reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter C - EPINEPHRINE AUTO-INJECTOR POLICIES IN YOUTH FACILITIES › Section 40.28 - Immunity from Liability

Current through Reg. 49, No. 28; July 12, 2024
A person who in good faith takes, or fails to take, any
					 action under this subchapter or Texas Health and Safety Code, Chapter 773,
					 Subchapter A, is immune from civil or criminal liability or disciplinary action
					 resulting from that action or failure to act in accordance with the Texas
					 Health and Safety Code, §
										773.0145.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.41 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish minimum
					 standards for administering, maintaining, and disposing of unassigned asthma
					 medication for school districts, open-enrollment charter schools, and private
					 schools that voluntarily adopt unassigned asthma medication policies. These
					 standards are implemented under Texas Education Code Chapter 38 Subchapter
					 E.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.42 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following terms and phrases, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise:
(1) Authorized healthcare
				  provider--A physician, as defined in Texas Education Code, §
										38.201, or person who
				  has been delegated prescriptive authority by a physician under Texas
				  Occupations Code Chapter 157.
(2)
				  Campus--A geographic unit of a school district, open-enrollment charter school,
				  or private school that:
(A) has an assigned
				  administrator;
(B) has enrolled
				  students who are counted for average daily attendance;
(C) has assigned instructional
				  staff;
(D) provides instructional
				  services to students;
(E) has one
				  or more grades in the range from early childhood education through grade 12 or
				  is ungraded; and
(F) is subject to
				  Texas laws.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.43 - Applicability

Current through Reg. 49, No. 28; July 12, 2024
This subchapter applies to any school district,
					 open-enrollment charter school, or private school that voluntarily adopts and
					 implements a written policy regarding the maintenance, administration, and
					 disposal of unassigned asthma medication on each campus.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.44 - Voluntary Unassigned Asthma Medication Policies

Current through Reg. 49, No. 28; July 12, 2024
(a) A school district, open-enrollment
				  charter school, or private school may voluntarily adopt and implement a written
				  policy regarding the maintenance, administration, and disposal of asthma
				  medication at each campus.
(1) If a written
				  policy is adopted under this subchapter, the unassigned asthma medication
				  policy must comply with Texas Education Code §
											38.208.
(2) Subject to the availability of funding, a
				  school district, open-enrollment charter school, or private school that adopts
				  such a policy must secure or obtain the suggested minimum dosage of unassigned
				  asthma medication.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.45 - Prescription, Administration, and Disposal of Unassigned Asthma Medications

Current through Reg. 49, No. 28; July 12, 2024
(a) Once a school
				  district, open-enrollment charter school, or private school voluntarily adopts
				  an unassigned asthma medication policy, a campus that implements an unassigned
				  asthma medication policy must stock unassigned asthma medication, subject to
				  available funding, as defined by § 40.44 of this subchapter (relating to
				  Voluntary Unassigned Asthma Medication Policies).
(b) A campus must obtain a prescription from
				  an authorized healthcare provider each year to stock, possess, and maintain at
				  least two doses of unassigned asthma medication on each campus as described in
				  Texas Education Code §
										38.208 and any
				  equipment necessary to administer the medication.
(1) The campus must renew this prescription
				  or obtain a new prescription annually.
(2) The number of additional doses may be
				  determined by an individual campus review led by an authorized healthcare
				  provider.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.46 - Training

Current through Reg. 49, No. 28; July 12, 2024
(a) A school
				  district, open-enrollment charter school, or private school that chooses to
				  adopt a written unassigned asthma medication policy, or a campus that is
				  subject to this subchapter, is responsible for training school nurses about:
(1) the adopted unassigned asthma medication
				  policy;
(2) the authorized
				  healthcare provider's standing order;
(3) follow-up with the prescribing authorized
				  healthcare provider and the student's primary healthcare provider;
				  and
(4) the report required after
				  administering an unassigned asthma medication under § 40.47 of this
				  subchapter (relating to Report on Administering Unassigned Asthma
				  Medication).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.47 - Report on Administering Unassigned Asthma Medication

Current through Reg. 49, No. 28; July 12, 2024
(a) Records relating to implementing and
				  administering the school district, open-enrollment charter school, or private
				  school's unassigned asthma medication policy must be retained per the campus
				  record retention schedule.
(b) The
				  campus must submit a report no later than the 10th business day after the date
				  a school nurse administers asthma medication in accordance with the unassigned
				  asthma medication policy adopted under this subchapter. The report must be
				  included in the student's permanent record and submitted to the school
				  administrator, prescribing authorized healthcare provider, the student's
				  primary healthcare provider, and to the Department of State Health Services
				  (DSHS) Commissioner.
(c)
				  Notifications to the DSHS Commissioner must be submitted on the designated
				  electronic form available on DSHS's School Health Program website found at
				  dshs.texas.gov.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.48 - Notice to Parents Regarding Unassigned Asthma Medication Policies in Schools

Current through Reg. 49, No. 28; July 12, 2024
(a) If a school
				  district, open-enrollment charter school, or private school implements an
				  unassigned asthma medication policy under this subchapter, the campus shall
				  provide written or electronic notice to a parent or guardian of each student in
				  accordance with Texas Education Code §
										38.212.
(b) If a school district, open-enrollment
				  charter school, or private school changes or discontinues the unassigned asthma
				  medication policy under this subchapter, written or electronic notice detailing
				  the change or discontinuation must be provided to a parent or guardian of each
				  student within 15 calendar days after the change or discontinuation.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter D - MAINTENANCE AND ADMINISTRATION OF ASTHMA MEDICATION › Section 40.49 - Immunity from Liability

Current through Reg. 49, No. 28; July 12, 2024
A person who in good faith takes or fails to take any
					 action under this subchapter, or Texas Education Code Chapter 38 Subchapter E,
					 is immune from civil or criminal liability or disciplinary action resulting
					 from that action or failure to act in accordance with Texas Education Code
					 §
										38.215(a).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.61 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish minimum
					 standards for administering, maintaining, and disposing of epinephrine
					 auto-injectors in school districts, open-enrollment charter schools, and
					 private schools adopting unassigned epinephrine auto-injector policies. These
					 standards are implemented under Texas Education Code Chapter 38, Subchapter
					 E.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.62 - Voluntary Unassigned Epinephrine Auto-Injector Policies for School Districts, Open-enrollment Charter Schools, and Private Schools

Current through Reg. 49, No. 28; July 12, 2024
(a) A school
				  district, open-enrollment charter school, or private school may adopt and
				  implement a written policy regarding the maintenance, administration, and
				  disposal of unassigned epinephrine auto-injectors at each school
				  campus.
(b) If a written policy is
				  adopted under this subchapter, the policy must comply with Texas Education Code
				  §
										38.208 and this
				  subchapter.
(c) A school district
				  or open-enrollment charter school that chooses to adopt and implement a written
				  unassigned epinephrine auto-injector policy under Texas Education Code Chapter
				  38, Subchapter E, and this subchapter, is not required to create an additional
				  policy for care of certain students at risk for anaphylaxis under Texas
				  Education Code §
										38.0151.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.63 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following terms and phrases, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise:
(1) All hours the
				  campus is open--At a minimum, during regular on-campus school hours, and when
				  school personnel are physically on site for school-sponsored
				  activities.
(2) Anaphylaxis--As
				  defined in Texas Education Code §
										38.201.
(3) Authorized healthcare provider--A
				  physician or person who has been delegated prescriptive authority under Texas
				  Occupations Code Chapter 157.
(4)
				  Campus--A unit of a school district, open-enrollment charter school, or private
				  school with an assigned administrator, has enrolled students who are counted
				  for average daily attendance, has assigned instructional staff, provides
				  instructional services to students, has one or more grades in the range from
				  early childhood education through grade 12 or is ungraded, and complies with
				  relevant Texas laws.
(5)
				  Open-enrollment charter school--As defined in Texas Education Code §
										38.151.
(6) Physician--As defined in Texas Education
				  Code §
										38.201.
(7) Private school--As defined in Texas
				  Education Code §
										38.201.
(8) School nurse--As defined in 19 Texas
				  Administrative Code §
										153.1022.
(9) School personnel--As defined in Texas
				  Education Code §
										38.201.
(10) School volunteer--As defined in Texas
				  Education Code §
										22.053.
(11) Unassigned epinephrine auto-injector--An
				  epinephrine auto-injector prescribed by an authorized healthcare provider in
				  the name of the school issued with a non-patient-specific standing delegation
				  order for the administration of an epinephrine auto-injector, issued by a
				  physician or person who has been delegated prescriptive authority under Texas
				  Occupations Code Chapter 157.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.64 - Applicability

Current through Reg. 49, No. 28; July 12, 2024
This subchapter applies to any school district,
					 open-enrollment charter school, or private school voluntarily choosing to adopt
					 and implement a written policy regarding the maintenance, administration, and
					 disposal of unassigned epinephrine auto-injectors on each school
					 campus.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.65 - Maintenance, Administration, and Disposal of Unassigned Epinephrine Auto-Injectors

Current through Reg. 49, No. 28; July 12, 2024
(a) A school
				  district, open-enrollment charter school, or private school shall obtain a
				  prescription from an authorized healthcare provider each year, to stock,
				  possess, and maintain at least one unassigned adult epinephrine auto-injector
				  pack (two doses) on each school campus as described in Texas Education Code
				  §
										38.211.
(1) A school may choose to stock unassigned
				  pediatric epinephrine auto-injector packs, based on the need of the school's
				  population.
(2) A school district
				  or the governing body of an open-enrollment charter school or private school
				  may develop, as part of the policy, provisions for additional doses to be
				  stocked and utilized at off campus school events, or in transit to or from
				  school events.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.66 - Assignment and Recruitment of School Personnel and School Volunteers to be Trained to Administer Epinephrine Auto-Injectors

Current through Reg. 49, No. 28; July 12, 2024
(a) At each school
				  campus adopting an unassigned epinephrine auto-injector policy, the school
				  principal may:
(1) assign school personnel or
				  school volunteers to be trained to administer unassigned epinephrine
				  auto-injectors; or
(2) seek school
				  personnel or school volunteers who volunteer to be trained to administer
				  unassigned epinephrine auto-injectors.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.67 - Training

Current through Reg. 49, No. 28; July 12, 2024
Each school district, open-enrollment charter school, or
					 private school that adopts an unassigned epinephrine auto-injector written
					 policy under this subchapter is responsible for training school personnel and
					 school volunteers in the recognition of anaphylaxis signs and symptoms and
					 administration of an unassigned epinephrine auto-injector. Each assigned school
					 personnel or school volunteer shall receive initial training and an annual
					 refresher training. Training shall be consistent with the most recent Voluntary
					 Guidelines for Managing Food Allergies in Schools and Early Care and Education
					 Programs published by the federal Centers for Disease Control and
					 Prevention.
(1) Training may be
				  provided in a formal face-to-face training session or through an online
				  education course.
(2) Training
				  required under this subchapter must meet the requirements found in Texas
				  Education Code §
										38.210 and include
				  information on properly inspecting unassigned epinephrine auto-injectors for
				  usage and expiration.
(3) The
				  initial training must include hands-on training with an epinephrine
				  auto-injector trainer.
(4) The
				  annual refresher training must include a hands-on demonstration of
				  administration skills.
(5) The
				  training must also include information about promptly notifying local emergency
				  medical services.
(6) Each school
				  campus must maintain training records and make available upon request a list of
				  those school personnel or school volunteers trained and authorized to
				  administer the unassigned epinephrine auto-injector on the campus.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.68 - Report on Administering Epinephrine Auto-Injectors

Current through Reg. 49, No. 28; July 12, 2024
(a) A report must
				  be submitted by the school no later than the 10th business day after the date
				  school personnel or a school volunteer administers an epinephrine auto-injector
				  in accordance with the unassigned epinephrine auto-injector policy adopted
				  under this subchapter. The report shall be submitted to the individuals and
				  entities identified in Texas Education Code §
										38.209, including the
				  commissioner of the Department of State Health Services (DSHS).
(b) Notifications to the commissioner of DSHS
				  shall be submitted on the designated electronic form available on the DSHS
				  School Health Program website found at dshs.texas.gov.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.69 - Notice to Parents Regarding Unassigned Epinephrine Auto-Injector Policies in Schools

Current through Reg. 49, No. 28; July 12, 2024
(a) If a school
				  district, open-enrollment charter school, or private school implements an
				  unassigned epinephrine auto-injector policy under this subchapter, the district
				  or school shall provide written or electronic notice to a parent or guardian of
				  each student in accordance with Texas Education Code §
										38.212.
(b) If a school district, open-enrollment
				  charter school, or private school changes or discontinues the policy under this
				  subchapter, written or electronic notice detailing the change or
				  discontinuation must be provided to a parent or guardian of each student within
				  15 calendar days.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.70 - Gifts, Grants, and Donations

Current through Reg. 49, No. 28; July 12, 2024
A school district, open-enrollment charter school, or
					 private school may accept gifts, grants, donations, federal funds, and local
					 funds to implement the unassigned epinephrine auto-injector policy in
					 accordance with Texas Education Code §
										38.213.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter E - EPINEPHRINE AUTO-INJECTOR POLICIES IN SCHOOLS › Section 40.71 - Immunity from Liability

Current through Reg. 49, No. 28; July 12, 2024
A person who in good faith takes, or fails to take, any
					 action under this subchapter or Texas Education Code Chapter 38, Subchapter E
					 is immune from civil or criminal liability or disciplinary action resulting
					 from action or a failure to act in accordance with the Texas Education Code
					 §
										38.215.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.81 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish minimum
					 standards for administering, maintaining, and disposing of opioid antagonist
					 medication in school districts, open-enrollment charter schools, and private
					 schools adopting opioid antagonist medicine policies. These standards are
					 implemented under Texas Education Code Chapter 38, Subchapter
					 E-1.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.82 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following terms and phrases, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise:
(1) All hours the campus is
				  open--At a minimum, during regular on-campus school hours, and when school
				  personnel are physically on site for school-sponsored activities.
(2) Authorized healthcare provider--A
				  physician, as defined in Texas Education Code §
										38.201, or person who
				  has been delegated prescriptive authority by a physician under Texas
				  Occupations Code Chapter 157.
(3)
				  Campus--A unit of a school district, open-enrollment charter school, or private
				  school with an assigned administrator, has enrolled students who are counted
				  for average daily attendance, has assigned instructional staff, provides
				  instructional services to students, has one or more grades in the range from
				  early childhood education through grade 12 or is ungraded, and complies with
				  relevant Texas laws.
(4)
				  Open-enrollment charter school--As defined in Texas Education Code §
										38.151.
(5) Opioid antagonist--As defined in Texas
				  Health and Safety Code §
										483.101, any
				  drug that binds to opioid receptors and blocks or otherwise inhibits the
				  effects of opioids acting on those receptors.
(6) Opioid-related drug overdose--As defined
				  in Texas Health and Safety Code §
										483.101, a
				  condition, evidenced by symptoms of extreme physical illness, decreased level
				  of consciousness, constriction of the pupils, respiratory depression, or coma,
				  that a layperson would reasonably believe to be the result of the consumption
				  or use of an opioid.
(7) Private
				  school--As defined in Texas Education Code §
										38.201.
(8) School personnel--As defined in Texas
				  Education Code §
										38.201.
(9) School volunteer--As defined in Texas
				  Education Code §
										22.053.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.83 - Applicability

Current through Reg. 49, No. 28; July 12, 2024
This subchapter applies to any school district,
					 open-enrollment charter school, or private school adopting and implementing a
					 written policy regarding the maintenance, administration, and disposal of
					 opioid antagonist medication on a campus or campuses.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.84 - Required and Voluntary Opioid Antagonist Policies

Current through Reg. 49, No. 28; July 12, 2024
(a) Each school
				  district must adopt and implement a policy regarding the maintenance,
				  administration, and disposal of opioid antagonists at each campus in the
				  district serving students in grades 6 through 12 and may voluntarily adopt and
				  implement such a policy at each campus in the district, including campuses
				  serving students in a grade level below grade 6.
(b) An open-enrollment charter school or
				  private school may adopt and implement a policy regarding the maintenance,
				  administration, and disposal of opioid antagonists. If an open-enrollment
				  charter or private school adopts a policy under this subchapter, the opioid
				  antagonist policy must comply with the Texas Education Code §
										38.222. The policy may
				  apply:
(1) only at campuses of the school
				  serving students in grades 6 through 12; or
(2) at each campus of the school, including
				  campuses serving students in a grade level below grade 6.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.85 - Maintenance, Administration, and Disposal of Opioid Antagonist Medication

Current through Reg. 49, No. 28; July 12, 2024
(a) Once a school
				  district, open-enrollment charter school, or private school adopts an opioid
				  antagonist medication policy, a campus implementing an opioid policy must stock
				  opioid antagonist medication as defined by §
										40.84 of this subchapter (relating
				  to Required and Voluntary Opioid Antagonist Policies).
(b) A campus must obtain a prescription from
				  a physician or a person who has been delegated prescriptive authority to stock,
				  possess, and maintain the established number of doses of opioid antagonists as
				  determined by a school district, on each campus as described in Texas Education
				  Code §
										38.225.
(1) The campus must renew this prescription
				  or obtain a new prescription annually.
(2) The number of additional doses may be
				  determined by an individual campus review led by a physician or a person who
				  has been delegated prescriptive authority.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.86 - Training

Current through Reg. 49, No. 28; July 12, 2024
(a) Each school
				  district, open-enrollment charter school, and private school adopting a written
				  unassigned opioid antagonist policy under Texas Education Code §
										38.222, is responsible
				  for training school personnel and school volunteers in the administration of an
				  opioid antagonist.
(b) Training
				  under this subchapter must:
(1) include
				  information on:
(A) recognizing the signs and
				  symptoms of an opioid-related drug overdose;
(B) responding to an opioid-related drug
				  overdose and administering an opioid antagonist;
(C) implementing emergency procedures, after
				  administering an opioid antagonist;
(D) understanding the medical purpose and
				  misuse of opioids; and
(E) properly
				  disposing of used or expired opioid antagonists;
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.87 - Report on Administering Unassigned Opioid Antagonist Medication

Current through Reg. 49, No. 28; July 12, 2024
(a) Records
				  relating to implementing and administering the school district, open-enrollment
				  charter school, or private school's unassigned opioid antagonist medication
				  policy must be retained per the campus record retention schedule.
(b) The campus must submit the report no
				  later than the 10th business day after the date a school personnel member or
				  school volunteer administers an opioid antagonist in accordance with the
				  unassigned opioid antagonist medication policy adopted under this subchapter.
				  The report shall be submitted to the individuals and entities identified in
				  Texas Education Code §
										38.223:
(1) the school district, the charter holder
				  if the school is an open-enrollment charter school, or the governing body of
				  the school if the school is a private school;
(2) the physician or other person who
				  prescribed the opioid antagonist; and
(3) the commissioner of the Department of
				  State Health Services (DSHS).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.88 - Gifts, Grants, and Donations

Current through Reg. 49, No. 28; July 12, 2024
A school district, open-enrollment charter school, or
					 private school may accept gifts, grants, donations, federal funds, and local
					 funds to implement this subchapter.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 40 - STOCK MEDICATION IN SCHOOLS AND OTHER ENTITIES › Subchapter F - OPIOID ANTAGONIST MEDICATION REQUIREMENTS IN SCHOOLS › Section 40.89 - Immunity from Liability

Current through Reg. 49, No. 28; July 12, 2024
A person who in good faith takes, or fails to take, any
					 action under this subchapter, or Texas Education Code Chapter 38, Subchapter
					 E-1, is immune from civil or criminal liability or disciplinary action
					 resulting from action or a failure to act in accordance with Texas Education
					 Code §
										38.227.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter A - GENERAL PROVISIONS › Section 49.1 - Purpose and Application

Current through Reg. 49, No. 28; July 12, 2024
The rules in this chapter implement the Texas Oral Health
					 Improvement Act, Texas Health and Safety Code, Chapter 43 (Act). The Act
					 authorizes the Department of State Health Services Oral Health Improvement
					 Program to implement activities for eligible individuals to prevent oral
					 disease and associated health risks through surveillance and oral health
					 promotion and education. The program is led by the State Public Health Dental
					 Director.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter A - GENERAL PROVISIONS › Section 49.2 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, where used in this chapter,
					 have the following meanings, unless the context clearly indicates
					 otherwise.
(1) Dental hygienist--An
				  individual licensed by the State Board of Dental Examiners to practice dental
				  hygiene in the State of Texas.
(2)
				  Dental sealant--A thin, plastic coating painted on the chewing surfaces of
				  teeth to prevent tooth decay.
(3)
				  Dentist--An individual licensed by the State Board of Dental Examiners to
				  practice dentistry in the State of Texas.
(4) Department--The Department of State
				  Health Services.
(5) Fluoride
				  varnish--A highly concentrated form of fluoride applied to the surface of teeth
				  to prevent tooth decay, remineralize weakened teeth, and treat
				  hypersensitivity.
(6) Health
				  risk--Any attribute or factor that presents a danger or hazard to
				  health.
(7) Oral health--Health
				  affecting the structures of the mouth, including the hard and soft tissues such
				  as teeth, jaws, gums, vestibule, tongue, cheeks, lips, floor and roof of the
				  mouth, and adjacent masticatory structure.
(8) Oral health promotion--Activity that
				  supports or provides active encouragement for the furtherance of oral hygiene,
				  dental care, and conditions conducive to good oral health.
(9) Program--The Oral Health Improvement
				  Program at the department.
(10)
				  Public health--Protection and improvement of community health through organized
				  community effort.
(11) Screening--A
				  non-comprehensive visual observation of the oral cavity to assess oral health
				  status.
(12) Silver diamine
				  fluoride--Topical liquid applied to dental caries (cavities) to relieve
				  sensitivity and prevent further progression of tooth decay.
(13) State Public Health Dental Director--A
				  Texas licensed dentist who leads the Oral Health Improvement Program at the
				  department.
(14)
				  Surveillance--Observation of a population group, condition, or ongoing activity
				  in order to gather information.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter A - GENERAL PROVISIONS › Section 49.3 - Oral Health Improvement Program

Current through Reg. 49, No. 28; July 12, 2024
The department may perform public oral health screening
					 and surveillance across the State of Texas.
(1) Regional dental teams perform open mouth
				  screening to assess the oral health of individuals.
(2) Regional dentists issue written findings,
				  which may include recommendation for a comprehensive exam.
(3) The data collected from oral health
				  surveillance may include:
(A) demographic
				  data;
(B) dental history;
(C) history of tooth decay;
(D) presence of dental sealants;
				  and
(E) early and urgent dental
				  needs.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter A - GENERAL PROVISIONS › Section 49.4 - Oral Health Improvement Program in Schools

Current through Reg. 49, No. 28; July 12, 2024
The program contracts with schools and school districts
					 through a memorandum of understanding and adheres to the Texas Education Code,
					 § 22.0834.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter B - RECIPIENT PARTICIPATION IN FFS ORAL HEALTH TREATMENT BENEFITS › Section 49.5 - Oral Health Improvement Program Priorities

Current through Reg. 49, No. 28; July 12, 2024
Program priorities are determined based on data, research,
					 public health principles, and other factors. Priorities may include:
(1) oral health surveillance;
(2) oral disease prevention;
(3) oral health education and
				  promotion;
(4) oral health subject
				  matter expertise for the department, other agencies, and other organizations;
				  or
(5) facilitation of access to
				  oral health services.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 49 - ORAL HEALTH IMPROVEMENT PROGRAM › Subchapter B - RECIPIENT PARTICIPATION IN FFS ORAL HEALTH TREATMENT BENEFITS › Section 49.6 - Implementation of Oral Health Improvement Program Activities

Current through Reg. 49, No. 28; July 12, 2024
(a) The implementation of any and all program
				  activities is subject to the availability of funds. The program identifies
				  populations based on socioeconomic need, limited access to dental providers,
				  and other risk factors.
(b) Program
				  conducts oral health surveillance activities based on priorities determined by
				  the program and may include:
(1) collecting
				  data through visual, open-mouth screening, survey, or other means as defined in
				  policy; and
(2) preparing
				  statistical or other public health reports based on surveillance
				  data.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 61 - CHRONIC DISEASES › Subchapter B - DIABETIC EYE DISEASE DETECTION INITIATIVE › Section 61.22 - Client Eligibility

Current through Reg. 49, No. 28; July 12, 2024
(a) Eligible
				  persons include individuals with diabetes who:
(1) meet the DEDP criteria (i.e., at high
				  risk for developing diabetic eye disease);
(2) are not covered for funduscopic
				  examinations from any other third-party payer;
(3) have been certified by a program
				  nominator to have a family income at or below 150% of the TDH-HHS poverty
				  guidelines; and
(4) reside in the
				  State of Texas.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 61 - CHRONIC DISEASES › Subchapter B - DIABETIC EYE DISEASE DETECTION INITIATIVE › Section 61.23 - Program Benefits

Current through Reg. 49, No. 28; July 12, 2024
(a) Scope of
				  services.
(1) Reimbursement will be limited
				  to a maximum of $60 per examination for a complete dilated funduscopic
				  examination on both eyes.
(2) These
				  examinations will also include acuity testing, tonometry, and assessment of
				  lens opacity.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 61 - CHRONIC DISEASES › Subchapter B - DIABETIC EYE DISEASE DETECTION INITIATIVE › Section 61.24 - Payment for Services

Current through Reg. 49, No. 28; July 12, 2024
(a) Payee
				  identification number. Payment for services is made to providers who have a
				  State of Texas payee identification number. To obtain a payee identification
				  number, providers must complete the information requested on the department's
				  fee-for-service contract and return the completed contract to the Texas
				  Diabetes Program, 1100 West 49th Street, Austin, Texas 78756.
(b) Conditions for payment. The DEDP will pay
				  providers only for approved services that have been authorized by the nominator
				  prior to the performance of such services. Payment for any service will be made
				  only after the delivery of the service. Providers must agree to accept program
				  fees as payment in full for service rendered, although such fee may be less
				  than usual and customary charges.
(c) Time limit. The eye examination must be
				  completed within 60 days of the service approval date and the signed tracking
				  forms described in §
										61.21(d)
				  of this title (relating to General Information) must be received by the DEDP
				  within 75 days of the date service was authorized.
(d) Procedures for claims payment. The
				  procedures for claims payment shall be in accordance with the DEDP-developed
				  publication titled Manual for Providers of Services.
(e) Claim denials. Payment for eye
				  examinations will not be made if:
(1) the
				  patient is ineligible;
(2) the
				  services provided were not specifically covered by the DEDP;
(3) the patient failed to appear for
				  treatment and no service was rendered (no-shows); or
(4) claims for the same eye examination were
				  previously paid for by the DEDP (duplicate claims).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 73 - LABORATORIES › Section 73.31 - Specimen Submission

Current through Reg. 49, No. 28; July 12, 2024
(a) Specimens
				submitted to the Department of State Health Services (department) shall meet
				the requirements specified in the department's Laboratory Testing Services
				Manual (manual) and other written instructions established by the department.
				The manual is posted on the department's website (currently found at
http://www.dshs.state.tx.us/lab
).
(b) Failure to submit a specimen as required
				will result in the department's refusal to perform the requested
				services.
(c) The manual and other
				written instructions may be obtained upon request from the Department of State
				Health Services, 1100 West 49th Street, Austin, Texas 78756-3199, (512)
				776-7318.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 73 - LABORATORIES › Section 73.51 - Technical Definitions Associated with the Sale of Laboratory Services

Current through Reg. 49, No. 28; July 12, 2024
Technical definitions associated with the sale of laboratory
				  services can be found in the Laboratory Testing Services Manual. This manual is
				  available online (currently found at
http://www.dshs.state.tx.us/lab
),
				  and may otherwise be obtained as described in §
									73.31 of this
				  title (relating to Specimen Submission).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 83 - PUBLIC HEALTH IMPROVEMENT GRANTS › Subchapter A - PERMANENT FUND FOR CHILDREN AND PUBLIC HEALTH › Section 83.1 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) As authorized
				  by the Government Code, §
										403.1055,
				  relating to the Permanent Fund for Children and Public Health, and the Health
				  and Safety Code, §
										121.0065,
				  relating to Grants for Essential Public Health Services, the department shall
				  institute and administer grants under this subchapter.
(b) The grants shall be known as a part of
				  the "Public Health Improvement Grants."
(c) This subchapter governs the
				  administration of the grants, the submission and review of grant applications,
				  and the award of the grants.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 83 - PUBLIC HEALTH IMPROVEMENT GRANTS › Subchapter A - PERMANENT FUND FOR CHILDREN AND PUBLIC HEALTH › Section 83.2 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings unless the context clearly
					 indicates otherwise.
(1) Closing
				  date--Date specified in the request for proposals as the date on which
				  applications must be received or postmarked.
(2) Commissioner--Commissioner of Health or
				  his or her designee.
(3)
				  Department--Texas Department of Health.
(4) Essential public health services--As
				  defined in the Health and Safety Code, §
										121.002, services to:
(A) monitor the health status of individuals
				  in the community to identify community health problems;
(B) diagnose and investigate community health
				  problems and community health hazards;
(C) inform, educate, and empower the
				  community with respect to health issues;
(D) mobilize community partnerships in
				  identifying and solving community health problems;
(E) develop policies and plans that support
				  individual and community efforts to improve health;
(F) enforce laws and rules that protect the
				  public health and ensure safety in accordance with those laws and
				  rules;
(G) link individuals who
				  have a need for community and personal health services to appropriate community
				  and private providers;
(H) ensure a
				  competent workforce for the provision of essential public health
				  services;
(I) research new insights
				  and innovative solutions to community health problems; and
(J) evaluate the effectiveness,
				  accessibility, and quality of personal and population-based health services in
				  a community.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 83 - PUBLIC HEALTH IMPROVEMENT GRANTS › Subchapter A - PERMANENT FUND FOR CHILDREN AND PUBLIC HEALTH › Section 83.3 - Philosophy

Current through Reg. 49, No. 28; July 12, 2024
(a) The intent of
				  the grants is to build capacity to address public health issues, and identify
				  and/or develop improved intervention and prevention strategies.
(b) In making these grants, the goal of the
				  department is to improve public health outcomes at the community level and to
				  strengthen the public health infrastructure through improved public health
				  practice.
(c) To the maximum extent
				  possible, the grants are intended to bring about improvements in health status
				  that are demonstrable or measurable.
(d) Grant funds will not be used to fund
				  direct health care services except when those services are incidental to an
				  essential public health service being addressed.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 83 - PUBLIC HEALTH IMPROVEMENT GRANTS › Subchapter A - PERMANENT FUND FOR CHILDREN AND PUBLIC HEALTH › Section 83.4 - The Grants

Current through Reg. 49, No. 28; July 12, 2024
The grants shall consist of three parts:
(1) Part I. Grants for developing and
				  demonstrating cost-effective prevention and intervention strategies for
				  improving health outcomes for children and the public (Part I
				  grants);
(2) Part II. Grants to
				  local communities to address disparities in health status that can be
				  demonstrated in minority populations, including sickle cell anemia, diabetes,
				  high blood pressure, cancer, heart attack, stroke, keloid tissue and scarring,
				  respiratory disease and other conditions or diseases relating to minority
				  populations that demonstrate disparities in health status (Part II grants);
				  and
(3) Part III. Grants to local
				  communities for essential public health services (Part III grants).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 83 - PUBLIC HEALTH IMPROVEMENT GRANTS › Subchapter A - PERMANENT FUND FOR CHILDREN AND PUBLIC HEALTH › Section 83.5 - Sources and Allocation of Funds

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Funds for the grants shall be provided in accordance with the Government Code,
				  §
										403.1055,
				  relating to the Permanent Fund for Children and Public Health. Funds for Part
				  III grants are also governed by the Health and Safety Code, §
										121.0065,
				  relating to Grants for Essential Public Health Services.
(b) All grants shall be awarded competitively
				  according to the provisions of this subchapter.
(c) Grants shall be made only to the extent
				  that funds are appropriated and available.
(d) The department shall have the authority
				  and discretion to:
(1) determine the
				  purpose(s) of the grants pursuant to law and this subchapter;
(2) approve or deny grant
				  applications;
(3) determine the
				  number, size and duration of grants; and
(4) modify or terminate grants.