Texas Administrative Code Title 26 - HEALTH AND HUMAN SERVICES
Here’s a structured overview of Texas Administrative Code (TAC) Title 26 – Health and Human Services – an extensive body of rules overseen by the Texas Health & Human Services Commission (HHSC):
⚙️ Structure of Title 26 – Part 1 (Health & Human Services Commission)
Based on the Official Texas Secretary of State listing and Justia, here are the main chapters currently active:
Chapter 3 – Memoranda of Understanding with other State agencies (regulations.justia.com)
Chapter 8 – Peer Assistance for impaired professionals (regulations.justia.com)
Chapter 52 – Contracting for community services (regulations.justia.com)
Chapter 87 – Ombudsman Services (including revisions effective Jan 2025) (sos.state.tx.us)
Chapter 88 – State Long‑Term Care Ombudsman Program (regulations.justia.com)
Chapter 110 – Administrative Procedure Act hearings (regulations.justia.com)
Chapters 211 & 213–214 – Day Activity/Health Services, Area Agencies on Aging, National Senior Corps (regulations.justia.com)
Chapters 256, 259–260 – Medicaid coverage programs (e.g., EPSDT, CLASS, CFC services) (regulations.justia.com)
Chapter 370 – Children's Health Insurance Program (“Provider discrimination based on immunization status”) (sos.state.tx.us)
Chapter 363 – County Indigent Health Care Program (updated Sept 2024, effective Sept 26 2024) (sos.state.tx.us)
Chapter 550 – Licensing standards for pediatric extended care centers (PPECCs), updated Oct 16 2024 (sos.state.tx.us)
Chapter 553 – Licensing standards for assisted living facilities (effective Sept 12 2024) (hhs.texas.gov)
Chapter 742 – Standards for listed family homes (regulations.justia.com)
🆕 Recent Rule Updates (Effective Jan–Sept 2024)
Chapter 363 (County Indigent Health Care) amendments filed Aug 30 2024; effective Sept 26 2024 (sos.state.tx.us)
Chapter 553 (Assisted Living Facilities) updated effective Sept 12 2024 (hhs.texas.gov)
Chapter 550 (Pediatric Extended Care) updated Oct 16 2024 (sos.state.tx.us)
Chapter 370 added §370.456 forbidding provider discrimination based on immunization status (filed Apr 2025; earliest Jan 19 2025) (sos.state.tx.us)
Chapter 87 (Ombudsman Services) repealed older sections and adopted new ones, filed Dec 2024; earliest effective Jan 19 2025 (regulations.justia.com)
🔍 What These Rules Do
Establish licensing, contracting, and care standards for various provider types:
Assisted living, pediatric extended care, indigent health programs, family homes, and Medicaid/CHIP services
Define oversight roles, such as Ombudsman programs (Ch. 87–88) and administrative hearings (Ch. 110)
Impose eligibility, operational, and non-discrimination requirements on providers and service contractors
Govern public health policy—e.g., limiting immunization-based discrimination in CHIP providers
✅ How to Access the Full Text
Official TAC: Texas Secretary of State’s TAC website, under Title 26 → Part 1 → by Chapter (sos.state.tx.us, sos.state.tx.us)
Justia: HTML versions of all Title 26 chapters (note—data may lag)
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