The Texas Health and Human Services Commission has issued a provider letter (PL 2021-36) regarding the impact of Senate Bill 1692 on nursing facilities (NFs). The bill allows dialysis technicians to provide home dialysis in NFs under certain conditions, including being trained and competent according to HHSC requirements, being supervised by a trained registered nurse, and both the nurse and technician being employees of the same entity. The registered nurse must be physically present in the room during dialysis administration. These requirements are consistent with current NF rules, so no changes to the Texas Administrative Code or additional requirements for NFs will be added. Nursing facilities should be aware that this practice by an end-stage renal disease facility is allowed under the specified conditions.

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