Texas Register

TITLE 40 SOCIAL SERVICES AND ASSISTANCE
PART 19DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES
CHAPTER 707CHILD PROTECTIVE INVESTIGATIONS
SUBCHAPTER AINVESTIGATIONS
DIVISION 1INTAKE, INVESTIGATION AND ASSESSMENT
RULE §707.469What is medical neglect?
ISSUE 07/01/2022
ACTION Proposed
Preamble Texas Admin Code Rule

(a)Neglect is defined in Texas Family Code (TFC) §261.001(4) as an act or failure to act by a person responsible for a child's care, custody, or welfare evidencing the person 's blatant disregard for the consequences of the act or failure to act that results in harm to the child or that creates an immediate danger to the child's physical health or safety. Medical neglect is a subset of the statutory definition [definitions] of neglect [that appear in Texas Family Code §261.001(4)] and involves [includes] the following acts or omissions by a person: failing to seek, obtain, or follow through with medical care for a child, with the failure resulting in or presenting an immediate danger [a substantial risk] of death, disfigurement, or bodily injury or with the failure resulting in an observable and material impairment to the growth, development, or functioning of the child.

(b)In this section, the following terms have the following meanings:

  (1) - (2)(No change.)

  (3)Medical neglect does not include the following:

    (A)Pursuant to TFC §261.111, the mere refusal to administer or consent to the administration of psychotropic medication or consent to any other psychiatric or psychological treatment if the failure does not result in substantial risk of death, disfigurement, or bodily injury or an observable and material impairment to the child's growth, development, or functioning; [or]

     (B)Pursuant to TFC §261.001(4)(B), a decision to obtain an opinion from more than one medical provider relating to the child's medical care, transfer the child's medical care to a new provider, or transfer the child to another health care facility; or

    (C)[(B)] A parent or guardian's refusal to provide a child with specific medical treatment because of a legitimately held religious belief. However, we may still request a court order to provide medical services if the child's health requires it and will investigate allegations of lack of medical care because of religious beliefs if the child's condition appears to involve medical neglect.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on June 15, 2022

TRD-202202257

Vicki Kozikoujekian

General Counsel

Department of Family and Protective Services

Earliest possible date of adoption: July 31, 2022

For further information, please call: (512) 929-6824



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