Rules are developed to show how Texas Health and Human Services (HHS) implements state and federal law. To be good stewards of the public trust, HHS takes into account stakeholder input when rules are being written or updated to ensure interested parties have a chance to contribute to the process.

Frequently Asked Questions

What is a rule?

A rule is a specific type of state agency statement that implements or interprets law, prescribes policy, or describes the procedure or practice requirements of the agency. State agencies only adopt rules for aspects of their work that affect the public; internal management or organization will not be described in rule.

How is a rule different from a statute?

A Texas statute is created or amended by the Texas Legislature. A rule is adopted by a state agency that has either specific or implied rulemaking authority.

Why are rules needed?

Rules are often needed for a state agency to carry out its statutory duties. Rules hold the force of law and are a state agency's opportunity to give the public more detail about how the agency will implement law.

What is the Texas Register?

The Texas Register is a weekly publication of the Texas Secretary of State that includes proposed, adopted, withdrawn and emergency rule actions; notices of state agency review of agency rules; governor's appointments; attorney general opinions; and miscellaneous documents such as requests for proposals and public hearings.

What is the difference between a proposed rule and an adopted rule?

A proposed rule is a rule that a state agency intends to adopt. The state agency provides notice of this intention by publishing a notice of the proposed rule in the Texas Register. The notice includes a request for comments on the proposed rule. If the state agency has not adopted or actively withdrawn the proposed rule, it is automatically withdrawn six months after the published notice.

An adopted rule is the version of a rule that is adopted by a state agency. A rule may only be adopted after the state agency has given a reasonable opportunity for people to submit comments on the proposed rule. An adopted rule is filed with the Texas Secretary of State for publication in the Texas Register. Adopted rules are codified in the Texas Administrative Code, which is also maintained by the Texas Secretary of State. Health and Human Services system rules are located in Titles 1, 25, 26 and 40 of the Texas Administrative Code.

When does an adopted rule become effective?

Typically, a rule takes effect 20 calendar days after the date the adopted rule is filed with the Texas Secretary of State. A state agency can request a later effective date, as needed, but not an earlier effective date. 

How up to date is the Texas Administrative Code?

The Texas Secretary of State updates the Texas Administrative Code daily.

Who can I contact for more information related to Texas Health and Human Services rules?

How Can I Participate in the Process?

Engaging the public and stakeholders is an important element of the HHS rulemaking process. HHS provides informal and formal opportunities for the public and stakeholders to participate in the process.

Interested parties can participate by:

  • offering informal comments.
  • commenting on proposed rules published in the Texas Register.
  • providing input to an advisory committee.
  • attending an HHSC Executive Council meeting.

Informal Comments

Informal opportunities to comment occur before a rule is published in the Texas Register. HHS staff may solicit informal public and stakeholder input by:

  • inviting stakeholders to submit comments on potential rule changes during rule development.
  • sharing a draft rule with stakeholders for review.
  • using existing HHS advisory committees to comment on rules.

The following are draft rules on which HHS is accepting informal public or stakeholder input.

Draft Rules
Rule Title, Scope, Contact Person, and Rule Project Number Draft Rule - Comment period Start Date  Draft Rule - Comment period ends End Date



Advisory Committees

Some rules may require approval of an advisory committee before being proposed in the Texas Register. For more information about HHS advisory committees, please visit the advisory committee web page.

HHSC Executive Council

The HHSC Executive Council reviews proposed rules at a scheduled meeting. Visit the HHS meetings and events page to learn about upcoming meetings.

Formal Comments via the Texas Register

To let the public know about a rulemaking action – such as new, amended or repealed rules – HHS publishes a notice in the Texas Register, a publication of the Texas Secretary of State. Interested parties then can review and comment on the proposed rule. The Secretary of State publishes a new issue of the Texas Register each Friday.

The Administrative Procedure Act (Texas Government Code, Chapter 2001) requires the notice published in the Texas Register to include a brief explanation of the proposed rule and a request for comments from any interested person. The notice also includes instructions for submitting comments regarding the rule to the agency, including the date by which comments must be submitted. Agencies must give interested persons "a reasonable opportunity" to submit comments. The public comment period begins on the day after the notice of a proposed rule is published in the Texas Register and lasts for a minimum of 30 calendar days.

Below is a list of proposed rules that have been published in the Texas Register. The proposed rules that are published in the Texas Register are open for public comment until the end of the comment period.

Proposed Rules
Chapter Number, Rule Title Project Number, Project Description Contact Person Comment Period Ends

Chapter 139, Abortion Facility Reporting and Licensing

Abortion Facility Reporting and Licensing, Project # 18R017

Health and Human Services Commission

April 22, 2018

Chapter 382, Women’s Health Services

Healthy Texas Women, Project #1R036

Women’s Health Services

April 22, 2018

Chapter 49, Contracting for Community Services

Contracting for Community Services, Project #40R025

Rules Coordination Office

April 29, 2018

1 TAC, Chapter 353, Medicaid Managed Care, Subchapter P, Mental Health Targeted Case Management and Mental Health Rehabilitation
1 TAC, Chapter 354, Medicaid Health Services, Subchapter M, Mental Health Targeted Case Management and Mental Health Rehabilitation

Targeted Case Management and Mental Health Rehabilitation Project #1R024

HHS Rules Coordination Office

May 6, 2018

Chapter 416, Mental Health Community-Based Services

Jail-Based Competency Restoration, Project # 25R053

Rules Coordination Office

May 13, 2018

How to Submit Comments

The Health and Human Services Rules Coordination Office coordinates the rulemaking process and assists health and human services staff involved in developing and publishing rules. For more information about how to submit comments or questions about HHS rulemaking, please email the Rules Coordination Office.

What Happens Once A Rule Is Adopted?

After a rule is adopted by the Executive Commissioner of the Health and Human Services Commission, the adopted rule is published in the Texas Register. Once effective, rules are codified into the Texas Administrative Code, which is maintained by the Secretary of State.

To be notified when rules are adopted in the Texas Register, visit the Secretary of State site to register for email notification at

Keep up with rulemaking actions at HHS by signing up to receive email updates.

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