Laboratory Rules

Laboratory Rules Topics


The Texas Department of State Health Services (DSHS) Laboratory Services Section(LSS) is proposing changes to the Texas Administrative Code (TAC). The purpose of the changes is to repeal rules §73.54 and §73.55 related to the Fee Schedule for Clinical Testing and Newborn Screening, as well as Chemical Analyses, from TAC. Additionally, rule §73.41 will be amended to direct stakeholders to the LSS website to view the most current laboratory fee schedule. 

The public comment period ends January 27, 2019.  Additional details, including a full draft of the proposed rule changes may be found here.

Notification regarding updated DSHS Laboratory Adopted Rules

In the December 28, 2018 edition of the Texas Register, (43 TexReg 8550), pages 8551-8553 in the linked PDF, proposed administrative code changes were offered for public comment.  These changes were to the Texas Administrative Code, Title 25: Health Services; Part 1: Department of State Health Services; Chapter 73: Laboratories (25 TAC §73.41, §73.54, §73.55).  The section pertains to the fee schedule for Clinical testing, Newborn screening and Chemical analysis. 

During the public comment period, DSHS received comments from Cure Spinal Muscular Atrophy (Cure SMA) and the Texas Medical Association (TMA).

  • Cure SMA provided support for the proposed changes to the rules.
  • TMA recommended adding language to Section 73.41 that stakeholders and LSS customers will be notified automatically through an e-mail subscription management system that provides subscribers with access to information on proposed changes to the LSS Public Fee Schedule.
  • TMA also recommended that LSS interested individuals (such as physicians) and entities should be notified automatically through an email subscription management system regarding final and adopted changes to the LSS Public Fee Schedule.

DSHS declined to revise Section §73.41 based on these comments. DSHS responded to TMA in the adopted preamble that the longstanding practice of the LSS to engage stakeholders has included direct communication, LSS website and email subscription management systems. Stakeholders have the option to sign up for email updates regarding rules and fees changes through the DSHS LSS website at  The LSS will continue to use the same methods of outreach and communication with stakeholders in order to ensure timely and inclusive stakeholder involvement in the fee change process.

A section-by-section summary, major comment summaries, background and purpose of the adopted changes, and statutory authority summary, are included in the April 26, 2019 edition of the Texas Register (45 TexReg 2158-2159).  The unchanged rules will be effective May 2, 2019.  




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    Last updated April 29, 2019