HHSC Adopts New Child Care Rules for Voluntary Administration, Maintenance of Unassigned Epinephrine Auto-Injectors, Repeals Rule Relating to Written Activity Plans in Child Care Homes

November 23, 2021

The Texas Health and Human Services Commission adopted rules in Chapter 747, Minimum Standards for Child-Care Homes. These rules relate to the voluntary administration and maintenance of unassigned epinephrine auto-injectors. The rules are effective October 25, 2021.

The adopted rules allow licensed child-care homes and registered child-care homes to voluntarily adopt policies for the maintenance, administration, and disposal of unassigned epinephrine auto-injectors.

Child Care Regulation (CCR) has added resources regarding anaphylaxis and epinephrine auto-injectors to the CCR Technical Assistance Library, including a guide with information about the training requirements related to maintenance and administration of unassigned epinephrine auto-injectors.

HHSC also repealed a rule in Chapter 747 that allowed a licensed child-care home or a registered child-care home the option to maintain a written activity plan. Based on rules adopted in March 2021, licensed child-care homes and registered child-care homes are required to maintain a written activity plan.

Review the adopted rules, highlighted versions of the adopted rules, revision memos that outline the changes, and updated minimum standard publications on the Minimum Standards webpage.