1. (a) An applicant must meet one of the following groups of requirements to obtain a license as a nursing facility administrator (NFA).

   1. (1) An applicant has a baccalaureate degree in any subject from a college or university accredited by an agency recognized by the Texas Higher Education Coordinating Board and has:

      1. (A) a minimum of 12 semester credit hours in long-term care administration, or its equivalent, that includes courses in the four domains of the National Association of Long Term Care Administrator Boards (NAB);
      2. (B) completed a 1,000-hour internship that meets the requirements in §555.13 of this subchapter (relating to Internship Requirements); and
      3. (C) passed the state and NAB examinations described in §555.18 of this subchapter (relating to Examinations and Requirements to Take the Examinations).

   2. (2) An applicant has a baccalaureate degree in health administration, health services administration, health care administration, or nursing that includes coursework encompassing the four domains of the NAB and has:

      1. (A) three years of management experience;
      2. (B) completed a 500-hour internship that meets the requirements in §555.13 of this subchapter; and
      3. (C) passed the state and NAB examinations described in §555.18 of this subchapter.

   3. (3) An applicant has a baccalaureate degree with coursework in the four domains of NAB and one year of experience as assistant administrator of record or administrator of record in another state and has:

      1. (A) completed a 500-hour internship that meets the requirements in §555.13 of this subchapter; and
      2. (B) passed the state and NAB examinations described in §555.18 of this subchapter.

   4. (4) An applicant has a master's degree in health administration, health services administration, health care administration, or nursing that includes coursework encompassing the four domains of the NAB and has:

      1. (A) one year of management experience;
      2. (B) completed a 500-hour internship that meets the requirements in §555.13 of this subchapter; and
      3. (C) passed the state and NAB examinations described in §555.18 of this subchapter.

   5. (5) An applicant has a health services executive qualification and has:

      1. (A) not had a license revoked in any state; and
      2. (B) passed the state examination described in §555.18 of this subchapter.
   6. (6) An applicant has a license issued by a state other than Texas and meets the requirements for licensure in paragraphs (1), (2), (3), or (4) of this subsection.
2. (b) HHSC accepts foreign university degrees and coursework that is counted as transfer credit by accredited universities recognized by the American Association of Collegiate Registrars and Admissions officers.

Source Note:The provisions of this §555.12 adopted to be effective November 14, 2021, 46 TexReg 7791; amended to be effective December 6, 2023, 48 TexReg 7078; amended to be effective September 18, 2024, 49 TexReg 7339.