1. (a) A provider must deliver a prevention program that:

   1. (1) directs prevention activities at individuals that are not in treatment for substance use;
   2. (2) carries out activities appropriate for individuals that are not in treatment for substance use; and

   3. (3) provides services:

      1. (A) in different settings for the general population;
      2. (B) to populations at high risk for substance use; and
      3. (C) to communities with less access to services.

2. (b) A provider who delivers a universal prevention program must:

   1. (1) use a proactive process that addresses the health and wellness of the general population;
   2. (2) build protective factors;
   3. (3) deter the onset of alcohol, tobacco, and other drug misuse;
   4. (4) create places in the community that promote healthy living; and
   5. (5) target populations not based on risk level of substance misuse.

3. (c) A provider who delivers a selective prevention program must:

   1. (1) use a process that addresses and promotes the health and wellness of individuals, families, and communities by enhancing protective factors;
   2. (2) use relevant CSAP strategies to prevent risk factors;
   3. (3) focus on individuals or groups who are determined to be at risk for misusing substances; and
   4. (4) focus on individuals who are determined to be at a higher-than-average risk of developing a substance use disorder.

4. (d) A provider who delivers an indicated prevention program must:

   1. (1) focus on individuals who show early signs of and behaviors related to substance use;
   2. (2) serve individuals who are not in substance use treatment; and
   3. (3) focus on youth who show early warning signs of substance use.

5. (e) A provider who delivers a community coalition partnership program must:

   1. (1) recruit partners involved in the community; and

   2. (2) implement evidence-based strategies that:

      1. (A) focus on changing community policies and social norms; and
      2. (B) increase protective factors in the community.

6. (f) Prevention resource centers must:

   1. (1) provide information about substance use to the general community within the HHSC service region where the Prevention Resource Center is located;
   2. (2) educate the community on how to promote behavioral health to prevent substance use;
   3. (3) support programs in the community that focus on substance use and tobacco prevention and control, including HHSC-funded organizations;
   4. (4) connect people to resources related to substance use; and
   5. (5) conduct tobacco-specific prevention and compliance strategies as required under 42 United States Code §300x-26 and 45 CFR §96.130.
7. (g) A provider must use and follow an evidence-based curriculum approved by HHSC.
8. (h) HHSC must approve any changes a provider wants to make to the approved evidence-based curriculum.

Source Note:The provisions of this §321.11 adopted to be effective April 16, 2026, 51 TexReg 2399.