Texas Administrative Code

(a) A birthing facility screening provider shall be a department-certified newborn hearing screening program. A provider that is not certified is required to refer the infant to a department-certified newborn hearing screening program. (b) A birthing facility screening provider s…

(a) A follow-up screening provider shall: (1) perform a follow-up screening no later than 30 days after birth; (2) provide screening results to the applicable healthcare providers; (3) provide screening results and educational materials to the parents; and (4) report results in a…

(a) The department shall: (1) maintain the TEHDI MIS; (2) certify newborn hearing screening programs, as described by program protocol at https://www.dshs.texas.gov/tehdi/FacilityCertRequire.aspx ; and (3) make available standardized educational resources. (b) The department may …

(a) A newborn hearing screening performed by a birthing facility and any related diagnostic follow-up care, provided in accordance with Texas Health and Safety Code Chapter 47 and the requirements of this subchapter, for a newborn who receives medical assistance or who is Medicai…

(a) Newborn screening is composed of screening performed on blood specimens ("blood spot-based newborn screening") as well as that performed at the point-of-care ("point-of-care newborn screening"). This subchapter covers blood spot-based newborn screening, with two exceptions: (…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Abnormal screening result(s)--An out-of-range laboratory test result. (2) Bona fide resident--A person who: (A) is physically presen…

Newborn screening in Texas includes the disorders found on the national Recommended Uniform Screening Panel for which funds are available and allocated for the screening. For a complete list of the disorders the State of Texas screens for at any given time, go to http://www.dshs.…

The purpose of these sections is to establish procedures for awarding grants to assist applicants with the costs of establishing and operating school-based health centers and to establish standards for the funded centers. Notes 25 Tex. Admin. Code § 37.531 The provisions of this …

The following words and terms, when used in these sections, shall have the following meanings, unless the context clearly indicates otherwise: (1) Applicant--A school district, charter school, private school, local health department, hospital, health care system, university or no…

The department shall award grants according to Texas Education Code, § 38.063 . Notes 25 Tex. Admin. Code § 37.533 The provisions of this §37.533 adopted to be effective August 16, 2000, 25 TexReg 7699; amended to be effective April 24, 2008, 33 TexReg 3278; amended to be effecti…

Grants awarded by the department shall not exceed $250,000 per applicant per biennium as required by law. Notes 25 Tex. Admin. Code § 37.534 The provisions of this §37.534 adopted to be effective August 16, 2000, 25 TexReg 7699; amended to be effective April 24, 2008, 33 TexReg 3…

(a) Spinal screening is required, for all children who attend public and private schools, to detect abnormal spinal curvature. Spinal screening, conducted under this subchapter by a person who is not a licensed professional, as the term is defined in this subchapter, must be cond…

(a) The department shall make notification of abnormal screening results as specified in Texas Health and Safety Code, § 33.014(a) . The department maintains an active system of follow-up for those cases. The department will provide recommendations for clinical confirmation follo…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Abnormal spinal curvature--An anatomic, structural deviation from the normal spinal curve, such as scoliosis or kyphosis. (2) Certif…

The purpose of this subchapter is to implement Texas Health and Safety Code, Chapter 37, concerning the detection of abnormal spinal curvature in children. Notes 25 Tex. Admin. Code § 37.141 The provisions of this §37.141 adopted to be effective March 21, 1986, 11 TexReg 1145; am…

The following words and terms, when used in these sections, shall have the following meanings, unless the context clearly indicates otherwise: (1) Agency--The Texas Education Agency and/or the Texas Department of Mental Health and Mental Retardation. (2) Department--The Texas Dep…

Newborn screening laboratory analyses of blood specimens for the screenings must be performed by the department or the department's designee. The department or the department's designee is responsible for identifying and implementing proper laboratory procedures for the screening…

(a) Purpose. This section establishes procedures for the obtaining, and subsequent submission of, newborn screening specimen collection kits provided by the department. (b) Specimen collection kits. (1) The requestor will estimate and submit to the department a written order, usi…

The newborn screening tests referenced in § 37.53 of this title (relating to Disorders for Which Blood Specimen Screening is Performed) are not required for a newborn child whose parent, managing conservator, or legal guardian objects on the ground that the tests conflict with th…

(a) Funded applicants shall comply with the following standards for school-based health centers. (1) Community-based solutions. The funded applicant shall facilitate collaboration among families, schools, and members of the community to assess and meet the health needs of the com…

Funded applicants shall assure the department that matching funds secured from nonfederal sources, including in-kind contributions, community or foundation grants, individual contributions, and operating funds from local government agencies, shall be available to the school-based…

The purpose of these rules is to establish procedures for the administration of contracts between the Texas Department of Health and providers of early childhood intervention services which are executed under authority of the Human Resources Code, § 73.018. The Texas Department o…

The Texas Department of Health adopts by reference 42 United States Code Chapter 7, Subchapter V, (Maternal and Child Health and Crippled Children's Services). Notes 25 Tex. Admin. Code § 37.1 The provisions of this §37.1 adopted to be effective January 1, 1976.

The purpose of these sections is to establish the procedures and standards for the implementation of a statewide system for perinatal health care that fosters: (1) safe, quality, risk-appropriate perinatal care for women and for their infants; (2) continuity and comprehensiveness…

The following words and terms pertain explicitly to this subchapter and shall have the following meanings, unless the context clearly indicates otherwise. (1) Basic perinatal facility--An inpatient facility providing care during the prenatal period for women and infants whose car…

(a) Activities of the department and providers pursuant to this subchapter will be conducted in accordance with guidelines and standards for perinatal care found in the following obstetric and pediatric professional publications: (1) Guidelines for Perinatal Care, Fourth Edition …

(a) The department shall develop and maintain a reporting and analysis system to monitor outcomes of the statewide perinatal care system. (b) The department shall request information as specific issues arise from persons with expertise in the provision of perinatal care, data ana…

The following words and terms, when used in this chapter, shall have the following meaning, unless the context clearly indicates otherwise: (1) Department--The Texas Department of Public Safety. (2) Online identifier--An online identifier as defined by Code of Criminal Procedure,…

(a) The Texas Department of Health adopts by reference a memorandum of understanding entered into between the department and the Texas Department of Human Services, concerning a coordinated statewide family planning program in Texas. (b) Copies of the memorandum of understanding …

(a) A screening test for CCHD using pulse oximetry must be performed at a birthing facility that provides care to newborn patients except as described in § 37.77 of this title (relating to Exemption from Screen). If another U.S. Federal Drug Administration approved instrument is …

The newborn screening test for CCHD referenced in § 37.78 of this title (relating to Test Procedures and Standards) is not required for a newborn under the following conditions: (1) the parent declines the screening; (2) the newborn is transferred to another facility before the s…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Birthing facility--An inpatient or ambulatory health care facility that offers obstetrical or newborn care services. The term includ…

(a) To be eligible for an environmental lead investigation, the child's elevated blood lead level(s) must meet the most recent criteria for environmental investigation issued by the Centers for Disease Control and Prevention of the United States Public Health Service. (b) The req…

These sections implement the provisions of Health and Safety Code, Chapter 87, that provides the authority to adopt rules relating to the surveillance and control of birth defects. The legislation directs the Texas Department of Health to develop a statewide surveillance program.…

(a) The Texas Department of Health adopts by reference U.S. Department of Health, Education and Welfare regulations on intrauterine contraceptive devices published in 21 Code of Federal Regulations, Chapter I, Part 310, §310.502, "Intrauterine devices for human use for the purpos…

This subchapter implements Texas Health and Safety Code, Chapter 33, administered by the Department of State Health Services (department), associated with conducting point-of-care newborn screening for critical congenital heart disease (CCHD). Newborns delivered in the state must…

(a) Any healthcare provider who performs initial hearing screening, follow-up screening, diagnostic evaluations, follow-up care, or interventions is required to report all patient encounters and outcomes, including pass and do not pass results, in the TEHDI MIS within five calend…

(a) The birthing facility shall inform the parents during admission that: (1) the facility is required by law to screen a newborn or infant for hearing loss; and (2) the parents may decline the screening. (b) The birthing facility is responsible for obtaining and documenting, dur…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Birthing facility: (A) a hospital licensed under Texas Health and Safety Code Chapter 241 that offers obstetrical services; (B) a bi…

The purpose of this subchapter is to describe the newborn hearing screening process administered by the Department of State Health Services pursuant to Texas Health and Safety Code Chapter 47 to ensure all babies born in Texas receive a hearing screening, proper intervention, and…

(a) The committee. The State Child Fatality Review Team Committee (committee) is appointed under and governed by this section. The committee is established under Texas Family Code, §§ 264.501 - 264.515 . (b) Purpose. The purpose of the committee is to reduce the number of prevent…

(a) The committee. The Maternal Mortality and Morbidity Review Committee (MMMRC) is appointed under and governed by this subchapter. The MMMRC is established under Texas Health and Safety Code (THSC) §§34.001 - 34.018. (b) Purpose. The MMMRC studies cases of pregnancy-related dea…

(a) Eligibility Criteria for Environmental Lead Investigation. (1) The eligibility criteria for an environmental lead investigation shall be as stated on the department's Form Pb-101, Request for Environmental Lead Investigation or equivalent. (2) A city, health district, or loca…

(a) The department or its designee(s) shall request inpatient facilities to report to the department their self-designations as basic, specialty, or subspecialty perinatal care facilities. Designations shall be self-reported by facilities based upon the standards and guidelines i…

(a) Annually the department shall provide each perinatal resource coordinating group (PRCG) with: (1) information pertaining to the population of women of child-bearing age and infants within its perinatal planning area (PPA), including: (A) neonatal mortality rate, postneonatal …

(a) The department shall reimburse the county in which an infant dies for the cost of an autopsy performed as required by Health and Safety Code, § 673.002 , only if the primary cause of death is SIDS. (b) Reimbursement by the department of all costs associated with an autopsy pe…

(a) The Texas Department of Health adopts by reference a memorandum of understanding (MOU) concerning community interagency staffing of services for multiproblem children and youth. The MOU is entered into between the Texas Department of Health, the Texas Department of Human Serv…