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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 157EMERGENCY MEDICAL CARE
SUBCHAPTER CEMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL
RULE §157.32Emergency Medical Services Education Program and Course Approval

  (2) The program director of an approved program shall submit notice of intent to conduct a course and the appropriate fee, if required, to the department on a form provided by the department at least 30 days prior to the proposed start date of the course. The notification shall include the following information:

    (A) training level of course;

    (B) dates and times classes are to be conducted;

    (C) physical location of the classroom;

    (D) identification of clinical sites and internship providers, if required;

    (E) name of principle instructor;

    (F) enrollment status;

    (G) anticipated number of students;

    (H) number of contact hours;

    (I) amount of tuition to be charged;

    (J) proposed ending date of the course; and

    (K) signature of the program director.

  (3) A nonrefundable course fee, unless program is not remunerated for the course in any way, shall be submitted as follows:

    (A) $30 for a Basic Course (ECA or EMT);

    (B) $60 for an Advanced Course (AEMT or Paramedic);

    (C) $30 for an EMS Instructor Course; and

    (D) $60 for an Emergency Medical Information Operator Instructor Course.

  (4) The department may require submission of a written course approval application, in accordance with the guidelines set forth in the education and training standards, in lieu of the course notification from programs which:

    (A) have not successfully completed a site visit review;

    (B) have proposed courses which do not conform to the approved parameters of the current program standards;

    (C) have not conducted a course of the same level in the previous 12 months; or

    (D) the department has probable cause to suspect are in noncompliance with the provisions of this chapter.

(t) Denial of a course notification or course approval. A course may be denied for, but not limited to the following:

  (1) submission of an incomplete application;

  (2) failure to meet all requirements as outlined in this section;

  (3) failure of the program to hold current approval to conduct the level of the course proposed;

  (4) failure to follow the guidelines for submission of the course notification or course approval application and supporting documents;

  (5) falsification or misrepresentation of any information required for course notification or course approval; and/or

  (6) issuing a check which is returned unpaid.

(u) Disciplinary actions.

  (1) Emergency suspension. The department may issue an emergency order to suspend a program’s approval if the department has reasonable cause to believe that the conduct of the program creates an immediate danger to the public health or safety.

    (A) An emergency suspension shall be effective immediately without a hearing or written notice to the program. Notice to the program shall be presumed established on the date that a copy of the emergency suspension order is sent to the address shown in the current records of the department. Notice shall also be sent to the program’s sponsoring entity.

    (B) If a written request for a hearing is received from the program, the department shall conduct a hearing not earlier than the 10th day nor later than the 30th day after the date on which the hearing request is received to determine if the emergency suspension is to be continued, modified, or rescinded. The hearing and appeal from any disciplinary action related to the hearing shall be governed by the Administrative Procedure Act, Government Code, Chapter 2001.

  (2) Non-emergency suspension or revocation. A program’s approval may be suspended or revoked for, but not limited to, the following reasons:

    (A) failing to comply with the responsibilities of a program as defined in subsection (o) of this section;

    (B) failing to maintain sponsorship as identified in the program application and self-study;

    (C) failing to maintain employment of at least one course coordinator whose current certifications are appropriate for the level of the program;

    (D) falsifying a program approval application, a self-study, a course notification or course approval application, or any supporting documentation;

    (E) falsifying a course completion certificate or any other document that verifies course activity and/or is a part of the course record;

    (F) assisting another to obtain or to attempt to obtain personnel certification or recertification by fraud, forgery, deception, or misrepresentation;

    (G) failing to complete and submit course notifications or course approval applications and student documents within established time frames;

    (H) offering or attempting to offer courses above the program’s level of approval;

    (I) compromising or failing to maintain the integrity of a department-approved training course or program;

    (J) failing to maintain professionalism in a department-approved training course or program;

    (K) demonstrating a lack of supervision of course coordinators or personnel instructing in the program’s courses;

    (L) compromising an examination or examination process administered or approved by the department;

    (M) accepting any benefit to which there is no entitlement or benefitting in any manner through fraud, deception, misrepresentation, theft, misappropriation, or coercion;

    (N) failing to maintain appropriate policies, procedures, and safeguards to ensure the safety of students, instructors, or other course participants;

    (O) allowing recurrent use of inadequate, inoperable, or malfunctioning equipment;

    (P) maintaining a passing rate on the examinations for certification or licensure that is statistically and significantly lower than the state average;

    (Q) failing to maintain the fiscal integrity of the program;

    (R) issuing a check to the department which is returned unpaid;

    (S) failing to maintain records for initial or continuing education courses;

    (T) demonstrating unwillingness or inability to comply with the Health and Safety Code and/or rules adopted thereunder;

    (U) failing to give the department true and complete information when asked regarding any alleged or actual violation of the Health and Safety Code or the rules adopted thereunder;

    (V) committing a violation within 24 months of being placed on probation;

    (W) offering or attempting to offer courses during a period when the program’s approval is suspended;

    (X) a paramedic program receiving revocation of their accreditation by CAAHEP/CoAEMSP or any other organization that provides nationally recognized EMS accreditation; and/or

    (Y) for starting a course, program or class before receiving official approval from the department.

  (3) Notification. If the department proposes to suspend or revoke a program’s approval, the program shall be notified at the address shown in the current records of the department. The notice shall state the alleged facts or conduct warranting the action and state that the program has an opportunity to request a hearing in accordance with Administrative Procedure Act, Government Code, Chapter 2001.

    (A) The program may request a hearing. The request shall be in writing and submitted to the department.

    (B) If the program does not request a hearing within 30 days after the date of the notice of opportunity, the program waives the opportunity for a hearing and the department shall implement its proposal.

  (4) Probation. The department may probate any penalty assessed under this section and may specify terms and conditions of any probation issued.

  (5) Re-application.

    (A) Two years after the revocation or denial of approval, the program may petition the department in writing for the opportunity to reapply.

    (B) The department shall evaluate the petition and may allow or deny the opportunity to submit an application.

    (C) In evaluating a petition for permission to reapply, the department shall consider, but is not limited to, the following issues:

      (i) likelihood of a repeat of the violation that led to revocation;

      (ii) the petitioner’s overall record as a program;

      (iii) letters of support or recommendation;

      (iv) letters of protest or non-support of the petition; and

      (v) the need for training in the area the program would serve.

    (D) The petitioner shall be notified within 60 days at the address shown in the current records of the department of the decision to allow or deny the submission of an application for re-approval.

  (6) A program whose approval expires during a suspension or revocation period may not petition to reapply until the end of the suspension or revocation period.

(v) For all applications and renewal applications, the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with the application and renewal application processing through Texas Online.


Source Note: The provisions of this §157.32 adopted to be effective February 7, 2001, 26 TexReg 1145; amended to be effective June 1, 2004, 29 TexReg 4492; amended to be effective August 16, 2012, 37 TexReg 6035; amended to be effective February 12, 2017, 42 TexReg 430

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