(a) For the purposes of this section, the definitions found in Texas Occupations Code §55.001 are hereby adopted by reference. This section establishes requirements and procedures authorized or required by Texas Occupations Code, Chapter 55, and does not modify or alter rights that may be provided under federal law.
(b) This section applies to all licenses to engage in a business or occupation which the Texas Health and Human Services Commission (HHSC) issues to an individual under authority granted by the laws of the State of Texas. A more specific rule concerning recognition of out-of-state licenses of military service members and military spouses may also apply but only to the extent the more specific rule does not conflict with this rule. Any conflicts between this rule and the more specific rule are resolved in favor of this rule.
(c) A military service member or military spouse may engage in a business or occupation as if licensed in the State of Texas without obtaining the applicable license in Texas if the military service member or military spouse:
  (1) is currently licensed in good standing with another jurisdiction that has licensing requirements substantially equivalent to the requirements of a license in this state;
  (2) notifies HHSC in writing of the military service member's or military spouse's intent to practice in this state;
  (3) submits to HHSC proof of the military service member's or military spouse's residency in this state and a copy of the military service member's or military spouse's military identification card; and
  (4) receives a verification letter from HHSC that:
    (A) HHSC has verified the military service member's or military spouse's license in another jurisdiction; and
    (B) the military service member or military spouse is authorized to engage in the business or occupation in accordance with Texas Occupations Code §55.0041 and rules for that business or occupation.
(d) HHSC will review and evaluate the following criteria, if relevant to a Texas license, when determining whether another state's licensing requirements are substantially equivalent to the requirements for a license under the statutes and regulations of this state:
  (1) whether the other state requires an applicant to pass an examination that demonstrates competence in the field to obtain the license;
  (2) whether the other state requires an applicant to meet any experience qualifications to obtain the license;
  (3) whether the other state requires an applicant to meet any education qualifications to obtain the license; and
  (4) the other state's license requirements, including the scope of work authorized to be performed under the license issued by the other state.
(e) The military service member or military spouse must submit:
  (1) a written request to HHSC for recognition of the military service member's or military spouse's license issued by the other state; no fee will be required;
  (2) any form and additional information regarding the license issued by the other state required by the rules of the specific program or division within HHSC that licenses the business or occupation;
  (3) proof of residency in this state, which may include a copy of the permanent change-of-station order for the military service member;
  (4) a copy of the military service member's or military spouse's identification card; and
  (5) proof the military service member or, with respect to a military spouse, the military service member to whom the spouse is married is stationed at a military installation in Texas.
(f) HHSC has 30 days from the date a military service member or military spouse submits the information required by subsection (e) of this section to:
  (1) verify that the member or spouse is licensed in good standing in a jurisdiction that has licensing requirements that are substantially equivalent to the requirements for a license under the statutes and regulations of this state; and
  (2) issue a verification letter recognizing the licensure as the equivalent license in this state.
(g) The verification letter will expire three years from date of issuance or when the military service member or, with respect to a military spouse, the military service member to whom the spouse is married is no longer stationed at a military installation in Texas, whichever comes first. The verification letter may not be renewed.
(h) In the event of a divorce or similar event that affects a person's status as a military spouse, the spouse may continue to engage in the business or occupation under the authority of this section until the third anniversary of the date the spouse received the verification described by subsection (f) of this section. A similar event includes the death of the military service member or the military service member's discharge from the military.
(i) A replacement letter may be issued after receiving a request for a replacement letter in writing or on a form, if any, required by the rules of the specific program or division within HHSC that licenses the business or occupation; no fee will be required.
(j) The military service member or military spouse shall comply with all applicable laws, rules, and standards of this state, including applicable Texas Health and Safety Code chapters and all relevant Texas Administrative Code provisions.
(k) HHSC may withdraw or modify the verification letter for reasons including the following:
  (1) the military service member or military spouse fails to comply with subsection (j) of this section; or
  (2) the military service member's or military spouse's licensure required under subsection (c)(1) of this section expires or is suspended or revoked in another jurisdiction.

Source Note: The provisions of this §351.3 adopted to be effective December 5, 2019, 44 TexReg 7375; amended to be effective December 1, 2023, 48 TexReg 6883