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TITLE
22.
EXAMINING
BOARDS
PART
3.
TEXAS
BOARD
OF
CHIROPRACTIC EXAMINERS
CHAPTER
71.
APPLICATIONS
AND
APPLICANTS
22TAC§§71.1- 71.3,71.5- 71.7,71.9- 71.12,71.15,71.17, 71.19
TheTexasBoardofChiropracticExaminersadopts therepeal
ofChapter71,§§71.1- 71.3,71.5- 71.7,71.9- 71.12,71.15, 71.17and71.19,concerningApplicationsandApplicants,
with-outchangestotheproposalaspublishedintheSeptember26,
2014,issueoftheTexasRegister(39 TexReg7659). The
re-pealswillnotberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingapplicationsandapplicantsforalicense.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500039
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
73.
LICENSES
AND
RENEWALS
22TAC§§73.1- 73.5,73.7
TheTexasBoardofChiropracticExaminersadopts therepeal
ofChapter73,§§73.1- 73.5and73.7,concerningLicensesand
Renewals,withoutchangestotheproposalaspublishedinthe
September26,2014,issue oftheTexasRegister (39TexReg
7659). Therepealswillnotberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingapplicationsandapplicantsforalicense.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500040
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
74.
CHIROPRACTIC
FACILITIES
22TAC§§74.1- 74.3,74.5,74.9
TheTexasBoardofChiropracticExaminersadoptstherepealof Chapter74,§§74.1- 74.3,74.5and74.9,concerningFacilities andFacilityRegistrations, withoutchangestotheproposalas publishedintheSeptember26,2014,issueoftheTexas Regis-ter(39TexReg7660).Therepealswillnotberepublished. Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingapplicationsandapplicantsforalicense.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500041
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Bryan Snoddy General CounselTexas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
75.
RULES
OF
PRACTICE
22TAC§§75.1- 75.4,75.6- 75.11,75.13,75.15,75.17,75.19, 75.21,75.23,75.25
TheTexasBoardofChiropracticExaminersadoptstherepeal
ofChapter75,§§75.1- 75.4,75.6- 75.11,75.13,75.15,75.17,
75.19, 75.21, 75.23,and 75.25,concerningRulesof Practice,
withoutchangestotheproposalaspublishedintheSeptember
26,2014,issue oftheTexasRegister(39TexReg7660). The
repealswillnotberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingtherulesofpractice.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500042
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
76.
FORMAL
SOAH
PROCEEDINGS
22TAC§§76.1,76.3,76.5,76.7,76.9,76.11,76.13,76.15, 76.17,76.19,76.21
TheTexasBoardofChiropracticExaminersadoptstherepealof Chapter76,§§76.1,76.3,76.5,76.7,76.9,76.11,76.13,76.15,
76.17,76.19and76.21concerningFormalSOAHProceedings,
withoutchangestotheproposalaspublishedintheSeptember
26,2014,issue oftheTexasRegister(39TexReg7661). The
repealswillnotberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules
concern-ingformalSOAHproceedings.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500043
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
77.
ADVERTISING
AND
PUBLIC
COMMUNICATION
22TAC§§77.1- 77.3,77.5
TheTexasBoardofChiropracticExaminersadoptstherepealof Chapter77,§§77.1- 77.3and77.5,concerningAdvertisingand
PublicCommunication,withoutchangestotheproposalas
pub-lishedintheSeptember26,2014,issueoftheTexasRegister
(39TexReg7662).Therepealswillnotberepublished. Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingadvertisingandpubliccommunication.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500044
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
78.
CHIROPRACTIC
RADIOLOGIC
TECHNOLOGISTS
22TAC§78.1,§78.2
TheTexasBoardofChiropracticExaminersadoptstherepeal
ofChapter78,§78.1and§78.2,concerningChiropractic
Radi-ologicTechnologists, withoutchangestotheproposalas
pub-lishedintheSeptember26,2014,issueoftheTexasRegister
(39TexReg7662).Therepealswillnotberepublished. Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
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ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingchiropracticradiologictechnologists.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500045
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
79.
LICENSURE
OF
CERTAIN
OUT-OF-STATE
APPLICANTS
22TAC§79.1,§79.3
TheTexasBoardofChiropracticExaminersadopts therepeal
ofChapter 79,§79.1and §79.3concerningLicensureof
Cer-tainOut-of-StateApplicants,withoutchangestotheproposalas publishedintheSeptember26,2014,issueoftheTexas Regis-ter(39TexReg7663).Therepealswillnotberepublished. Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-inglicensureofcertainout-of-stateapplicants.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500046
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
80.
PROFESSIONAL
CONDUCT
22TAC§§80.1- 80.3,80.5,80.7,80.9,80.11,80.13
TheTexasBoardofChiropracticExaminersadopts therepeal
ofChapter80,§§80.1- 80.3,80.5,80.7,80.9,80.11and80.13,
concerningProfessionalConduct,withoutchangestothe
pro-posalaspublishedintheSeptember26,2014,issueoftheTexas Register(39TexReg7663).Therepealswillnotberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingprofessionalconduct.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500047
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
81.
RULEMAKING
22TAC§81.1,§81.3
TheTexasBoardofChiropracticExaminersadoptstherepealof
Chapter81,§81.1and §81.3,concerningRulemaking,without
changestotheproposalaspublishedintheSeptember26,2014, issueoftheTexasRegister(39TexReg7664). Therepealswill notberepublished.
Therepealsarenecessaryinordertoclarify,retitleand
reorga-nizenewrulesregardingBoardprocedurestoprovideconcise
andclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThesectionsarerepealedundertheTexasOccupationsCode
§201.152,whichauthorizestheDirectortoadoptrules concern-ingapplicationsandapplicantsforalicense.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500048
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
71.
RULEMAKING
22TAC§71.1,§71.2
TheTexasBoardofChiropracticExaminersadoptsnew§71.1
and§71.2,concerningRulemaking,withoutchangestothe
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TexasRegister(39TexReg7665). Theruleswillnotbe repub-lished.
Thenewrules inChapter71willimplementretitling and reor-ganizationof theBoardrulesin currentChapter81toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500050
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
72.
APPLICATIONS
AND
APPLICANTS
22TAC§§72.1- 72.12
TheTexasBoardofChiropracticExaminersadoptsnew§§72.1
-72.12,concerningApplicationsandApplicants,withoutchanges
totheproposedtextaspublishedin theSeptember26,2014,
issueoftheTexasRegister(39TexReg7666).Theruleswillnot berepublished.
Thenewrules inChapter72willimplementretitling and reor-ganizationof theBoardrulesin currentChapter71toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500051
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
73.
CHIROPRACTIC
FACILITIES
22TAC§§73.1- 73.5
TheTexasBoardofChiropracticExaminersadoptsnew§§73.1
- 73.5,concerningChiropracticFacilities,withoutchangestothe
proposedtextas publishedin theSeptember26,2014,issue
oftheTexasRegister(39TexReg7669). Theruleswillnotbe republished.
Thenewrules inChapter73willimplementretitling and reor-ganizationof theBoardrulesin currentChapter74toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500052
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
74.
CHIROPRACTIC
RADIOLOGIC
TECHNOLOGISTS
22TAC§74.1,§74.2
TheTexasBoardofChiropracticExaminersadoptsnew§74.1
and §74.2, concerning Chiropractic Radiologic Technologists,
without changes to the proposed text as published in the
September26,2014,issue oftheTexas Register(39TexReg
7671). Theruleswillnotberepublished.
Thenewrules inChapter74willimplementretitling and reor-ganizationof theBoardrulesin currentChapter78toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500053
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
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CHAPTER
75.
LICENSES
AND
RENEWALS
22TAC§§75.1- 75.7
TheTexasBoardofChiropracticExaminersadoptsnew§§75.1
- 75.7,concerningLicensesandRenewals,withoutchangesto
theproposedtextaspublishedintheSeptember26,2014,issue oftheTexasRegister(39TexReg7673). Theruleswillnotbe republished.
Thenewrulesin Chapter75willimplementretitling and reor-ganizationoftheBoardrulesin currentChapter73to provide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirector toadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500056
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
76.
LICENSURE
OF
CERTAIN
OUT-OF-STATE
APPLICANTS
22TAC§76.1,§76.2
TheTexasBoardofChiropracticExaminersadoptsnew§76.1
and §76.2, concerning Licensure of Out-of-State Applicants,
without changes to the proposed text as published in the
September26,2014,issue oftheTexasRegister (39TexReg
7679). Theruleswillnotberepublished.
Thenewrulesin Chapter76willimplementretitling and reor-ganizationof theBoardrulesin currentChapter79toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500057
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
77.
PROFESSIONAL
CONDUCT
22TAC§§77.1- 77.12
TheTexasBoardofChiropracticExaminersadoptsnew§§77.1
-77.12,concerningProfessionalConduct,withoutchangestothe
proposedtextas publishedintheSeptember26, 2014,issue
oftheTexasRegister(39TexReg7680). Theruleswillnotbe republished.
Thenewrulesin Chapter77willimplementretitling and reor-ganizationoftheBoardrulesin currentChapter80to provide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,whichauthorizes theDirectorto adoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500058
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
78.
RULES
OF
PRACTICE
22TAC§§78.1- 78.17
TheTexasBoardofChiropracticExaminersadoptsnew§§78.1
- 78.17, concerningRulesof Practice, withoutchanges tothe
proposedtextas publishedintheSeptember26, 2014,issue
oftheTexasRegister(39TexReg7686). Theruleswillnotbe republished.
Thenewrulesin Chapter78willimplementretitling and reor-ganizationoftheBoardrulesin currentChapter75to provide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode
§201.152,which authorizestheDirectorto adoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
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FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500059
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
CHAPTER
79.
SOAH
HEARINGS
22TAC§§79.1- 79.11
The Texas Board of Chiropractic Examiners adopts §§79.1
- 79.11, concerning SOAH Hearings, without changes to the
proposedtextas publishedin theSeptember26,2014, issue
oftheTexasRegister(39TexReg7699). Theruleswillnotbe republished.
Thenewrules inChapter79willimplementretitling and reor-ganizationof theBoardrulesin currentChapter76toprovide conciseandclearguidancetothepublicandlicensees.
Nocommentswerereceivedregardingtheadoption.
ThenewrulesareadoptedundertheTexasOccupationsCode,
§201.152,which authorizestheDirectortoadoptrules
neces-sarytoregulatethepracticeofchiropractictoprotectthepublic healthandsafety.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary9,2015. TRD-201500060
Bryan Snoddy General Counsel
Texas Board of Chiropractic Examiners Effective date: January 29, 2015
Proposal publication date: September 26, 2014 For further information, please call: (512) 305-6715
PART 11.
TEXAS BOARD OF NURSING
CHAPTER
223.
FEES
22TAC§223.1
(Editor'sNote:Duetoasubmissionerror,thewrongrulemaking doc-umentforanadoptedamendmentto22TAC§223.1waspublishedin theJanuary9,2015,issueoftheTexasRegister.Thecorrect rulemak-ingnotice,includingtheruletext,ispublishedasfollows.)
Introduction. The Texas Board of Nursing (Board) adopts
amendments to §223.1, concerningFees. The amendments
areadoptedwithoutchangestotheproposedtextpublishedin
theNovember21,2014,issueoftheTexasRegister(39TexReg
9148).
Reasoned Justification. The amendmentsare adoptedunder
theauthorityoftheOccupationsCode§301.151and§301.155
andare necessarytocomplywithbudgetaryrequirements
es-tablishedbytheTexasLegislature.AsrequiredbytheGeneral
AppropriationsActforthe2014-2015Biennium,83rdTexas Leg-islature,RegularSession,2013,theBoardisrequired,bya con-tingencyrevenuerider,togeneratefeestotaling$25,334,204.In July,2013,theBoardvotedtoreviseitsfeestructureinorderto raisethisadditionalmoney. Basedonareviewoflicensee re-newaltrendsforthepastfivefiscalyears,theBoardexpectsthe numberofrenewalsforfiscalyear2015toincreaseby3%. Pro-videdthisprojectionholdstrue,atthecurrentfeestructure,the Boardprojectsthatitwillexceedtheamountofmoniesrequired
bythecontingencyrevenueriderbyapproximately$4,000,000.
Asaresult,theBoardhasdetermined thatitisappropriateto amenditsfeestructuretoreducetheanticipatedamountof sur-plusthatdoesnotsupporttheBoard's2014-2015budget. TheBoard'scurrentrenewalfeeforalicensedvocationalnurse
licenseis$55eachbiennium. TheBoard'scurrentrenewalfee
foraregisterednurselicenseis$70eachbiennium.TheBoard's
currentrenewalfeeforanadvancedpracticeregisterednurse
licenseis$60 each biennium. Theadoptedamendmentswill
reduceeachleveloflicensurerenewalby$10,therebymaking
thenewrenewalfeeforavocationalnurselicense$45;the re-newalfeeforaregisterednursinglicense$60;andtherenewal feeforanadvancedpracticeregisterednursinglicense$50.The adoptedfeereductionwilldecreasetheagencysurplusand al-lowtheBoardtoabidebytheOfficeoftheComptroller'srevenue certification.
Howthe SectionWillFunction. Adopted §223.1(a)(3)(A)sets
therenewalfeeforaregisterednursinglicenseat$60.Adopted §223.1(a)(3)(B)setstherenewalfeeforavocationalnursing li-censeat$45.Adopted§223.1(a)(16)setstherenewalfeeforan advancedpracticeregisterednursinglicenseat$50.
SummaryofCommentsandAgencyResponse. TheBoarddid
notreceiveanycommentsontheproposal.
Statutory Authority. The amendments are adoptedunder the
OccupationsCode§301.151and§301.155.
Section301.151authorizestheBoardtoadoptandenforcerules
consistentwithChapter 301and necessary to: (i) performits
dutiesandconductproceedingsbeforetheBoard;(ii)regulate thepracticeofprofessionalnursingandvocationalnursing;(iii) establishstandardsofprofessionalconductforlicenseholders Chapter301;and(iv)determinewhetheranactconstitutesthe practiceofprofessionalnursingorvocationalnursing.
Section301.155(a)statesthattheBoardbyruleshallestablish feesinamountsreasonableandnecessarytocoverthecostsof administeringChapter301.TheBoardmaynotsetafeethat
ex-istedonSeptember1,1993,inanamountlessthantheamount
ofthatfeeonthatdate.
Section 301.155(b) statesthat theBoard may adopt a feein
anamountnecessaryfora periodicnewslettertoproduceand
disseminateto licenseholders theinformation requiredunder
§301.158.
Section301.155(c)providesthattheBoardshallassessa
sur-charge of not less than $3 or more than $5 fora registered
nurseandasurchargeofnotlessthan$2ormorethan$3for
a vocationalnurseto thefee establishedby theBoardunder
§301.155(a)fora licenseholder torenewa licenseunderthis
chapter. TheBoardmayuseninecentsoftheregisterednurse
surchargeand six centsof the vocationalnursesurcharge to
covertheadministrativecosts ofcollectingand depositingthe surcharge. TheBoardquarterlyshalltransmittheremainderof
♦
♦
♦
beusedonlytoimplementthenursingresourcesectionunder
§105.002,HealthandSafetyCode.TheBoardisnotrequiredto collectthesurchargeiftheBoarddeterminesthefundscollected arenotappropriatedforthepurposeoffundingthenursing re-sourcesection.
§223.1. Fees.
(a) TheTexasBoardofNursinghasestablishedreasonableand necessaryfeesfortheadministrationofitsfunctions.
(1) Examination:$100; (2) Endorsement:$161;
(3) Licensurerenewal(eachbiennium): (A) RegisteredNurse(RN):$60;
(B) LicensedVocationalNurse(LVN):$45; (4) reactivatingfrominactivestatus:
(A) lessthanfouryears--$10pluscurrentrenewalfee; (B) morethanfouryears--$20pluscurrentrenewalfee; (5) latefeeforreactivationfromdelinquentstatus:
(A) lessthan 90 days--$60plus current licensure re-newalfee;
(B) morethan90days--$120pluscurrentlicensure re-newalfee;
(6) duplicateorsubstitutepermanentcertificate:$25; (7) issuanceofa temporarypermit forcompletinga re-freshercourse,atemporarypermitunder§301.258,oran accustom-ationpermit:$25;
(8) approvalofnewnursingeducationprograms:$2,500; (9) verificationoflicensure: $5;
(10) verificationofrecords:$25; (11) badchecks: $30;
(12) AdvancedPracticeNurseinitialcredentials:$100; (13) declaratoryorderofeligibility:$150;
(14) eligibilitydetermination: $150;
(15) Licensed Vocational Nurse, Retired; Registered Nurse,Retired;VolunteerRetiredVocationalNurse(VR-VN); Volun-teerRetiredRegisteredNurse(VR-RN);VolunteerRetiredRegistered Nurse(VR-RN)withqualificationsinagivenadvancedpracticenurse roleandspecialty(e.g.,VR-RN,FNP):$10;
(16) AdvancedPracticeNurserenewal:$50; (17) InitialPrescriptiveAuthority:$50; (18) outpatientanesthesiaregistryrenewal:$35;
(19) outpatientanesthesiainspectionandadvisoryopinion: $625;
(20) feeforFederalBureauofInvestigations(FBI)and De-partmentofPublic Safety (DPS)criminalbackground check for li-censees,initiallicensureapplicantsandendorsementapplicantsas de-terminedbyfeesimposedbytheCriminalJusticeInformationServices (CJIS)DivisionandtheTexasDepartmentofPublicSafety;
(21) DisciplinarymonitoringfeesasstatedinaBoard or-der;
(22) NursingJurisprudenceExaminationfee:nottoexceed $25;
(23) approval of remedial education course: $300 per course;
(24) renewal of remedial education course: $100 per course;and
(25) approval of a nursing education program outside Texas'jurisdictiontoconductclinicallearningexperiencesinTexas: $500.
(b) Allfeesarenon-refundable.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonDecember22, 2014.
TRD-201406229 Jena Abel
Assistant General Counsel Texas Board of Nursing Effective date: January 11, 2015
Proposal publication date: November 21, 2014 For further information, please call: (512) 305-6822
CHAPTER
224.
DELEGATION
OF
NURSING
TASKS
BY
REGISTERED
PROFESSIONAL
NURSES
TO
UNLICENSED
PERSONNEL
FOR
CLIENTS
WITH
ACUTE
CONDITIONS
OR
IN
ACUTE
CARE
ENVIRONMENTS
22TAC§§224.1- 224.3,224.5- 224.11
Introduction. The Texas Board of Nursing (Board) adopts
amendments to Chapter 224, §§224.1 - 224.3 and §§224.5
- 224.11, concerning RN Accountability for Delegated Tasks;
GeneralCriteriaforDelegationandSupervisionofDelegationof Tasks;nursedelegationrelativetotheMedicationAidePermit
Holder; Supervising Unlicensed Personnel Performing Tasks
DelegatedbyNonRNPractitioners;anddelegationinrelationto
ApplicationofOtherLawsandRegulations. Theamendments
areadoptedwithoutchangestotheproposedtextpublishedin
theDecember5,2014,issueoftheTexasRegister(39TexReg
9451)andwillnotberepublished.
Reasoned Justification. The amendmentsare adoptedunder
theauthorityoftheOccupationsCode§301.151and§301.152.
The amendments to the chapter correct outdated references
to the"Boardof Nurse Examiners"(BNE) and legal citations; clarify "continuously provided" to include correctional health
settings; provide guidance to Advanced Practice Registered
Nurses(APRN)sotheyunderstandtheAPRNcanusethe
del-egationrulestodelegatenursingtaskstounlicensedpersonnel; clarify responsibilities ofthe Chief Nursing Officer (CNO)and
otherRegisteredNurse(RN)responsibilitieswhensupervising
tasksdelegatedtounlicensedpersonnelorwhendelegatedby
anotherpractitioner; andallowsRNstodelegatethecollection of capillary blood and urine tests to unlicensed personnel for morethanjust"sugarandhematests."
♦
♦
♦
HowtheSectionsWillFunction.
Theadoptedamendmentto§224.1(2)clarifiesthephrase "con-tinuouslyprovided"byaddingadditionalsettingsconsideredto
beinanacutecareenvironment. Theadoptedamendmentto
§224.2(1)reflectsthenewgovernmentcodereference.
The adopted amendment to §224.3 designates the existing
paragraphsas subsections(a) and (b). Theadopted
amend-ment to §224.3(a) correctly references the "Texas Board of
Nursing". The adopted amendment to §224.3(b) provides
guidancetoAPRNsregardingtherulesAPRNsarerequiredto
usewhendelegatingnursingtaskstounlicensedpersonnel.
Theadoptedamendmentto§224.5(a)correctlyreferencesthe
"TexasBoardofNursing".Theadoptedamendmentto§224.5(c) isadded to mirrorsimilar requirements to§225.3(e), foundin §217.19(l)(2)and§217.20(j)(1)regardingaCNO'sresponsibility relatedtoRNdelegation.
The adoptedamendment to §224.6(8)adds newlanguage to
clarify anRN'sresponsibilityto reassessand reevaluate peri-odicallyandwhenchangesinconditionoccur.
The adopted amendment to §224.7 further clarifies an RN's
responsibilitieswhensupervisingtasksdelegatedtounlicensed
personnel or when delegated by another practitioner. The
adoptedamendments to §224.7(1)and (2) add clarifying
lan-guageregardingthesupervisingRN.Theadoptedamendment
to §224.7(2)(C) isadded to provide guidance consistentwith
§211.11(1)(M)concerningthesupervisingRN'sresponsibilityto interveneand§211.11(1)(P)regardingtheRN'sresponsibilityto promotethepatient'ssafetyandcollaboratewiththedelegating
RNtofostercommunication.
The adopted amendment to §224.8(a)(2)(A) provides for the
RNtodelegatethecollectionofcapillarybloodandurinetests to unlicensedpersonnelformorethanjust"sugar and hemat-ests," which is consistent with changes in nursing practice
sincethisrulewasadoptedin2003. Theadoptedamendment
to §224.8(b)(1)(B) provides further clarification regarding the
employer'suseofunlicensedpersonnel. Theadopted
amend-mentto§224.8(b)(1)(B)(v)isaddedtoaddresscommunication
requirementsbetweenunlicensedpersonnelandthedelegating
RN. The adoptedamendment to §224.8(b)(1)(B)(vi) is added
to address the need for periodic competency verification of
unlicensedpersonnel.
Theadoptedamendmentto§224.9(a)reflectsrecentchangesto
HumanResourcesCodeChapter161and40Texas
Administra-tiveCodeChapter95thatallowcorrectionalhealthsettingsto uti-lizecertifiedmedicationaidesandwillallowinthefutureforother
areasthat may adoptsimilarrules. Theadoptedamendment
to§224.9(b)(3)reflectschangesconsistentwithamendmentsto
§225.12adoptedinFebruary2014. The adoptedamendment
to§224.9(b)(4)reflectschangesconsistentwithamendmentsto
§225.10(10)(F)adoptedinFebruary2014.Theadopted
amend-ment to§224.9(b)(5) reflectschangesconsistentwith
amend-mentsto§225.10(10)(A)adoptedinFebruary2014.
The adopted amendment to §224.10(a) correctly references
the "Texas Board of Nursing". The adopted amendment
to §224.10(c) is added to provide guidance consistent with
§211.11(1)(M)concerningthesupervisingRN'sresponsibilityto interveneand§211.11(1)(P)regardingtheRN'sresponsibilityto promotethepatient'ssafetyandcollaboratewiththedelegating
RNtofostercommunication.
The adopted amendment to §224.11(a) correctly references
the "Texas Board of Nursing". The adopted amendment to §224.11(b)addsthelanguage"facilitylicensing"toexplainthat
these laws and regulations may apply and therefore the RN
musttaketheseintoaccount.
SummaryofCommentsandAgencyResponse. TheBoarddid
notreceiveanycommentsontheproposal.
Statutory Authority. The amendmentsare adoptedunder the
OccupationsCode§301.151and§301.152.
Section301.151authorizestheBoardtoadoptandenforcerules
consistentwithChapter301andnecessary to: (1)perform its
dutiesandconductproceedingsbeforetheBoard;(2)regulate
thepracticeofprofessionalnursingandvocationalnursing;(3) establishstandardsofprofessionalconductforlicenseholders underChapter301;and(4)determinewhetheranactconstitutes thepracticeofprofessionalnursingorvocationalnursing. Section 301.152defines "advancedpractice registerednurse" asaregisterednurselicensedbytheboardtopracticeasan ad-vancedpracticeregisterednurseonthebasisofcompletionof
anadvancededucationalprogram. Thetermincludesanurse
practitioner,nursemidwife,nurseanesthetist,andclinicalnurse specialist. Thetermissynonymouswith"advancednurse prac-titioner"and"advancedpracticenurse."
CrossReferencetoStatute. Thefollowingstatutesareaffected
bythisadoption:theOccupationsCode§301.151and§301.152.
Theagencycertifiesthatlegalcounselhasreviewedthe adop-tionandfoundittobeavalidexerciseoftheagency'slegal au-thority.
FiledwiththeOfficeoftheSecretaryofStateonJanuary7,2015. TRD-201500032
James W. Johnston General Counsel Texas Board of Nursing Effective date: January 27, 2015
Proposal publication date: December 5, 2014 For further information, please call: (512) 305-6821
TITLE
28.
INSURANCE
PART
1.
TEXAS DEPARTMENT
OF
INSURANCE
CHAPTER
5.
PROPERTY
AND
CASUALTY
INSURANCE
SUBCHAPTER
A.
AUTOMOBILE
INSURANCE
DIVISION
3.
MISCELLANEOUS
INTERPRETATIONS
28TAC§5.208The commissioner of insurance adopts new 28 TAC §5.208,
concerningdisclosurerequirements fornamed driver
automo-bileinsurancepoliciesunderInsuranceCode§1952.0545. The
publishedintheJuly25,2014,issueoftheTexasRegister(39
TexReg5715).
SenateBill1567,83rdLegislature,RegularSession(2013)
cre-ated InsuranceCode §1952.0545, which requireswrittenand
oraldisclosures,and contemporaneouswrittenconfirmation of
theoral disclosure, fornameddriverpolicies. Topartially
im-plementSB 1567and InsuranceCode §1952.0545, the
com-missioneradoptedamendmentsto28TAC§5.204onApril28,
2014,torequirethenameddriverdisclosureonautoIDcards. Inthisorder,thecommissioneradoptsnew§5.208toimplement theothernameddriverpolicydisclosuresrequiredfornewand renewalpolicies.
TDIreceivedmanyinquiries andfilings as aresult ofthe
dis-closure requirements in SB 1567. Additionally, TDI received
commentsfollowingastakeholdermeetingheldonDecember2,
2013,andcommentsonaninformaldraftpostedonTDI's
web-siteonApril3,2014.TDIconsideredthosecommentsindrafting theproposaltoadopt§5.208.
OnAugust20,2014,TDIheldahearingontheproposal. In
re-sponsetowrittencommentsandcommentsmadeatthehearing,
TDImadethefollowingchangestotheproposedsection.
* TDIdeletedtherequirement thatnamed non-ownerpolicies
complywiththerule.
*TDIclarifiedthesignaturerequirementsin§5.208(c)(6). * TDIclarified that excluded driverpolicies are notsubject to §5.208.
*TDIaddedareferencetotheconspicuousnessrequirements
inBusinessandCommerceCode§1.201(B)(10).
*TDIalsomadeseveralnonsubstantiveeditorialchangestothe rule.
REASONEDJUSTIFICATION.InsuranceCode§1952.0545
re-quiresagentsandinsurerstoprovidedisclosurestoapplicants
and insuredsthatnameddriverpolicieshave coverage
limita-tions. Section5.208isnecessaryto:
1.clarifythedisclosureandapplicabilityrequirements;and
2. ensure that agents and insurers issuing new or renewal
nameddriverpoliciesareconsistentinapplyingthedisclosure
requirementsinInsuranceCode§1952.0545.
Typically,astandardpersonalautopolicyprovidescoverageto almosteveryonewhodrivesthecoveredvehicle,unless specif-icallyexcluded.Incontrast,anameddriverpolicydoesnot
pro-videcoverage forindividualswhoare residentsof thenamed
insured'shouseholdandarenotnamedasinsuredsonthe
pol-icy. Insurance Code§1952.0545requiresspecificdisclosures
fornameddriverpoliciesatthetimeneworrenewalpoliciesare issued.
The disclosures put theapplicant or insured onnotice that a
nameddriverpolicyhaslimitationsincoverageandthat cover-agedependsonwhoisdrivingthecar.Thedisclosuresalertthe applicantorinsured toreviewtheextentofcoverage withthe agentorinsurer. Thedisclosures donotsaythateverydriver notnamedonthepolicyisnotcovered-theysimplyalertpeople thatnotallindividualsresidinginthenamedinsured'shousehold arecoveredunderthepolicy.Althoughsomenameddriver
poli-ciescovermorepeoplethanjustthenamedinsured,theremay
beasubstantialgroupofpeoplewhocoulddrivethecarandbe uninsuredunderthepolicy,includingrelatives,unrelated room-mates,orotherhouseholdresidents.
Definitionof"NamedDriverPolicy"
Section5.208(a)and(b) clarifythedefinitionof"nameddriver policy"andtheapplicabilityofthedisclosurerequirementsunder
InsuranceCode§1952.0545.
Section 5.208(a)(1) restates the definition of "named driver
policy" in Insurance Code §1952.0545(a). Insurance Code
§1952.0545(a)definesanameddriverpolicyas"anautomobile insurancepolicythatdoesnotprovidecoverageforanindividual
residing in a named insured's household specifically unless
the individual is named on thepolicy. The term includes an
automobileinsurancepolicythathasbeenendorsedtoprovide
coverageonlyfordriversspecificallynamedonthepolicy." Section5.208(a)(2)clarifiesthatthedefinitionof"nameddriver policy"includesautomobileinsurancepoliciesthatdonotcover allhouseholdresidents.Thisinterpretationisconsistentwiththe intentof§1952.0545,whichistoinformtheinsuredorapplicant thatthepolicyhascoveragelimitationsthatmakeitdifferentfrom astandardpersonalautopolicy.Forexample,apolicythat cov-ersall roommates, butdoesnotcoverresidentrelatives, pro-videslesscoveragethanastandardpersonalautopolicy. That information-thatifanunnamedhouseholdresidentdrivesthe ve-hicle,thedrivermaynotbecovered-iswhattheLegislature in-tendedtohaveinsurersandagentsconveytopolicyholders.The
disclosuresrequiredunder§1952.0545aredesignedtoensure
thatpolicyholdersarenotifiedofthecoveragelimitationssothey canpreventpeoplewhoarenotcoveredundertheirpoliciesto drivetheirvehicles.
Conversely,almostallautopoliciesprovidecoveragefora resi-dentspouseasa"coveredperson"underthepolicy,evenifthe
spouseisnotnamedandthepolicydoesnotcovereveryother
householdresident.Underanarrowreadingofthedefinitionof "nameddriverpolicy,"apolicythatcoversanyhousehold resi-dentsotherthanthehouseholdresidentsspecificallynamedon thepolicy-evenjustone-isnotanameddriverpolicy. Reading thedefinitionof"nameddriverpolicy"narrowlywouldmeanthat therearevirtuallynonameddriverpoliciesapprovedforusein Texas.
Suchareadingiscontrarytocodeconstructionguidelines
un-derGovernmentCode§311.021(2)and(4),which statethatit
ispresumedthat"theentirestatuteisintendedtobeeffective," and that "aresult feasibleof executionisintended." Addition-ally, notrequiring disclosures onpoliciesthat cover some-but notall-unnamedhouseholdresidentswouldfrustratetheintent of§1952.0545byfailingtowarnpolicyholders andother
inter-estedpartieswhomightnotrealizethatsomehousehold
resi-dentsarenotcovered.
Applicability:ExcludedDriverPolicies
Section5.208(a)(3)statesthatanautomobileinsurancepolicy thatprovidescoverageforallresidentsoftheinsured's house-holdisnotanameddriverpolicy,evenifthepolicyoran
endorse-mentexcludesoneormoredriversspecificallybyname.Those
policiesareknownas"excludeddriverpolicies"orpolicieswith "excludeddriverendorsements."Merelyattachingan endorse-menttospecificallyexcludeadriverdoesnotnecessarilymake apolicyanameddriverpolicy.
Anexcludeddriverpolicyisfunctionallytheoppositeofanamed
driver policy. While a named driver policy generally covers
named driversresiding within thehouseholdand drivers from
outside thehousehold operating the vehicle with permission,
those specifically excluded from coverage by name. Those whobuyexcludeddriverpoliciesarealreadyinformedthatthe policydoesnotcoverallpossibledrivers,becausetheexcluded driversarespecificallylistedbyname. Section5.208(a)(3) clari-fiesthatspecificallyexcludingoneormorehouseholdresidents
by namedoesnotmakea policy a nameddriverpolicy ifthe
policycoversallotherhouseholdresidents.
However,anameddriverpolicythatalsohasanexcludeddriver endorsementisstillanameddriverpolicy. Forexample,a pol-icythatdoesnotcovereveryhouseholdresident,andthatalso excludes"JohnDoe,"isanameddriverpolicywithanexcluded
driverendorsement.
Applicability:CoveragesandRenewals
Section5.208(b)(1)clarifiesthatthesectionappliestoallnew andrenewalnameddriverpoliciesofanyterm. Italsoclarifies thatthesectionappliestopoliciesinwhichanytypeofcoverage appliesonlytonameddrivers.
Insurance Code §1952.0545 applies to every renewal of a
nameddriverpolicy. SB1567,Section3, statesthatitapplies toan insurancepolicythat isdelivered, issuedfordelivery, or renewedonorafterJanuary1,2014.Itdoesnotsay"annuallyat renewal,""atthefirstrenewalafterJanuary1,2014,"or"before acceptingtheinitialpremiumorfee."Instead,InsuranceCode
§1952.0545(b) requiresan agentor insurerto make oral and
writtendisclosurestotheapplicantorinsuredbeforeaccepting anypremiumorfeeforanameddriverpolicy. Ifthedisclosure requirementswereintendedtoapplyonlytonewpolicies,only theterm"applicant"wouldappearinthetext. Theinclusionof the word "insured" indicates that the disclosurerequirements
weremeanttoapplytorenewals.
Moreover,ifthedisclosurerequirementswereonlyintendedto applytoaninsuredwithanexistingpolicyontheeffectivedate
ofSB1567andtonorenewalsthereafter,§1952.0545(b)could
havestated,"insuredwithanexistingpolicyonJanuary1,2014." GovernmentCode§311.021(2)statesthat,inenactingastatute, itispresumedthattheentirestatuteisintendedtobeeffective. Ignoringtheinclusionoftheword"insured"wouldbecontrary to thispresumption. In addition, thephrase"any premium or fee"inInsuranceCode§1952.0545(b)logicallyincludesrenewal premiums.
Finally, other statutes that require automobileinsurers to ob-tainsignaturesfrominsuredsspecificallyallowinsurerstoobtain theinsured'ssignatureonlyonce. Forexample,bothInsurance Code§1952.101(whichappliestowrittenrejectionofuninsured
orunderinsuredmotoristcoverage)and§1952.152(which
ap-plies towritten rejectionof personal injuryprotection) contain languagethat specifiesthattheinsurerisnotrequiredtooffer therejectedcoverageagainforreinstatedorrenewal policies.
TheseexamplesguideTDIonhowtointerpret§1952.0545.
Ex-pressstatutoryauthoritywasrequired toallowinsurersto
ap-ply a rejection of coverage under Insurance Code §1952.101
or§1952.152tofuturereinstatedorrenewalpolicies. Because
§1952.0545containsnosimilar,expressprovisionallowingan
insurer or agentto provide disclosures and obtainsignatures
onlyonce,TDIcanonlyconcludethattheLegislatureintended thattheinsureroragentmustgivethedisclosuresandobtainthe confirmingsignatureseachandeverytimetheinsureroragent
acceptsanypremiumorfee.
Section5.208(b)(2)clarifiesthatthesectionappliestoallagents
and insurersoffering automobileinsurance in Texas, whichis
consistentwithInsuranceCode§1952.0545(b)- (e).
DisclosureRequirements
Section5.208(c)clarifiesthedisclosurerequirementsfornamed
driverpolicies under Insurance Code §1952.0545. Insurance
Code §1952.0545(b) requires an agentor insurer, before
ac-ceptinganypremiumorfeeforanameddriverpolicy,tomake
thefollowingdisclosure,orallyandinwriting,totheapplicantor
insured,"WARNING:ANAMEDDRIVERPOLICYDOESNOT
PROVIDECOVERAGEFORINDIVIDUALSRESIDINGINTHE
INSURED'SHOUSEHOLDTHATARENOTNAMEDONTHE
POLICY."
InsuranceCode§1952.0545(c)and (d)requireanagentor
in-surerthatdeliversorissuesfordeliveryanameddriverpolicyin Texastoreceiveacopyofthedisclosureinsubsection(b)that issignedbytheapplicantorinsured,andtospecificallyinclude inthepolicyandconspicuouslyidentifyonthefrontofanyproof ofinsurancedocumentissuedtotheinsuredtherequired disclo-sure.
InsuranceCode§1952.0545(e)requirestheagentorinsurerto
requiretheapplicantorinsuredtoconfirmcontemporaneously
inwritingtheprovisionoforaldisclosure.
Section5.208(c)(1)restatesInsuranceCode§1952.0545tolist theproceduralrequirements. It statesthatanagentorinsurer maynotacceptapremiumorfeeforanameddriverpolicyuntil theagentorinsurerhasmadetherequiredoralandwritten dis-closures,receivedasignedcopyofthewrittendisclosure,and receivedacontemporaneouswrittenconfirmationoftheoral dis-closure.
Section5.208(c)(2)restatesthedisclosurerequirementin
Insur-anceCode§1952.0545(b).
Section5.208(c)(3)affirmsthatanagentorinsurermayprovide
the oral disclosure live or by using a recording, and allows
telephone and Internet disclosures. Though Insurance Code
§1952.0545 doesnot expresslyallowrecorded disclosures, it
alsodoesnotprohibitthem. InsuranceCode§1952.0545does
not require in-person oral disclosures; and Insurance Code
§35.003allowsagentsandinsurers,onagreementofallparties tothebusiness,toconductbusinesselectronicallytothesame extentthattheyare authorizedtoconductbusinessotherwise. Withoutanexpressprohibitiononelectronicorrecorded disclo-suresfornameddriverpolicies,insurersandagentswhocomply
withthe InsuranceCode §1952.0545disclosurerequirements
toconducttheirbusinessmayuseelectronicmeanstodoso. Section5.208(c)(4)reiteratestherequirementinInsuranceCode
§1952.0545(e)forcontemporaneouswrittenconfirmationofthe
oraldisclosure.
Section 5.208(c)(5) reiterates the requirements in Insurance
Code §1952.0545 that an agent or insurer must include the
writtendisclosurein thepolicy and onanyproofof insurance
documentissuedtotheinsured,andmustrequireanapplicant
orinsuredtosignacopyofthedisclosure.
Section5.208(c)(6) providesthat all required signatures must beoriginalorelectronicsignaturesexecutedforeachnewand
renewal policy. Electronic signaturesmust comply with
Busi-nessandCommerceCodeChapter322(theUniformElectronic
TransactionsAct),InsuranceCodeChapter35,andany
withregardtothesignaturesrequiredunderthissection-namely, thatsignaturesmustnotprecedetheactualprovisionofthe
dis-closure,andmaynotbecopied,presumed,orassumedon
pay-ment.
Under§5.208(c)(7),agentsandinsurersmustprovidethe
Eng-lishdisclosuresthatInsuranceCode§1952.0545requires,and
mayprovidethedisclosuresinotherlanguages.
Section5.208(d)providesthatacceptinginstallmentpayments
ofpremiumandassociatedfeesdoesnot,byitself,triggera
re-quirementfora newsetofdisclosures underInsurance Code
§1952.0545. Insurance Code §1952.0545(b) requiresagents
andinsurerstocomplywiththedisclosurerequirementsbefore
acceptinganypremiumorfeefora nameddriverpolicy. The
statutedoesnotstatethatthedisclosuremustbegiven repeat-edlyduringorthroughoutthetermofthepolicy.Installment
pay-mentsdonotrequirea newsetofdisclosuresbecauseatthe
time aninsuredmakesaninstallment paymentthepolicyhas
alreadybeendeliveredorissued,andtheagentorinsurerwas requiredto havealreadyprovidedthedisclosures forthat pol-icy'sterm.
Noncompliance
Section 5.208(e) clarifies that an agent or insurer may not
use noncompliance with Insurance Code §1952.0545 or the
proposedsectionasareasontoavoidliabilityunderthepolicy,
and that noncompliance isnotgroundsfor cancellationofthe
insured's policy under Insurance Code §551.104. Insurance
Code §551.104 provides that an insurer may cancel a
per-sonal automobile policy onlyfor specified reasons, including:
nonpayment ofpremium; fraud; ifcontinuing thepolicy would
be illegal; if specific circumstances pertaining to suspension orrevocationofa driver'slicenseormotor vehicleregistration exist;or,withpropernotice,onany12-monthanniversaryofthe originaleffectivedateofthepolicy. Anagentorinsurer'sfailure
tocomplywiththedisclosurerequirementsin InsuranceCode
§1952.0545 or theproposed sectiondoes notfall intoany of
thecategoriesinInsuranceCode§551.104. However,nothing
intheruleor§1952.0545preventsaninsurerfromcancelinga policyforthereasonsallowedinInsuranceCode§551.104. TDIretainsitsenforcementauthoritytoenforceviolationsunder theInsuranceCodeandanyotherapplicablestatutesandrules. TDI's authorityincludes,butis notlimitedto, InsuranceCode
Chapter82(Sanctions)andChapter83(EmergencyCeaseand
DesistOrders),whichapplytoallcompaniesandindividuals
reg-ulatedbythecommissioner. Thecommissionermayalsotake
actionunderChapter86(RevocationorModificationof Certifi-cateofAuthority;AuthoritytoBringCertainActions). Notlisting specificauthorityorpenaltiesforviolationsineachruledoesnot depriveTDIofthisauthority.Rulestypicallydonotarticulate ev-erypossiblegroundforenforcementactionortherangeof sanc-tionsandpenaltiesavailable.
SUMMARYOFCOMMENTSANDAGENCYRESPONSE.
Commenters: TDIreceivedwrittencommentsfrom21people,
andoralcommentsfromsevenpeople.Somecommenters
sub-mittedbothwrittenandoralcomments.Thecommenterswere:
Lone Star Insurance Agency, Harco Insurance, Independent
Insurance Agents of Texas, Sutliff & Stout, Senator Craig
Estes, Office of Public Insurance Counsel, Texas Watch,
Representative Ed Thompson, Senator WendyDavis, Alinsco
Insurance Company, Empower MGA, Safe Auto, ACCC
In-surance Company, Property Casualty InsurersAssociation of
America,AmWINSSpecialtyAuto,InsuranceCouncilofTexas,
NationwideInsurance,andthreeanonymousindividuals.
Four comments from three commenters were either against
adoption of the rule before the 2015 legislative session, or
for adoption with changes. Twenty-eight comments were for
adoptionwithchanges.
Comments on the Existence of Named Driver Policies: Four commentersstatedthatTDIshouldeliminatenameddriver poli-cies.
Agency Response to Comments on the Existence of Named DriverPolicies:TDIdoesnothavespecificstatutoryauthorityto
bannameddriverpolicies.TheLegislaturedidnotpassHouse
Bill1773,83rdLegislature,RegularSession(2013),whichwould haveeliminatednameddriverpolicies.
CommentsonStandardPolicyForms:Twocommentersstated that TDIshouldonlypermit standardpolicy forms, oronlythe InsuranceServicesOfficepolicyform.
AgencyResponsetoCommentsonStandardPolicyForms:TDI doesnothavethestatutoryauthoritytoprohibitinsurersfrom fil-ingtheirownpolicyformsforapproval,ortorefusetoapprove policyformsthatcomplywithall applicablestatutesandrules. SB14,78thLegislature,RegularSession(2003)allowed insur-ersandadvisoryorganizationstofileforapprovaltheirown pol-icyformsandendorsementsinsteadofusingpromulgatedforms, asthepreviousregulatoryschemerequired.
Comments on Renewals-Not Required: Seven commenters
stated that the rule should not require named driver policy
disclosuresateachrenewal.
Agency Response to Comments on Renewals-Not Required:
Section 1952.0545does not permit the consumeror the rule
to waivetherequirementthatinsurersprovidethedisclosures
required ateveryrenewalofa nameddriverpolicy. SB1567,
Section 3, states that itappliesto an insurancepolicy that is delivered,issuedfordelivery,orrenewedonorafterJanuary1, 2014.Itdoesnotsay"annuallyatrenewal,""atthefirstrenewal afterJanuary1,2014,"or"beforeacceptingtheinitialpremium or fee." Instead, Insurance Code §1952.0545(b) requires an
agent or insurer to make oral and written disclosures to the
applicant orinsured before acceptinganypremium or fee. If
thedisclosurerequirementswereintendedtoapplyonlytonew policies, only the term "applicant" would appear in the text. TheLegislature's inclusionoftheterm"insured"indicatesthat
thedisclosurerequirementsweremeant toapplyto renewals.
Moreover, if the disclosure requirements were only intended
to apply toan insured withanexisting policy ontheeffective
dateofSB1567andtonorenewalsthereafter,§1952.0545(b)
couldhavestated, "insuredwithanexistingpolicyonJanuary 1,2014."
GovernmentCode§311.021(2)statesthat,inenactingastatute, itispresumedthattheentirestatuteisintendedtobeeffective. Ignoringtheinclusionoftheword"insured"wouldbecontraryto thispresumption. Inaddition,thephrase"anypremiumorfee" inInsuranceCode§1952.0545(b)logicallyincludesrenewal pre-miums. Finally,aspreviouslystated,otherstatutesthatrequire insurerstoobtaindocumentsfrominsuredscontainspecific lan-guagethattheinsurerisnotrequiredtooffertherejected cov-erageagainforreinstatedorrenewalpolicies. InsuranceCode
§1952.0545containsnosuchprovision. Asaresult,TDImust
CommentsonRenewalsvs. InstallmentPayments: One com-menterstatedthatrequiringdisclosures atrenewalbutnotfor installmentpaymentsseemsarbitrary.
Twocommentersstatedthattheruleshouldclearlynotapplyto
installmentpaymentseachtimeanagentoraninsuredaccepts
aninstallmentpaymentduringthepolicytermifthedisclosure andconfirmationisobtainedonorbeforethepaymentofthe ini-tialpremiumorfee;orthepolicyisissued,delivered,reinstated,
orrenewed.
AgencyResponsetoCommentsonRenewalsvs. Installment Payments: TDIagreesthattheruleshouldnotapplyto
install-mentpayments.Distinguishingbetweenrenewals,whichare
of-fersandacceptancesofaninsurancecontractforanewpolicy
term,andinstallmentpayments,whichareamethodof
spread-ingoutthecostofapolicyoverthatpolicy'sterm,isreasonable. Section3,SB1567,statesthatthebillappliestoapolicythat isdelivered,issuedfordelivery,orrenewedonorafterJanuary 1,2014. Installmentpaymentsarenotlikerenewals.Nopolicy isdelivered,issued,orrenewedwitheachinstallmentpayment. Thereisnochangetothepolicycontractateachinstallment pay-ment.Incontrast,theinsurercanmakechangestothecontract atrenewal.
Moreover, theinsured incursanobligationto payatpolicy
is-suanceorrenewal. Atrenewal,theinsuredreceivesarenewal
certificateandpaysforanewpolicyterm,ratherthanpayingpart ofadebtforanexistingpolicyterm.Theinsuredischargedthe entirepremiumforapolicytermwhenthepolicyisissuedor
re-newed.Installmentpaymentarrangementsareseparate
agree-mentsthatallowtheinsuredtofulfillthatobligationbypayingit overtime,insteadofallatonce.
CommentsonComparingNamedDriverDisclosureswith Dis-closuresforPIPandUM/UIM:Twocommentersstatedthat
re-peated disclosures and signatures have never been required
forpersonalinjury protectioncoverage, uninsured and
under-insuredmotoristcoverage,thepolicyapplication,andexcluded
driverendorsements. Theystatedthat aburdensomesystem
willincreaseratesandincreasethenumbersofuninsured
mo-torists;andthatrequiringdisclosuresateachrenewalofanamed driverpolicyisunprecedentedandinsultingtoinsureds.
One commenter stated that it is unlikely that the Legislature
intended that a non-mandated coverage (that primarily being
coverage of undisclosed resident drivers) receive stronger
proceduralprotectionsthanmandatedcoverageslikepersonal
injuryprotectioncoverage anduninsuredorunderinsured
mo-toristcoverages.
AgencyResponseto CommentsonComparingNamedDriver DisclosureswithDisclosuresforPIPandUM/UIM:The require-mentfordisclosuresateachrenewalisbasedonthestatutory languagechosenbytheLegislature.Otherstatutesthatrequire insurerstoobtainsignaturesfrominsuredsincludespecific lan-guagethattheinsurerisnotrequiredtooffertherejected cov-erageagainforreinstatedorrenewalpolicies.Forexample, In-suranceCode§1952.101(pertainingtowrittenrejectionof
unin-suredorunderinsuredmotoristcoverage)and§1952.152
(per-tainingtowrittenrejectionofpersonalinjuryprotection) specifi-callyallowcoveragerejectionstoapplytoreinstatedorrenewed
policies. InsuranceCode §1952.0545containsnosuch
provi-sion.
Moreover, the signatures required under Insurance Code
§1952.101 and §1952.152 are rejections of coverage, rather
thansignaturesconfirmingdisclosureoflimitedcoverageinthe
policy delivered, issued for delivery, or renewed. The
Insur-ance Code's specific allowance of a "once and done" waiver
ofthecoverages requiredto beofferedunder §1952.101and
§1952.152doesnotcreateasimilar"onceanddone"allowance fornameddriverdisclosuresandthesignaturesrequiredunder
InsuranceCode§1952.0545,absentspecificstatutorylanguage
tothateffect.
CommentsonRequiringDisclosuresatOnlytheFirstRenewal:
Onecommenterstatedthattheruleshouldrequiredisclosures
onlyonthefirstrenewalafterJanuary1,2014,andnotfor
sub-sequentrenewals. Thecommenter statedthat when apolicy
renews, thepolicyitselfjustcontinuesin force-itisnota new policy; andthatSB1567ismeanttoapplyat thepolicy level, for"policies,"not"policyterms."Thecommenteralsostatedthat
burdensomerequirementsateachrenewalwoulddrivesome
in-surersoutofthenameddrivermarket,wouldincreasepremiums forothers'policies,andwouldforcepeopletobeuninsured.
Onecommenterstatedthattheproposedrulecouldeventually
eliminatethepopularandnecessarynameddriveroptioninthe
nonstandardmarket.Thecommenterstatedthat§1952.0545
re-quiresdisclosuresonlyfornewnameddriverpoliciesafter Jan-uary1,2014,orforthefirstrenewalafterJanuary1,2014;and that, ifthe Legislature had intended to require disclosures at eachrenewal,SB1567,Section3wouldhavesaid,"delivered, issued fordelivery, AND renewed," instead of"OR renewed." Thecommenterstatedthatthebilldoesnotsay,"each,""every," or"all,"soitwasnotintendedtorequirecontinuousdisclosure; andthatnootherautoinsurancerequirementrequiressuch du-plicationofdisclosures.Thecommenterstatedthatonlythe
writ-tendisclosurerequirementappliestorenewals.Thecommenter
statedthatnameddriverpoliciesareroutinelysoldasmonthly policies,andthatrenewalsofpoliciesthatalreadyhavea compli-antdisclosureandacknowledgmentshouldnotrequireperpetual reconfirmation.
Twocommentersstatedthat requiring disclosuresat each
re-newalisburdensometoconsumers,agents,andinsurers,and
wouldbeanabsurdresult.Thecommentersstatedthat
disclo-sures shouldbe required to be given onlyonce, at policy
is-suance oratthefirstrenewalafterJanuary1, 2014; and that normalpracticeforinsurancepoliciesistoobtainsignaturesand disclosureswhenthepolicyisissued,notateachrenewal.The
commentersstatedthatproposed§5.208(c)shouldbeamended
toeithernotrequirewrittendisclosureandconfirmationateach
renewal,ortoallowcompaniesoragentstoobtainsomekind
ofwaivertokeepfromhavingtorepeatdisclosuresatevery
re-newal. The commenters alsostatedthat proposed§5.208(d)
shouldbeamendedtodelete"aftercomplyingwiththe disclo-surerequirementsforeachnewandrenewalpolicy,"and"after complyingwiththedisclosurerequirementseachtimeapolicyis delivered,issuedfordeliveryorrenewed."
Agency Responseto Comments on RequiringDisclosures at OnlytheFirstRenewal: Asstatedabove,theInsuranceCode's allowanceofa"onceanddone"waiverofthecoveragesrequired
tobeofferedunder§1952.101and§1952.152doesnotcreatea
similar"onceanddone"allowancefornameddriverdisclosures
requiredunderInsuranceCode§1952.0545.
TDIcannotgrantconsumerstheauthoritytowaiveaninsurer's statutoryduty. Thereisadistinctionbetweenastatutoryduty-a
requirementtheLegislatureplacesoninsurers-andaconsumer
right.Aconsumermaychoosetowaivecertainrights,buta con-sumerdoesnothavetheauthoritytowaiveaninsurer's
statu-toryobligationtoobeythelawbyprovidingoralandwritten dis-closuresandreceivingcontemporaneouswrittenconfirmationof theoraldisclosureateachrenewal.
CommentsonRenewals-Required: Three commentersstated thattheruleshouldrequirenameddriverpolicydisclosures at
eachrenewal.
OnecommenterstatedthatTDIcorrectlyinterpretedthe"or"in theSB1567,Section3statementthatitappliestoaninsurance policythatisdelivered,issuedfordelivery,orrenewedonorafter
January1,2014.Thecommenterstatedthat,becauseSB1567
didnotexplicitlyallowdisclosurestobegivenonceand apply prospectivelyforrenewals,asinInsuranceCode§1952.152(b),
which applies to personalinjury protection coverage, the SB
1567disclosuresmustbegivenateachrenewal.
Anothercommenterstatedthatthebillandintentareclearthat SB1567doesnotallowforanysortofinitialrenewaldisclosure, andthatitisobviousthatthedisclosuresaretocontinuetobe deliveredateachandeveryrenewal.
Anothercommenterstatedthatreadingthebilltoapplytoonly thefirstrenewalwould beinconsistentwith readingthebill to applytonewpoliciesissuedafterJanuary1,2014.
AgencyResponse toComments on Renewals-Required: TDI agreesthat,underSB1567,therulemustrequirenameddriver policydisclosuresateachrenewalofanameddriverpolicy.
CommentsonRulemaking:
One commenter requested that TDIdelay rulemaking on SB
1567becausecompliancewiththeruleasproposedisvirtually impossible.
Another commenter requested that TDI delay rulemaking on
SB1567,andstatedanintenttointroducelegislationaffecting
named driver policies during the 2015 Legislative Session,
whichcouldaffecttheruleasproposed.
Anothercommenterstatedanintenttointroducelegislationinthe comingsessionthatwouldbannameddriverpoliciesaltogether.
Anothercommenterstatedthat theruleshouldproceedto
en-sure that the intent of the law issustained. The commenter
alsostatedthatSB1567,whichhadsignificantbipartisan sup-port,intendedtomakecertainthatTexasconsumersunderstand thelackofcoverageinnameddriverpoliciesandtokeepTexas
roadwayssafe.
AgencyResponsetoCommentsonRulemaking: TDIdeclines todelaytherule.Itispossiblethatlegislationpassedinthe2015
sessionmaychangeInsuranceCode§1952.0545suchthatTDI
wouldneedtoamendtherule. However,§1952.0545hasbeen
effectivesinceJanuary1, 2014,andtheruledoesnotimpose
anycoststhatarenotalreadyrequiredbythestatute.
The rule clarifies the statutory requirements, guides insurers
to uniformlycomplywith thoserequirements, and promotesa
level playing field among insurers and agents selling named
driverpolicies.Allowingtheuncertaintyaboutwhat§1952.0545
requires to persist simply because those requirements may
changemayharmconsumers. TheLegislaturemandatedthat
insurersmustgivetherequired disclosurestoconsumerswho
purchase named driver policies, regardless of the insurer or
agent from whomthey purchase their policies. Insurersand
agents who are providing disclosures on every renewal of a
nameddriverpolicyshouldnothavetocompeteagainstinsurers andagentswhoarenotprovidingdisclosuresoneveryrenewal.
TDIimplementsSB1567, andpart ofimplementing thebillis
promulgatingrulestoclarifythestatutes.
Commentsonthe"FailuretoComply"Provision-DeleteorRevert toInformalDraftLanguage:
CommentsonUsingApril3,2014,Language:Fourcommenters statedthatTDIshouldeitherreverttothe"Failureto Comply" languageintheinformaldrafttextTDIpostedonApril3,2014, ordeletetheprovisionentirely.
AgencyResponsetoCommentson UsingApril3, 2014, Lan-guage: The Failure to Complyprovision in theinformal draft
read: Whenanagentorinsurerdoesnotcomplywiththe
dis-closurerequirements, theinsurermaynotavoidliability under thepolicy. Thislanguagecouldbereadtosaythattheinsurer couldnotavoidliabilityunderthepolicyforanyreason,evenif thereisalegitimatereasonfordenyingtheclaim. Thatwasnot theintentoftheprovision,soTDIrevisedthelanguage.
CommentonCancellation:Onecommenterstatedthatthe pro-posed"Failure to Comply" provision could preventan insurer fromcancelingapolicyforotherappropriateunderwritingor
non-paymentreasons forfear of the cancellationappearing to be
basedonapretext.
Agency Response to Comment on Cancellation: Nothing in §5.208(e)prohibitscancelinganameddriverpolicyfora
legiti-matereason.
Comment thatthePolicy ShouldNotbe Treatedas a Named DriverPolicy:Acommenterstatedthatfailuretocomplyshould
result in the policy beingtreated as not including the named
driverprovisions, andthat, untilthepolicy iscompliant, an in-surerhasnotacceptedapremiumorfeeforanameddriver pol-icy.
Agency Response to Comment that the Policy Should Not be Treated as a Named Driver Policy: Regarding the
com-menter's assertion that a named driver policy contract that
lackstheproperdisclosuresisnota nameddriverpolicyuntil thedisclosures areprovided: a nameddriverpolicyisdefined
by InsuranceCode §1952.0545basedon whetheritprovides
coverage forall householddrivers. Acontract isthebasis of thebusinessofinsurance.Tochangethetermsofaninsurance contract,theparties mustformally modifythecontractin
writ-ing. Contractsaregenerallynotmodifiedbyoralagreements,
outsideinfluences,oractions. Forexample,changingadjuster
behavior does not change the contract-merely telling an
ad-justertoadjustaclaimasthoughanameddriverpolicywerea
standard policydoes notchangea nameddriverpolicyintoa
standardpolicy.
TDIconsideredwhethertherulecouldchangethepolicycontract
basedonaconditionsubsequent. Section1952.0545doesnot
providethatauthority;asaresult,therulewillnotrequirethatan executedinsurancepolicycontractwouldbeautomatically con-vertedintoadifferentcontractwithdifferentratesandactuarial justificationofthoseratessimplybecausetheinsureroragent hasnotcompliedwiththestatutorydisclosurerequirements.
Commentthat§5.208(e)DoesNotAddAnythingUseful,andis TooBroad:Anothercommenterstatedthatproposed§5.208(e)
wouldsparkunnecessarylitigation anddoesnotaddanything
to TDI'senforcementauthority. The commenterrecommends
removingornarrowingtheprovision.
Agency Responseto Comment that §5.208(e)Does Not Add AnythingUseful,andisTooBroad:Theruleclarifiesthatfailing