(a) Each applicant for a permit issued under Texas Health and Safety Code, Chapter 242, Subchapter N, must complete a training program unless the applicant meets the requirements of subsection (c) or (e) of this section.
(b) Before submitting an application for a permit under Texas Health and Safety Code, Chapter 242, Subchapter N, an applicant must:
  (1) be able to read, write, speak, and understand English;
  (2) be at least 18 years of age;
  (3) be free of communicable diseases and in suitable physical and emotional health to safely administer medications;
  (4) be a graduate of an accredited high school or have proof of successfully passing a general educational development test;
  (5) be employed in a facility as a nurse aide or nonlicensed direct care staff person on the first official day of an applicant's medication aide training program; and
  (6) have been employed:
    (A) as a nurse aide in a Medicare-skilled nursing facility or a Medicaid nursing facility; or
    (B) in a facility for 90 days as a nonlicensed direct care staff person during the 12-month period before the first official day of the applicant's medication aide training program;
  (7) not have a criminal history that HHSC determines is a basis for denying the permit under §557.121 of this chapter (relating to Permitting of Persons with Criminal Backgrounds);
  (8) not be listed as unemployable on the EMR; and
  (9) not be listed with a revoked or suspended status on the NAR.
(c) A person who is attending or has attended an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirement for issuance of a permit under Texas Health and Safety Code, Chapter 242, Subchapter N, if the person:
  (1) attended the nursing school no earlier than January 1 of the year immediately preceding the year of application for a permit under this chapter;
  (2) successfully completed courses at the nursing school that cover HHSC curriculum for a medication aide training program;
  (3) submits a statement, with the application for a permit and combined permit application and examination fee as provided in §557.109 of this chapter (relating to Application Procedures), on the form provided by HHSC, signed by the nursing school's administrator or other authorized individual, certifying that the person completed the courses specified in paragraph (2) of this subsection; and
  (4) complies with subsection (e)(5) and (6) of this section.
(d) The administrator or other authorized individual referred to in subsection (c)(3) of this section is responsible for determining that the nursing school courses cover HHSC curriculum.
(e) A person who is a graduate of an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirement for issuance of a permit under Texas Health and Safety Code, Chapter 242, Subchapter N, provided the date of graduation from the nursing school was no earlier than January 1 of the year immediately preceding the year of application for a permit under this chapter.
  (1) The graduate must submit an official application form to HHSC. The applicant must meet the requirements of subsection (b)(1) - (4), (7), and (8) of this section.
  (2) The application must be accompanied by the combined permit application and examination fee as set out in §557.109(c) of this chapter.
  (3) The applicant must include an official transcript documenting graduation from an accredited school of nursing.
  (4) HHSC acknowledges receipt of the application by sending the applicant a copy of this chapter and HHSC open book examination.
  (5) The applicant must complete the open book examination and return it to HHSC by the date given in the examination notice.
  (6) The applicant must complete HHSC written examination. HHSC denies the application of an applicant failing to schedule and take the examination by the date given in the examination notice.
  (7) An open-book or written examination may not be retaken if the applicant fails.
  (8) Upon successful completion of the two examinations, HHSC evaluates all application documents submitted by the applicant.
  (9) HHSC notifies the applicant in writing of the examination results.
(f) A person who holds a valid license, registration, certificate, or permit as a medication aide issued by another state whose minimum standards or requirements are substantially equivalent to or exceed the requirements of Texas Health and Safety Code, Chapter 242, Subchapter N, in effect at the time of application, may request a waiver of the training program requirement as follows:
  (1) The applicant must submit an official application form to HHSC. The applicant must meet the requirements of subsection (b)(1) - (4), (7), and (8) of this section.
  (2) The application must be accompanied by the combined permit application and examination fee required in §557.109(c) of this chapter.
  (3) The application must include a current copy of the rules of the other state governing its licensing and regulation of medication aides, a copy of the legal authority (law, act, code, or other) for the state's licensing program, and a certified copy of the license or certificate for which the reciprocal permit is requested.
  (4) HHSC acknowledges receipt of the application by sending the applicant a copy of this chapter and HHSC open book examination.
  (5) HHSC may contact the issuing agency to verify the applicant's status with the agency.
  (6) The applicant must complete HHSC open-book examination and return it to HHSC by the date given in the examination notice.
  (7) The applicant must complete HHSC written examination. The site of the examination is determined by HHSC. HHSC denies the application of an applicant failing to schedule and take the examination by the date given in the examination notice.
  (8) An open-book or written examination may not be retaken if the applicant fails.
  (9) Upon successful completion of the two examinations, HHSC evaluates all application documents submitted by the applicant.
  (10) HHSC notifies the applicant in writing of the examination results.

Source Note: The provisions of this §557.107 adopted to be effective September 24, 2018, 43 TexReg 6328; amended to be effective December 26, 2021, 46 TexReg 9054