reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 140 - HEALTH PROFESSIONS REGULATION › Subchapter I - LICENSED CHEMICAL DEPENDENCY COUNSELORS › Section 140.434 - Prohibition Related to Child Custody and Adoption Evaluations

Current through Reg. 49, No. 28; July 12, 2024
(a) An individual
				  who holds a license as an LCDC does not have a license required under Family
				  Code, §
										107.104(b)(1)
				  (relating to Child Custody Evaluator: Minimum Qualifications) or under Family
				  Code, §
										107.154(b)(1)
				  (relating to Adoption Evaluator: Minimum Qualifications), to qualify the LCDC
				  under those subsections, as a licensee, to conduct a child custody or adoption
				  evaluation. An LCDC is prohibited from conducting a child custody evaluation
				  under Family Code, Chapter 107, Subchapter D (relating to Child Custody
				  Evaluation), and as defined therein, except as described in subsection (b) of
				  this section, and from conducting an adoption evaluation under Family Code,
				  Chapter 107, Subchapter E (relating to Adoption Evaluation), and as defined
				  therein, except as described in subsection (b) of this section.
(b) An individual who holds a license as an
				  LCDC may conduct a child custody evaluation under Family Code, Chapter 107,
				  Subchapter D, or an adoption evaluation under Family Code, Chapter 107,
				  Subchapter E, §§
										107.151-107.163, only
				  if the individual is acting consistent with the applicable Subchapter and
				  subsection (a) of this section, and is:
(1)
				  otherwise qualified by law to conduct such an evaluation; or
(2) appointed by a court to conduct the
				  evaluation under Family Code, §
											107.106
				  (relating to Exception to Qualifications Required to Conduct Child Custody
				  Evaluation) or under Family Code, §
											107.155
				  (relating to Exception to Qualifications Required to Conduct Adoption
				  Evaluation).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 140 - HEALTH PROFESSIONS REGULATION › Subchapter I - LICENSED CHEMICAL DEPENDENCY COUNSELORS › Section 140.435 - Miscellaneous Policies and Protocols

Current through Reg. 49, No. 28; July 12, 2024
A licensed chemical dependency counselor shall not
					 discriminate based on a client's disability and shall comply with Texas Health
					 and Safety Code Chapter 161, Subchapter S (relating to Allocation of Kidneys
					 and Other Organs Available for Transplant).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise.
(1) Applicant--A person
				who applies to the department for a certificate of competency as a promotor(a)
				or community health worker, an instructor, or a training program.
(2) Certificate--Certificate issued to a
				promotor(a) or community health worker, instructor, or training program by the
				department.
(3) Certified Training
				Curriculum--An educational, community health training curriculum approved by
				the department for the purpose of training promotores or community health
				workers or instructors.
(4)
				Commission--The Texas Health and Human Services Commission.
(5) Commissioner--The Commissioner of the
				Department of State Health Services.
(6) Committee--Promotor(a) or Community
				Health Worker Training and Certification Advisory Committee.
(7) Compensation--Receiving payment or
				receiving reimbursement for expenses.
(8) Core Competencies--Key skills for a
				promotor(a) or community health worker required for certification by the
				department as listed in policy at
www.dshs.texas.gov
.
(9) Department--The Department of State
				Health Services.
(10) Executive
				Commissioner--The Executive Commissioner of the Texas Health and Human Services
				Commission.
(11) Instructor--A
				person certified by the department to provide instruction and training in one
				or more core competencies to promotores or community health workers.
(12) Program--The Promotor(a) or Community
				Health Worker Training and Certification Program established by the department
				to provide standards and guidelines for issuance of a certificate.
(13) Promotor(a) or Community Health
				Worker--A person who, with or without compensation, provides a liaison between
				health care providers and patients through activities such as assisting in case
				conferences, providing patient education, making referrals to health and social
				services, conducting needs assessments, distributing surveys to identify
				barriers to health care delivery, making home visits, and providing bilingual
				language services.
(14) Training
				program--An organization approved by the department to deliver a certified
				training curriculum to promotores or community health workers or
				instructors.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.2 - Applicability and Exemption

Current through Reg. 49, No. 28; July 12, 2024
(a) The provisions
				of this chapter apply to:
(1) a training
				program that delivers a certified training curriculum for promotores or
				community health workers;
(2) an
				instructor representing that the instructor trains promotores or community
				health workers; or
(3) a
				promotor(a) or community health worker representing that the promotor(a) or
				community health worker performs as a certified promotor(a) or community health
				worker.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.3 - Promotor(a) or Community Health Worker Training and Certification Advisory Committee

Current through Reg. 49, No. 28; July 12, 2024
(a) Committee.
				The committee is established by the department under Health and Safety Code,
				§
									48.101.
(b) Applicable law. The committee is subject
				to Government Code, Chapter 2110, concerning state agency advisory committees.
				In accordance with Section 2110.006, the department evaluates the committee
				annually. If the committee is not continued or consolidated, the committee
				shall be abolished on August 31, 2023.
(c) Purpose and tasks.
(1) The committee shall advise the department
				and the commission on the implementation of standards, guidelines, and
				requirements relating to the training and regulation of persons working as
				promotores or community health workers.
(2) The committee shall advise the department
				on matters related to the employment and funding of promotores or community
				health workers.
(3) The committee
				shall provide to the department recommendations for a sustainable Program for
				promotores or community health workers.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.4 - Certification of Training Programs

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Minimum eligibility requirements for training programs. The following
				requirements apply to organizations applying for certification:
(1) physical location in Texas;
(2) experience in training promotores or
				community health workers, health care professionals, or paraprofessionals and
				training experience within the past two years and related to the core
				competencies; and
(3) affiliation
				with one or more instructors currently certified by the department.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.5 - Eligibility Requirements and Application Procedures for Community Health Worker Instructors

Current through Reg. 49, No. 28; July 12, 2024
(a) Minimum
				eligibility requirements for instructor certification. The following
				requirements apply to persons applying for certification:
(1) Texas residency;
(2) at least 18 years of age;
(3) lack of physical or mental impairment,
				which in accordance with the Americans with Disabilities Act interferes with
				the performance of duties or otherwise constitutes a hazard to the health or
				safety of the persons being served; and
(4) achievement of core competencies in
				instruction or training as identified in policy through completion of certified
				competency-based instructor training within the past three years or through
				department verification of at least 1,000 hours related training experience
				within the past three years.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.6 - Eligibility Requirements and Application Procedures for Promotores or Community Health Workers

Current through Reg. 49, No. 28; July 12, 2024
(a) Minimum
				eligibility requirements for promotor(a) or community health worker
				certification. The following requirements apply to persons applying for
				certification:
(1) Texas residency;
(2) at least 16 years of age;
(3) lack of physical or mental
				impairment, which in accordance with the Americans with Disabilities Act
				interferes with the performance of duties or otherwise constitutes a hazard to
				the health or safety of the persons being served; and
(4) achievement of core competencies
				identified in policy through completion of a certified competency-based
				training provided by an approved training program within the past three years
				or through verification of at least 1,000 hours of related experience within
				the past three years.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 146 - TRAINING AND CERTIFICATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS › Section 146.8 - Enforcement

Current through Reg. 49, No. 28; July 12, 2024
(a) The department
				may disapprove, suspend, or revoke a certification if the applicant or
				certification holder:
(1) has a criminal
				conviction that relates to the duties and responsibilities of a training
				program, instructor, or promotor(a) or community health worker, based on:
(A) the nature and seriousness of the crime;
(B) the length of time since the
				crime occurred;
(C) how the
				certification may have facilitated the crime; and
(D) the extent to which certification could
				create an opportunity to engage in further criminal activity of a similar
				nature;
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter A - EMERGENCY MEDICAL SERVICES - PART A › Section 157.1 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose of
				  this chapter is to implement the Emergency Medical Services Act, Health and
				  Safety Code, Chapter 773.
(b) This
				  chapter will provide minimum requirements for an emergency medical services
				  (EMS) provider license; authorization of EMS vehicles; emergency suspension,
				  reprimand, suspension, probation, revocation, or denial of an EMS provider
				  license; first responder organizations; EMS personnel certification and
				  licensure; interstate reciprocity for EMS certification; EMS personnel
				  recertification or relicensure; continuing education requirements; course
				  coordinator and program instructor certification; disciplinary action for EMS
				  personnel, course coordinators and program instructors; EMS training courses
				  and course approval; Emergency Medical Information Operator training,
				  instructor training, course approval and certification; certification or
				  licensure of persons with criminal backgrounds; Out-of-Hospital
				  Do-Not-Resuscitate orders; automated external defibrillators; requests for
				  emergency care attendant training; fees; the establishment of trauma service
				  areas; the establishment of regional EMS/trauma systems; requirements for
				  trauma facility designation; and disciplinary actions for designated trauma
				  facilities.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter A - EMERGENCY MEDICAL SERVICES - PART A › Section 157.3 - Processing EMS Provider Licenses and Applications for EMS Personnel Certification and Licensure

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The
				  purpose of this section is to set out the time periods by which the Texas
				  Department of State Health Services (department) reviews applications for
				  completeness and processes applications to make an eligibility determination of
				  applicants for various Emergency Medical Services (EMS) certifications,
				  licenses and approvals. This section does not apply to applications for trauma
				  facility designation, but does apply to applications for the following:
(1) EMS Provider License,
(2) First Responder Organization (FRO)
				  license;
(3) EMS Personnel
				  Certifications;
(4) Paramedic
				  Licenses;
(5) EMS Personnel
				  Certification or Paramedic License via Reciprocity;
(6) EMS Personnel Certification or Paramedic
				  License via Upgrade;
(7) EMS Course
				  Coordinator certification;
(8) EMS
				  Instructor Certification;
(9) EMS
				  Information Operator Certification;
(10) Comprehensive Clinical Management
				  Program (CCMP) Approval;
(11) EMS
				  Education Program Approval;
(12)
				  EMS Course Approval;
(13) EMS
				  Continuing Education Provider Approval;
(14) EMS Information Operator Instructor
				  Certification;
(15) EMS Information
				  Operator Training Program Approval, and
(16) EMS Information Operator Instructor
				  Training Program Approval.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter A - EMERGENCY MEDICAL SERVICES - PART A › Section 157.4 - Audits

Current through Reg. 49, No. 28; July 12, 2024
(a) The department
				  may randomly and for cause audit the records relating to licensing or
				  certification of individuals and/or entities which are currently certified or
				  licensed by the department or which have applied for certification or licensure
				  by the department.
(b) The
				  department may automatically audit certified or licensed EMS personnel or
				  entities shown to be non-compliant in an immediately preceding audit.
(c) Failure to notify the department of a
				  current mailing address shall not absolve the certificant, licensee or entity
				  from audit requirements.
(d) Within
				  20 business days following notification of audit, certified or licensed EMS
				  personnel or licensed entities shall submit documentation as specified by the
				  department to verify compliance with any requirement set forth in Chapter 773
				  of the Texas Health and Safety Code or of the rules in this title.
(e) Falsification of documentation shall be
				  cause for reprimand, probation, suspension, or revocation of a certificate,
				  license, provider license or EMS program/course approval in accordance with
				  §
										157.16
				  of this title (relating to Emergency Suspension, Suspension, Probation,
				  Revocation or Denial of a Provider License); and/or §
										157.32
				  of this title (relating to Emergency Medical Services Education Program and
				  Course Approval); and/or §
										157.34
				  of this title (relating to Recertification); and/or §
										157.36
				  of this title (relating to Criteria for Denial and Disciplinary Actions for EMS
				  Personnel and Voluntary Surrender of a Certificate or License); and/or §
										157.38 of
				  this title (relating to Continuing Education); and/or §
										157.43
				  of this title (relating to Course Coordinator Certification); and/or §
										157.44
				  of this title (relating to Emergency Medical Service Instructor
				  Certification).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter A - EMERGENCY MEDICAL SERVICES - PART A › Section 157.5 - Rule Exemption Requests

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  EMS personnel and applicants for EMS certification or licensure may request an
				  exemption to rules of this chapter by:
(1)
				  submitting an exemption request application form with a nonrefundable fee of
				  $30, if applicable, in addition to any other applicable applications and fees
				  required by this chapter;
(2)
				  providing a letter of explanation and other documented evidence which
				  establishes that patient care will not be diminished, or the health and safety
				  of the public affected, if the exemption is approved;
(3) providing a signed and dated written
				  statement of support from the medical director of the licensed emergency
				  medical services (EMS) provider or registered first responder organization with
				  whom the applicant is affiliated or will be affiliated; and
(4) providing a written plan under which the
				  applicable requirement will be met as soon as possible.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter B - EMERGENCY MEDICAL SERVICES PROVIDER LICENSES › Section 157.14 - Requirements for a First Responder Organization License

Current through Reg. 49, No. 28; July 12, 2024
(a) A First Responder Organization (FRO) is a
				  group or association of certified emergency medical services personnel that
				  works in cooperation with a licensed emergency medical services provider to:
(1) routinely respond to medical emergency
				  situations;
(2) utilize personnel
				  who are emergency medical services (EMS) certified by the Texas Department of
				  State Health Services (department); and
(3) provide on-scene patient care to the ill
				  and injured and does not transport patients.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter B - EMERGENCY MEDICAL SERVICES PROVIDER LICENSES › Section 157.16 - Emergency Suspension, Suspension, Probation, Revocation, Denial of a Provider License or Administrative Penalties

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Emergency Suspension. The Texas Department of State Health Services
				  (department), may issue an emergency suspension order to any licensed emergency
				  medical services (EMS) provider if the department has reasonable cause to
				  believe that the conduct of any licensed provider creates an imminent danger to
				  public health or safety.
(1) An emergency
				  suspension issued by the department is effective immediately without a hearing
				  or notice to the license holder. Notice to the license holder shall be presumed
				  established on the date that a copy of the signed emergency suspension order is
				  sent to the individual listed as the administrator of record at the address
				  shown in the current records of the department.
(2) A copy of the emergency suspension order
				  shall be sent to the provider's listed medical director, to the EMS provider,
				  and to all government entities, institutions or facilities with which the
				  license holder is known to be associated to the addresses shown in the current
				  records of the department.
(3)If a
				  written request for a hearing is received from the suspended license holder,
				  the department shall conduct a hearing not earlier than the 10th day nor later
				  than the thirtieth day after the date on which a hearing request is received to
				  determine if the emergency suspension is to be continued, modified or
				  rescinded. The hearing and appeal from any disciplinary action related to the
				  hearing shall be governed by the Administrative Procedure Act, Government Code,
				  Chapter 2001.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter B - EMERGENCY MEDICAL SERVICES PROVIDER LICENSES › Section 157.25 - Out-of-Hospital Do Not Resuscitate (OOH-DNR) Order

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The purpose of this section
				  shall be to establish a statewide OOH-DNR protocol as required in the Health
				  and Safety Code, Title 2, Chapter 166.
(b) Out-of-Hospital DNR order. An OOH-DNR
				  order may be issued by an attending physician for any patient. That attending
				  physician has responsibility for ensuring that the form is filled out in its
				  entirety and that the information regarding the existence of an OOH-DNR order
				  is entered into the patient's medical record.
(c) Protocol development. An OOH-DNR protocol
				  in accordance with this section, shall apply to all out-of-hospital settings
				  including cardiac arrests which occur during interfacility transport. The
				  protocol shall include the following:
(1) a
				  copy of the Department of State Health Services (department) standardized
				  OOH-DNR order form listing the designated treatments that shall be withdrawn or
				  withheld. Those treatments shall be:
(A)
				  cardiopulmonary resuscitation;
(B)
				  advanced airway management;
(C)
				  artificial ventilation;
(D)
				  defibrillation; and
(E)
				  transcutaneous cardiac pacing.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter C - EMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL › Section 157.32 - Emergency Medical Services Education Program and Course Approval

Current through Reg. 49, No. 28; July 12, 2024
(a) Emergency
				  medical services (EMS) Education Program Standards. An EMS Education Program
				  shall meet national education training standards that address at least the
				  following areas:
(1) program
				  sponsorship;
(2) program direction
				  and administration;
(3) medical
				  direction;
(4) instructor
				  personnel;
(5) financial
				  resources;
(6) physical resources,
				  including classroom and laboratory facilities, equipment and supplies, and
				  learning resources;
(7) clinical
				  and field internship resources;
(8)
				  academic and administrative policies, procedures and records
				  requirements;
(9) program
				  evaluation;
(10) curriculum;
				  and
(11) delivery of instruction by
				  distance learning technology.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter C - EMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL › Section 157.33 - Certification

Current through Reg. 49, No. 28; July 12, 2024
(a) Certification
				  requirements. A candidate for emergency medical services (EMS) certification
				  shall:
(1) be at least 18 years of
				  age;
(2) have a high school diploma
				  or GED certificate:
(A) the high school
				  diploma must be from a school accredited by the Texas Education Agency (TEA) or
				  a corresponding agency from another state. Candidates who received a high
				  school education in another country must have their transcript evaluated by a
				  foreign credentials evaluation service that attests to its equivalency. A home
				  school diploma is acceptable;
(B)
				  an emergency care attendant (ECA) who provides emergency medical care
				  exclusively as a volunteer for a licensed provider or registered FRO is exempt
				  from paragraph (2) of this subsection.
(3) have successfully completed a Department
				  of State Health Services (department)-approved course; and
(4) The candidate has completed a state
				  approved jurisprudence examination to determine the knowledge on state EMS
				  laws, rules, and policies.
(5)
				  submit an application, meeting the requirements in §
											157.3
				  of this title (relating to Processing EMS Provider Licenses and Applications
				  for EMS Personnel Certification and Licensing), and the following nonrefundable
				  fees as applicable:
(A) $60 for emergency
				  care attendant (ECA) or emergency medical technician (EMT);
(B) $90 for AEMT or EMT-paramedic (EMT-P);
				  and
(C) EMS volunteer--no fee.
				  However, if such an individual receives compensation during the certification
				  period, the exemption ceases and the individual shall pay a prorated fee to the
				  department based on the number of years remaining in the certification period
				  when employment begins. The nonrefundable fee for ECA or EMT certification
				  shall be $15 per each year remaining in the certification. The nonrefundable
				  fee for AEMT or EMT-P shall be $22.50 per each year remaining in the
				  certification. Any portion of a year will count as a full year;
(6) provide evidence of current
				  active or inactive National Registry certification at the appropriate level.
				  National Registry First Responder certification is considered the appropriate
				  corresponding certification level for an ECA; and
(7) submit fingerprints through the state
				  approved fingerprinting service to undergo an FBI fingerprint criminal history
				  check.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter C - EMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL › Section 157.36 - Criteria for Denial and Disciplinary Actions for EMS Personnel and Applicants and Voluntary Surrender of a Certificate or License

Current through Reg. 49, No. 28; July 12, 2024
(a) Emergency
				  Suspension. The commissioner or his/her designee shall issue an emergency
				  suspension order to any emergency medical services (EMS) certificant or
				  licensee if the commissioner or his/her designee has reasonable cause to
				  believe that the conduct of any certificant or licensee creates an imminent
				  danger to public health or safety.
(1) An
				  emergency suspension issued by the commissioner or designee shall be effective
				  immediately without a hearing on notice to the certificant or licensee. Notice
				  to the certificant or licensee shall be established on the date that a copy of
				  the signed emergency suspension order is sent to the address shown in the
				  current records of the department.
(2) A copy of the emergency suspension order
				  shall be sent to any licensed EMS provider, first responder organization,
				  medical director, institution or facility with which the certificant or
				  licensee is known to be associated, at the address shown in the current records
				  of the department.
(3) If a written
				  request for a hearing is received from the suspended individual within 15 days
				  of the date of suspension, the department shall conduct a hearing not later
				  than the thirtieth day after the date on which a hearing request is received to
				  determine if the emergency suspension is to be continued, modified or
				  rescinded. The hearing and appeal from any disciplinary action related to the
				  hearing shall be governed by the Administrative Procedure Act, Government Code,
				  Chapter 2001.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter C - EMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL › Section 157.37 - Certification or Licensure of Persons With Criminal Backgrounds

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. This
				  section lists guidelines and criteria for establishing the eligibility of
				  persons with criminal backgrounds for certification or continued certification
				  as emergency medical services (EMS) personnel or licensure or continued
				  licensure as paramedics. The Department of State Health Services (department)
				  will apply the requirements of the Health and Safety Code, Chapter 773,
				  Subchapter C, and will consider and review the criteria listed in the Health
				  and Safety Code, Chapter 773, Subchapter C, §§773.0615, 773.0616, and
				  773.0617, to determine a person's EMS certification eligibility before
				  enrollment in an EMS education and training course, or to determine whether to
				  deny, suspend or revoke an EMS certification or paramedic license based upon
				  the person's criminal history.
(b)
				  Department Access to Criminal History Record Information.
(1) The department is entitled to obtain
				  criminal history information maintained by the Department of Public Safety, the
				  Federal Bureau of Investigation Identification Division, or any other law
				  enforcement agency to investigate and determine the EMS certification
				  eligibility of a person who has filed a petition for a pre-enrollment criminal
				  history prescreening or an initial application for EMS certification or a
				  reciprocity application for EMS certification or paramedic licensure or the
				  continued certification/licensure eligibility of a certificant or licensed
				  paramedic.
(2) A person who has
				  filed a petition for a pre-enrollment criminal history prescreening or an
				  initial application for EMS certification or a reciprocity application for EMS
				  certification or licensure or an EMS certificant or licensed paramedic who has
				  disclosed a criminal history record or who has a known criminal history record
				  shall timely submit a complete set of his or her fingerprints along with the
				  appropriate processing fee to the Texas Department of Public Safety (DPS), as
				  required under the Government Code, §
											411.087
				  and/or §411.110.
(3) With
				  respect to a prescreening petitioner or an applicant for EMS certification or
				  licensure who has a criminal history record, the department is authorized to
				  close a petition or application file and deem that the petition or application
				  is withdrawn when the petitioner or applicant has failed to respond to the
				  department's request(s) for information during its prescreening or
				  investigation within 60 days of said request(s).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter C - EMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL › Section 157.40 - Paramedic Licensure

Current through Reg. 49, No. 28; July 12, 2024
(a) Requirements
				  for paramedic licensure.
(1) A currently
				  certified paramedic may apply for a paramedic license if the candidate has at
				  least one of the following degrees from an institution of post secondary
				  education which has been accredited by an agency recognized by the U.S.
				  Department of Education as an approved accrediting authority:
(A) an associate degree in emergency medical
				  services (EMS);
(B) a baccalaureate
				  degree; or
(C) a postgraduate
				  degree.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter D - EMERGENCY MEDICAL SERVICES PERSONNEL CERTIFICATION › Section 157.43 - Course Coordinator Certification

Current through Reg. 49, No. 28; July 12, 2024
(a) General.
(1) A course coordinator is an individual who
				  has the overall responsibility for conducting an emergency medical services
				  (EMS) training course under the direction of an approved EMS training program
				  (program).
(2) A course coordinator
				  must be certified as at least an emergency medical technician (EMT), and must
				  be certified or licensed at or above the level of the course being
				  coordinated.
(3) Course coordinator
				  certification is dependent on the individual's EMS personnel certification and
				  is subject to the same status as that personnel certification. If the
				  department imposes disciplinary action in accordance with §
											157.16
				  of this title (relating to Emergency Suspension, Suspension, Probation,
				  Revocation or Denial of a Provider License) or §
											157.36
				  of this title (relating to Criteria for Denial and Disciplinary Actions for EMS
				  Personnel and Voluntary Surrender of a Certificate or License), the action
				  shall also be imposed automatically and immediately on the individual's course
				  coordinator certification.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter D - EMERGENCY MEDICAL SERVICES PERSONNEL CERTIFICATION › Section 157.44 - Emergency Medical Service Instructor Certification

Current through Reg. 49, No. 28; July 12, 2024
(a) General.
(1) A certified emergency medical service
				  (EMS) instructor is an individual who has received training approved by the
				  Texas Department of State Health Services (department) to conduct the classroom
				  or laboratory portion of an EMS training course.
(2) An instructor must be currently certified
				  at the emergency medical technician (EMT) level or higher and may not instruct
				  knowledge or skills above the current level of personnel
				  certification.
(3) Instructor
				  certification is dependent on the individual's EMS personnel certification and
				  is subject to the same status as that personnel certification. If the
				  department imposes disciplinary action in accordance with §
											157.16
				  of this title (relating to Emergency Suspension, Suspension, Probation,
				  Revocation or Denial of a Provider License) or §
											157.36
				  of this title (relating to Criteria for Denial and Disciplinary Actions for EMS
				  Personnel and Voluntary Surrender of a Certificate or License), the action
				  shall also be imposed automatically and immediately on the individual's
				  instructor certification.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter D - EMERGENCY MEDICAL SERVICES PERSONNEL CERTIFICATION › Section 157.49 - Emergency Medical Services Operator and Operator Instructor Training and Certification

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose.
				  The purpose of this section is to establish standards and requirements related
				  to protocols for delivery of emergency medical information to members of the
				  public during medical emergencies; certification of emergency medical services
				  (EMS) information operators; approval of training programs for EMS information
				  operators; certification of EMS information operator instructors; and approval
				  of EMS information operator instructor training programs.
(b) Provision of medical information.
(1) An EMS information operator may provide
				  medical information to a member of the public during an emergency call if the
				  information operator has successfully completed an EMS information operator
				  training program approved by the Texas Department of State Health Services
				  (department) and holds a certificate issued under the provisions of this
				  section or holds equivalent credentials recognized by the department;
				  and
(2) An EMS information operator
				  may provide medical information to a member of the public during an emergency
				  call if the information provided conforms to the protocol and medical direction
				  for delivery of the information adopted by the department under the provisions
				  of subsection (c) of this section.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter G - EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS › Section 157.122 - Trauma Service Areas

Current through Reg. 49, No. 28; July 12, 2024
(a) Trauma
				  service areas (TSAs) are established for effective coordination, oversight,
				  system development and enhancements, and delivery of trauma, stroke, perinatal,
				  acute care, disaster response, and emergency medical services (EMS) in
				  geographical regions consistent with national standards.
(b) Texas is geographically divided into
				  defined TSAs. Each TSA shall:
(1) contain no
				  fewer than three Texas counties;
(2) use county borders to geographically
				  define the TSA boundaries; and
(3)
				  have at least one designated trauma facility within its boundaries that has or
				  exceeds the advanced Level III trauma facility designation requirements as
				  defined in §
											157.125
				  of this title (relating to Requirements for Trauma Facility
				  Designation).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter G - EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS › Section 157.123 - Regional Emergency Medical Services/Trauma Systems

Current through Reg. 49, No. 28; July 12, 2024
(a) The bureau of emergency management
				  (bureau) shall recognize the establishment of a regional emergency medical
				  services (EMS)/trauma system (system) within a trauma service area (TSA) as
				  described in §
										157.122 of
				  this title (relating to Trauma Service Areas).
(b) Establishment of a regional EMS/trauma
				  system consists of three phases.
(1) The
				  first phase begins with the establishment of a regional advisory council (RAC)
				  and ends with recognition of the RAC by the bureau.
(A) All health care entities who care for
				  trauma patients should be offered membership on the RAC. RACs shall:
(i) be operated in a manner that maximizes
				  inclusion of their constituents and ensures membership approval of
				  "participation requirements";
(ii)
				  have documented evidence that participation guidelines have been discussed and
				  affirmed by vote of the entire RAC voting membership;
(iii) have clear definitions of participation
				  guidelines in the organization's by-laws and/or other official RAC
				  files;
(iv) have documentation that
				  participation guidelines have been communicated to EMS providers and hospitals,
				  regardless of past participation history;
(v) have documented attendance
				  records;
(vi) have consistency in
				  the annual participation reporting period;
(vii) send participation "progress reports"
				  to EMS providers and hospitals at some period during the reporting
				  year;
(viii) send participation
				  requirements "non-compliancy" letters to appropriate EMS providers and
				  hospitals at end of reporting year;
(ix) be cognizant of the direct and indirect
				  fiscal roles they play on behalf of their members; and
(x) be particularly cognizant of the
				  logistical challenges faced by rural and volunteer agencies and open to
				  considering viable alternatives to members' physical presence at all
				  meetings.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter G - EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS › Section 157.125 - Requirements for Trauma Facility Designation

Current through Reg. 49, No. 28; July 12, 2024
(a) The Office of Emergency Medical Services
				  (EMS)/Trauma Systems Coordination (office) shall recommend to the Commissioner
				  of the Department of State Health Services (commissioner) the designation of an
				  applicant/healthcare facility (facility) as a trauma facility at the level(s)
				  for each location of a facility the office deems appropriate.
(1) Comprehensive (Level I) trauma facility
				  designation--The facility, including a free-standing children's facility, meets
				  the current American College of Surgeons (ACS) essential criteria for a
				  verified Level I trauma center; meets the "Advanced Trauma Facility Criteria"
				  in subsection (x) of this section; actively participates on the appropriate
				  Regional Advisory Council (RAC); has appropriate services for dealing with
				  stressful events available to emergency/trauma care providers; and submits data
				  to the Texas EMS/Trauma Registry.
(2) Major (Level II) trauma facility
				  designation--The facility, including a free-standing children's facility, meets
				  the current ACS essential criteria for a verified Level II trauma center; meets
				  the "Advanced Trauma Facility Criteria" in subsection (x) of this section;
				  actively participates on the appropriate RAC; has appropriate services for
				  dealing with stressful events available to emergency/trauma care providers; and
				  submits data to the Texas EMS/Trauma Registry.
(3) Advanced (Level III) trauma facility
				  designation--The facility meets the "Advanced Trauma Facility Criteria" in
				  subsection (x) of this section; actively participates on the appropriate RAC;
				  has appropriate services for dealing with stressful events available to
				  emergency/trauma care providers; and submits data to the Texas EMS/Trauma
				  Registry. A free-standing children's facility, in addition to meeting the
				  requirements listed in this section, must meet the current ACS essential
				  criteria for a verified Level III trauma center.
(4) Basic (Level IV) trauma facility
				  designation--The facility meets the "Basic Trauma Facility Criteria" in
				  subsection (y) of this section; actively participates on the appropriate RAC;
				  has appropriate services for dealing with stressful events available to
				  emergency/trauma care providers; and submits data to the Texas EMS/Trauma
				  Registry.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter G - EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS › Section 157.128 - Denial, Suspension, and Revocation of Trauma Facility Designation

Current through Reg. 49, No. 28; July 12, 2024
(a) An
				  applicant/healthcare facility's application for designation may be denied or a
				  healthcare facility's trauma designation may be suspended or revoked for, but
				  not limited to, the following reasons:
(1)
				  failure to comply with the statute and these sections;
(2) willful preparation or filing of false
				  reports or records;
(3) fraud or
				  deceit in obtaining or attempting to obtain designation status;
(4) failure to submit data to the Texas
				  EMS/Trauma Registry;
(5) failure to
				  maintain required licenses, designations, and accreditations or when
				  disciplinary action has been taken against the healthcare facility by a
				  licensing agency;
(6) failure to
				  have appropriate staff or equipment required for designation as described in
				  §
											157.125
				  of this title (relating to Requirements for Trauma Facility
				  Designation);
(7) abuse or
				  abandonment of a patient;
(8)
				  unauthorized disclosure of medical or other confidential information;
(9) alteration or inappropriate destruction
				  of medical records;
(10) refusal to
				  render care because of a patient's race, sex, creed, national origin, sexual
				  preference, age, handicap, medical problem, or inability to pay; or
(11) criminal conviction(s) as described in
				  the Occupations Code, Chapter 53, Subchapter B.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 157 - EMERGENCY MEDICAL CARE › Subchapter G - EMERGENCY MEDICAL SERVICES TRAUMA SYSTEMS › Section 157.133 - Requirements for Stroke Facility Designation

Current through Reg. 49, No. 28; July 12, 2024
(a) The department ensures that stroke
				  facility designation promotes the goal, objective, and purpose of the stroke
				  system.
(1) The goal of the stroke system is
				  to reduce the morbidity and mortality of the stroke victim, subsequently
				  referred to as a stroke patient.
(2) The objective of the stroke system is to
				  improve the overall care of stroke patients by rapidly recognizing the signs of
				  a stroke and transporting the potential stroke patient to the appropriate level
				  of stroke facility, in the appropriate time, with the appropriate level of
				  resources.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 169 - ZOONOSIS CONTROL › Subchapter A - RABIES CONTROL AND ERADICATION › Section 169.21 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to protect public health
					 by establishing standardized rules for the control and eradication of rabies in
					 the State of Texas, in accordance with the Texas Health and Safety Code,
					 Chapter 826.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 169 - ZOONOSIS CONTROL › Subchapter A - RABIES CONTROL AND ERADICATION › Section 169.22 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
					 shall have the following meanings, unless the context clearly indicates
					 otherwise. Unless defined in this section, all words have definitions as
					 provided in the Texas Health and Safety Code, §
										826.002.
(1) Animal--Any mammal, domesticated or
				  wild.
(2) Assistance animal--An
				  animal that is specially trained or equipped to help a person with a disability
				  and that:
(A) is used by a person with a
				  disability who has satisfactorily completed a specific course of training in
				  the use of the animal; and
(B) has
				  been trained by an organization generally recognized by agencies involved in
				  the rehabilitation of persons with disabilities as reputable and competent to
				  provide animals with training of this type.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 169 - ZOONOSIS CONTROL › Subchapter A - RABIES CONTROL AND ERADICATION › Section 169.23 - Information Relating to the Control of Rabies

Current through Reg. 49, No. 28; July 12, 2024
The department's Zoonosis Control Branch will assume the
					 responsibility of collecting, analyzing, and preparing monthly and annual
					 summaries of rabies activity in the state. These reports will be forwarded to
					 national, state, and municipal agencies as requested, and selected statistics
					 will be sent to veterinary medical and animal control organizations throughout
					 the state.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 169 - ZOONOSIS CONTROL › Subchapter A - RABIES CONTROL AND ERADICATION › Section 169.24 - Preexposure Rabies Vaccination

Current through Reg. 49, No. 28; July 12, 2024
Preexposure rabies vaccinations should be administered to
					 individuals whose activities place them at a significant risk of exposure to
					 rabies, in accordance with the recommendations of the Centers for Disease
					 Control and Prevention (CDC) Advisory Committee on Immunization Practices
					 (ACIP).