reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 1 - GENERAL PROVISIONS › Section 30.9 - Project Implementation

Current through Reg. 49, No. 28; July
					 12, 2024
(a) Grant
					 recipients must carry out approved projects in accordance with the grant
					 agreement, applicable program regulations and requirements, and the TxCDBG
					 Project Implementation Manual, which is available on the Department's website.
					 The Department may periodically amend the TxCDBG Project Implementation Manual.
					 Amendments will be effective upon posting a new version of the TxCDBG Project
					 Implementation Manual on the Department's website.
(b) In accordance with §
											RSA
					 487.354 of the Texas Government Code, a
					 community that receives TxCDBG money targeted toward street improvement
					 projects in eligible colonia areas must allocate not less than five percent
					 (5%) but not more than 15 percent (15%) of the total amount of targeted money
					 to providing financial assistance to colonias within the community to enable
					 the installation of adequate street lighting in those colonias if street
					 lighting is absent or needed.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 1 - GENERAL PROVISIONS › Section 30.10 - Grant Administrator Certification Requirement

Current through Reg. 49, No.
					 28; July 12, 2024
Any consultant, administrator, or employee of a grant
						recipient whose duties and responsibilities include administration of a TxCDBG
						grant shall complete CDBG administrator certification annually as required by
						the Department.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 1 - GENERAL PROVISIONS › Section 30.11 - Conflict of Interest

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Applicability.
(1) The conflict of interest and procurement
					 regulations prescribed by HUD in 2 CFR Part 200 and 24 CFR Part 570 apply to
					 all agreements, contracts, subcontracts, awards, and subawards made under the
					 TxCDBG Program.
(2) In addition to
					 the federal conflict of interest and procurement regulations, state and local
					 procurement and conflict of interest laws apply.
(3) The conflict of interest restrictions and
					 procurement requirements identified in this section shall apply to a business,
					 utility provider, or other third party entity that benefits from or receives
					 any assistance, directly or indirectly, under a TxCDBG grant, or that has any
					 involvement in completing the project or meeting program objectives.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 1 - GENERAL PROVISIONS › Section 30.12 - Changes or Amendments

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Whenever a
					 proposed change requires Department approval, the Department may require
					 citizen participation in accordance with §
											RSA 30.7 of
					 this subchapter (relating to Citizen Participation Process). A grant recipient
					 shall provide citizens with reasonable advance notice of, and opportunity to
					 comment on, activities which are proposed to be added, deleted or substantially
					 changed from the grant application to the Department. Substantially changed
					 means changes made in terms of purpose, scope, location or beneficiaries as
					 defined by criteria established by the Department.
(b) The Department is not required to approve
					 amendment requests and does not guarantee that extensions will be approved.
(1) Consideration of requests for amendment
					 by a grant recipient that is out of compliance on any TxCDBG grant award may be
					 withheld until the grant recipient satisfies all requirements for all
					 outstanding grant agreements.
(2)
					 Requests to change the original project as described in the application, or to
					 add a different or new activity, may not be approved generally; however, the
					 Department may consider approval of a new project under either of the following
					 circumstances:
(A) a natural disaster,
					 documented by a presidential or gubernatorial declaration; or
(B) a decision by a federal or state agency
					 prevents the grant recipient from completing the original project.
(3) Requests for extensions to
					 grant agreements that have not made sufficient progress during the existing
					 grant period will not be approved.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 1 - GENERAL PROVISIONS › Section 30.13 - Corrective Action and Remedies for Noncompliance

Current through Reg.
					 49, No. 28; July 12, 2024
(a) Failure to comply with regulations or
					 program requirements.
(1) If a grant
					 recipient fails to comply with applicable federal or state regulations, the
					 Department will require corrective action to address the violations. If the
					 violation is egregious or the result of failure to implement a previous
					 corrective action plan, the Department will take any action(s) available under
					 the grant agreement, 24 CFR Part 570 , and/or the TxGMS.
(2) If applicable, if the violation or
					 noncompliance is not cured within the period allowed for cure, all TxCDBG funds
					 awarded to the grant recipient will be suspended, including all open grants and
					 any pending awards, until the non-compliance is resolved.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 3 - [Repealed] ADMINISTRATION OF PROGRAM FUNDS › Section 30.50 to 30.67

Current through Reg. 49, No. 28; July 12, 2024
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 4 - [Repealed] AWARDS AND CONTRACT ADMINISTRATION › Section 30.80 to 30.84

Current through Reg. 49, No. 28; July 12, 2024
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter A - TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM › Division 5 - [Repealed] REALLOCATION OF PROGRAM FUNDS › Section 30.100 to 30.103

Current through Reg. 49, No. 28; July 12, 2024
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 1 - GENERAL PROVISIONS › Section 30.120 - Applicable Law

Current through Reg. 49, No. 28; July 12,
					 2024
The department administers programs supporting rural
						health, only to the extent that funds are appropriated and available, in
						accordance with Chapter
						RSA 487 of the Texas
						Government Code, and manages the state's Medicare rural hospital flexibility
						program in accordance with 42 USC §1395i-4.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 1 - GENERAL PROVISIONS › Section 30.121 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
In addition to the definitions set forth in Chapter
						RSA 487, Texas
						Government Code, the following words and terms, when used in this subchapter,
						shall have the following meanings, unless the context clearly indicates
						otherwise. In the event of a conflict between this subchapter and Chapter 487,
						the definition in Chapter 487 shall control.
(1) Academic term--A division of the academic
					 year, made up of semesters, trimesters, or quarters, as determined or
					 established by the academic institution.
(2) Allied health--Fields relating to the
					 delivery of health or related services pertaining to the identification,
					 evaluation and prevention of diseases and disorders; dietary and nutrition
					 services; rehabilitation and health systems management.
(3) Capital equipment--Information systems
					 hardware and software, or other equipment as defined by the rules of the
					 Centers for Medicare and Medicaid Services for implementation of the Medicare
					 program.
(4) Capital
					 improvement--The acquisition, construction, or improvement of a facility,
					 equipment, or real property for use in providing health services. The term
					 includes designing, engineering, supervising, inspecting, surveying, and other
					 expenses incidental to the acquisition, construction, or improvements, or the
					 purchase of capital equipment for a health facility.
(5) CFR--Code of Federal Regulations.
(6) Cost of attendance--Allowable
					 costs as determined to be necessary by the financial aid office of an academic
					 institution which includes costs of tuition, fees, books, supplies, room and
					 board, transportation and personal expenses.
(7) Health care professional--Any provider of
					 health care or health related services in the fields of medicine, dentistry,
					 optometry, pharmacy, chiropractic, podiatry, psychology, nursing or allied
					 health.
(8) Health professional
					 shortage area--Any of the following:
(A) a
					 rural area (which need not conform to the geographic boundaries of a political
					 subdivision and which is a rational area for the delivery of health services)
					 which the U.S. Secretary of Health and Human Services (Secretary) determines
					 has a health manpower shortage and which is not reasonably accessible to an
					 adequately served area;
(B) a
					 population group which the Secretary determines has such a shortage; or
(C) a public or nonprofit private
					 medical facility or other public facility which the Secretary determines has
					 such a shortage.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.140 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The Outstanding Rural Scholar Recognition Program
						(ORSRP) is a competitive forgivable loan program which assists rural
						communities to sponsor students pursuing studies in health care professions
						that are needed in the rural community. ORSRP matches state funds with rural
						community funds to support a student of the community's choice in a health
						professional education program. In exchange for funds received from the rural
						community and ORSRP, the health care professional, upon licensure, returns to
						the sponsoring rural community to practice health care.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.141 - Selection Committee

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Composition of
					 committee. The selection committee shall be composed of the following 12
					 members appointed by the commissioner:
(1)
					 one rural practicing family practice physician;
(2) one rural hospital administrator;
(3) one rural practicing
					 registered professional nurse;
(4)
					 one rural practicing allied health professional;
(5) one dean of a medical school;
(6) one dean of a nursing school;
(7) one dean of a school of allied health
					 science;
(8) one head of a
					 vocational/technical institution;
(9) one community college administrator;
(10) one individual knowledgeable
					 in student financial assistance programs;
(11) one rural public school superintendent;
					 and
(12) one rural resident.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.142 - Nomination Process

Current through Reg. 49, No. 28; July 12,
					 2024
(a) To be eligible
					 to nominate a student for recognition, a sponsoring organization or entity
					 must:
(1) be a local hospital or hospital
					 auxiliary, rural health clinic, foundation, civic organization, city council,
					 chamber of commerce, commissioners courts, or any combination of such
					 organizations;
(2) be located in a
					 rural community, as defined in §
												RSA
					 487.101 of the Texas Government Code, in
					 Texas;
(3) agree to provide 50% of
					 the student's cost of attendance, if the nominee is selected to receive a
					 forgivable loan; and
(4) be in
					 good standing with the department.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.143 - Selection of Outstanding Rural Scholars

Current through Reg. 49,
					 No. 28; July 12, 2024
(a) Subject to available funding for this
					 program, the department will publish a notice of fund availability and request
					 for applications, which will include all necessary details about the program
					 and application requirements.
(b)
					 To be eligible to participate in the competition, an application must be
					 coordinated and submitted by the sponsor on behalf of the individual being
					 nominated. The application must be on the forms and in a format prescribed by
					 the department.
(c) The department
					 will review each application for completeness and eligibility. Only those
					 applications that meet the eligibility requirements for recognition are then
					 evaluated and ranked by the selection committee.
(d) The selection committee will select
					 outstanding rural scholars based on the following criteria:
(1) the student's academic achievements;
(2) an essay written by the
					 student discussing the student's reasons for entering the competition, the
					 health care degree or program the student is pursuing, the student's reasons
					 for pursuing the chosen health care profession, and the student's reasons for
					 wanting to provide health care to rural Texans;
(3) sponsor financial commitment;
(4) community statement of need;
(5) standardized test scores; and
(6) the overall quality of the nominee.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.144 - Requirements for Forgivable Loan

Current through Reg. 49, No. 28; July
					 12, 2024
(a) Initial
					 loan. To be eligible for a forgivable loan under this program, an individual
					 must:
(1) be recognized as an outstanding
					 rural scholar;
(2) have the
					 sponsor's commitment to provide 50% of the student's costs of attendance;
(3) not have defaulted on nor owe
					 a refund on any state or federal aid; and
(4) be enrolled or intend to enroll in a
					 health care degree or program at an eligible academic institution of higher
					 education.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.145 - Conditions of Forgivable Loan

Current through Reg. 49, No. 28; July
					 12, 2024
(a) The
					 department awards forgivable loans based on the availability of money in the
					 fund.
(b) Forgivable loan funds
					 may be used only for educational expenses at the agreed upon academic
					 institution.
(c) The forgivable
					 loan shall not exceed the annual cost of attendance at the academic institution
					 the student attends. The cost of attendance shall be determined by the academic
					 institution's financial aid office. A student may receive financial aid from
					 other sources; however, the department will reduce the amount of the forgivable
					 loan by the amount of aid from other sources so that the combined financial aid
					 does not exceed the allowable cost of attendance as determined by the financial
					 aid office.
(d) The department may
					 authorize forgivable loans to be awarded to eligible students provided:
(1) the sponsor has executed a Memorandum of
					 Understanding with the department agreeing to provide 50% of the student's
					 costs of attendance for the academic year;
(2) the sponsor and the student have executed
					 a contract with the department which includes the responsibilities of each
					 party and penalties for breach of contract; and
(3) the student has executed a promissory
					 note with a qualified co-signor.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.146 - Breach of Contract

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Breach by
					 sponsor.
(1) A sponsor shall be in breach of
					 contract if the sponsor:
(A) fails to provide
					 50% of the student's costs of attendance as determined by the academic
					 institution for the duration of the student's agreed upon health care academic
					 program;
(B) fails to provide a
					 full-time employment or practice opportunity for the student as a health care
					 professional for which sponsored upon the student's certification or licensure;
					 or
(C) fails to meet any of the
					 conditions of the contract or this division.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.147 - Repayment

Current through Reg. 49, No. 28; July 12, 2024
(a) A student must repay the department costs
					 of attendance paid for courses not completed. To recover funds, the department
					 may:
(1) deduct the amount owed from the
					 student's next scheduled loan disbursement;
(2) request the financial aid office of the
					 academic institution the student attends to remit an institutional check for
					 the amount owed; or
(3) require
					 the student to repay the amount owed in the event the student will not receive
					 any more loan disbursements.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 2 - OUTSTANDING RURAL SCHOLAR RECOGNITION PROGRAM › Section 30.148 - Cancellations and Postponements

Current through Reg. 49, No. 28; July
					 12, 2024
(a) The
					 department may cancel a student's service or repayment obligation if it
					 determines that:
(1) the student is unable to
					 complete the academic program, internship or residency, attain certification or
					 licensure, or practice health care because of a total and permanent disability
					 verified by a sworn affidavit of a qualified physician; or
(2) the student has died and a
					 court-certified copy of a death certificate or other evidence of death that is
					 conclusive under state law has been submitted to the department.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.160 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of the Medically Underserved Community-State
						Matching Incentive Program is to encourage physicians to provide primary care
						in medically underserved communities by contributing start-up money for
						physicians to establish a medical office in such communities. State grants
						match funds committed by medically underserved communities to cover start-up
						costs for primary care physicians' practices.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.161 - Community Eligibility Criteria

Current through Reg. 49, No. 28;
					 July 12, 2024
To be eligible to participate in this program, a
						community must:
(1) be a medically
					 underserved community as defined in §
											RSA
					 487.201, Texas Government Code;
(2) exist in perpetuity as a non-profit
					 entity governed by council members, commissioners, or a board of trustees that:
(A) is responsible to and serves the
					 community in which it is located;
(B) is legally authorized to raise funds
					 and/or accept grants and financial gifts from citizens, scholarship funds, or
					 private foundations;
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.162 - Physician Eligibility Criteria

Current through Reg. 49, No. 28;
					 July 12, 2024
To qualify for participation in this program, a
						physician must:
(1) hold a current,
					 unrestricted license as a physician from the Texas Medical Board;
(2) have successfully completed a primary
					 care residency program approved by the Accreditation Council on Graduate
					 Medical Education or the American Osteopathic Association; a physician with
					 less than ten post-residency years will be given priority;
(3) have contracted with an eligible
					 community (that has made a financial commitment of at least the minimum
					 contribution level) to provide primary care in the supporting community for at
					 least two years;
(4) have never
					 defaulted on nor currently owe a refund on any state, federal, or local student
					 financial aid;
(5) not be
					 delinquent in child support payments;
(6) have authorized a credit check and
					 background check, the results of which are satisfactory to the sponsoring
					 community; and
(7) have never been
					 convicted of a felony.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.163 - Application and Review

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Subject to
					 available funding for this program, the department will publish a notice of
					 fund availability and request for applications, which will include all
					 necessary details about the program and application requirements.
(b) The application must be on the forms and
					 in the format prescribed by the department. The department must receive the
					 application by the due date specified in the request for applications.
(c) The department will review
					 each complete application to determine program eligibility, prioritize
					 community need among applicants, and make recommendations for funding. An
					 application in which the physician has less than ten post-residency years will
					 be given priority. The department will not review late or incomplete
					 applications.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.164 - Awards and Appeals

Current through Reg. 49, No. 28; July 12,
					 2024
(a) The department
					 may negotiate the amount of matching funds to be awarded to any applicant.
					 Award amounts are based on the availability of funds. Contract awards shall not
					 exceed $25,000, unless the department has determined that the application
					 demonstrates exceptional financial need.
(b) An applicant who is denied funds under
					 this program may file a written request for an administrative review of the
					 denial. The request must be mailed to the department within ten working days of
					 the date of the department's letter of denial. Upon receipt of the request, the
					 department will conduct an administrative review, resulting in a final
					 decision. The department will mail a written notice of the decision either
					 upholding or overruling the denial to the applicant.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.165 - Methodology for Prioritizing Communities

Current through Reg. 49, No.
					 28; July 12, 2024
The department will prioritize the communities found
						eligible for participation in the program to assure that the neediest
						communities are provided grants. The prioritization process will quantify
						indicators of need (not listed in any assigned priority order) which may
						include, but are not limited to, the following:
(1) no practicing primary care physicians;
(2) with only one primary care
					 physician and a population of at least 2,000;
(3) no federally or state-funded primary care
					 clinic;
(4) no practicing
					 physician assistants or nurse practitioners;
(5) the participating physician will be the
					 only physician practicing in one of the primary care specialties;
(6) large minority population, if the
					 participating physician is a member of the same minority group;
(7) designation by the United States
					 Department of Health and Human Services as a primary care health professional
					 shortage area for at least the last five years;
(8) a population-to-primary care provider
					 ratio in the top 25% of all counties in the state;
(9) poverty rates above the state average;
					 and
(10) median family incomes at
					 least 25% below the state average.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.166 - Contract Requirements

Current through Reg. 49, No. 28; July
					 12, 2024
The department will execute a written contract with each
						community selected concerning use of the state matching funds allocated under
						this program. The contract must include, but is not limited to, the following
						provisions:
(1) the community has
					 obtained a credit check and information concerning the participating
					 physician's professional background from reputable sources, including the
					 National Practitioner Data Bank or its successor;
(2) the community will retain interest (title
					 or ownership) in any property, equipment, or durable goods purchased with state
					 or local matching funds disbursed under this program for a period of seven
					 years;
(3) the community has
					 executed a contract with an eligible physician containing at least the
					 following provisions:
(A) the physician shall
					 engage in clinical practice in the supporting community for at least two years
					 following disbursement of the state funds;
(B) during the two-year service obligation,
					 the physician shall not discriminate among patients seeking care based on their
					 ability to pay or whether payment will be made through Medicaid or Medicare;
(C) the physician shall complete
					 and submit provider enrollment applications for Medicare and the Texas Medicaid
					 program, and shall accept Medicare assignment if enrolled; and
(D) the physician shall set his or her
					 charges at the prevailing rate for the area and shall utilize a sliding fee
					 scale based on the client's ability to pay;
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.167 - Reporting and Monitoring

Current through Reg. 49, No. 28; July 12,
					 2024
(a) The supporting
					 community must regularly monitor the participating physician's practice during
					 the period of obligated service.
(b) The supporting community must submit
					 quarterly progress reports to the department, as outlined in the program
					 guidelines and contract, regarding:
(1) the
					 expenditure of funds related to this program to cover physician practice
					 start-up costs;
(2) patient
					 outcomes as a result of accessing this program; and
(3) the status on the physician's compliance
					 with the requirements specified in §30.165 of this division (relating to
					 Methodology for Prioritizing Communities).
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 3 - MEDICALLY UNDERSERVED COMMUNITY - STATE MATCHING INCENTIVE PROGRAM › Section 30.168 - Breach of Contract

Current through Reg. 49, No. 28; July 12,
					 2024
(a) A supporting
					 community must notify the department in writing within two weeks of any change
					 in its status or that of the participating physician.
(b) A supporting community shall be in breach
					 of contract if the supporting community fails to:
(1) provide the full amount of funding
					 specified in the contract; or
(2)
					 fulfill any other conditions specified in the contract.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.180 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of the Texas Health Service Corps Program is
						to encourage physicians trained in the primary care specialties to establish
						and maintain practices in medically underserved areas in Texas by providing
						stipends to resident physicians who agree to practice, upon completion of
						residency training, in a medically underserved area of the
						state.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.181 - Application Procedure

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Subject to
					 available funding for this program, the department will publish a notice of
					 fund availability and request for applications, which will include all
					 necessary details about the program and application requirements.
(b) The application must be on the forms and
					 in the format prescribed by the department, and submitted to the department by
					 the deadline specified in the request for applications. Late or incomplete
					 applications will not be considered.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.182 - Requirements for Registering Medically Underserved Communities

Current
					 through Reg. 49, No. 28; July 12, 2024
(a) A health care entity located in a county
					 designated as a medically underserved area and/or a health professional
					 shortage area is eligible to register to participate in the program.
(b) The department ranks eligible communities
					 for program participation based on a community's need for primary care
					 physicians and other factors including, but not limited to, the county's MUA
					 score or HPSA degree of shortage designation.
(c) Communities register for the program by
					 completing a registration form prescribed by the department during a time
					 period specified by the department.
(d) A community that is accepted into the
					 program and that is matched with an eligible physician is ineligible to
					 re-register for participation until the physician has fulfilled the service
					 obligation.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.183 - Requirements for Registering Resident Physicians

Current through Reg.
					 49, No. 28; July 12, 2024
(a) A resident physician is eligible to
					 register for participation in the program if the physician:
(1) is enrolled in an accredited Texas
					 residency training program in a primary care specialty;
(2) has not defaulted on any educational
					 loans; and
(3) does not have a
					 service obligation to any entity.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.184 - Matching Eligible Communities with Eligible Resident Physicians

Current
					 through Reg. 49, No. 28; July 12, 2024
(a) The department sends the ranked profiles
					 of all registered resident physicians to all the registered communities, and
					 the ranked profiles of all registered communities to the registered resident
					 physicians.
(b) Upon receipt of
					 the profiles, eligible communities and eligible physicians may contact each
					 other to determine if the community is suitable for the physician and the
					 physician is suitable for the community. Once a match between a community and a
					 physician is made, the community and the physician complete a joint application
					 and submit it to the department by the deadline provided in the request for
					 applications.
(c) Resident
					 physicians and communities making a match prior to initiating the registration
					 process may both jointly register and apply simultaneously. The department will
					 not distribute the ranked profiles of these matched resident physicians and
					 communities to the pool of unmatched ranked registered resident physicians and
					 communities.
(d) The department
					 reviews the joint applications and awards stipends to resident physicians
					 matched with communities ranked as having the greatest need for a primary care
					 physician.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 4 - TEXAS HEALTH SERVICE CORPS PROGRAM › Section 30.185 - Conditions of Award

Current through Reg. 49, No. 28; July 12,
					 2024
(a) A resident
					 physician selected to receive a stipend must enter into a written contract with
					 the department before the award is received. The contract must specify that:
(1) within 90 days of completion of the
					 residency program for first board eligibility, the physician must initiate a
					 medical practice to provide physician services, as defined by the contract, in
					 a medically underserved area for one year for each year that the physician
					 receives a stipend;
(2) the
					 physician must not discriminate against patients seeking care based on their
					 ability to pay or whether payment is made through Medicaid or Medicare;
(3) the physician must accept
					 Medicare assignment and make every attempt to enroll as a provider in the
					 Medicare and Texas Medicaid Programs unless enrollment is denied by either the
					 Medicare or Texas Medicaid Programs;
(4) the physician must cooperate with the
					 department in its efforts to collect information and data relevant to the
					 program;
(5) the physician must
					 keep the department informed of all changes in address and phone number during
					 the service obligation period; and
(6) the department will report a physician
					 whose repayment account is delinquent, or who fails to repay his or her cash
					 obligation, to the Texas Medical Board for appropriate action.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 5 - RURAL HEALTH FACILITY CAPITAL IMPROVEMENT PROGRAM › Section 30.200 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The Rural Health Facility Capital Improvement Program
						provides assistance to public and non-profit hospitals located in a rural
						county in Texas to make capital improvements to existing health facilities,
						construct new health facilities, or purchase capital
						equipment.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 5 - RURAL HEALTH FACILITY CAPITAL IMPROVEMENT PROGRAM › Section 30.201 - Eligibility and Application Requirements

Current through Reg. 49, No.
					 28; July 12, 2024
(a)
					 Subject to available funding for this program, the department will publish a
					 notice of fund availability and request for applications, which will include
					 all necessary details about the program and application requirements. The
					 application must be on the forms and in the format prescribed by the
					 department.
(b) Grants, loans or
					 loan guarantees are awarded by the department through a competitive process
					 according to the provisions of this division and the request for applications.
(c) A public or nonprofit hospital
					 located in a rural county, as defined in §
											RSA
					 487.301 of the Texas Government Code, is
					 eligible to apply for funds.
(d) A
					 hospital that has received a grant under the Community Hospital Capital
					 Improvement Fund from the Department of State Health Services may not also
					 receive a grant, loan, or loan guarantee under this program.
(e) Applications that are received after the
					 closing date, incomplete or substantially inconsistent with the requirements of
					 this division and the request for applications may be rejected without further
					 consideration at the discretion of the department.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 5 - RURAL HEALTH FACILITY CAPITAL IMPROVEMENT PROGRAM › Section 30.202 - Application Review and Selection Criteria

Current through Reg. 49, No.
					 28; July 12, 2024
(a)
					 Each application will be reviewed by the department for completeness, relevance
					 to the published request for applications, adherence to department policies,
					 general quality, technical merit, and budget appropriateness.
(b) The department may invite advisors from
					 outside the department to review applications and make recommendations for
					 funding. Advisors from outside the department shall receive no compensation or
					 reimbursement for expenses. Advisors may not be a current or potential
					 applicant for a grant, loan, or loan guarantee on which the advisors would be
					 making recommendations.
(c) An
					 application from a public hospital will be given preference over an application
					 from a nonprofit hospital.
(d)
					 Evaluation of an application will consider applicant information relating to
					 criteria delineating the health care needs of the rural area and community
					 served by the applicant, the financial need of the applicant related to the
					 specific project, and the probability that the applicant will effectively and
					 efficiently use the money obtained through a grant, loan or loan
					 guarantee.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 5 - RURAL HEALTH FACILITY CAPITAL IMPROVEMENT PROGRAM › Section 30.203 - Conditions of Award

Current through Reg. 49, No. 28; July 12,
					 2024
(a) Awarded funds
					 may not be used for any costs incurred by an applicant in the development,
					 preparation, submission, or review of applications.
(b) Awarded funds may be used only for
					 capital improvements and may not be used for operating expenses, debt
					 retirement, or recruitment or retention of practitioners.
(c) Loans awarded will be made with an
					 interest rate below the current market rate and may be made at no interest at
					 the discretion of the department based upon the financial need and condition of
					 the applicant.
(d) Grant, loan and
					 loan guarantee recipients must execute a contract with the department which
					 will include the budget, reporting requirements, general provisions for
					 department contracts, and any other specifics that might apply to the
					 award.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 6 - DESIGNATION OF A HOSPITAL AS A RURAL HOSPITAL › Section 30.220 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) For purposes of the Medicare inpatient
					 hospital prospective payment system (42 U.S.C. 1395ww), a prospective payment
					 hospital located in an urban area may be reclassified as a rural hospital if it
					 meets certain conditions. The Secretary will treat a hospital as being located
					 in the rural area of the state in which the hospital is located if the hospital
					 is located in an area designated as a rural area by state law or regulation, or
					 the hospital is designated as a rural hospital by state law or regulation.
(b) In accordance with §
											RSA
					 487.401, Texas Government Code, this division
					 establishes the procedures under which the department will designate a hospital
					 as a rural hospital in order for the hospital to qualify for federal funds
					 under RSA
					 412, "Prospective Payment Systems for
					 Inpatient Hospital Services."
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 6 - DESIGNATION OF A HOSPITAL AS A RURAL HOSPITAL › Section 30.221 - Criteria for Designation

Current through Reg. 49, No. 28; July 12,
					 2024
To be considered for designation as a rural hospital, a
						hospital must meet the following criteria:
(1) is located in a county with a population
					 density of less than 225 persons per square mile of land area; and
(2) is located in a municipality of 15,000
					 persons or less.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 6 - DESIGNATION OF A HOSPITAL AS A RURAL HOSPITAL › Section 30.222 - Procedures for Designation

Current through Reg. 49, No. 28; July 12,
					 2024
(a) The department
					 will accept a request for designation only by letter.
(b) The request must include the following:
(1) name of the hospital as it appears on its
					 hospital license;
(2) an
					 explanation of how the hospital meets the criteria that constitute the basis of
					 the request for designation set forth in §
												RSA 30.121 of this
					 subchapter (relating to Definitions), including data and documentation
					 necessary to support the request; and
(3) signature of the chief administrative
					 officer or chairperson of the hospital's board of directors.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 7 - RURAL COMMUNITIES HEALTH CARE INVESTMENT PROGRAM › Section 30.240 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The Rural Communities Health Care Investment Program
						assists rural communities in recruiting health professionals to practice in
						medically underserved communities by providing loan reimbursement or stipends
						to health professionals who serve or agree to serve in those
						communities.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 7 - RURAL COMMUNITIES HEALTH CARE INVESTMENT PROGRAM › Section 30.241 - Eligibility and Application Requirements

Current through Reg. 49, No.
					 28; July 12, 2024
(a)
					 Subject to available funding for this program, the department will publish a
					 notice of fund availability and request for applications, which will include
					 all necessary details about the program and application requirements. The
					 application must be on the forms and in the format prescribed by the
					 department.
(b) To be eligible to
					 apply for a loan reimbursement or stipend, an applicant must meet the following
					 criteria:
(1) is a health professional as
					 defined in §
												RSA
					 487.551 of the Texas Government Code;
(2) is a resident of the state of
					 Texas;
(3) does not have a service
					 obligation to any entity or participate in any educational loan reimbursement
					 program or other incentive program; and
(4) meets other eligibility or program
					 requirements specified in the guidelines and request for applications.
Texas Administrative Code › Title 4 - AGRICULTURE › Part 1 - TEXAS DEPARTMENT OF AGRICULTURE › Chapter 30 - COMMUNITY DEVELOPMENT › Subchapter B - STATE OFFICE OF RURAL HEALTH › Division 7 - RURAL COMMUNITIES HEALTH CARE INVESTMENT PROGRAM › Section 30.242 - Application Review and Selection Criteria

Current through Reg. 49,
					 No. 28; July 12, 2024
(a) Each application will be screened by the
					 department for eligibility and completeness.
(b) If needed, the department may invite
					 advisors from outside the department to evaluate eligible applications.
					 Advisors from outside the department shall receive no compensation or
					 reimbursement for expenses. Advisors may not be a current or potential
					 applicant for a grant on which the advisors would be making
					 recommendations.
(c) Applications
					 are scored based on evaluation criteria which may include, but are not limited
					 to, the following:
(1) type of assistance
					 (loan reimbursement or stipend);
(2) ineligibility for any other state loan
					 forgiveness, loan repayment, or stipend program;
(3) graduation from health professional
					 degree programs in Texas;
(4) use
					 of telecommunications or telemedicine, as appropriate;
(5) commitment from a qualifying community
					 served by the health professional to contribute to the cost of the loan
					 reimbursement or stipend; and
(6)
					 community needs.