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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER EREGISTRATION REGULATIONS
RULE §289.232Radiation Control Regulations for Dental Radiation Machines

    (A) Each certificate of registration issued in accordance with this section shall be subject to the applicable provisions of the Act, now or hereafter in effect, and to the applicable requirements of this chapter and orders of the agency.

    (B) No certificate of registration issued or granted under this section shall be transferred, assigned, or in any manner disposed of, either voluntarily or involuntarily, to any person unless the agency authorizes the transfer in writing.

    (C) Each person registered by the agency for radiation machine use in accordance with this section shall confine use and possession of the radiation machine registered to the locations and purposes authorized in the certificate of registration.

    (D) In making a determination whether to grant, deny, amend, revoke, suspend, or restrict a certificate of registration, the agency may consider the technical competence and compliance history of an applicant or holder of a certificate of registration. After an opportunity for a hearing, the agency shall deny an application for a certificate of registration or an amendment to a certificate of registration if the applicant's compliance history reveals that at least three agency actions have been issued against the applicant, within the previous six years, that assess administrative or civil penalties against the applicant, or that revoke or suspend the certificate of registration.

  (5) Responsibilities of the registrant.

    (A) The registrant is responsible for complying with this section and the conditions of the certificate of registration.

    (B) The registrant shall designate an individual qualified in accordance with paragraph (1)(E)(i) of this subsection as the radiation safety officer and shall ensure the individual continually performs the duties of the radiation safety officer as identified in paragraph (1)(E)(v) of this subsection.

    (C) Persons using radiation machines in accordance with subsection (i)(2) of this section, concerning application for mobile services, shall have a valid certificate of registration issued by the agency before initiation of the mobile services.

    (D) No person shall use a radiation machine unless the person has applied for registration within 30 days after beginning use of the radiation machine in accordance with subsection (i)(1)(B) of this section.

    (E) No registrant shall engage any person for services described in §289.226(b)(11) of this title (relating to Registration of Radiation Machine Use and Services) until such person provides to the registrant evidence of registration with the agency.

    (F) No person shall provide radiation machine services for a person who cannot produce evidence of a completed application for registration or a valid certificate of registration issued by the agency except for:

      (i) the initial installation of the first radiation machine for a new certificate of registration; and

      (ii) the registrant authorized for demonstration and sale may demonstrate a radiation machine in accordance with paragraph (5)(D) of this subsection, except as prohibited by subsection (c) of this section.

    (G) The registrant shall notify the agency in writing of any changes that would render the information contained in the application for registration or the certificate of registration inaccurate. The notification shall be in writing and signed by an authorized representative.

      (i) Notification is required within 30 days after the following changes:

        (I) legal business name;

        (II) mailing address;

        (III) street address where radiation machine will be used;

        (IV) additional radiation machine location;

        (V) radiation safety officer; or

        (VI) name and registration number of the contracted "provider of equipment," registered in accordance with §289.226 of this title.

      (ii) The registrant shall notify the agency within 30 days after changes in the radiation machines that include:

        (I) any change in the category of radiation machine type or type of use as authorized in the certificate of registration (for example, addition of a computerized tomography radiation machine); or

        (II) any increase in the number of radiation machines authorized by the certificate of registration in any radiation machine type or type of use category.

    (H) The registrant, or the parent company, shall notify the agency, in writing, immediately following the filing of a voluntary or involuntary petition for bankruptcy. This notification shall include:

      (i) the bankruptcy court in which the petition for bankruptcy was filed; and

      (ii) the case name and number, and date of filing the petition.

    (I) The registrant shall inventory all radiation machines in the registrant's possession at an interval not to exceed one year.

      (i) The inventory shall include:

        (I) manufacturer's name;

        (II) model and serial number of the control panel; and

        (III) location of all radiation machines, for example, room number.

      (ii) Records of the inventory shall be made and maintained in accordance with subsection (k)(2) of this section for inspection by the agency.

    (J) Receipt, transfer, and disposal of radiation machines.

      (i) The registrant shall make and maintain records of receipt, transfer, and disposal of radiation machines. The records shall include the following:

        (I) manufacturer's name and model and serial number from the control panel;

        (II) date of the receipt, transfer, and disposal;

        (III) name and address of person the radiation machines received from, transferred to, or disposed of; and

        (IV) name of the individual recording the information.

      (ii) Records of receipt, transfer, and disposal of radiation machines shall be made and maintained in accordance with subsection (k)(2) of this section for inspection by the agency.

    (K) The following criteria applies to loaner radiation machines.

      (i) For persons having a valid certificate of registration, loaner radiation machines may be used for up to 30 days. If the loaner radiation machine is used for more than 30 days, the registrant is required, within the next 30 days, to complete the following:

        (I) notify the agency of any change in the category of radiation machine type or type of use as authorized in the certificate of registration (for example, addition of a computerized tomography radiation machine); or

        (II) notify the agency of any increase in the number of radiation machines authorized by the certificate of registration in any radiation machine type or type of use category; and

        (III) perform an EPE on the radiation machines in accordance with subsection (j)(5)(J) of this section.

      (ii) For persons who do not hold a valid certificate of registration, loaner radiation machines may be used for human use up to 30 days, by or under the supervision of a dentist licensed by Texas State Board of Dental Examiners, before applying for a certificate of registration in accordance with this section.

  (6) Termination of certificates of registration. When a registrant decides to terminate all activities involving radiation machines authorized under the certificate of registration, the registrant shall notify the agency immediately and:

    (A) request termination of the certificate of registration in writing. The request shall be signed by the radiation safety officer, owner, or an individual authorized to act on behalf of the registrant;

    (B) submit to the agency a record of the disposition of the radiation machines and, if transferred, to whom transferred; and

    (C) pay any outstanding fees in accordance with subsection (h) of this section.

  (7) Modification, suspension, and revocation of certificates of registration.

    (A) The terms and conditions of all certificates of registration shall be subject to revision or modification. A certificate of registration may be suspended or revoked by reason of amendments to the Act, by reason of requirements of this chapter or orders issued by the agency.

    (B) Any certificate of registration may be revoked, suspended, or modified, in whole or in part in accordance with subsection (l)(3)(C)(iii) of this section.

    (C) Each certificate of registration revoked by the agency ends at the end of the day on the date of the agency's final determination to revoke the certificate of registration, or on the revocation date stated in the determination, or as otherwise provided by the agency order.

Cont'd...

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