Petty Cash Fund; Documentation of Petty Cash Transactions. All payments from the primary fund shall be made by check, except that the county chair may establish a petty cash fund not exceeding $100 for minor purchases and payments. Complete documentation of all petty cash transactions shall be kept. sec.81.103. Administrative Personnel. The employment of administrative personnel is not necessarily required for the conduct of the primary elections. In the event the county chair requires administrative assistance in the conduct of the primary election, salaries or wages of such administrative personnel are payable from the primary fund for the period beginning on December 1 preceding the primary elections and ending on the last day of the month in which the last primary election is held (general or runoff primary election). Such personnel may not be employed without the prior written approval of the secretary of state. Salaries must be reasonable for the hours worked and services rendered and must reflect the salaries paid in the locale for the same or similar services. Gross compensation for each full time primary fund employee may not exceed $1,500 per month. In counties with more than 100,000 registered voters, one full-time supervisory employee may be employed at a gross compensation not to exceed $2,000 per month and, if necessary, one additional full-time employee at a gross compensation not to exceed $1,800 per month. A list of necessary personnel to be paid from the primary fund must be transmitted to the secretary of state and must indicate the name and title of the employee, job duties, hours to be worked, period of employment, monthly or hourly rate of pay, and the estimated or actual gross pay for the period. This information must also be attached to each finance report. sec.81.104. Administrative Personnel Payroll Taxes. No payment may be made from the primary fund for penalties arising from failure to pay the employer portion of employment taxes. Copies of all quarterly 941 returns filed with the Internal Revenue Service must be kept with the county primary records and be transmitted to the secretary of state upon request. sec.81.105. Contracts for Services. Contracts for services costing over $500 must be approved in writing by the secretary of state before money from the primary fund may be expended under the terms of such contracts. The fee or rate must be reasonable for the services rendered and must reflect the fee or rate prevailing in the locale for the same or similar services. The contract shall be signed by both the county chair and the contractor. sec.81.106. Election Services Contract. The Model Election Services Contract prescribed by the secretary of state is adopted by reference. Copies of the contract may be obtained from the secretary of state. The model contract must be used in an agreement for election services pursuant to the Texas Election Code, Chapter 31, Subchapter B, between the county executive committee and the county elections officer, unless otherwise authorized by the secretary of state. Any modification of an election services contract is not binding until approved in writing by the Secretary of State, and execution of the contract is not completed until written approval is obtained. The county elections officer must submit an accounting of the actual costs incurred in performance of the election services contract before the county chair may make final payment. Only actual costs incurred by the county and payable under provisions of the Election Code, Election Services Contract, or 1992 Primary Rules may be paid to the county from primary funds. A contract may not allow for reimbursement for training of election workers or providing materials published by the secretary of state. Regular salaries of personnel regularly employed by the county may not be paid from or reimbursed to the county from the primary fund. An election services contract for the 1992 primary elections cannot provide for any salary or compensation of the county election officer for the performance of any statutory duty or service. sec.81.107. Early Voting Costs Not Payable. Pursuant to the Texas Election Code, sec.173.003, the only expense to be paid from primary funds for early voting (formerly called absentee voting) are the cost of ballots. The county must pay for by-mail kits and their postage, early voting workers, and all other costs incurred in conducting early voting. No costs related to early voting shall be included in a primary election services contract or primary cost reports. Expenses related to the early voting ballot board are payable from the primary fund. sec.81.108. Employee Fidelity Bond Required. A fidelity bond for those persons, including the county chair, whose responsibilities include the receipt and/or expenditure of primary funds may be purchased from primary funds. The amount of the bond is based upon the anticipated total amount of money the employee is expected to handle for the period beginning December 1 before the primary elections and ending the last day of the month in which the final primary election (either general or runoff) is held. The maximum anticipated amount of money handled by any such employee for purposes of determining the cost of the bond shall be $50,000. sec.81.109. Office Rent. The rental of office space is not necessarily required for the conduct of the primary elections. In the event the county chair requires office space for the conduct of the primary election, rental for such space is payable from the primary fund for the period beginning on December 1 preceding the primary elections and ending on the last day of the month in which the last primary is held (general or runoff primary election). A copy of the lease agreement shall be transmitted to the secretary of state along with the primary election cost estimate. Office rent shall not exceed the fair market rate for office space in the locale. Any change in a lease agreement and an explanation of such change shall be transmitted to the secretary of state with the next required primary election estimate or report. Rental charges may not be paid from primary fund for the use of property in which the county chair has a financial interest without the submission of a written justification as to the necessity of such charges. sec.81.110. Office Equipment. Office equipment (including telephone equipment) necessary for the administration of the primary elections may be leased for the period beginning December 1 preceding the primary and ending on the last day of the month in which the last primary is held (general or runoff primary election). The county party may not rent or lease party owned equipment to the primary fund. The county party or chair may be reimbursed for the incidental costs of supplies used in connection with primary election use. Examples of incidental use are paper, toner, staples, etc. The primary fund may not be used to purchase any administrative item of more than $100 in value. sec.81.111. Office Supplies and Two Copies of the Texas Election Code. Purchases of office supplies necessary for the administration of the primary elections are payable from the primary fund. The expenditure for purchase of two copies of a paperback version of the Texas Election Code is authorized from the primary fund. No payment may be made from the primary fund for notary public expenses. sec.81.112. Telephone and Postage Charges. Telephone costs, for a maximum of two telephone lines, and postage charges which are incurred during the period from December 1 preceding the primary elections and ending on the last day of the month in which the last primary is held and which are directly related to the administration of the primary elections, are payable from the primary fund. Any cost not directly attributable to the administrative conduct of the primary elections is not payable from the primary fund. sec.81.113. Competitive Quotations for Services or Products. Unless prior approval of the secretary of state is obtained, the county chair must purchase all services and products using competitive quotations from three or more sources. Documentation or explanation of the lack of availability of competitive quotations must be submitted with the General Primary Election Cost Estimate. This rule does not apply to expenditures of $100 or less. sec.81.114. Bank Account for Primary Fund Deposits and Expenditures. The county chair shall establish and maintain a bank account for the sole purpose of depositing and expending primary funds. Primary funds shall not be commingled with any other fund or account. All checks issued on this account must include the following statement on their face "Void After 60 Days." Bank reconciliations must be completed on a monthly basis. These reconciliations become part of the primary records. sec.81.115. Deposit of Currency. All filing fees and contributions received in currency shall be deposited intact into the primary fund. sec.81.116. List of Candidates and Filing Fees. A complete list of candidates, including the offices sought and amount of filing fees received from each candidate, shall be transmitted to the secretary of state by January 13, 1992. This list shall reflect whether each candidate filed by petition or filing fee. sec.81.117. Interest on Loans Not Payable. Interest on loans of money to cover operating costs until the receipt of primary funds approved by the secretary of state is not payable from the primary fund. Such "start-up" money should be obtained from the secretary of state by filing a General Primary Election Cost Estimate. sec.81.118. Signature on Checks; Authorization of Primary Fund Expenditures. All checks written on the primary fund shall be personally signed by either the county chair or an authorized agent of the county chair, except that payroll checks to administrative personnel and checks to sole source vendors must be signed by the county chair. All primary fund expenditures shall be authorized by the county chair. No checks shall be signed only with a rubber stamp or other facsimile. sec.81.119. Documentation of Expenses/Record Keeping. Copies of all bills, invoices, contracts, petty cash receipts, and any other related materials supporting primary election costs shall be transmitted to the secretary of state upon request. Such records must be preserved for a period ending not later than one calendar year from July 1 following the primary elections, but if court action or an official investigation is pending, they shall be preserved until the termination of such court action or official investigation. A final account reconciliation must be completed and all unexpended and uncommitted primary funds returned by July 1 following the primary elections. sec.81.120. Legal Expenses. No legal expenses may be paid from the primary fund without the prior written approval of the secretary of state. Before entering into a contract for legal services anticipated to be payable from primary funds, the county chair must contact the secretary of state and obtain a determination that such legal services are payable from the primary fund. Such determination must be verified in writing and submitted to the county chair. sec.81.121. Transfer of Records to New County Chair. The county chair is responsible for the complete and orderly transfer to his successor or the appropriate county committee of all records required by law in connection with the primary election. If a vacancy occurs in the office of county chair, the executive committee shall these records until a elected. sec.81.122. Early Filing of General Primary Election Cost Estimate. If the General Primary Election Cost Estimate is transmitted to the secretary of state prior to the close of the regular filing period, the county chair shall estimate the amount of filing fees to be collected. The amount of estimated filing fees shall be reported as a financing source on the General Primary Election Cost Estimate. sec.81.123. Returning Surplus Funds. Any surplus remaining in a primary fund account after payment of approved expenses shall be remitted to the secretary of state, primary fund account, with the Final Cost Report, but not later than July 1 following the primary election, unless otherwise provided by the secretary of state. sec.81.124. Mileage and Other Personal Costs Not Payable. No payment from the primary fund is permitted for mileage or other personal expenses incurred by the county chair or primary fund employees in the performance of their duties. sec.81.125. Compensation For Election Day Workers. The hourly rate payable to precinct judges, clerks, absentee ballot board members, or persons working at the central counting station for the 1992 general primary and primary runoff elections may not exceed $5.00. A judge or clerk may only be paid for the actual time spent on election duties performed in the polling place or counting station. An election day worker may not receive an hourly compensation for travel time, pick up or delivery of supplies, or attendance at the precinct convention. Technical support personnel in the under the Texas Election Code, sec.sec.127.002, 127.003, or 127.004, may receive a compensation of greater than $5.00 per hour. sec.81.126. Compensation For Delivering Election Records and Supplies. Compensation of the election judge or clerk who delivers and picks up the election records, equipment, and unused supplies may not exceed $15 per physical polling place location for each election. sec.81.127. Reimbursement For Election Schools Disallowed. Reimbursement for training of election workers or providing materials published by the secretary of state may not be made from the primary fund. Persons attending election schools may not be compensated from primary funds. Training materials may be ordered free of charge by contacting the secretary of state. sec.81.128. No Charge For Use of a Public Building as Polling Place. Pursuant to Texas Election Code, sec.43.033, no charge may be made for the use of a public building on election day if that building is normally open for business on that day. Any charge for the use of a building for a state or county political convention may not be paid with primary funds. Secretary of State Opinion GSB-l further clarifies this section and is available from the secretary of state. sec.81.129. Payment From Primary Funds For Pre-Printed Combination Form of Registered Voters Limited. The Texas Election Code, sec.18.010, requires the county voter registrar to provide free of charge the necessary lists of registered voters to be used in the polling place. In those counties which use a preprinted combination form of registered voters, reimbursement to the voter registrar is limited to $20 per precinct or the actual cost of the paper stock, whichever is less. No payment may be made from the primary fund for binders or dividers for use with the voter registration lists. sec.81.130. Estimating Voter Turnout. (a) The county chair should use the following formula as a starting point in determining the estimated voter turnout for the 1992 primary elections. Each county chair should determine whether the local political situation suggests a higher turnout, and, if so, his or her estimate should be adjusted to take such factors into account. In presenting such estimate, the chair should present those factors and his or her analysis of those factors, and the Secretary of State will evaluate such higher estimates based on the factors and analysis on a case-by-case basis. The formula for estimating turnout for the 1992 primary elections is: [graphic] (b) After estimating the voter turnout for each precinct, the county chair should then use the guidelines set forth in sec.sec.81.131-81.134 of this title (relating to Number of Paper or Electronic Voting System Ballots Per Voting Precinct; Number of Election Workers Per Voting Precinct Limited; Flex Scheduling of Precinct Workers; and Number of Voting Machines, Devices, and/or Precinct Ballot Counters Per Voting Precinct) to determine the necessary physical requirements (i.e., ballots, election judges and clerks, voting devices or machines) for each precinct. After estimating the physical requirements for each precinct, the county chair should combine the precinct data to arrive at the total estimated physical requirements of the primary election countywide. This may then be used to estimate the election costs. sec.81.131. Number of Paper or Electronic Voting System Ballots Per Voting Precinct. The minimum number of ballots furnished to each voting precinct for a primary election shall be equal to the estimated voter turnout as determined by the county chair pursuant to sec.81.128 of this title (relating to No Charge For Use of a Public Building as Polling Place). In no event shall the minimum number of ballots be less than the number arrived at by application of the numerical formula. The number of ballots provided may exceed the estimated number of voters determined by the numerical formula, since the number of ballots provided should never be so low as to impede the voting process or to jeopardize the rights of voters. The maximum number of ballots ordered may equal the total number of registered voters of the precinct if such a number may be substantiated. sec.81.132. Number of Election Workers Per Voting Precinct Limited. The following table must be used to determine the number of election workers allowable for each precinct. The minimum number of clerks in a primary election is two, for a total of three workers, including the presiding judge (Texas Election Code, sec.173.008(c)). [graphic] sec.81.133. Flex Scheduling of Precinct Workers. If the number of election clerks allowed in a precinct is greater than two, the presiding judge may utilize one or more of the additional clerk positions to hire more clerks for shorter work periods. For example, instead of hiring one clerk for a 12-hour shift, the judge could hire three clerks for four-hour shifts, beginning at 4 p. m. and ending at 8 p.m. Clerks may be assigned to work for periods ending before any manual count or examination of ballots begins. Therefore, if no counting or examination of ballots has occurred, unnecessary clerks may be excused early, preventing unwarranted personnel expenses. sec.81.134. Number of Voting Machines, Devices and/or Precinct Ballot Counters Per Voting Precinct. (a) The following table must be used to determine the number of voting machines, precinct ballot counters, and punch card voting devices allowable for each precinct. [graphic] (b) In counties where voting machines are to be used, the county chair should make a special assessment of whether the number of voting machines calculated according to this formula is adequate and make provisions both in his cost estimate and his actual procurement of voting machines accordingly. sec.81.135. Payment For Use of County Owned Equipment. The Texas Election Code, sec.123.033 specifies the rental rate a county may charge for the use of county owned election equipment. These rates are set at $16 per lever machine, $5.00 per punch card device, and $5.00 for each unit of tabulating equipment. In addition to these rental charges a county primary fund may be used to pay the actual expenses incurred by the county in transporting the equipment, preparing and programming equipment, testing equipment, and the cost of staffing the central counting station on election night. If the county's mainframe computer system is utilized as the central counting station ballot accumulator, the county may be reimbursed for its actual cost of providing this service. The cost to be reimbursed shall be calculated using the same cost accounting techniques used by the county in charging county departments for use of its data processing services. In the event the county does not have an established chargeback system for such purposes, the reimbursement shall be calculated based on $1.00 per 100 ballots tabulated. Supporting calculations for the amount charged for these services shall be submitted to the secretary of state for review with the Final Cost Report. The primary fund may not be used to pay expenses related to the use of non-county owned equipment without the written permission of the secretary of state. sec.81.136. Application of Rules. These rules apply to primary funds managed by the chair of both the state and county executive committees. sec.81.137. County Chair's Compensation. Pursuant to the Texas Election Code, sec.173.004, county chairs may receive a compensation for administering the primary elections. This compensation may not be less than $300 nor exceed the lesser of $8,000 or 5.0% of the total expenses incurred by the county party for holding the primary election. The county chair's compensation must be reduced by the amount of administrative personnel wages in excess of $7, 500. In no case may the county chair's compensation be less than $300. This compensation may not be paid until the county party's Final Cost Report has been approved by the secretary of state. The county chair will be notified of this approval by letter. sec.81.138. Misuse of State Funds. The misuse or misappropriation of any primary funds will be referred to the proper prosecuting authority for enforcement of applicable civil and/or criminal penalties. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 30, 1991. TRD-9113474 Tom Harrison Special Assistant for Elections Office of the Secretary of State Effective date: November 20, 1991 Proposal publication date: September 20, 1991 For further information, please call: (512) 463-5650 TITLE 4. AGRICULTURE Part II. Texas Animal Health Commission Chapter 35. Brucellosis Subchapter A. Eradication of Brucellosis in Cattle 4 TAC sec.35.6 The Texas Animal Health Commission (TAHC) adopts an amendment to sec.35.6, with changes to the proposed text as published in the July 30, 1991, issue of the Texas Register (16 TexReg 4124). The amendment was necessary to expand the provisions of herd eligibility for payment of indemnity funds and provides an incentive to the herd owner to liquidate herds which have demonstrated high or long-standing brucellosis infection. Indemnity funds can be paid to a herd owner with a selected herd provided funds are available. An indemnity agreement must be signed by a herd owner and approved for payment by the TAHC executive director and the USDA, APHIS, VS veterinarian-in-charge. Indemnity funds may be reimbursed from a combination of TAHC and/or Veterinary Services funds for depopulation. The specific amounts for indemnity proposed for animals which are negative exposed, test-eligible (females and males) and reactors are set forth in the rule. A herd owner must submit simultaneously with the indemnity claim, a spaying certificate, and proof of payment for cost of spaying. Depopulated cattle are required to be branded and identified at specified time intervals. A herd owner who has been approved for depopulation must agree to complete a herd test of eligible animals no later than six months after repopulation with test-eligible breeding replacements. The word "or" was added in the paragraph concerning depopulation. Funds available for depopulation can come from either the commission and/or veterinary services funds. In addition, since paragraphs (1) and (2) were deleted in the proposal, the remaining subdivisions have been changed accordingly. No comments were received regarding adoption of the amendment. The amendment is adopted under the Agriculture Code, Texas Civil Statutes, Chapters 161 and 163, which provides the commission with authority to adopt rules and sets forth the duties of this commission to protect livestock in the state from disease. sec.35.6. Indemnity Payments to Owners of Cattle Exposed to Brucellosis. (a) Herd eligibility for payment of indemnity funds: (1) the entire herd (all cattle under common ownership or management) must have been tested; and (2) an indemnity agreement must be signed and approved for payment by the executive director and USDA, APHIS, VS veterinarian-in-charge; and (3) the herd owner must comply with each requirement pertaining to herd depopulation and payment for indemnity; and (4) the herd must be recommended for indemnity by the state epidemiologist. (b) Criteria for selection of herds for indemnity payment: (1)-(2) (No change.) (3) a herd not meeting paragraphs (1) or (2) of this subsection is recommended for indemnity by the state epidemiologist; (4) all selections of herds for payment of indemnity are subject to availability of funds. (c) General requirements. (1) The commission, through its executive director, will determine the amount and number of animals for which indemnity will be paid. The owner of a herd selected for indemnity may be reimbursed from a combination of commission and/or veterinary services funds for depopulation at a total rate not to exceed: (A) negative exposed, test-eligible females-$200 per head for not more than 50 females; (B) negative exposed, test-eligible males-$250 per head for not more than two per herd; (C) test-eligible reactor animals-$50 per head; (D) females under test age: (i) unspayed and less than 400 pounds-$150 per head; (ii) over 400 pounds -not eligible for depopulation funds. Actual cost up to $10 per head may be reimbursed for spaying, or these cattle may be "S" branded and sent to slaughter, quarantined feedlot, or market for sale to slaughter or quarantined feedlot. A spaying certificate and the proof of payment for cost of spaying must be submitted simultaneously with the indemnity claim. (2) Depopulation funds shall not be paid for steers or spayed heifers. (3) (No change.) (4) Depopulated cattle shall be branded with the letter "B" on the left jaw and identified with a reactor eartag within the specified time intervals according to applicable state/federal requirements, and prior to movement from the premise. (5) Cattle shall be moved from the premise accompanied with a VS 1-27. They shall either be moved directly to slaughter or through an approved livestock market for sale directly to slaughter and accompanied with a VS 1-27 from the market. In either case the cattle shall be slaughtered within the specified time intervals according to applicable state/federal regulations following identification. Steers and spayed heifers may be retained on the premise or move without restrictions. (6) The owner of a herd approved for depopulation must agree to complete a herd test of eligible animals no later than six months after repopulation with test- eligible breeding replacements. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 25, 1991. TRD-9113330 Terry Beals, DVM Executive Director Texas Animal Health Commission Effective date: November 22, 1991 Proposal publication date: July 30, 1991 For further information, please call: (512) 479-6697 Subchapter B. Eradication of Brucellosis in Swine 4 TAC sec.35.47 The Texas Animal Health Commission adopts new sec.35.47, concerning owner assistance, without changes to the proposed text as published in the July 30, 1991, issue of the Texas Register (16 TexReg 4125). It was necessary to require that a herd owner or caretaker furnish necessary labor and facilities, when requested to do so by the commission, when swine are submitted for testing or vaccination. Less hazardous testing conditions for state personnel and a savings in time will be realized by requiring a herd owner or caretaker to furnish necessary labor and facilities when swine are submitted for testing or vaccinating. No comments were received regarding adoption of the new section. The new section is adopted under the Agriculture Code, Texas Civil Statutes, Chapter 161 and 163, which provides the commission with authority to adopt rules and sets forth the duties of this commission to protect livestock in the state from disease. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas on October 25, 1991. TRD-9113331 Terry Beals, DVM Executive Director Texas Animal Health Commission Effective date: November 22, 1991 Proposal publication date: July 30, 1991 For further information, please call: (512) 479-6697 Chapter 55. Swine 4 TAC sec.55.5 The Texas Animal Health Commission adopts an amendment to sec.55.5, concerning owner assistance, without changes to the proposed text as published in the July 30, 1991, issue of the Texas Register (16 TexReg 4125). It was necessary to require that a herd owner or caretaker furnish necessary labor and facilities, when requested to do so by the commission, when swine are submitted for testing or vaccination. Less hazardous testing conditions for state personnel and a savings in time will be realized by requiring a herd owner or caretaker to furnish necessary labor and facilities when swine are submitted for testing or vaccinating. No comments were received regarding adoption of the amendment. The amendment is adopted under the Agriculture Code, Texas Civil Statutes, Chapter 161, which provides the commission with authority to adopt rules and sets forth the duties of this commission to protect livestock in the state from disease. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas on October 25, 1991. TRD-9113332 Terry Beals, DVM Executive Director Texas Animal Health Commission Effective date: November 22, 1991 Proposal publication date: July 30, 1991 For further information, please call: (512) 479-6697 Chapter 59. General Practice and Procedures 4 TAC sec.59.2 The Texas Animal Health Commission adopts an amendment to sec.59.2, concerning general responsibilities, without changes to the proposed text as published in the July 30, 1991, issue of the Texas Register (16 TexReg 4126). It was necessary to provide that if the agency executive director varies regulations for a herd owner because of unusual circumstances or individual hardship that such actions be presented to the members of the commission. The executive director of this agency has authority to vary or waive provisions of rules administered by this agency. Details concerning such waiver or variance must be presented by the executive director to members of the commission after such occurrence at the next scheduled meeting of the commission. No comments were received regarding adoption of the amendment. The amendment is adopted under the Agriculture Code, Texas Civil Statutes, Chapter 161, which provides the commission with authority to adopt rules and sets forth the duties of this commission to protect livestock in the state from disease. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 25, 1991. TRD-9113333 Terry Beals, DVM Executive Director Texas Animal Health Commission Effective date: November 22, 1991 Proposal publication date: July 30, 1991 For further information, please call: (512) 479-6697 TITLE 22. EXAMINING BOARDS Part XXIII. Texas Real Estate Commission Chapter 535. Provisions of the Real Estate License Act Termination of Salesman's Association with Sponsoring Broker 22 TAC sec.535.123 The Texas Real Estate Commission adopts new sec.535.123, concerning inactive broker status, with changes to the proposed text as published in the September 3, 1991, issue of the Texas Register (16 TexReg 4797). The new section is necessary to implement provisions of Senate Bill 432, 72nd Legislature (1991), permitting real estate brokers to be placed on inactive status upon request. Section 535.123 requires a broker to give at least 30 days notice to any salesmen the broker sponsors and to return the broker's license certificate to the commission. On final adoption, the new section was modified to permit a broker to request inactive status by letter if the broker's name, license number, and current mailing address are provided. If the broker requests to be returned to active status 36 months or less after being placed on inactive status, the broker must complete at least 15 hours of approved mandatory continuing education courses. After 36 months, the broker must satisfy current examination and education requirements for original broker licensure as a condition to return to active status. No comments were received regarding adoption of the new section. The new section is adopted under Texas Civil Statutes, Article 6573, sec.5(h), which provide the Texas Real Estate Commission with the authority to make and enforce all rules and regulations necessary for the performance on its duties. sec.535.123. Inactive Broker Status. (a) For the purpose of this section, "inactive broker" means a licensed broker who does not sponsor salesmen or perform any activities for which a broker license is required and who has been placed on inactive status by the commission. (b) To be placed on inactive status, a broker must do the following: (1) apply to the commission on a form approved by the commission for that purpose or by a letter providing the broker's name, license number, and current mailing address; (2) confirm in writing that the broker has given any salesmen sponsored by the broker written notice or termination of sponsorship at least 30 days prior to filing the request for inactive status; and (3) return the broker's current license certificate to the commission. (c) A broker who has been placed on inactive status may apply to the commission for return to active status on a form approved by the commission. (1) If the application for return to active status is filed within 36 months after the commission placed the broker on inactive status, the broker must have attended at least 15 hours of mandatory continuing education as specified in Texas Civil Statutes, Article 6573a, sec.7A (the Act), during the two-year period immediately preceding the filing of the application. (2) If the application for return to active status is filed more than 36 months after the commission placed the broker on inactive status, the broker must do the following to be returned to active status. (A) pay the current fee for an application for a license examination; (B) successfully complete a broker license examination within six months from the time the broker is authorized to sit for the examination; (C) pay the current fee for transcript evaluation; and (D) satisfy current educational requirements for original broker licensing. (d) A broker who has been returned to active status may not practice real estate brokerage until the broker has received a new license certificate from the commission. A broker on inactive status is not subject to the requirements of the Act, sec.12(c), regarding display of license. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 25, 1991. TRD-9113286 Mark A. Moseley General Counsel Texas Real Estate Commission Effective date: November 18, 1991 Proposal publication date: September 3, 1991 For further information, please call: (512) 465-3900 Part XXIV. Texas Board of Veterinary Medical Examiners 575. Practice and Procedured 22 TAC sec.575.20 The Texas Board of Veterinary Medical Examiners adopts an amendment to sec.575.20, concerning subpoena fees and expenses of witnesses, without changes to the proposed text as published in the July 26, 1991, issue of the Texas Register (16 TexReg 4052). The rule will eliminate the need to amend the reimbursable amounts for travel of witnesses, when legislative action is taken. The adoption will enable the board to reimburse witnesses at the same rate as allowed for classified state employees. No comments were received regarding adoption of the amendment. The amendment is adopted under Texas Civil Statutes, Article 8890, sec.7(a), which provide the Texas Board of Veterinary Medical Examiners with the authority to "...make, alter, or amend such rules and regulations as may be necessary or desirable to carry into effect the provisions of this Act." This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas on October 29, 1991. TRD-9113426 Buddy Matthijetz Executive Director Texas Board of Veterinary Medical Examiners Effective date: November 20, 1991 Proposal publication date: July 26, 1991 For further information, please call: (512) 447-1183 TITLE 25. HEALTH SERVICES Part I. Texas Department of Health Chapter 37. Maternal and Child Health Services Lay Midwives The Texas Department of Health (department) adopts the repeal of sec.sec.37. 171-37.180, and adopts new sec.sec.37.171-37.184. Sections 37.172, 37.174, 37.175, 37.178, 37.180, 37.181, and 37.184 are adopted with changes to the text as published in the August 30, 1991, issue of the Texas Register (16 TexReg 4722). Sections 37.171, 37.173, 37.176, 37.177, 37.179, 37.182, and 37.183 are adopted without changes and will not be republished. The new sections replace the existing sections, update and clarify the provisions in the replaced sections concerning the practice of midwifery in the State of Texas, and implement the requirements of the Texas midwifery law, Texas Civil Statutes, Article 4512i, as amended by Senate Bill 346, 72nd Legislature, effective September 1, 1991. The new sections cover purpose; definitions; duties of the Board of Health, Midwifery Board, Department of Health, and Midwifery Program Coordinator; Midwifery Board meetings; annual documentation of midwives; additional information required of midwives; the informed choice and disclosure statement; complaint procedure; publishing of reports on the practice of midwifery in Texas; education of midwives; newborn screening requirements and procedures; and administering of eye prophylaxis. Comments received concerning the proposed repeal and new sections, and the department's response are as follows. Concerning sec.37.172, relating to the definitions of "approved midwifery course" and "course", a commenter recommended that all references to the word "course" be changed to "courses" because the Midwifery Board will be considering other training programs available as basic information courses to fulfill the educational requirements. The department agrees and has made the change. Concerning sec.37.172, relating to the definition of "midwifery", a commenter recommended a minor editorial change for clarification purposes. The department agrees and has made the change. Concerning sec.37.172, relating to the definition of "normal childbirth", a commenter recommended that the dates for a term pregnancy be changed from the term of "37 to 41 weeks" to the term of "37 up to 42 weeks" for clarification. The department agrees and has made the change. Concerning sec.37.172, a commenter recommended that the definition of standing delegation orders be reworded to cover both orders for newborn screening training as well as standing delegation orders for a midwife applying prophylaxis to the eyes of a newborn baby. The department agrees and has made appropriate changes. Concerning sec.37.174(c)(7), relating to terms of office, a commenter stated that this provision should not be in a paragraph under the subsection concerning Midwifery Board meetings; instead, the provision should be in a separate subsection. The department agrees and has created a subsection (c) covering terms of office. Proposed subsection (c) concerning meetings has been renumbered as final subsection (d). Concerning sec.37.174(d), relating to compensatory per diem for Midwifery Board members attending meetings, a commenter said that this provision should not be in a separate subsection; instead, the provision should be in a paragraph under the section covering Midwifery Board meetings. The department agrees and has moved the provision from subsection (d) to paragraph (7) under new subsection (d). Concerning sec.37.174(d), a commenter recommended that the compensatory per diem amount should be modified to comply with the amount prescribed in the Midwifery Act. The department agrees and has made the change. Also, as previously mentioned, proposed subsection (d) has become final paragraph (7) under new subsection (d). Concerning sec.37.175(e) and sec.38.181(a), relating to provisions on newborn screening, two commenters recommended that certification in phlebotomy be accepted as an alternative to completing newborn screening training and having to have a physician's signature because newborn training is a skill learned as part of phlebotomy training. The department disagrees because the Midwifery Act, sec.19A, which covers newborn screening training, does not authorize phlebotomy training as an alternative. Concerning sec.37.175(e), relating to an application for annual documentation, a commenter requested that proof of citizenship or alien residency be part of the application in order to reduce the number of undocumented aliens in Texas acting as midwives. The department disagrees because the Midwifery Act does not authorize this requirement. Concerning sec.37.175(e), a commenter recommended that the subsection be reworded for clarification. The department agrees and has appropriately reworded the subsection. Concerning sec.37.175(i), a commenter recommended that the subsection be modified to comport with new proposed rules by the department's Bureau of Vital Statistics concerning the filing of birth certificates for infants not born in licensed institutions. The department agrees and has made the change. Concerning sec.37.175(i), a commenter recommended that the word "list" be changed to the word "roster" in order to comply with language in the Midwifery Act. The department agrees and has made the change. Concerning sec.37.178(b), concerning complaint procedure, a commenter recommended that the subsection be modified to say that a complaint may be made to the local law enforcement authority in addition to the Midwifery Program because such a procedure is authorized by law. The department agrees and has made the change. Concerning sec.37.178(d)(2), several commenters recommended that that the subsection include references to the Texas Birthing Center Act, the Texas Dangerous Act, the Texas Controlled Substances Act, and department rules adopted under authority of the acts. The department agrees and has added new subparagraphs to include the references. The remaining subparagraphs have been appropriately renumbered. Concerning sec.37.178(d)(2)(A)-(J), a commenter recommended that the subparagraphs be expanded by identifying the rules which have been adopted under authority of the laws described in the subparagraphs. The department agrees and has identified the rules. Concerning sec.37.178(d)(2)(C), a commenter recommended that the subparagraph be modified to include rules developed by the department's Bureau of Vital Statistics concerning the preparation and filing of birth certificates. The department agrees and added the appropriate language. Concerning sec.37.178(d)(2)(G), a commenter stated that a midwife should not be subject to the department rules concerning the definition, treatment, and disposition of special wastes from health care related facilities. The commenter believes that the rules apply only to health care related facilities such as birthing centers and not to midwives themselves. The department's response is that it appreciates the comment but believes that all midwives should be aware of this rule whether or not the midwives themselves own or manage birthing centers. Accordingly, the department has made no changes to the subparagraph other than to renumber it as final sec.37.178(d)(2)(I). Concerning sec.37.178(d)(3), a commenter recommended that the paragraph be clarified so that the confidentiality of complaints received by the department will follow more closely the requirements in the Texas Open Records Act. The department agrees and has made appropriate changes to the language in the paragraph. Concerning sec.37.180(b)(2), a commenter recommended that the paragraph be clarified to show that the department adopts by reference the Texas Midwifery Manual. The department agrees and has made the change. Concerning sec.37.180(b)(10)(B)(iii), a commenter recommended that the method of payment for fees be specified. The department agrees and has added specific language on the method of payment. Concerning sec.37.180(c), a commenter recommended that a new subsection (c) be added to provide the Midwifery Board with the authority to approve other courses comparable to the basic voluntary course in fulfillment of the basic educational requirements. The commenter makes this request because the Midwifery Board intends to have other courses which are presently in existence be approved for basic midwifery education. The department agrees and has added the new subsection (c). Proposed subsection (c) now becomes new subsection (d). Concerning sec.37.181(a), relating to newborn screening, a commenter recommended that the phrase "December identification" at the end of the subsection by replaced by the phrase "initial December documentation" for purposes of clarification. The department agrees and has made the change. Concerning sec.37.181(d), a commenter recommended that the subsection be clarified to comply more closely with the requirements of the Midwifery Act. The department agrees and has made appropriate changes. Concerning sec.37.184(f), a commenter recommended editorial changes for clarification. The department agrees and has made appropriate changes. No comments were received from any associations or organizations outside the department. All comments were made by department staff and members of the Midwifery Board who offered recommendations for clarification. 25 TAC sec.sec.37.171-37.180 repeal of existing sections are adopted under the Texas Midwifery Act, Texas Civil Statutes, Article 4512i, sec.8A, which authorizes the Midwifery Board, subject to approval by the Board of Health, to adopt rules to implement the Act; Health and Safety and Safety Code, sec.12.001, which authorizes the board of Health to adopt rules to implement every duty imposed on the board by law. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113343 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 30, 1991 For further information, please call: (512) 458-7700 25 TAC sec.sec.37.171-37.184 The new sections are adopted under the Texas Midwifery Act, Texas Civil Statutes, Article 4512i, sec.8A, which authorizes the Midwifery Board, subject to approval by the Board of Health, to adopt rules to implement the Act; Health and Safety Code, sec.12.001, which authorizes the board of Health to adopt rules to implement every duty imposed on the board by law. sec.37.172. Definitions. The following words and terms when used in these sections, shall have the following meaning unless the context clearly indicates otherwise. Act-The Texas Midwifery Act, Texas Civil Statutes, Article 4512i. Appropriate health care facility-The Department of Health, a local health department, a public health district, a local health unit or a physician's office where specified tests can be administered and read, and where other medical/clinical procedures normally take place. Approved midwifery education courses-The basic midwifery education courses that satisfy the requirements established by the Midwifery Board and approved by the Texas Board of Health. Board-The Texas Board of Health. Certified nurse-midwife -A registered nurse licensed in Texas, recognized by the Board of Nurse Examiners as an advanced nurse practitioner, and certified by the American College of Nurse-Midwives. Code-Texas Health and Safety Code. Commissioner-The Commissioner of Health. Course-Courses include: (A) the optional/voluntary basic information midwifery course and exam which has been in effect since l983, and which will be replaced in September 1993 by mandatory education; (B) basic midwifery education courses which the Midwifery Board may determine to be appropriate and acceptable for ongoing basic midwifery education; (C) mandatory basic midwifery education courses which will become effective in September 1993; and (D) mandatory continuing education courses which will start in September 1993. Department-the Texas Department of Health. Documentation-The annual identification of midwives under the Texas Midwifery Act. Financially responsible adult-A parent, guardian, spouse, conservator or any other person whom the laws of the State of Texas hold responsible for debts incurred as a result of hospitalization or treatment. Health authority -A physician who administers state and local laws regulating public health under the Health and Safety Code, Chapter 121, Subchapter B. Local health department-A department of health created by the governing body of a municipality or a county under the Health and Safety Code, Chapter 121, Subchapter C. Local health unit-A division of a municipality or county government that provides limited public health services as provided by the Health and Safety Code, sec.121.004. Midwife-A person who practices midwifery under the Texas Midwifery Act and has met the requirements and standards of the Midwifery Board in these sections. Midwifery-The practice by a midwife of giving the necessary supervision, care, and advice to a woman during normal pregnancy, labor, and the postpartum period; conducting a normal delivery of a child; and providing newborn care. Midwifery Board -The by the Texas Board of Health. Newborn care-The care of a child for the first six weeks of the child's life. Normal childbirth -The labor and delivery at or close to term (37 up to 42 weeks) of a pregnant woman whose assessment reveals no abnormality or signs or symptoms of complications. Physician-A physician licensed to practice medicine in Texas by the Board of Medical Examiners. Postpartum care -The care of a woman for the first six weeks after the woman has given birth. Program-The department's Midwifery Program. Public health district-A district created under the Health and Safety Code, Chapter 121, Subchapter D. Standing delegation orders-Written instructions, orders, rules, regulations, or procedures prepared by a physician and designated for a patient population, and delineating under what set of conditions and circumstances actions should be instituted, as described in the rules of the Texas Board of Medical Examiners in 22 Texas Administrative Code, sec.sec.193. 2-193.4. sec.37.174. Midwifery Board Meetings. (a) Membership. Members are appointed by the Texas Board of Health (board) in accordance with the composition specified by the Texas Midwifery Act. A record of attendance shall be kept at each meeting. If a member misses two consecutive meetings, written notice shall be given to the member. A third consecutive absence from a regularly scheduled meeting shall be grounds for membership termination by the board. (b) Officers. Midwifery Board officers shall consist of a chairperson from one of the public interest members and vice-chairperson from any of the other members. The officers are selected at the Midwifery Board's first regular meeting, and thereafter as terms expire or vacancies are otherwise created. Officers shall serve two-year terms and shall be eligible for re-election for one additional term. The chairperson shall be the presiding officer of the Midwifery Board. The vice-chairperson shall assume the authority and duties of the chairperson in his/her absence. (c) Terms of office. The members of the Midwifery Board shall serve for staggered terms of six consecutive years, with the terms of four members expiring on January 31st of each odd numbered year. (d) Meetings. (1) Frequency. The Midwifery Board shall meet at least semi-annually and at other times when called by the Midwifery Board or the board. Notice of the time, date, place and purpose of regular meetings shall be provided to the members by mail or by telephone or both, at least seven days in advance of each meeting. (2) Quorum. A majority of the Midwifery Board's members constitutes a quorum for the transaction of business at any meeting. A majority is defined as more than one-half of the membership. The Midwifery Board may act only by majority vote of its members present and voting. Each member shall be entitled to one vote. Proxy votes shall not be allowed. (3) Subcommittees. The subcommittees of the Midwifery Board shall be appointed from the membership by the chairperson with such powers and responsibilities as shall be delegated to them by the chairperson. (4) Parliamentary procedure. Parliamentary procedures for all Midwifery Board or subcommittee meetings shall be conducted in accordance with the latest edition of Robert's Rules of Order, except that the chairperson may vote on any actions as any other member. In case of a tie vote, the chairperson's vote will be the tie breaker. (5) Minutes. Minutes of all Midwifery Board meetings shall be prepared and transmitted to the members for their review prior to subsequent meetings. (6) Public participation. All requests from the public to participate in Midwifery Board meetings shall be submitted to the chairperson. He/she may approve participation and may limit, as necessary, the time for each participant to address the Midwifery Board. Written comments are encouraged, and may be submitted to the Midwifery Board for its consideration. (7) Compensatory per diem. Each Midwifery Board member is entitled to receive compensatory per diem in the amount of $50 for each Midwifery Board meeting, or subcommittee meeting attended. In addition each Midwifery Board member is entitled to receive regular per diem and travel allowances as authorized for state employees in accordance with the rate established in the current general appropriations act. (8) Texas Open Meeting Act. All meetings of the Midwifery Board shall be in accordance with the Texas Open Meetings Act, Texas Civil Statutes, Article 6252- 17. sec.37.175. Annual Documentation. (a) Upon request by an individual, an application for initial documentation will be provided by the Midwifery Program and an application for annual re- documentation will be sent to each midwife from the Midwifery Program by the end of October of each year. (b) Application for initial documentation by an individual may take place at any time during the year, and must be accompanied by a $50 non-refundable fee (cashiers check or money order required). This application must be made and completed before an individual may begin to practice in Texas. Practicing midwifery in Texas without documentation is subject to criminal and civil penalties under the Texas Midwifery Act. The documentation extends through December 31st of each year. (c) Application for annual re-documentation by a midwife shall take place in the month of December with the Midwifery Program. A non-refundable application fee of $50 (cashiers check or money order required) must accompany the application. The documentation period is from January 1st through December 31st of the same year. (d) Application for renewal of documentation by a midwife submitted after January 1st of each year will carry a non-refundable late filing fee of $25 in addition to the $50 application fee (cashiers check or money order required). There will be a grace period of ten days for late filing. After January 10 of each year, the midwife will have to re-apply for documentation. The midwife is not authorized to practice midwifery during this time until the documentation has been completed. (e) The information requested on each application is the identifying and demographic data which has been determined to be necessary by the Midwifery Board. Each application must include: (1) proof of current adult and infant CPR certification; and (2) the midwife training certification form (newborn screening specimen collection); or (3) the newborn screening agreement for newborn babies of midwife clients. (f) Each application will be on duplicating paper; the original will remain with the Midwifery Program and the copy will be returned to the midwife. (g) The Midwifery Program will send an application packet to each midwife who applies for initial documentation. Each packet will include a copy of the law, the rules, and other documents necessary for the midwife's practice, such as the Department of Health publication titled, "Legal Responsibilities of Midwives under Statutes and Rules of the State of Texas". (h) A midwifery roster shall be maintained by the Midwifery Program and shall contain identifying information, such as annual requirements and educational information. (i) Each county clerk and registrar of births will be provided by the Midwifery Program with a complete roster of all midwives documented in the state. This roster includes the name, address, phone number and county of primary practice of each midwife. In addition, each midwife will send or take a copy of her/his annual documentation form to each pertinent area registrar of births to have a signature on file to compare with the one on the applications for birth certificates. sec.37.178. Complaint procedure. (a) This section covers the procedure to be used by the Midwifery Program in processing complaints about midwives. (b) Any person may complain to the Midwifery Program or to the local law enforcement authority that a midwife has violated the Texas Midwifery Act (the act) or any other laws relating to the practice of midwifery in Texas. (c) Complaints may be made in oral or in written form to the Midwifery Program. This should contain the name and address of the person making the complaint and sufficient details to adequately describe the alleged violation. Anonymous complaints, while not encouraged, will be accepted. (d) Complaints will be processed by the Midwifery Program in the following manner. (1) Complaints alleging a violation of the Midwifery Act, sec.17, will be sent to the appropriate local law enforcement authority. (2) Complaints alleging a violation of other laws will be sent to the appropriate Texas agency responsible for implementing the law or to the appropriate law enforcement authority, or both. The most common examples of other laws and rules adopted under them, are the following: (A) the Communicable Disease Prevention and Control Act, Texas Health and Safety Code, Chapter 81, and Texas Department of Health rules in 25 Texas Administrative Code (TAC) Chapter 97; (B) the Texas newborn screening law, Health and Safety Code, Chapter 33, and Texas Department of Health rules in 25 TAC Chapter 37; (C) the Texas vital statistics law, Texas Health and Safety Code, Chapters 191- 195, and the Board of Health rules in 25 TAC Chapter 181; (D) the Medical Practice Act, Texas Civil Statutes, Article 4495b and Texas Board of Medical Examiner rules in 22 TAC Chapter 193; (E) the Texas nurse practice law, Texas Civil Statutes, Article 4513, and Texas Board of Nurse Examiner rules in 22 TAC Chapter 218; (F) the Texas Pharmacy Act, Texas Civil Statutes, Article 4542a- 1, and Texas Board of Pharmacy rules in 22 TAC Chapter 295; (G) the Dangerous Drug Act, Chapter 483, Health and Safety Code,; and Texas Department of Health rules in 25 TAC Chapter 229; (H) the Controlled Substances Act, Chapter 481, Health and Safety Code, and Texas Department of Health rules in 25 TAC Chapter 229; (I) the Texas Department of Health rules described in sec.sec.1.131- 1.137 of this title (relating to Definition, Treatment and Disposition of Special Wastes from Health Care Related Facilities), which is only applicable to midwives with licensed birthing centers; and (J) the Texas Birthing Center Licensing Act, Chapter 244, Health and Safety Code, and Texas Department of Health rules in 25 TAC Chapter 137. (3) Records of complaints will be reviewed by the Midwifery Board or by a subcommittee appointed by the Midwifery Board. Complaints will be handled in a confidential manner to the extent authorized by the Texas Open Records Act, Texas Civil Statutes, Article 6252-17a. sec.37.180. Education. (a) Generally. The Midwifery Board will approve all aspects of midwifery education including that to be carried out by the Midwifery Program. Education involves: (1) the present midwifery voluntary basic information course and exam (both to be terminated on September 1, 1993); (2) mandatory continuing education courses and mandatory basic education courses beginning September 1, 1993; (3) the selection of sites for education; (4) qualifications and approval of instructors; (5) revocation of approval of courses and instructors; and (6) the basic information manual and instructor's manual. (b) Midwifery voluntary/optional basic information course (course) and exam. (1) The site. A course may be offered by a local health department, an accredited post-secondary institution, or an adult education program. The entity offering the course may charge a reasonable fee for the course. If the number of courses in a region are insufficient to satisfy the demand, such a course may be made available on a temporary basis through the Texas Department of Health (department) regional office. The department may charge a fee of $50. (2) Course curriculum. The course subject matter is covered by the Texas Midwifery Manual developed by the department which the department adopts by reference. Copies of the manual may be obtained from the Midwifery Program. The manual also may be reviewed during normal business hours at the offices of the Midwifery Program, Bureau of Maternal and Child Health, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756. (3) Course duration. The course will be a minimum of 45 hours and may be given according to the wishes of the students, instructor and the site where it is given. (4) Requirements. The course will be available to all residents of Texas, verified by drivers license or utility bill, and must be offered in both English and Spanish. (5) Facility and class size. The classroom should be large enough to comfortably accommodate the students, and should have facilities for instructional equipment. The ideal class size is 15 to 20 students, but may be as few as two or three students. (6) Form of instruction. Although a great deal of the class may have to be didactic, emphasis should also be on discussion and practice. Beyond the course, apprenticeship and practical experience should be emphasized. (7) Absences. Each student is only allowed three hours of absence from class. If more time is missed, the student must make up the class time through arrangements with the instructor, or return to another series of classes. The instructor will notify the Midwifery Program of the students who have completed the course requirements. (8) Instructors. The instructor(s) for the course must be: (A) an obstetrician, pediatrician, or family practice physician, all of whom must be licensed to practice medicine in Texas; (B) a certified nurse-midwife; or (C) a midwife with extensive experience (at least four years of practice with more than 100 births). (9) Non-availability of instructors. In areas where the instructors mentioned in paragraph (8) of this subsection may not be available, special exceptions may be made by the Midwifery Board. (10) The voluntary/optional final exam. (A) Eligibility to take the voluntary/optional final exam. (i) The midwife must have completed the voluntary basic information course with no more than three hours of absence. (ii) A midwife who wishes to take the voluntary/optional exam without attending the voluntary basic information course must have been documented for two consecutive years, or have been documented and have petitioned and been granted permission by the Midwifery Board to take the exam. (B) Logistics. (i) The exam will be offered at a department regional office or a local health department office to those persons who are eligible to take the exam. (ii) The exam will be offered in English and Spanish, and in oral and written form. (iii) The application to take the examination must be accompanied by a non- refundable fee of $25, (cashiers check or money order required). (iv) A letter of completion will be sent by the Midwifery Program to those persons who pass the examination with a score of $75. (v) The department will take every reasonable measure to prevent unauthorized disclosure of the examination questions. (c) Other courses. The Midwifery Board may approve other courses comparable to the basic voluntary course in fullfilment of basic education requirements. (d) Mandatory education courses. Mandatory basic and continuation education courses which will be required beginning September 1, 1993, will be developed in the future through rulemaking by the Midwifery Board . sec.37.181. Newborn Screening. (a) Each midwife who assists at the birth of a child is responsible for seeing that newborn screening tests are performed according to the Health and Safety Code, Chapters 33 and 34 and Department of Health (department) rules in sec.sec.37.51-37.69 of this title (relating the Newborn Screening Program). Starting on the effective date of these sections, one of two documents will have to be submitted to the Midwifery Program along with the initial December documentation application as follows. (1) Should the midwife choose to do the newborn screening herself/himself, she/he will obtain training to perform this test from an appropriate health care facility. A course of instruction will be based upon the procedure for newborn screening developed by the department's Newborn Screening Program under authority of the Health and Safety Code, Chapter 33. The midwife who requests the training must show the training facility or office a copy of her/his documentation form to prove that she/he is in compliance with the Midwifery Act. At the completion of the instruction for newborn screening blood collection, the midwife will request that the form (Midwife Training Certification Form for Newborn Screening Specimen Collection) be signed by the designated representative of the health care facility, attesting to the fact that the midwife has complied with this requirement. This training, as part of the identification requirements, is only necessary once unless there is a change in screening procedures. (2) The midwife could also choose to refer the family to have the infant's screening done at an appropriate health care facility. In this case, the midwife must use the form (Newborn Screening Agreement for Newborn Babies Of Midwife Clients) on which she/he develops a personal plan to have an appropriate health care facility perform the required screenings. The plan will also have to include follow-up commitment to make sure that the infant received the tests. The form must include a section where the facility representative signs, agreeing that the facility will do the screening. (b) The midwife who wishes to become documented for the first time will have to use the second method of fulfilling the newborn screening requirement, as described in subsection (a)(2) of this section. Should the midwife wish later to do the screening tests herself/himself, she/he may change the way of fulfilling the requirement. (c) As long as the midwife has been approved to perform the newborn screening test, the act of collecting this specimen will not constitute "practicing medicine" as defined by the Medical Practice Act, Texas Civil Statutes, Article 4495b. (d) As long as one is available, a physician or an appropriately trained professional acting under standing delegation order from a physician at an appropriate health care facility shall instruct midwives in the proper procedure (newborn screening collection procedure of the department's Newborn Screening Program) for newborn screening blood specimen collection and submission. The physician, R.N., or any other person who instructs a midwife in the approved techniques for newborn screening on the orders of a physician is immune from liability arising out of the failure or refusal of a midwife to: (1) collect and submit the blood specimen in an approved manner; or (2) send the samples to the designated department laboratories in a timely manner. sec.37.184. Eye Prophylaxis. (a) A midwife is responsible for seeing that every infant that she/he delivers receives the necessary eye prophylaxis to prevent ophthalmia neonatorum, in accordance with the medications specified by the Texas Department of Health (department). (b) The methods of administering prophylaxis to prevent ophthalmia neonatorum are as follows: (1) the midwife shall administer the state-approved prophylaxis under standing delegation orders by a physician licensed in Texas; or (2) the midwife shall cause the approved prophylaxis to be administered, within the specified time frame, by a physician or an appropriately licensed and trained individual under standing delegation orders by a physician. (c) When a physician is not available to issue a standing delegation order or is unwilling to do so, the midwife is responsible for administering the prophylaxis herself/himself or causing the prophylaxis to be administered. (d) A person who fails to administer eye prophylaxis to a newborn as required by the Texas Midwifery Act or these sections is subject to the criminal offense of a Class B misdemeanor. (e) The department, subject to availability of funds, shall furnish prophylaxis approved by the Board of Health free of charge to midwives. The midwife must show compliance with the Texas Midwifery Act and this section. The midwife may not charge for the eyedrops provided by the department. (f) The administration and possession of prophylaxis by a midwife is not a violation of the provisions of the Health and Safety Code, Chapter 483, concerning dangerous drugs. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113342 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 30, 1991 For further information, please call: (512) 458-7700 Chapter 73. Bureau of Laboratories Exposure to Lead 25 TAC sec.73.31 The Texas Department of Health (department) adopts new sec.73.31, without changes to the proposed text as published in the August 30, 1991, issue of the Texas Register (16 TexReg 4727). The new section covers tests for exposure to lead and implements the provisions of House Bill 1621, 72nd Legislature, 1991. Specifically, the section establishes the criteria and procedure for the tests and the fee schedule which the department will use to charge for the costs of conducting the tests. No comments were received regarding adoption of the new section. The new section is adopted under the Health and Safety Code, sec.161.101, which provides the Board of Health with the authority to adopt rules covering tests for exposure to lead; sec.12.032, which provides the board with the authority to charge fees for public health services; and sec.12.001, which provides the Texas Board with the authority to adopt rules for the performance of every duty imposed by law on the Texas Board of Health, the Texas Department of Health, and the Commissioner of Health. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113344 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 30, 1991 For further information, please call: (512) 458-7318 Chapter 181. Vital Statistics Miscellaneous Provisions The Texas Department of Health adopts amendments to sec. sec.181.1, 181.,6, 181.22, and new sec.181.23 and sec.181.25, concerning vital statistics. Sections 181.1, 181.6, and 181.22 are adopted with changes to the proposed text as published in the August 20, 1991, issue of the Texas Register (16 TexReg 4535). Section 181.23 and sec.181.25 are adopted without changes and will not be republished. The amendments and new sections are adopted to update existing rules, implement provisions in recent legislation, increase fees, and add a new fee to cover rising administrative costs. Specifically, the amendments and new sections do the following: broaden the definition of "index" in sec.181.1; update and clarify the disinterment provisions in sec.181.6 and implement legislation; modify the fee provisions in sec.181.22 by increasing fees and adding a new fee to cover administrative costs, clarify language, and implement legislation; implement legislation concerning indexes for vital records in new sec.181.23; and implement legislation concerning marriage license applications in new sec.181.25. Concerning sec.181.6(a), a commenter requested that the subsection be modified to more closely correspond to the language in Health and Safety Code, sec.711.004, concerning the disinterment of dead bodies. The department agrees and has made the appropriate change. In addition, the department made editorial changes to sec.sec.181.1, 181.6, and 181.22 for purposes of clarification. The commenter was an individual; no agency, group, or association commented. The commenter was not opposed to the rules but had a recommended change. 25 TAC sec.181.1, sec.181.6 The amendments are adopted under the Health and Safety Code, sec.191.003, which provides the Board of Health (board) with authority to adopt rules concerning vital statistics; sec.191.0045, which provides the board with authority to adopt a schedule of fees for vital statistic services, and to collect a surcharge for conducting searches for birth certificates and for issuing copies of birth certificates; sec.191.032, which provides the board with authority to adopt rules concerning indexing of birth and death records; sec.194. 0011, which provides the board with authority to adopt rules concerning the format and content of the form used for the marriage license application; sec.711. 004, which provides the board with authority to adopt rules concerning disinterment of dead bodies; and sec.12.001, which provides the board with authority to adopt rules to implement every duty imposed by law on the board, the department, and the commissioner of health. sec.181.1. Definitions. The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise. Indexes-An index to or listing of birth records, death records, applications for marriage licenses, and reports of divorce or annulment of marriage. sec.181.6. Disinterment. (a) Except as is authorized for a justice of the peace acting as coroner or medical examiner under the Code of Criminal Procedure, Chapter 49, remains may not be removed from a cemetery except on written order of the state registrar or the state registrar's designee. (b) (No change.) (c) The state registrar shall issue a disinterment permit in four parts. One copy shall be retained by the state registrar, one copy retained by the funeral director to whom issued, one copy filed with the sexton or person in charge of the cemetery in which the disinterment is to be made, and one copy sent to the local registrar of the district in which the death occurred. The state registrar's copy and the local registrar's copy shall be attached as an amendment to the certificate of death filed in their respective offices. (d) A disinterment permit shall not be required if a body is to be disinterred and reinterred in the same cemetery. (e) (No change.) (f) The disinterment permit issued by the state registrar shall serve as the authority to disinter, transport, and reinter a body. (g) (No change.) (h) All disinterred remains kept in receiving vaults shall be thoroughly embalmed in a manner approved by the Texas Funeral Service Commission and shall be enclosed in a permanently sealed casket. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113411 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 20, 1991 For further information, please call: (512) 458-7692 Vital Records 25 TAC sec.sec.181.22, 181.23, 181.25 The amendment and new sections are adopted under the Health and Safety Code, sec.191.003, which provides the Board of Health (board) with authority to adopt rules concerning vital statistics; sec.191.0045, which provides the board with authority to adopt a schedule of fees for vital statistic services, and to collect a surcharge for conducting searches for birth certificates and for issuing copies of birth certificates; sec.191.032, which provides the board with authority to adopt rules concerning indexing of birth and death records; sec.194. 0011, which provides the board with authority to adopt rules concerning the format and content of the form used for the marriage license application; sec.711. 004, which provides the board with authority to adopt rules concerning disinterment of dead bodies; and sec.12.001, which provides the board with authority to adopt rules to implement every duty imposed by law on the board, the department, and the commissioner of health. sec.181.22. Fees Charged for Vital Records Services. (a) (No change.) (b) The fee for a certified copy of a death certificate shall be $9.00 for the first or only copy requested, and $3.00 for each additional copy of the same record requested in the same request. (c) The fee for a certified copy of a birth record shall be $9.00. Additional copies shall be $9. 00 for each copy requested. (d) The fee for a search of any record or information on file within the Bureau of Vital Statistics (bureau) shall be $9. 00, regardless of whether a certified copy is issued or not. This fee shall include the cost of one certified copy of the birth, death, or fetal death record requested. (e) The fee for a search to verify a marriage or divorce record shall be $9.00. Only a plain copy of the record as filed in the bureau shall be issued to the requester. (f) The fee for a search to verify a birth or death record shall be $9.00, with no copy issued. (g) The fee for a search and identification of the court which granted an adoption shall be $9.00. (h)-(m) (No change.) (n) The fee for the processing and issuance of a disinterment permit shall be $25. The fee is to be paid by the applicant for the permit, and must be submitted with the application. (o) A surcharge of $2.00 shall be added to the fee for searching and issuing each certified copy of a certificate of birth, wallet-sized certification of birth facts, or conducting a search for a certificate of birth, as mandated by Health and Safety Code, sec.191.0045. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113350 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 20, 1991 For further information, please call: (512) 458-7692 25 TAC sec.181.24 The Texas Department of Health (department) adopts new sec.181.24 concerning abused, misused, or flagged records, with changes to the proposed text as published in the August 20, 1991, issue of the Texas Register (16 TexReg 4536). The proposed amendment to sec.181.2 which was also published in (16 TexReg 4536) is being withdrawn in this issue of the Texas Register. New sec.181.24 covers procedures which the department will follow relating to abused, misused, and flagged records. The new section implements the requirements of Senate Bill 642, 72nd Legislature, 1992, that the Board of Health adopt rules concerning the preservation of birth, death, and fetal death certificates. Concerning sec.181.24, a commenter stated that the proposal to consider 10 or more certifications of a death record as an abuse of the record is too severe because it is not unusual for a person to request 10 or more copies of death records. The department agrees and has modified the provisions concerning abused records by limiting the records to birth records. The commenter was an individual; no association, group, or agency commented. The commenter was not against the rule but had a recommendation for change. The new section is adopted under the Health and Safety Code, sec.191.003, which provides the Board of Health with the authority to adopt rules concerning vital records; sec.191.032 which provides the board with authority to adopt rules concerning the preservation of birth, death and fetal death certificates; and sec.12.001 which provides the board with authority to adopt rules to implement every duty imposed by law on the board, the department, and the commissioner of health. sec.181.24. Abused, Misused, or Flagged Records. (a) Abused birth record. (1) Any birth record that has had 10 or more certifications issued since the original date of filing shall be considered as an abused record. Such a notation shall be made on the birth record. (2) When the state registrar receives a request for an abused birth record, he shall refuse to issue any additional certifications until the registrant has satisfactorily explained, under oath, the reason for the additional request(s). (b) Misused record. (1) A misused record is any birth or death record that has been used by any person other than the registrant or qualified applicant for any fraudulent or illegal purpose. Any birth record used by the registrant for any fraudulent or illegal purpose shall be considered as a misused record. (2) Upon notification or determination that a record has been misused, the state registrar shall attach a flag or notice to the record. (c) Flagged record. (1) A flagged record is any record with a notation by the state registrar that a request was received to not issue the record. Any record with a flag or an addendum attached thereto shall be considered as a flagged record. (2) When a record has a flag, notation or addendum, the state registrar shall refuse to issue such a record until the conditions as stated on the flag, notation or addendum have been carried out and the registrant or the requesting party has been notified. (d) An administrative hearing may be requested as provided in sec.181.21(d) of this title (relating to Refusal to Issue Certified Copies of Records of Birth, Death, or Fetal Death) to determine if flagged, abused, misused or records with an addendum or notation should be issued. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113349 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 20, 1991 For further information, please call: (512) 458-7692 25 TAC sec.181.26 The Texas Department of Health (department) adopts new sec.181.26 concerning vital records, with changes to the proposed text as published in the August 30, 1991, issue of the Texas Register (16 TexReg 4728). A correction of error for the proposed new section was published in the September 27, 1991, issue of the Texas Register (16 TexReg 5346). The new section will aid in the control of fraud and falsely filed documents, control of blank birth certificate forms, and aid in the reduction of false or fraudulent claims to various entitlement programs. The new section covers the filing of birth certificates for infants born in a non-licensed institution or delivered at home by a documented (identified) midwife or individual. Several comments were received concerning the proposed new rule. The comments and the department's responses are as follows. A commenter recommended that the section should contain provisions concerning proof of residency and birth before a certificate could be filed for a non- institutional birth. The department's response is that it believes that the section adequately addresses this issue. A commenter stated that the provisions in the section are inconvenient and discriminatory to midwives and an invasion of their privacy. The department disagrees because the section provides that all births occurring outside of a licensed institution are to be filed in the same manner, regardless of who attends the delivery. Current state law requires that a birth record be filed locally and that the local registrar forward the birth record to the department's Bureau of Vital Statistics. A commenter said that certified nurse midwives should be excluded from the section. Another commenter said that certified nurse midwives and medical doctors that perform home births should be excluded from the section. The department disagrees because the rules should be uniform for all births that occur outside of licensed institutions regardless of who makes the delivery. Concerning subsection (e)(1), a commenter stated that this provision should clearly state that any person making an unannounced visit to the mother's residence or place of alleged birth needs to obtain legal authority from the appropriate person to enter the premises. The rule itself is not authority to enter the premises. The department agrees and has added appropriate language on obtaining permission to enter the premises. Concerning subsection (f), a commenter stated that the language needs to be modified to comply with the requirements of the Health and Safety Code, sec.92. 027, which is referenced in the subsection. The department agrees and has made the appropriate change. A commenter objected to the provision in subsection (k) which requires that each documented midwife mail to the department's midwifery program a summary listing of all births attended during the preceding calendar month. The commenter said that this provision exceeds the department's legal authority under the vital statistics law. The department agrees and has deleted subsection (k). The department also made editorial changes to subsections (d)(2), (e), (g), (i) and (j) for clarification purposes. Organizations, groups, or agencies which commented on the proposed new section were the Association of Houston Midwives and the Galveston County Health District Registrar. Some individuals also commented. None of the commenters were against the section as proposed; however, they had recommendations and expressed concerns about specific provisions in the section. The new section is adopted under authority of the Health and Safety Code, sec.192.003, which provides the Board of Health with the authority to adopt necessary rules for collecting, recording, transcribing, compiling and preserving vital statistics; sec.191.004 which provides the state registrar with the authority to prepare and issue detailed instruction necessary for the uniform observance of this title and maintenance of a perfect system of registration; sec.191.025, which provides Board of Health with the authority to adopt rules for the strict accountability of birth certificates in order to prevent birth certificate fraud; and sec.12.001, which provides the Board of Health with the authority to adopt rules for the performance of every duty imposed by law on the Texas Board of Health, the Texas Department of Health, and the Commissioner of Health. sec.181.26. Filing of Birth Certificates for Infants Born in a Non-licensed Institution, or Delivered at Home by a Documented (Identified) Midwife or Individual. (a) All certificates of birth shall be filed as required by Health and Safety Code (the Code), sec.192.001. Licensed institutions include hospitals or birthing centers licensed by the Texas Department of Health. (1) Births occurring in a licensed institution shall be filed as required by the Code, sec.192.003. (2) Births occurring outside licensed institutions shall be filed as described in this section. (b) When a birth occurs at any place other than a licensed institution, the certificate of birth must be filed with the local registrar of the registration district in which the birth occurred. The essential elements to file a non- institutional birth certificate are proof that: (1) the woman who is presenting herself as the mother was pregnant; (2) there was an infant born alive; (3) the infant was born in this registration district; and (4) the infant's birth occurred on the date stated. (c) The signature on the certificate of the registered, or certified, or documented health care provider shall serve as prima facie evidence of the essential elements of proof required in subsection (b) of this section. (d) A certificate described in subsection (b) of this section shall only be filed upon personal presentation of the following evidence by the individual responsible for the preparation and filing of the certificate. The local registrar may accept certificates by mail when the signature of the registered, certified, or documented health care provider is on file with that registrar's office. (1) Proof of pregnancy shall be presented in the following order of preference: (A) an affidavit shall be presented from a licensed, registered, or certified health care provider who is qualified to determine pregnancy as part of the scope of his/her license or registration, or certification; or (B) an affidavit shall be presented from one person, other than the parents, having knowledge of the pregnancy/birth. (2) Proof shall be presented of the mother's presence in the registration district on the date of the birth if the birth occurred outside the locale of the mother's primary place of residence. Such proof shall consist of an affidavit from a person having knowledge of the mother's presence in the registration district in which the birth occurred on the date of the birth. (3) Proof shall be presented of the mother's residence in the registration district if the birth occurred in the mother's primary place of residence, in the following order of preference: (A) a utility, telephone, or other bill which includes the mother's name and address; (B) a rent receipt which includes the mother's name and address, and the printed name, address, and signature of the mother's landlord; (C) a driver's license, or state issued identification card, which includes the mother's current residence on the face of the license/card; (D) an envelope addressed to the mother at her place of residence, and postmarked prior to the date of the birth; or (E) an affidavit attesting to the mother's place of residence from a person, other than the father, who was either living with the mother at the time of the alleged birth, or has other knowledge of the mother's residency. (4) An identifying document, with photograph, shall be presented by the individual(s) personally presenting the evidence required to file the certificate, in the following order of preference: (A) a passport or certificate of naturalization; (B) a military service or military dependent identification card; (C) a United States government identification card, or national identification card issued by another country; (D) a current driver's license or other state identification card; (E) an alien registration receipt card (Form I-551); or (F) an employee or student identification card, with photograph. (e) At the discretion of the local registrar, the requirements contained in this section may be supplemented with any additional requirements which may be needed to verify the circumstances of the birth. Such additional requirements may include, but are not limited to, one or more of the following: (1) an unannounced visit to the mother's residence or the place of the alleged birth by a public health nurse, other health professional, registrar staff, or other person including city, county, state, or federal law enforcement officer, prior to registering the alleged birth. This paragraph does ot permit nor give authority to enter these premises unless permission is obtained from the occupant at the time of the visit; (2) multiple forms of identifying documents, with or without photographs, when the documents described in this section are unavailable; (3) personal appearance of both parents, either together or separately; or (4) personal appearance of the infant whose birth certificate the parents are attempting to file. (f) If the required or supplemental evidence described in this section is not available and the registrar is otherwise unable to verify the circumstances of the birth, the birth will be considered as a delayed registration and may only be filed upon order of a court of competent jurisdiction, as prescribed in the Code, sec.192. 027. (g) A certificate of birth concerning a child who is between one and four years of age may only be filed by the office of the state registrar. The state registrar shall require the same proof and documentation as previously mentioned in this section and, in addition, an affidavit of the parents and the attendant, if any, as to why the certificate was not timely filed. If the proof and documentation are not available, the certificate may only be filed as prescribed by the Code, sec.192.027. (h) Each local registrar shall notify the state registrar's office of any suspicious documents or records submitted or filed with his/her office. (i) Blank birth certificate forms shall only be issued to licensed institutions, certified nurse midwives, documented (identified) midwives, and individuals by the local registrar or the state registrar in reasonable amounts. No blank birth certificate forms shall be distributed by mail to any one other than a registered, certified, or documented health care provider. (j) Each local registrar shall maintain a record of the number of blank birth certificate forms and their control number issued to each individual. The local registrar shall submit a copy of this record to the state registrar on a monthly basis. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 29, 1991. TRD-9113345 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: November 19, 1991 Proposal publication date: August 30, 1991 For further information, please call: (512) 458-7692 TITLE 28. INSURANCE Part II. Texas Workers' Compensation Commission Chapter 164. Workers' Health and Safety-Extra Hazardous Employer Program 28 TAC sec.164.8, sec.164.13 The Texas Workers' Compensation Commission adopts new sec.164.8 and sec.164. 13, concerning the program the Health and Safety Division of the commission will operate to identify, and counsel, extra-hazardous employers, as that program is described in the Texas Workers' Compensation Act (the Act), Article 8308, sec.7. 04. Both sections are adopted without changes to the proposed text as published in the August 16, 1991, issue of the Texas Register (16 TexReg 4448), and as corrected in the September 13, 1991, issue of the Texas Register (16 TexReg 5103). The sections are necessary to describe the procedure for continuing to classify an employer as an extra-hazardous employer who continues to substantially exceed the injury frequency that may be expected or who has failed or refused to implement an accident prevention plan and the actions which must be taken to be removed from this status, and to further define the applicability of Chapter 164 of this title, having to do with the extra-hazardous employers program. New sec.164.8 requires that the employer remain on extra-hazardous status if the division finds during the follow-up inspection that the employer failed or refused to implement the accident prevention plan or other suitable hazard abatement measures. The employer is required to take the actions specified in the follow-up inspection report or other suitable measures as a condition of removal from extra-hazardous employer status. The employer is required to file a progress report every 60 days until removal from extra-hazardous employer status. The report must include the areas of the plan identified as not being fully implemented at the time of the inspection, additional problem areas identified in the inspection report, and the steps being taken to address them. The proposed section requires the employer to notify the division and request a reinspection after the corrective actions have been taken. The request for reinspection shall be made no later than six months after the date of the follow-up inspection. The inspection shall be done no later than 30 days after receiving a request to reinspect. If the employer is removed from extra- hazardous employer status, any penalties imposed shall be terminated retroactive to the date the reinspection was requested. The section further allows the employer to request a hearing to contest continuation on extra-hazardous employer status. New sec.164.13 outlines how the Chapter 164 sections will be applied. The section defines the applicability of the Act for calendar years 1991, 1992, 1993, and thereafter. This clarification is necessary because the Texas Workers' Compensation Act, Article 7, which related to workers' health and safety, contains certain "phase-in" provisions, in Article 8308-7.01(d), which apply provisions of that article, including the extra-hazardous employers program to more employers each calendar year, depending upon the size of the employer. Further, those provisions apply to an employer "who obtains" workers' compensation insurance coverage, so it is necessary to interpret, by rule, how the extra-hazardous provisions would be applied to an employer who drops coverage while on the program. Concerning sec.164.8, one commenter expressed appreciation for the work being done by the commission to implement the new system. The commenter further noted that the section should be changed to reflect the difference between the employer who fails or refuses to implement the extra-hazardous accident prevention plan, and an employer who has complied with the prevention plan but who continues to substantially exceed injury frequency in his/her industry. The commenter felt that treating both employers equally under the section was inappropriate, and that the employer who has complied should be removed from extra-hazardous status, with such an employer being placed in a follow-up program with specified periodic monitoring. The commission notes the comment of appreciation. Further, the commission disagrees with changing the section to accommodate the difference noted by the commenter. The commission notes, in support of its position, that the intent of the extra-hazardous employers program is to reduce injuries; an employer who continues to "substantially exceed" the injury frequency, for whatever reason, has not met the program objective and additional action is required as suggested in the section. Further, the commission notes that the difference between employers who fail to carry out the plan, and those who follow it but substantially exceed the injury frequency nonetheless, is reflected in the assessment of administrative penalties against the non-compliant employer. The Texas Association of Business commented against the proposed section. No comments specifically in favor of the proposed section were received. No comments either against or in favor of proposed sec.164.13 were received. The new sections are adopted under the Texas Workers' Compensation Act, Texas Civil Statutes, Article 8308-2.09(a), which authorizes the commission to adopt rules necessary to implement and enforce the Act, and Article 8308-7.04(a), which authorizes the division of health and safety of the commission to develop a program to identify "extra-hazardous" employers, as that term is defined therein. This agency hereby certifies that the rule as adopted has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority. Issued in Austin, Texas, on October 31, 1991. TRD-9113441 Susan M. Kelley General Counsel Texas Workers' Compensation Commission Effective date: November 20, 1991 Proposal publication date: August 16, 1991 For further information, please call: (512) 440-3972