1. (a) The 40 hours of continuing education required for license renewal must:

   1. (1) be completed during the previous two-year licensure period;
   2. (2) include one or more of the four domains of the NAB;
   3. (3) include a Texas Health and Human Services Commission (HHSC) course in infection control and personal protective equipment;
   4. (4) include at least six hours of continuing education in ethics; and

   5. (5) be:

      1. (A) approved by the National Continuing Education Review Service;
      2. (B) a HHSC-sponsored event; or
      3. (C) an upper-division semester credit course taken or taught at a post-secondary institution of higher education accredited by an agency recognized by the Texas Higher Education Coordinating Board.
2. (b) HHSC accepts NAB-approved self-study courses toward the required 40 hours of continuing education.
3. (c) HHSC waives, at a maximum, 20 of the 40 hours of continuing education required of a licensee who completes one three-semester-hour upper-division course taken at a post-secondary institution of higher education.
4. (d) HHSC approves continuing education credit hours for the same course, seminar, workshop, or program only once per license renewal period.
5. (e) HHSC may perform an audit of continuing education courses, seminars, or workshops that the licensee has reported by requesting certificates of attendance.

Source Note:The provisions of this §555.35 adopted to be effective June 1, 2004, 29 TexReg 4233; amended to be effective June 1, 2009, 34 TexReg 2795; amended to be effective September 28, 2016, 41 TexReg 7514; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1880; amended 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.