|(a) Minimum eligibility requirements for promotor(a)
or community health worker certification. The following requirements
apply to all individuals applying for certification:
(1) currently live in Texas;
(2) attainment of 18 years of age or an eligible and
informed minor as determined by the department;
(3) freedom from physical or mental impairment, which
in accordance with the Americans with Disabilities Act, interferes
with the performance of duties or otherwise constitutes a hazard to
the health or safety of the persons being served;
(4) achievement of core competencies in communication
skills, interpersonal skills, service coordination, capacity-building
skills, advocacy, organizational skills, teaching, and knowledge base
on specific health issues through completion of a certified competency-based
training program by an approved sponsoring institution or verification
of related experience; and
(5) submission of a complete application in a format
specified by the department.
(b) Community health worker certification based on
experience. A person who has performed related promotor(a) or community
health worker services in the previous six years may submit an application
and required information for consideration of certification based
on their experience. The department shall verify the applicant's related
experience of not less than 1000 cumulative hours demonstrating competence
in eight core competencies (communication skills, interpersonal skills,
service coordination, capacity-building skills, advocacy, organizational
skills, teaching, and knowledge base on specific health issues). The
department shall approve the application and issue a certificate to
a person with verified experience and competence in performing promotor(a)
or community health worker services for not less than 1000 cumulative
hours in the previous six years starting from the date the application
is signed, as documented on form(s) specified by the department.
(c) Community health worker certification. Individuals
shall complete a certified competency-based training program by an
approved sponsoring organization.
(d) Application requirements and procedures.
(1) Unless otherwise indicated, an applicant must complete
all required information and documentation on current official department
forms and submit the required information and documentation electronically
or in hard copy as specified by the department.
(2) The department shall send a notice listing the
additional materials or information required to an applicant whose
application is incomplete, including a notice if a color photograph
for an identification card was not submitted.
(e) Application approval. The department shall approve
any application which is in compliance with this chapter and which
properly documents applicant eligibility, unless the application is
disapproved under the provisions of subsection (f) of this section.
(f) Disapproved applications.
(1) The department may disapprove the application if
(A) has not met the eligibility and application requirements
set out in this chapter;
(B) has failed or refused to properly complete or submit
any required information or has knowingly presented false or misleading
information in the application process;
(C) has engaged in unethical conduct as defined in
§146.7 of this title (relating to Professional and Ethical Standards);
(D) has been convicted of a felony or misdemeanor directly
related to the duties and responsibilities of a promotor(a) or community
health worker or instructor as set out in §146.8 of this title
(relating to Violations, Complaints and Subsequent Actions); or
(E) has developed an incapacity, which in accordance
with the Americans with Disabilities Act, prevents the individual
from practicing with reasonable skill, competence, and safety to the
public as the result of:
(i) an illness;
(ii) drug or alcohol dependency; or
(iii) another physical or mental condition or illness;
(2) If the department determines that the application
should not be approved, the department shall give the applicant written
notice of the reason for the disapproval and of the opportunity for
re-application or appeal.
(3) The applicant whose application has been disapproved
under paragraph (1) of this subsection shall be permitted to reapply
and may submit a current application satisfactory to the department,
in compliance with the then current requirements of this chapter and
the provisions of the Health and Safety Code, Chapter 48.
(4) An applicant whose application has been disapproved
may appeal the disapproval under the fair hearing procedures found
in Chapter 1, Subchapter C of this title (relating to Fair Hearing
(g) Application processing. The following periods of
time shall apply from the date of receipt of an application until
the date of issuance of a written notice that the application has
been approved or that the application is deficient and additional
specific information is required.
(1) Notice of approval for certification - no more
than 90 days.
(2) Notice of application deficiency - no more than
(h) Changes of name and address.
(1) The department shall change the status of a certification
to inactive upon receipt of notification that the certificate holder
no longer lives in Texas.
(2) Before any certificate and identification cards
will be issued by the department, notification of name changes must
be submitted to the department and shall include a copy of a marriage
certificate, court decree evidencing such change, Texas driver's license
or identification card, or a social security card reflecting the new
(1) Upon approval of the application, the department
shall issue the promotor(a) or community health worker a certificate
with an expiration date and a certificate number. An identification
card shall be included for a promotor(a) or community health worker.
(2) Certificates shall be signed by the commissioner
of the department and presiding officer of the advisory committee.
The identification card issued to a promotor(a) or community health
worker shall bear the signature of the commissioner and contain a
photo of the promotor(a) or community health worker.
(3) Any certificate or identification card(s) issued
by the department remains the property of the department and shall
be surrendered to the department on demand.
(4) A promotor(a) or community health worker shall
carry the original identification card. Photocopies shall not be carried
(5) A person certified as a promotor(a) or community
health worker shall only allow his or her certificate to be copied
for the purpose of verification by employers, professional organizations,
and third party payors for credentialing and reimbursement purposes.
Other persons and/or agencies may contact the department in writing
or by phone or access the department online licensing services website
to verify certification status.
(6) No one shall display, present, or carry a certificate
or an identification card which has been altered, photocopied, or
(7) No one shall make any alteration on any certificate
or identification card issued by the department.
(8) The department shall replace a lost, damaged, or
destroyed certificate or identification card upon written request.
(j) Certificate renewal.
(1) Each promotor(a) or community health worker shall
renew the certificate biennially (every two years).
(2) Each promotor(a) or community health worker is
responsible for renewing the certificate before the expiration date.
Failure to receive notification from the department prior to the expiration
date will not excuse failure to file for renewal.
(3) Each promotor(a) or community health worker is
responsible for completing a renewal application.
(4) The department may not renew the certificate of
a promotor(a) or community health worker who is in violation of Health
and Safety Code, Chapter 48 or this chapter at the time of renewal.
(k) Late renewals.
(1) A person whose certificate has expired for not
more than one year may renew the certificate by submitting to the
department the completed renewal application. Promotores or community
health workers must also submit proof of compliance with continuing
education requirements for renewal as set out in this section before
the late renewal is effective. A certificate issued under this subsection
shall expire two years from the date the previous certificate expired.
(2) A certificate not renewed within one year after
expiration cannot be renewed.
(3) A person may not use a title that implies certification
while the certificate is expired as set out in §146.8 of this
title (relating to Violations, Complaints and Subsequent Actions).
(4) A person whose certification has been expired for
more than one year may apply for another certificate by meeting the
then-current requirements of the Health and Safety Code, Chapter 48
and this chapter which apply to all new applicants.
(l) Expired certificates. The department, using the
last address known, shall attempt to inform each promotor(a) or community
health worker who has not timely renewed a certificate, after a period
of more than ten days after the expiration of the certificate that
the certificate has automatically expired.
(m) Continuing education requirements. Continuing education
requirements for recertification shall be fulfilled during each biennial
(1) A promotor(a) or community health worker must complete
20 contact hours of continuing education related to the core competencies
acceptable to the department during each biennial renewal period.
(A) At least five hours shall be satisfied by participation
in a department certified training program including a training program
sponsored or provided by the department that provides continuing education
credits for promotores or community health workers.
(B) Up to five hours may be satisfied through continuing
education counted toward the renewal of a promotor(a) or community
health worker's Texas license, registration, or certification in another
health profession provided the hours meet all the requirements of
(C) Up to 10 hours may be satisfied through verifiable
independent self-study. These activities include reading materials,
audio materials, audiovisual materials, training not certified by
the department, or a combination thereof which meet the requirements
set out in this section.
(2) A contact hour shall be defined as 50 minutes of
participation. One-half contact hour shall be defined as 30 minutes
of participation during a 30-minute period.
(n) All continuing education activities should provide
for the professional growth of the community health worker or promotor(a).
(o) Types of acceptable continuing education. Continuing
education shall be acceptable if the experience or activity is at
least 30 consecutive minutes in length and is offered by an approved
(p) Reporting of continuing education. Each promotor(a)
or community health worker is responsible for and shall complete and
file with the department at the time of renewal a continuing education
report form approved by the department listing the title, date, number
of hours, and core competency(ies) covered for each activity for which
credit is claimed. The sponsoring organization must provide a list
of instructors, promotores or community health workers who successfully
complete continuing education contact hours within 30 days of the
continuing education event in a format specified by the department.
(q) Failure to complete the required continuing education.
(1) A promotor(a) or community health worker may request
one 120-day extension per certification period if needed in order
to complete the continuing education requirement.
(2) A promotor(a), or community health worker who has
not corrected the deficiency by the expiration date of the 120-day
extension shall be considered as noncompliant with the renewal requirements
and may no longer be certified under the expired certificate.
(3) A promotor(a) or community health worker may renew
late under subsection (k) of this section after all the continuing
education requirements have been met.