Quality

Our quality process

How each edition of the Texas PAS manual is researched, checked against official sources, reviewed and dated, and what it can't do for you.

1. Research from the official rule text

Every policy starts from the rule it carries out. The manual is written to 26 TAC Chapter 558, and each policy opens with its rule basis: the Chapter 558 section, who it applies to, who owns it and when it was adopted.

The sources used for version 1.0.2, as listed on the manual's "Sources and verification notes" page:

  • 26 TAC Chapter 558 on the Texas Secretary of State's official TAC viewer, including each rule's source note
  • 26 TAC §561.3 (Employment and Registry Information), amended effective July 23, 2026 (51 TexReg 4568)
  • 22 TAC Chapter 225 (Texas Board of Nursing), §§225.6–225.13, for RN delegation
  • The Texas Register's proposed and adopted rules, June 5 to November 13, 2026
  • HHSC Provider Letters PL 2023-12, PL 2025-01, PL 2026-03 and PL 2026-10, the HCSSA FAQ (July 2026) and the HCSSA webinar (October 2026)
  • Texas statutes from statutes.capitol.texas.gov, including Health and Safety Code Chapter 331 as amended by SB 463
  • 29 CFR 1910.1030 (eCFR, current to November 12, 2026)

2. How sources are verified

  1. Official text only. Every rule citation in this edition was checked on November 14, 2026 against those sources. Texas Administrative Code text comes from the official TAC viewer ("query as of 11/14/2026"). No unofficial copy was used as the source of rule text.
  2. Rechecks. On November 15, 2026, §558.404 was rechecked on the official viewer, and open items were checked against HHSC's websites.
  3. Pending changes tracked. The Texas Register was searched for Chapter 558 activity. HHSC's September 18, 2026 proposal (51 TexReg 6429) hadn't been adopted as of November 15, 2026. The manual marks every policy it would change.
  4. Out-of-date rule text is flagged. Where a rule still points to an old rule or agency, the manual says so and explains how it handles it. See two examples.
  5. Gaps are stated. Topics the manual doesn't summarize are listed on its sources page, and each policy that points to them says so.

The sources page is in the free sample, so you can see exactly what was checked and when.

3. RN review

Standardsmith is run by a registered nurse (MSN, RN) with legal nurse consulting and case management experience. Final RN review completed November 2026.

Clinical choices each agency must make for itself, such as whether to offer RN-delegated tasks or g-tube care, CPR, and supervision frequency, are shown as [bracketed] agency choices with a recommended default.

4. Versions and updates

  • Dated editions. Every manual is dated "Texas rules as of" a specific month. This edition: November 2026, version 1.0.2.
  • Version numbers. Changes are released as numbered versions, and the version history lists what each one changed.
  • 12 months of revised pages. Free revised pages for Texas rule changes to the sections in your manual for 12 months after purchase. (terms of sale, section 5)

5. Limitations

  • It isn't legal, regulatory, clinical or professional advice, and using it doesn't create an attorney-client or any other professional relationship.
  • You must adapt it to your own services, staffing, supervision, service area, payers and contracts, adopt it through your governing body, train your staff on it, and follow it.
  • It doesn't guarantee license approval, survey results, payer enrollment, or freedom from citations or penalties. Texas HHSC decides licensing and survey outcomes.
  • Rules change. Verify current requirements with Texas HHSC, the official Texas Administrative Code and the Texas Register.
  • Policies on RN delegation, health-related tasks and infection control summarize the rules. They don't replace the professional judgment of the responsible RN or the Texas Board of Nursing's rules.
  • Standardsmith isn't affiliated with, endorsed by or connected to Texas HHSC, the Texas Board of Nursing or any government agency.

Read the full disclaimer · For legal questions, talk to a Texas health care attorney.