State guide
Texas Home Care Compliance
All six compliance areas for Texas home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Texas at a glance Texas licenses all home care under a single HCSSA (Home and Community Support Services Agency) framework administered by HHSC under 26 TAC Chapter 558, with license categories spanning personal assistance services through certified home health and hospice. Texas pegs its minimum wage to the federal $7.25 and has no overtime or sick leave law of its own; the 2023 'Death Star' preemption law (HB 2127) and earlier court rulings block Austin, Dallas, and San Antonio sick leave ordinances, giving agencies one uniform statewide standard. The Texas Payday Law adds pay-frequency and wage-claim rules.
Requirements by category
Health Benefits & ACA → Texas is the largest non-expansion state - the biggest coverage gap in the nation plus roughly 4 million marketplace enrollees - with a… HealthCare.govNoNo Occupational Health → Texas rescinded its home care TB screening mandate (PL 2024-20) effective Nov. 1, 2024; TB screening is now recommendation-only for… RecommendedOptional (nonsubscriber system) Caregiver Training → Texas licenses all home care providers as HCSSAs under 26 TAC Chapter 558 in categories including Licensed & Certified Home Health… 75 (federal, L&C category)None (agency competency, PAS)12 hrs/yr HHA (federal);… Wage & Hour → Texas pegs its minimum wage to the federal $7.25 and has no overtime or sick leave law of its own; the 2023 'Death Star' preemption law… $7.25FLSA onlyNone (locals preempted) Licensure & Survey Readiness → Texas licenses all home care under a single HCSSA (Home and Community Support Services Agency) framework administered by HHSC under 26 TAC… TX HHSCTex. H&S Code ch. 142; 26 TAC 558HCSSA — PAS / LHH / L&CHH /… Background Checks → Texas home and community support services agencies (HCSSAs) must run DPS criminal history checks under Health & Safety Code Chapter 250… NoEmployee Misconduct Registry;…
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Reviewed quarterly by Vitable Health.