Proposed Rule Reviews
Department of State Health Services
Title 25, Part 1
The Texas Health and Human Services Commission (HHSC), on behalf of the Texas Department of State Health Services (DSHS), proposes to review and consider for readoption, revision, or repeal the chapter listed below, in its entirety, contained in Title 25, Part 1, of the Texas Administrative Code:
Chapter 229, Food and Drug
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 229, Food and Drug, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov. When emailing comments, please indicate "Comments on Proposed Rule Review Chapter 229" in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 25, Part 1, of the Texas Administrative Code or on the Secretary of State's website at State Rules and Open Meetings (www.sos.texas.gov).
Jessica Miller
Director, Rules Coordination Office
Department of State Health Services
Filed: February 11, 2026
Texas Health and Human Services Commission
Title 26, Part 1
The Texas Health and Human Services Commission (HHSC) proposes to review and consider for readoption, revision, or repeal the chapter listed below, in its entirety, contained in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 263, Home and Community-Based Services (HCS) Program and Community First Choice (CFC)
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 263, Home and Community-Based Services (HCS) Program and Community First Choice (CFC), may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov. When emailing comments, please indicate "Comments on Proposed Rule Review Chapter 263" in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State's website at State Rules and Open Meetings (www.sos.texas.gov).
Jessica Miller
Director, Rules Coordination Office
Texas Health and Human Services Commission
Filed: February 5, 2026
The Texas Health and Human Services Commission (HHSC) proposes to review and consider for readoption, revision, or repeal the chapter listed below, in its entirety, contained in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 511, Limited Services Rural Hospitals
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 511, Limited Services Rural Hospitals, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov. When emailing comments, please indicate "Comments on Proposed Rule Review Chapter 511" in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State's website at State Rules and Open Meetings (www.sos.texas.gov).
Jessica Miller
Director, Rules Coordination Office
Texas Health and Human Services Commission
Filed: February 10, 2026
The Texas Health and Human Services Commission (HHSC) proposes to review and consider for readoption, revision, or repeal the chapter listed below, in its entirety, contained in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 901, Volunteer and Community Engagement at a State Facility
This review is conducted in accordance with the requirements of Texas Government Code §2001.039, which requires state agencies, every four years, to assess whether the initial reasons for adopting a rule continue to exist. After reviewing its rules, the agency will readopt, readopt with amendments, or repeal its rules.
Comments on the review of Chapter 901, Volunteer and Community Engagement at a State Facility, may be submitted to HHSC Rules Coordination Office, Mail Code 4102, P.O. Box 13247, Austin, Texas 78711-3247, or by email to hhsrulescoordinationoffice@hhs.texas.gov. When emailing comments, please indicate "Comments on Proposed Rule Review Chapter 901" in the subject line. The deadline for comments is on or before 5:00 p.m. central time on the 31st day after the date this notice is published in the Texas Register.
The text of the rule sections being reviewed will not be published but may be found in Title 26, Part 1, of the Texas Administrative Code or on the Secretary of State's website at State Rules and Open Meetings (www.sos.texas.gov).
Jessica Miller
Director, Rules Coordination Office
Texas Health and Human Services Commission
Filed: February 9, 2026
Adopted Rule Reviews
Texas Health and Human Services Commission
Title 1, Part 15
The Texas Health and Human Services Commission (HHSC), on behalf of the Office of Inspector General (OIG), adopts the review of the chapter below in Title 1, Part 15, of the Texas Administrative Code (TAC):
Chapter 371, Medicaid and Other Health and Human Services Fraud and Abuse Program Integrity
Notice of the review of this chapter was published in the November 28, 2025, issue of the Texas Register (50 TexReg 7739). HHSC received no comments concerning this chapter.
HHSC has reviewed Chapter 371 in accordance with Texas Government Code §2001.039, which requires state agencies to assess, every four years, whether the initial reasons for adopting a rule continue to exist.
The agency determined that the original reasons for adopting rules in the chapter continue to exist and readopts Chapter 371 except for:
§371.33, On-Site Reviews of Prospective Providers.
The repeal and any amendments identified by HHSC in the rule review and any amendments, if applicable, to Chapter 371 will be proposed in a future issue of the Texas Register.
This concludes HHSC's review of 1 TAC Chapter 371 as required by Texas Government Code §2001.039.
Jessica Miller
Director, Rules Coordination Office
Texas Health and Human Services Commission
Filed: February 5, 2026
Texas State Board of Pharmacy
Tile 22, Part 15
The Texas State Board of Pharmacy adopts the review of Chapter 291, Subchapter C (§§291.51 - 291.55), concerning Pharmacies (Nuclear Pharmacy (Class B)), pursuant to the Texas Government Code §2001.039, regarding Agency Review of Existing Rules. The proposed rule review was published in the December 26, 2025, issue of the Texas Register (50 TexReg 8631).
No comments were received.
The agency finds the reasons for adopting the rules contained in Chapter 291 continue to exist.
Daniel Carroll, Pharm.D.
Executive Director
Texas State Board of Pharmacy
Filed: February 9, 2026
The Texas State Board of Pharmacy adopts the review of Chapter 309 (§§309.1 - 309.8), concerning Substitution of Drug Products, pursuant to the Texas Government Code §2001.039, regarding Agency Review of Existing Rules. The proposed rule review was published in the December 26, 2025, issue of the Texas Register (50 TexReg 8631).
No comments were received.
The agency finds the reasons for adopting the rules contained in Chapter 309 continue to exist.
Daniel Carroll, Pharm.D.
Executive Director
Texas State Board of Pharmacy
Filed: February 9, 2026
Texas Health and Human Services Commission
Title 26, Part 1
The Texas Health and Human Services Commission (HHSC) adopts the review of the chapter below in Title 26, Part 1, of the Texas Administrative Code (TAC):
Chapter 110, Hearings Under the Administrative Procedure Act
Notice of the review of this chapter was published in the December 19, 2025, issue of the Texas Register (50 TexReg 8343). HHSC received no comments concerning this chapter.
HHSC has reviewed Chapter 110 in accordance with Texas Government Code §2001.039, which requires state agencies to assess, every four years, whether the initial reasons for adopting a rule continue to exist.
The agency determined that the original reasons for adopting all rules in the chapter continue to exist and readopts Chapter 110. Any amendments, if applicable, to Chapter 110 identified by HHSC in the rule review will be proposed in a future issue of the Texas Register.
This concludes HHSC's review of 26 TAC Chapter 110 as required by Texas Government Code §2001.039.
Jessica Miller
Director, Rules Coordination Office
Texas Health and Human Services Commission
Filed: February 5, 2026