1. (a) In order to preserve the integrity of the Texas Health and Human Services Commission (HHSC) inspection and investigation process, an end stage renal disease (ESRD) facility:

   1. (1) may not record, listen to, or eavesdrop on any HHSC interview with facility staff or patients that the facility staff knows HHSC intends to keep confidential as evidenced by HHSC taking reasonable measures to prevent from being overheard; or
   2. (2) may not record, listen to, or eavesdrop on any HHSC internal discussions outside the presence of facility staff when HHSC has requested a private room or office or distanced themselves from facility staff unless the facility first informs HHSC and the facility obtains written approval from HHSC before beginning to record or listen to the discussion.
2. (b) A facility shall inform HHSC when security cameras or other existing recording devices in the facility are in operation during any internal discussion by or among HHSC staff.
3. (c) When HHSC by words or actions permits facility staff to be present, an interview or conversation for which facility staff are present does not constitute a violation of this rule.
4. (d) This section does not prohibit an individual from recording an HHSC interview with the individual.

Source Note:The provisions of this §507.81 adopted to be effective December 23, 2025, 50 TexReg 8289.