Emergency Sections An agency may adopt a new or amended section or repeal an existing section on an emergency basis if it determines that such action is necessary for the public health, safety, or welfare of this state. The section may become effective immediately upon filing with the Texas Register, or on a stated date less than 20 days after filing, for no more than 120 days. The emergency action is renewable once for no more than 60 days. Symbology in amended emergency sections. New language added to an existing section is indicated by the use of bold text. [Brackets] indicate deletion of existing material within a section. TITLE 1. ADMINISTRATION Part I. Office of the Governor Chapter 3. Criminal Justice Division Subchapter A. Criminal Justice Administration of the Crime Victims Assistance 1 TAC sec.sec.3.603, 3.608, 3.609, 3.625 The Criminal Justice Division (CJD) of the Office of the Governor adopts on an emergency basis amendments to sec.sec.3.603, 3.608, 3.609, and 3.625, concerning Crime Victims Assistance Program rules. The CJD is now in the process of developing applications for federal funds that are available under the federal Victims of Crime Act of 1984 (VOCA). The amendments are being adopted on an emergency basis to ensure that the applicants for VOCA funds have complete and accurate information essential for the development and implementation of their grant and are fully aware of statutory and administrative requirements that may affect their proposed projects. The amendments are adopted on an emergency basis under Texas Civil Statutes, Article 4413(32a), sec.6(a)(11), which provide CJD with the authority to adopt such rules, regulations, and procedures as may be necessary to carry out the provisions of the Act. sec.3.603. Compliance; Adoption by Reference. Grantee/applicants shall comply with all applicable state and federal statutes, rules, regulations, and guidelines. The Criminal Justice Division (CJD) adopts by reference the following documents and forms. Information regarding these adoptions by reference may be obtained from the Criminal Justice Division, Attention: Crime Victims Assistance Section, P.O. Box 12428, Austin, Texas 78711, (512) 463-1919. (1) (No change.) (2) The annual Criminal Justice Plan for Texas
    [ :Catalog of Program Information.
      ] (3) Crime Victims Assistance Program: Application Kit and Grant Administration. [(4) Crime Victims Assistance Program: Grant Administration Guidelines
        .] (4)
          [(5)] U.S. Department of Justice, Final Program Guidelines for the Victims of Crime Act Victims Assistance Grant Program, Federal Register
            , Volume 54, Number 95, May 18, 1989 pages 21499-21508 . (5)
              [(6)] Office of Justice Programs, OJP Guideline Manual, OJP 23>M7100.1d
                [M71001c
                  ] Financial and Administrative Guide for Grants. (6)
                    [(7)] Audit guidelines: (A) United States General Accounting Office, Standards for Audit for Governmental Organizations, Programs, Activities, and Functions; (B) United States General Accounting Office, Guidelines for Financial and Compliance Audits of Federally Assisted Programs
                      ; (C) Office of Management and Budget, Circular A-128, Audits of State and Local Government
                        ; (D) Office of Management and Budget, Circular A-133, Audits of Institutions of Higher Education and Other Nonprofit Organizations. (7)
                          [(8)] Uniform Grant and Contract Management Standards
                            developed under directive of the Uniform Grant and Contract Management Act of 1981, Texas Civil Statutes, Article 4413(g). (8)
                              [(9)] Criminal Justice Division forms for crime victims assistance projects: (A) statement of grant award; (B) grantee acceptance notice; (C) grantee's request for funds; (D) grant adjustment notice; (E) performance report; (F) report of expenditure and status of funds.
                                [;] [(G) property inventory;] sec.3.608 Grant Applications. (a) (No change.) (b) Grant applications may not request more than $35,000
                                  [$50, 000] for each proposed project. (c) (No change.) sec.3.609. Review of Grant Applications. (a)-(c) (No change.) (d) Recommendations shall be based on applicable statutory requirements, rules, guidelines, fiscal constraints, administrative policies, comments provided under the Texas Review and Comment System (TRACS), merit of the project, and quality of the grant application. Merit of the project shall include consideration of how well the applicant and the victim assistance program conform to the requirements and intent of governing directives. Specifically, the following factors will be included for consideration: (1) (No change.) (2) To what extent is the victim assistance program a separate, self-contained unit, established exclusively to provide services directly to victims of crime (if the entire applicant organization is not dedicated exclusively to that purpose). (3) How well does the program design assure that assistance is given in seeking victim compensation benefits? [(4) To what extent does the program provide service to victims of all types of crimes.] (4)
                                    [(5)] How fully are the activities of this program coordinated with other service providers in the community so that the best interests of the victims are served and interagency communication enhanced? Is there a structured meeting schedule between efforts of apprehension, prosecution, adjudication, and social service entities? Does the board of directors (where one exists) represent a cross-section of the community, including law enforcement, prosecution, adjudication, and citizens? (5)
                                      [(6)] Is there an affirmative program of assistance in coordination with prosecuting authorities for transportation and avail- ability of the victim-witness? (6)
                                        [(7)] Is there any planned media or public service announcement campaign which advertises the availability of services to victims? Are services to all victims emphasized? (7)
                                          [(8)] Where an applicant proposes expansion of an existing program, does an analysis of activities and financial history show that it achieves its intended results in a cost-effective manner? Can it meet the test of having not less than one completed year of effective services to victims of crime-a principal criterion in qualifying for a grant? (e) (No change.) sec.3.625. Financial 23>and[,] Performance [, and Inventory] Reports. Each grantee shall submit financial and
                                            [,] performance [, and inventory] reports in accordance with the instructions provided by the Criminal Justice Division (CJD). All reports shall be submitted in accordance with the prescribed CJD forms for such reports. Financial [and inventory] reports must be signed by the financial officer. Performance reports must be signed by the project director. [Inventory reports are to accompany the final financial report.] Issued in Austin, Texas, on March 6, 1992. TRD-9203348 David A. Talbot, Jr. General Counsel Office of the Governor Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 463-1788 TITLE 16. ECONOMIC REGULATION Part VIII. Texas Racing Commission Chapter 309. Operation of Racetracks Subchapter B. Horse Racetracks Operations 16 TAC sec.309.194 The Texas Racing Commission adopts on an emergency basis an amendment to sec.309.194, concerning helmets. The amendment clarifies the requirements for wearing a helmet by individuals riding on horses at pari-mutuel racetracks. The amendment is adopted on an emergency basis to ensure the safety of individuals riding on horses at pari-mutuel racetracks. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 179e, sec.3.02, which authorizes the commission to adopt rules for conducting racing with wagering and for administering the Texas Racing Act and sec.6.06, which authorizes the commission to adopt rules relating to the operation of racetracks. sec.309.194. Helmets. An association may not permit an individual to gallop or pony
                                              [be mounted on] a horse or ride a horse in a race
                                                unless the individual is wearing a properly fastened helmet of a type approved by the commission. Issued in Austin, Texas, on February 28, 1992. TRD-9203331 Paula Cochran Carter General Counsel Texas Racing Commission Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 794-8461 Chapter 313. Officials and Rules of Horse Racing Subchapter B. Entries, Declarations, and Allowances Entries 16 TAC sec.313.103 The Texas Racing Commission adopts on an emergency basis an amendment to sec.313.103, concerning eligibility requirements. The amendment clarifies the eligibility requirements for entering a horse in a race. The amendment is adopted on an emergency basis to ensure that horses participating in pari-mutuel races are fit and ready to run in races currently being conducted. The failure of a horse to be fit and ready to run could result in accidents endangering the safety of jockeys, horses, and other participants in racing. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 179e, sec.3.02, which authorizes the commission to adopt rules for conducting racing with wagering and for administering the Texas Racing Act and sec.6.06, which authorizes the commission to adopt rules relating to the operation of racetracks. sec.313.103. Eligibility Requirements. (a) To be entered in a race, a horse must
                                                  [A horse may not enter a race unless]: (1) be
                                                    [the horse is] properly registered with the appropriate national breed registry; (2) be
                                                      [the horse has been] properly tattooed and the horse's registration certificate showing the tattoo number of the horse must be
                                                        [is] on file with the racing secretary before scratch time for the race, unless the stewards authorize the certificate to be filed at a later time; (3) be in the care of a licensed trainer and owned by a licensed owner,
                                                          [the horse is owned by a licensed owner and is in the care of a licensed trainer,] except that the owner and trainer of a horse entered in a stakes race must be licensed before the horse may start in that race; (4) be
                                                            [the horse is] eligible to enter the race under the conditions of the race
                                                              [and is entered for the race]; (5) be
                                                                [the horse is] present on association grounds not later than the time prescribed by the commission veterinarian; and (6) have
                                                                  [the horse has had] two published workouts and be
                                                                    [been] approved by the licensed starter for proficiency in the starting gate, if the horse is to start for the first time. (b)-(e) (No change.) (f) If a horse has started in a race in the 45-day period preceding a race, there is no workout requirement for eligibility to start. If a horse has not started in the 45-day period preceding a race, the horse must have one published workout to be eligible to start in that race. [However, if a horse has not started in the 60-day period preceding the race, the horse must have two published workouts to be eligible to start in that race.] (g) For a horse to be eligible to start in a race, an original certificate indicating a negative Coggin's test for the horse during the six-month period preceding the race must be attached to the horse's registration papers not later than: (1) scratch time, for a race for which there are "also eligible" horses; and (2) one hour before post time for the first race of that day, for a race for which there are not "also eligible" horses. (h) To be entered in a race around a turn, a quarter horse must be approved by the clocker, the outrider and, if the horse is worked from the gate, the starter. Issued in Austin, Texas, on February 28, 1992. TRD-9203329 Paula Cochran Carter General Counsel Texas Racing Commission Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 794-8461 16 TAC sec.313.111 The Texas Racing Commission adopts on an emergency basis an amendment to sec.313.111, concerning age restrictions. The amendment clarifies the age limitation for a "maiden" horse. The amendment is adopted on an emergency basis to ensure that horses participating in pari-mutuel races are fit and ready to run in races currently being conducted. The failure of a horse to be fit and ready to run could result in accidents endangering the safety of jockeys, horses, and other participants in racing. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 179e, sec.3.02, which authorizes the commission to adopt rules for conducting racing with wagering and for administering the Texas Racing Act and sec.6.06, which authorizes the commission to adopt rules relating to the operation of racetracks. sec.313.111. Age Restrictions. (a)-(c) (No change.) (d) A maiden may not start in a pari-mutuel race in this state if the maiden: [(1) during 1990, is 13 years old or older;] (1)
                                                                      [(2)] during 1992 and 1993
                                                                        [1991], is seven years old or older; or (2)
                                                                          [(3)] during 1994
                                                                            [1992,] and thereafter is six years old or older. (e) (No change.) Issued in Austin, Texas, on February 28, 1992. TRD-9203328 Paula Cochran Carter General Counsel Texas Racing Commission Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 794-8461 Subchapter C. Claiming Races 16 TAC sec.313.303 The Texas Racing Commission adopts on an emergency basis an amendment to sec.313.303, concerning effective time of claim. The amendment clarifies the time at which a valid claim to a horse takes effect. The amendment is adopted on an emergency basis to ensure that pari-mutuel claiming races are conducted fairly and honestly, to avoid defrauding the wagering public. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 179e, sec.3.02, which authorizes the commission to adopt rules for conducting racing with wagering and for administering the Texas Racing Act and sec.6.06, which authorizes the commission to adopt rules relating to the operation of racetracks. sec.313.303. Effective Time of Claim. (a) A person who has a valid claim to a horse becomes the owner of the horse when [the stall door of the starting gate opens in front of] the horse goes on to the racetrack for the race
                                                                              . This subsection applies regardless of whether the horse reaches the starting gate and
                                                                                regardless of subsequent injury to the horse during or after the race. (b) (No change.) Issued in Austin, Texas, on February 28, 1992. TRD-9203330 Paula Cochran Carter General Counsel Texas Racing Commission Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 794-8461 TITLE 22. EXAMINING BOARDS Part XXII. Texas State Board of Public Accountancy Chapter 501. Professional Conduct Advertising and Soliciting 22 TAC sec.501.46 The Texas State Board of Public Accountancy adopts on an emergency basis an amendment to sec.501.46, concerning form of practice. The amendment specifically allows certificate and registration holders to practice public accountancy through limited liability companies and limited liability partnerships. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a) which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.501.46. Form of Practice. A certificate or registration holder may practice public accountancy only in a proprietorship, a partnership, a limited liability company, a registered limited liability partnership,
                                                                                  or a professional corporation organized in accordance with the Texas Professional Corporation Act, or as an employee of one of these entities. Issued in Austin, Texas, on March 6, 1992. TRD-9203375 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 Chapter 505. The Board 22 TAC sec.505.10 The Texas State Board of Public Accountancy adopts on an emergency an amendment to sec.505.10, concerning the responsibilities of the committees of the board. This amendment is necessary in order to enable the board to manage major cases and to ensure compliance with state and federal laws and regulations. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.505.10. Board Committees. (a) Committee appointments. Appointments to standing committees and ad hoc committees shall be made annually by the board chairman to assist in carrying out the functions of the board under the provisions of the Public Accountancy Act of 1991
                                                                                    [1979, as amended] (the Act). The board chairman shall be an ex officio member of each standing committee and ad hoc committee and chairman of the executive committee. (b)-(d) (No change.) (e) Standing committee structure and charge to committees. The standing committees shall consist of the following individuals and shall be charges with the following responsibilities. (1) The Executive Committee shall comprise the board chairman, vice -chairman, secretary, treasurer, immediate past chairman of the board if still serving on the board,
                                                                                      and [also may include, as an ex officio member, any] one
                                                                                        other officer
                                                                                          [board member] elected
                                                                                            [appointed] by the board [chairman]. The functions of the Executive Committee shall be to advise, consult with, and make recommendations to the board concerning matters requested by the board chairman, litigation, and/or proposed changes in the board rules of professional conduct (the rules). The Executive Committee may act on behalf of the full board in matters of urgency, or when a meeting of the board is not feasible; the Executive Committee's actions are subject to full board ratification at its next regularly scheduled meeting. (2)-(8) (No change.) (9) The Quality
                                                                                              [Report] Review Committee shall comprise at least two board members, one of whom shall serve as chairman, assisted by any number of non-board members who shall serve in an advisory capacity. The committee shall: (A)-(B) (No change.) (C) make recommendations to the board with regard to proposed changes in board rules, opinions, and policies relating to the quality
                                                                                                [report] review program. (10)-(11) (No change.) (12) The
                                                                                                  Committee on Board
                                                                                                    [Substantive] Rule Changes shall comprise at least one board member, one of whom shall serve as chairman, assisted by any number of non-board members who shall serve in an advisory capacity. The committee shall make recommendations to the board regarding board
                                                                                                      [substantive] rules defined by the board chairman as requiring action. (13) The Regulatory Compliance Committee shall comprise at least two board members, one of whom shall serve as chairman, assisted by any number of non- board members who shall serve in an advisory capacity. The committee shall make recommendations to the board regarding legislative oversight, including, but not limited to, budget, performance measures, proposed changes in legislation affecting the board, and computer utilization. (14) The Major Case Enforcement Committee shall comprise at least two board members, one of whom shall serve as chairman. At least one committee member shall be a public member of the board. The committee shall make recommendations to the board regarding legal matters on litigation or potential litigation, and other major cases to which the board is a party. The committee shall have the authority to act on behalf of the board in instances where disclosure of facts to the full board could cause the board's objectivity to be jeopardized, subject to final approval by the board. The board shall have sole authority to determine whether cases shall be heard by the Major Case Enforcement Committee or other enforcement committee. (f)-(g) (No change.) (h) Policy guidelines. All advisory committee members performing any duties utilizing board facilities and/or who have access to board records, shall conform and adhere to the standards, board
                                                                                                        [substantive] rules, and personnel policies of the board as described in its personnel manual
                                                                                                          [administrative guidelines] and to the laws of the State of Texas governing state employees. Issued in Austin, Texas, on March 6, 1992. TRD-9203374 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 Chapter 513. Registration Registration of Partnerships 22 TAC sec.513.31 The Texas State Board of Public Accountancy adopts on an emergency basis new sec.513.31, concerning registration of limited liability companies with the board. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The new section is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.513.31. General Rule.
                                                                                                            Every limited liability company (L.L.C.) engaged or to be engaged in the practice of public accountancy whose articles of organization are approved by the secretary of state and which meet the requirements of the Texas Professional Corporation Act and the Public Accountancy Act of 1991 shall register with the board. Issued in Austin, Texas, on March 6, 1992. TRD-9203376 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 22 TAC sec.513.32 The Texas State Board of Public Accountancy adopts on an emergency basis new sec.513.32, concerning application for registration of a limited liability company with the board. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The new section is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.513.32. Application for Registration of a Limited Liability Company. (a) Application for registration of a limited liability company (L.L.C.) must be made upon a form prescribed by the board and must be submitted to the executive director. Application must be made upon the affidavit of an officer or manager of the L.L.C. and must set out: (1) the L.L.C. name; (2) the post office address within the state; (3) the address of the principal office of the L.L.C.; (4) the principal office's phone number; (5) the name of the person to contact regarding firm registration and license renewal; (6) complete listing of addresses and resident managers of offices including the principal office located within Texas; (7) date(s) firm organized and commenced practicing in Texas; (8) any previous names of the firm; (9) whether or not the firm has had an application for license denied, suspended, or revoked by any state or federal agency; whether the firm or any manager, officer, or member has been convicted of any felony or misdemeanor involving fraud or deceit not previously reported to the board; or whether the firm or any individual within the firm has been a party to legal proceedings as described in sec.513.47 of this title (relating to Affidavit of Firm); (10) a copy of the letterhead currently used by the firm; (11) articles of organization which must be attached; (12) a statement which identifies the purpose of the firm; and (13) affidavit that all statements are true and correct. (b) Each manager, member, and officer must hold a current license to practice public accountancy in Texas. (c) Texas franchise taxes must be current for any L.L.C. authorized to engage in the practice of public accountancy in this state. Issued in Austin, Texas, on March 6, 1992. TRD-9203377 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 22 TAC sec.513.33 The Texas State Board of Public Accountancy adopts on an emergency basis new sec.513.33, concerning sections and statutory requirements that apply to limited liability companies. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The amendment is adopted on an emergency basis under Texas Civil Statutes, Article 414a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.513.33. Partnership Rules Apply. (a) All sections and statutory requirements applying to public accounting partnerships shall also apply to limited liability companies (L.L.C.) engaged in the practice of public accountancy. (b) All sections and statutory requirements applying to partners of public accounting partnerships shall also apply to managers, officers, and member of L.L.Cs engaged in the practice of public accountancy. (c) All sections and statutory requirements governing employees or agents of public accounting partnerships shall also apply to employees or agents of L.L. Cs engaged in the practice of public accountancy. (d) An L.L.C. of certified public accountants of this state in good standing may be a partner in a partnership. Issued in Austin, Texas, on March 6, 1992. TRD-9203378 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 22 TAC sec.513.34 The Texas State Board of Public Accountancy adopts on an emergency basis new sec.513.34, concerning the name of a limited liability company. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The new section is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.513.34. Limited Liability Company. (a) In addition to other requirements of these sections with respect to the name of a limited liability company (L.L.C.) engaged in the practice of public accountancy, the name of each L.L.C. registered with this board must include one of the following designations: (1) "Limited"; (2) "Ltd."; (3) "L.C."; (4) "L.L.C."; or (5) Limited Liability Company. (b) If only one licensee is involved in the practice of the L.L.C. it cannot use the term "and company," "and associates," or any other term which is misleading to the general public as a part of the name. However, the term "and company" or "and associates" may be used as long as the names of the employees licensed by this board are shown on page three of the application. (c) The words "limited liability company" or "L.L.C." must appear in or with the firm name each time it is used. Issued in Austin, Texas, on March 6, 1992. TRD-9203379 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 22 TAC sec.513.35 The Texas State Board of Public Accountancy adopts on an emergency basis new sec.513.35, concerning the certification of franchise tax status upon license application. This amendment is necessary in order to implement the recently enacted amendments to the Public Accountancy Act of 1991. The new section is adopted on an emergency basis under Texas Civil Statutes, Article 41a-1, sec.6(a), which provide the Texas State Board of Public Accountancy with the authority to promulgate rules to effectuate the Act. sec.513.35. Certification of Franchise Tax Status. (a) Each limited liability company authorized to engage in the practice of public accountancy in this state shall certify, as prescribed by the board, upon application for registration, that the company's Texas franchise taxes are current. (b) The making of a false statement as to company franchise tax status on any license application or renewal is grounds for suspension or revocation of the license. Issued in Austin, Texas, on March 6, 1992. TRD-9203380 William Treacy Executive Director Texas State Board of Public Accountancy Effective date: March 9, 1992 Expiration date: July 7, 1992 For further information, please call: (512) 450-7066 TITLE 25. Health Services Part I. Texas Department of Health Chapter 97. Communicable Diseases Control of Communicable Diseases 25 TAC sec.97.16 The Texas Department of Health (department) adopts on an emergency basis the repeal of existing sec.97.16, concerning the Texas HIV Medication Program. The text of the section is being modified, restructured, and moved to Chapter 98 of this title, where it becomes new sec.sec.98.101 - 98.111. This action is also being proposed for permanent adoption in this issue of the Texas Register. The department repeals sec.97.16 on an emergency basis for the following reasons. By modifying, restructuring, and moving the text of sec.97.16 to new sec.sec.98.101-98.111, the department will be able to more expeditiously provide medications to HIV infected individuals. It is imperative that the department be able to improve its ability to address this serious and imminent threat to public health and safety by providing approved medications as soon as possible to HIV infected individuals. The repeal is adopted on an emergency basis under the Health and Safety Code, sec.85.063, which provides the Board of Health with authority to adopt rules covering procedures and guidelines for the HIV Medication Program; 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; and Texas Civil Statutes, Article 6252-13a, sec.5, which provides the board with authority to adopt emergency rules. sec.97.16. Texas HIV Medication Program. Issued in Austin, Texas, on March 6, 1992. TRD-9203353 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call:(512) 458-7357 Chapter 98. HIV and STD Control Subchapter C. Texas HIV Medication Program General Provisions 25 TAC sec.sec.98.101-98.111 The Texas Department of Health (department) adopts on an emergency basis new sec.sec.98.101-98.111 concerning the Texas HIV Medication Program. The new sections replace the existing s97.16 in Title 25 of the Texas Administrative Code which is being repealed on an emergency basis in this issue of the Texas Register. The new sections restructure and modify the repealed section and implement the provisions of the Communicable Disease Prevention and Control Act, Health and Safety Code, Chapter 85, concerning the establishment of an HIV medication program in Texas. The program assists hospital districts, local health departments, public or non-profit hospitals and clinics, nonprofit community organizations, and HIV infected individuals in the purchase of medications approved by the board that have been shown to be effective in reducing hospitalizations due to HIV related conditions. Generally, the section covers eligibility for participation; medication coverage; priority of treatment; application process; confidentiality; payment for approved medications; participating pharmacies; and an appeal procedure to resolve any eligibility or funding disputes. The new sections also clarify the language, simplify structure, and expand the formulary to include Fluconazole, Didanosine, and Erythropoietin for eligible participants. New sec.sec.98.101-98.111 are adopted on an emergency basis for the following reasons. By restructuring, modifying, and moving the text of the repealed sec.97. 16 to the new sections in Chapter 98, the department will be able to provide medications more expeditiously to HIV-infected individuals. This will enable the department to improve its ability to address this serious and imminent threat to public health and safety. Also, the addition of the drug Didanosine to the list of available drugs on an emergency basis will help inhibit HIV-1 because Didanosine is the only alternative therapy for persons who are intolerant of Zidovudine or who have demonstrated significant clinical or immunological deterioration during Zidovudine therapy. The drug Erythropoietin is being added on an emergency basis because it significantly reduces hospitalization by offering an alternative to otherwise transfusion dependent persons on Zidovudine. The drug Fluconazole is being added on an emergency basis because it will assist hospitals, clinics, and individuals in funding treatment for cryptococcal infection. It is imperative that these drugs be made available as soon as possible to HIV-infected individuals through emergency adoption of the new sections. The new sections are adopted on an emergency basis under the Health and Safety Code, sec.85.066, which provides the Texas Board of Health with the authority to adopt rules concerning a Texas HIV Medication Program; sec.12.001, which provides the Texas 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; and Texas Civil Statutes, Article 6252-13a, sec.5, which provides the board with authority to adopt emergency rules. sec.98.101. Purpose and Scope. (a) Purpose. These sections will implement the provisions of the Texas HIV Medication Program (program) as authorized by the Communicable Disease Prevention and Control Act, Health and Safety Code, sec.sec.85.061-85.066. The program shall assist hospital districts, local health departments, public or nonprofit hospitals and clinics, nonprofit community organizations, and HIV- infected individuals in obtaining medications indicated by the Food and Drug Administration for the treatment of HIV-related conditions and approved by the Texas Board of Health for program coverage. (b) Scope. These sections cover eligibility, criteria for financial eligibility, priority, application process, appeal procedures, confidentiality, procedures for obtaining the application materials, payment for approved medications, and participating pharmacies. sec.98.102. Eligibility. A Texas resident is eligible to participate in the Texas HIV Medication Program (program) if he or she: (1) is diagnosed with HIV infection and meets the drug specific eligibility criteria; (2) is under the care of a licensed physician who prescribes the medication(s); and (3) meets the financial eligibility criteria of the program. sec.98.103. Criteria for Financial Eligibility. A person is financially eligible for the Texas HIV Medication Program (program) if he or she: (1) is not covered for approved program medication(s) under the Texas Medicaid Program; (2) does not qualify for any other state or federal program available for financing the purchase of approved program medication(s); (3) is not covered for the medication(s) by any other third-party payer; and (4) has an income, when combined with his or her spouse that does not exceed 200% of the most recently published federal poverty income guidelines. For minors, the child's or parent's income should not exceed 200% of the most recently published federal poverty income guidelines. The spouse or the parent must be living in the same household at the time of application. The Department of Health (department) will determine if the person satisfies this criterion from information provided by the person on a form developed by the department. sec.98.104. Medication Coverage. (a) Zidovudine capsules must be provided in increments of 100 not to exceed 400 capsules per month. Zidovudine syrup must be provided in eight ounce bottles. (b) Pentamidine for inhalation solution must be provided in one 300 mg. vial per month. (c) Sulfamethoxazole-trimethoprim (DS) tablets must be provided in increments of 100 tablets for a maximum of 200 per month. Sulfamethoxazole-trimethoprim suspension must be provided in bottles of 480 ML. (d) Didanosine tablets must be provided in increments of 60 tablets not to exceed 120 tablets per month. (e) Fluconazole must be provided in increments of 30 tablets not to exceed 120 tablets in three months. (f) Erythropoietin is provided through the Texas HIV Medication Program (program) for children younger than 18 years of age. Adults and children that meet the financial and drug specific criteria will be eligible to receive this drug under the Ortho Biotech Program. (g) Immune Globulin Intravenous (Human) will be provided in 2.5 and 5 gm. vials. (h) The program will reimburse the Texas Department of Health's Tuberculosis Elimination Division for the following listed drugs used to treat atypical mycobacterial infections in individuals that are HIV infected: (1) Amikacin-1 g vial; (2) Capreomycin-1 g vial; (3) Ciprofloxacin-750 mg. tablets; (4) Cycloserine-250 mg. capsules; (5) Ethambutol-100 mg. tablets; (6) Ethambutol-400 mg. tablets; (7) Ethionamide-250 mg. tablets; (8) Isoniazid (INH) syrup; (9) Isoniazid (INH)-100 mg. tablets; (10) Isoniazid (INH)-300 mg. tablets; (11) Kanamycin-1 g vial; (12) Pyrazinamide-500 mg. tablets; (13) Pyridoxine (Vit.B-6)-50 mg. tablets; (14) Rifampin-300 mg./Isoniazid (INH) 150 mg. capsules; (15) Rifampin-300 mg. capsules; (16) Sodium P.A.S. tablets; and (17) Streptomycin-5 g. sec.98.105. Drug Specific Eligibility Criteria. A person is eligible for: (1) Zidovudine if he or she is younger than 18 years of age and has a diagnosis of HIV infection; or has a positive HIV antibody test and is classified in Group III or IV according to the Centers for Disease Control classification system, or pending available funding classified in Group I or II with a CD4 cell count of 500 or less; (2) Pentamidine for inhalation solution, sulfamethoxazole-trimethoprim (DS) tablets, and sulfamethoxazole-trimethoprim suspension if he or she is diagnosed with the HIV infection and a CD4 cell count of 200 or less and children under the age of 13 with the following clinical indicators: (A) all children who have had a previous episode of Pneumocystis Carinii Pneumonia (PCP); (B) all children less than 13 years of age who meet the Center for Disease Control (CDC) definitions of HIV infection in children and who have CD4+ counts less than 400/mm3; (C) all children less than 15 months of age who have HIV isolated from blood, cerebrospinal fluid (CSF), or tissues; or P24 antigen detected in blood/plasma or CSF, regardless of CD4 count; (D) all children less than 15 months of age who are HIV-seropositive and have symptoms as defined by CDC Class P2, regardless of CD4 count. Children will qualify in Class P2a if they have one symptom and persistent hypergammaglobulinemia (2 measurements, one month apart); (3) Didanosine if he or she has advanced HIV infection and is intolerant of zidovudine therapy or who have demonstrated significant clinical or immunological deterioration during zidovudine therapy; (4) Erythropoietin if he or she soon would be or is currently transfusion dependent, has a hematocrit less than or equal to 25% and has endogenous serum erythropoietin levels equal to or less than 500 mU/mL; (5) Immune Globulin Intravenous (Human) if he or she is diagnosed with HIV infection and is younger than 18 years of age; and (6) Fluconazole if he or she has an established cryptococcal infection and for prophylaxis after diagnosis. sec.98.106. Priority. The Texas HIV Medication Program will coordinate with the Texas Department of Health's Bureau of Chronically Ill and Disabled Children Services for the provision of HIV medication for all applicants under 18 years of age. sec.98.107. Application Process.
                                                                                                              An application is made by the person by submitting completed financial eligibility and medical certification forms. Application documents must be mailed to the Division of Pharmacy, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756. An application packet, containing instructions and all necessary forms may be requested by writing to the Division of Pharmacy at the previously cited address or by telephoning toll-free 1-800-255-1090. sec.98.108. Appeal Procedures. (a) This section establishes the appeal procedures that are available in the event of an eligibility or funding conflict in the Texas HIV Medication Program (program). To initiate the appeal process, a person must notify the Texas Department of Health's (department) Division of Pharmacy that he/she wants to appeal a program decision concerning either eligibility or funding. The written notice must contain sufficient reasons for believing that an appeal is in order. (b) A department review panel will hear the appeal. The panel consists of the Chief of the Bureau of HIV and STD Control, Director of the Pharmacy Division, and the HIV Medication Program Administrator. The appellants may appear in person to present their views. After hearing all testimony, the panel will issue a written decision which will be final. sec.98.109. Confidentiality.
                                                                                                                No information that could identify an individual applicant will be released except as authorized by law. Applicants should realize that, in addition to the Texas Department of Health, their physicians and pharmacists will be aware of their diagnosis. sec.98.110. Payment for Approved Medication(s). Payment will be made using specifications developed by the Texas Department of Health (department) and the General Services Commission. If a person is withdrawn from the Texas HIV Medication Program for any reason, the department will cease payment as of that date. The department will not pay for more than one month's issue of the medication(s) per month. sec.98.111. Participating Pharmacy.
                                                                                                                  The Texas HIV Medication Program will use approved pharmacies and will approve additional pharmacies if a hardship exists. sec.98.112. Prescription Fees.
                                                                                                                    A $5.00 copayment may be collected by a participating pharmacy for each prescription in accordance with the existing contract with the Texas Department of Health. Issued in Austin, Texas, on March 6, 1992. TRD-9203354 Robert A. MacLean, M.D. Deputy Commissioner Texas Department of Health Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 458-7537 TITLE 31. NATURAL RESOURCES AND CONSERVATION Part IX. Texas Water Commission Chapter 334. Underground and Aboveground Storage Tanks Subchapter L. Overpayment Prevention 31 TAC sec.sec.334.501-334.506 The Texas Water Commission adopts on an emergency basis new sec.sec.334. 501- 334.506, concerning overpayment prevention in the petroleum storage tank reimbursement program. These emergency sections create Subchapter L of 31 Texas Administrative Code, Chapter 334 relating to overpayment protection. The new sections are adopted to enhance the implementation of certain provisions of House Bill 1588 passed by the 71st Texas Legislature. That bill created the petroleum storage tank remediation fund for the purpose of cleaning up contamination from leaks of petroleum products and substances from underground or aboveground storage tanks. The amendments changed the process by which applications for reimbursement of clean up costs are processed by the Texas Water Commission. House Bill 1588 allows owners of petroleum storage tanks to qualify under that bill to hire their own contractors for the purpose of cleaning up contamination from leaking storage tanks. After the contractor has performed the cleanup work and has been paid, the owner of the tank is eligible to submit an application for reimbursement of those cleanup costs to the commission. That application to date has been thoroughly reviewed to assure that the requested reimbursement does in fact reflect reasonable and allowable costs of cleanup only. To date the commission has attempted to make no payments until a thorough review of each application has occurred. In some cases the commission has allowed the eligible owner/operator to sign a subrogation agreement to facilitate faster reimbursement while providing a mechanism for cost recovery. The sections adopted herein change these procedures and provide commission rules whereby reimbursements may be made prior to a full examination of each application. In addition, a post-payment audit process is authorized by these sections. These sections would therefore allow agency staff to view applications for reimbursement before or after the payment is actually made. In order to assure that inappropriate payments are not made, the agency has adopted a process of auditing payments after the payment has occurred to assure that costs which are reasonable and allowable are the only costs paid in the reimbursement. This change is coupled with another change that authorizes agency staff to recover overpayments to the contractors who do the work. Prior practice involved a relationship only between the agency and the owner of the tank. Because reimbursements are made after payment to the contractors has occurred, it is appropriate to look directly to the contractor for repayment of any reimbursement monies paid prior to full audit. In the event that an overpayment is made, an overpayment notice will be sent to the contractor and that contractor will have 30 days to submit a check to the agency in the amount of overpayment. If the contractor fails to submit that check within the 30 day time period, these sections provide that agency staff will file a petition with the commission seeking an order to compel payment. If, after hearing, an order is issued to compel payment and that order is not obeyed, then that order is enforceable by all authorities available in the Texas Water Code, Chapter 26. This includes the ability of the commissioners to levy a penalty of up to $10, 000 per day for each day of overdue payment. It also authorizes the commission to refer the matter to the Texas Attorney General for proper execution of a lawsuit. These sections also authorize agency staff to charge the cost of hearing to the contractor who has failed to return the overpayment if a hearing results in a finding by the commissioners that overpayment in fact did originally occur. It should be pointed out that the agency is also preparing an additional subchapter of regulations which will require registration of petroleum storage tank remediation contractors and which will impose performance requirements for anyone who wishes to be registered as a contractor. At that point anyone who wishes to qualify for work eligible for reimbursement from the petroleum storage tank remediation fund will be required to have a registration. Once that program is in place, the agency will also use the remedy of suspension or revocation of contractor registrations to assure that overpayments are returned in a timely manner. The consequence of failing to return overpaid amounts will be the revocation or suspension of registration which will mean that the particular contractor would not qualify to do work for money paid from the petroleum storage tank remediation fund. These sections also provide that contractors and owners of tanks must cooperate fully with agency staff whenever an audit or an investigation of potential overpayment is being conducted. Failure to cooperate with such an audit or investigation will also result in agency staff seeking an order from the commission to compel such cooperation. Again, if that order is not obeyed, it is subjected to the full enforcement authorizations provided by the Texas Water Code, Chapter 26. These sections are adopted on an emergency basis because the agency has learned that owners of petroleum storage tanks are conducting their cleanups on a phased basis and seeking reimbursement after each phase. If the agency does not reimburse owners of tanks very quickly, the next phase of the cleanup cannot go forward. The consequence of this situation is that many petroleum contamination cleanups take extremely long to remediate, which makes it possible for the contamination to spread during the intervening period. This presents an unacceptable situation for the environment and public health and safety. Section 334.501 (relating to Purpose and Applicability of the Subchapter) lays out the purpose of these sections and establishes that the subchapter applies to all applications for reimbursement for monies in the petroleum storage tank remediation fund. Section 334.502 (relating to Duty of Persons Paid by Recipients of Reimbursements Money from the Petroleum Storage Tank Remediation Fund) establishes that each person who is paid for money reimbursed to owners for petroleum storage tanks from the remediation fund have a duty to do good quality work and charge only a reasonable cost for that work, as defined in sec.334.309 of the commission rules. The basic thrust of this duty is that unnecessary work must not be undertaken and the work that is done that is necessary to remediate contamination, must be done at a fair cost in light of technical demands of the work involved and the going price in the area where the work is performed. This section also imposes a duty to cooperate with any audit or investigation the executive director may conduct regarding the quality of work performed or the reasonableness of costs charged. Section 334.503 (relating to What Payment Means) makes clear that just because the executive director has sent a reimbursement check to the owner of a tank does not necessarily mean that all costs noted in the reimbursement application are considered allowable or reasonable. These sections allow for post-payment audits and it will be after that audit that decisions about allowable costs and reasonableness of cost and quality of work will be determined. Section 334.504 (relating to Audits) makes clear that the executive director's staff shall conduct a sufficient number of audits of reimbursements claimed and payments made to assure achievement of the purposes of this subchapter and House Bill 1588. These audits may occur prior to or after claims for reimbursement have been made. Section 334.505 (relating to Notice of Overpayment) makes clear that if an audit establishes that an overpayment has been made because unreasonable prices were charged or poor quality work was performed or costs which are not allowable were included in the reimbursement application, then the executive director's staff will issue a notice of overpayment. That notice of overpayment can go to the contractor who actually performed the work and was paid by the owner of the tank using reimbursement funds from the petroleum storage tank remediation fund. This section requires persons who receive that notice to return the amount of overpayment to the agency payable to the State of Texas-Petroleum Storage Tank Remediation Fund. Section 334.506 (relating to Failure to Return Overpayment or Cooperate with an Audit or Investigation) makes clear that if someone who receives a notice of overpayment refuses or fails to return the overpaid amount within 30 days, then agency staff will seek an order from the commission compelling payment. It also indicates that if, upon hearing, the commission issues an order compelling the amount of overpayment, the person who had failed to submit the check may be charged with the cost of the hearing, including the cost of the hearing preparation. This section also makes clear that the commission may order a person to cooperate with an audit or investigation of a possible overpayment. This section also makes clear that once these orders are issued, if they are not obeyed, they may be enforced by the usual means in the Texas Water Code, Chapter 26. This includes possible penalty of up to $10,000 per day for each day of non- payment or referral of the matter to the Attorney General for prosecution of a lawsuit. The new sections are adopted on an emergency basis under House Bill 1588, which requires the TWC to establish a Groundwater Protection Program, and to implement a reimbursement program to responsible parties who clean-up sites on their own initiative; and sec.5.103 and sec.5.105, which provide the Texas Water Commission with the authority to adopt any sections necessary to carry out its powers and duties under the Texas Water Code and other laws of the State of Texas, and to establish and approve all general policy of the commission. sec.334.501. Purpose and Applicability of this Subchapter. (a) Purpose. The purpose of this subchapter is to establish procedures regarding the reimbursement of money expended from the petroleum storage tank remediation fund, to assure the most efficient use of the money available and to provide the most effective protection to the environment for the protection of public health and safety. (b) Applicability. This subchapter applies to all applications for reimbursement from money in the petroleum storage tank remediation fund. sec.334.502. Duty of Persons Paid by Recipients of Reimbursement Money from the Petroleum Storage Tank Remediation Fund. (a) Each person who performs work at an underground storage tank or aboveground storage tank, who is paid by a person who anticipates being, or actually is, reimbursed from the petroleum storage tank remediation fund, shall perform good quality work and charge only "reasonable cost" as defined in sec.334.309 of this title (relating to Reasonable Costs-Interim Period). (b) Each person to whom the performance standard established by subsection (a) of this section applies shall cooperate fully with any audit or investigation by the executive director regarding the quality of work performed on the reasonableness of costs charged. sec.334.503. What Payment Means. (a) Payment by the executive director of a reimbursement claim means only that the claim is potentially subject to post-payment audit. (b) By making payment of reimbursement claims to eligible owners or operators, the executive director makes no statement or admission that the payments are for necessary, reasonable or allowable costs, nor that the remedial action taken was not in excess of Texas Water Commission clean-up standards for effective protection of the environment, public health and safety. sec.334.504. Audits. The executive director's staff shall conduct a sufficient number of audits of reimbursements claimed and payments made to assure achievements of the purposes of this chapter. Such audits may occur prior to or after claims for reimbursement have been paid. Such audits shall include at a minimum an investigation of the cost effectiveness and fiscal merits of the corrective action taken, and the technical merits of the corrective action taken. sec.334.505. Notice of Overpayment. (a) If the executive director conducts an audit or investigation and concludes that reimbursement of a claim was for an amount which exceeded the necessary, allowable or reasonable cost of corrective action a notice of overpayment may be delivered to the persons who were paid by the reimbursement recipient. (b) Upon receipt of a notice of overpayment, the person who was paid by the reimbursement recipient shall submit a check returning the amount of overpayment. (c) All checks rendered to return overpayments shall be made out to "The State of Texas-Petroleum Storage Tank Remediation Fund", and mailed to the Chief Fiscal Officer, Texas Water Commission, P. O. Box 13087, Austin, Texas 78711- 3087 with the notation "LPST #_________, Application #_______, overpayment return." sec.334.506. Failure to Return Overpayment or Cooperate with Audit or Investigation. (a) If the overpayment has not been returned to the commission by the 30th calendar day after mailing of the notice of overpayment, excluding the date of mailing, the executive director shall file a petition seeking an order from the commission to compel payment. (b) If, upon hearing, the commission issues an order compelling return of overpayment in any amount, the person found responsible for returning overpayment shall also be required to reimburse the commission for all hearing costs, including the costs of preparation. (c) All commission orders issued pursuant to this subchapter shall be enforceable in the same manner as any order issued pursuant to the Texas Water Code, Chapter 26. (d) The executive director may seek an order from the commission to compel cooperation with an audit or investigation at any time. Issued in Austin, Texas, on March 6, 1992. TRD-9203340 Mary Ruth Holder Director, Legal Division Texas Water Commission Effective date: March 6, 1992 Expiration date: July 4, 1992 For further information, please call: (512) 463-8069