Nursing Service Changes

Implementing Nursing Services in HCS, TxHmL and ICF/IIDs

This website is for providers and nurses in the following Texas Health and Human Services Commission (HHSC) programs:

• Home and Community-based Services (HCS)
• Texas Home Living (TxHmL)
• Intermediate Care Facilities for Persons with an Intellectual Disability or Related Conditions (ICF/IIDs) [with a capacity of 13 or fewer beds]

This site provides information, guidance and resources pertaining to:

• The application of the Texas Board of Nursing (BON) rules
• The Nurse Practice Act (Texas Occupation Code, Title 3, Chapter 301, Nurses)
• Senate Bill 1857, introduced in the 82nd Texas Legislature, Regular Session 2011 (Human Resources Code, Title 11, Chapter 161, Subchapter D)
• Program rules in the HCS and TxHmL waiver programs administered by HHSC
• Program rules in the ICF program administered by HHSC