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HHSC LTCR SEMARC Rules Effective July 30

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Rules related to long-term care provider requirements for searching the Search Engine for Multi-Agency Reportable Conduct (SEMARC) are effective July 30, 2026. Impacted rule chapters include:

Texas Administrative Code, Title 26

  • Chapter 550 Prescribed Pediatric Extended Care Centers
  • Chapter 553 Assisted Living Facilities
  • Chapter 554 Nursing Facilities
  • Chapter 555 Nursing Facility Administrators
  • Chapter 556 Nurse Aides
  • Chapter 557 Medicaid Aides
  • Chapter 559 Day Activity and Health Services
  • Chapter 560 Denial or Refusal of a License
  • Chapter 565 Home and Community-Based Services
  • Chapter 566 Texas Home Living

For more information about provider responsibilities and SEMARC refer to Provider Letter 2026-10, LTCR Provider Responsibilities for the Search Engine for Multi-Agency Reportable Conduct (SEMARC).