1. (a) The Texas Department of Health (department) will designate a site located in an area that has an insufficient number of physicians providing services to eligible clients of federal, state, or locally funded health care programs if it is determined that:

   1. (1) the ratio of population-to-primary care physicians for the site's service area is above 3,000:1; or
   2. (2) the ratio of population-to-primary care physicians is above 3,000:1 for the geographic area surrounding the site. This applies to sites that draw patients from a broad geographic area, such as an entire city or county, where the site's total service area may not have a ratio above 3,000:1 as required under paragraph (1) of this subsection, but the site may be located in an area with a shortage of physicians.

2. (b) The department will designate a site serving a disproportionate number of clients eligible to participate in federal, state, or locally funded health care programs if it is determined that:

   1. (1) over 50% of the site's patients are from eligible client populations; or
   2. (2) the proportion of the site's patients representing eligible client populations is at least twice the proportion of persons from eligible client populations in the site's service area.

Source Note:The provisions of this §13.33 adopted to be effective November 19, 1990, 15 TexReg 6296.