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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

  (19) along with the course coordinator, attest to the successful course completion of all students who meet the programs requirements for completion;

  (20) provide the department with information and reports necessary for planning, administrative, regulatory, or investigative purposes;

  (21) provide the department with any information that will affect the program’s interaction with the department, including but not limited to changes in:

    (A) program director;

    (B) course coordinators;

    (C) medical director;

    (D) classroom training facilities;

    (E) clinical or field internship facilities; and

    (F) program’s physical and mailing address;

  (22) provide proof of accreditation by CAAHEP/CoAEMSP or another national accrediting organization recognized by the department;

  (23) submit a roster of all enrolled students when requested by the department;

  (24) submit a final student roster when requested by the department; and

  (25) online and or distance learning classes, programs and courses must meet the same standards as outlined in this section.

(q) Program Re-approval.

  (1) Prior to the expiration of a program’s approval period, the department shall send a notice of expiration to the program at the address shown in the current records of the department.

  (2) If a program has not received notice of expiration from the department 45 days prior to the expiration, it is the program’s duty to notify the department and request an application for re-approval. Failure to apply for re-approval shall result in expiration of approval.

  (3) Programs that have obtained approval as of the effective date of this rule shall be considered to have met the requirements of subsection (g) or (h) of this section appropriate to their current level of approval.

  (4) To be eligible for re-approval, the program shall meet all the requirements in subsections (g), (h) or (m) of this section as appropriate to the level of approval requested; and

    (A) prepare an update to the program’s self-study that addresses significant changes in the program’s personnel, structure, curriculum, resources, policies, or procedures;

    (B) document progress toward correction of any deficiencies identified by the program or the department through the self-study and on-site review process;

    (C) host an on-site review if one is deemed necessary by the department or requested by the program; and

    (D) a paramedic program must provide documentation of current accreditation from CoAEMSP or another national accrediting organization recognized by the department.

(r) Fees.

  (1) The following nonrefundable fees shall apply:

    (A) $30 for review of a basic self-study, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training;

    (B) $90 for conducting a basic site visit;

    (C) $60 for review of an advanced self-study, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training;

    (D) $250 for conducting an advanced site visit;

    (E) $30 for processing a basic course notification or approval application, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training; and

    (F) $60 for processing an advanced course notification or approval application, except that this nonrefundable fee may be waived if the program receives no remuneration for providing training.

  (2) Program approvals shall be issued only after all required nonrefundable fees have been paid.

(s) Course Notification and Approval.

  (1) Each course conducted by an approved program shall be approved by notice from the department and the issuance of an assigned course number. A program shall not start a course, advertise a course, or collect tuition and/or fees from prospective students until the course is approved by the department and the assigned course number issued.

  (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;

Cont'd...

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