THCA Update: Texas CNA Training Requirements Waiver

Updated: Apr 30, 2020

Update with Provider Letter:

We wanted share information received this morning related to related to CNA requirements (see below). HHSC is working to get an alert out as quickly as possible:

Excerpt from forthcoming approval notification:

In accordance with section 418.016 of the Texas Government Code, the Office of the Governor grants HHSC's request to suspend:

  • 40 TAC §19.1001(a)(4)(A)(ii);

  • 40 TAC §19.1001(a)(4)(B)-(C);

  • 40 TAC §19.1001(a)(4)(D), only to the extent necessary to allow employment as a nurse aide of an individual not listed in the registry due solely to the individual's having no history of employment as a nurse aide (leaving in place the requirement that prior to allowing an individual to serve as a nurse aide, a facility must receive verification that the individual is not designated in the registry as having a finding concerning abuse, neglect or mistreatment of a resident, or misappropriation of a resident's property, subject to the exceptions specified in §19.1001(a)(4)(D)(i)-(ii));

  • 40 TAC §19.1001(a)(4)(E)-(F); and

  • 40 TAC §19.1001(a)(4)(H).

This suspension is in effect until terminated by the Office of the Governor or until the March 13, 2020 disaster declaration is lifted or expires.


In our review of the above sections of the Texas Administrative Code, these sections waive the requirements for nurse aide training program to assist with hiring non-trained individuals. We do note however, the requirements for all employability checks (background, registry, etc) remain in place and you still have to demonstrate competency.

Please be looking for an announcement from HHSC today.