Lobby Newsletter | Regulatory & Executive Orders|  
 Financial Resources|  PPE   


All Federal Updates are available on the ASCA resource page here 


Daily Newsletter Covering State and Federal Updates

Thank you to the TASCS Lobby Team, Congress Avenue Partners, for keeping us updated daily about state and federal changes during the COVID-19 pandemic. 

Below are links to the most recent issues:  


Regulatory Updates & Executive Orders

 Please note that all the Governors Executive Orders can be found online here

Please note that all Texas Medical Board Updates can be found online here

  • 09/21/2020- Emergency Hospital Off-Site Facilities in Response to COVID-19
    Read the letter here

    09/17/2020 - 
    Governor Abbott Expands Capacity For Certain Services In Texas, Announces Guidance For Nursing Home, Long-Term Care Visitations
    Read the Press Release Here

  • 09/16/2020 - HHSC Notification Requirements During an Emergency or Disaster
    Read the full update here

    09/04/2020 - HHSC Preparing for Hurricane Season During the COVID-19 Disaster [Amended]
  • Read the amended letter here

  • 08/20/2020 -  Extended: GL 20-1006-A: The Health and Human Services Commission (HHSC) adopted an emergency rule in response to the state of disaster declared in Texas and the United States of America relating to COVID-19. Currently licensed hospitals are now temporarily permitted to designate a specific part of its hospital for use as an off-site facility by another hospital, and to allow another currently licensed hospital to apply to use that designated hospital space as an off-site facility under its license for inpatient care in response to the COVID-19 pandemic.

    Read the letter here

  • 08/20/2020 - Governor Abbott Directs TWC To Apply For Federal Lost Wage Assistance Funds
    Read the News Release here

  • 08/08/2020- Governor Greg Abbott Renews COVID-19 Disaster Declaration
    Read the proclamation here

  • 08/07/2020 - Extended: GL 20-1003 A-6 Emergency Hospital Off-Site Locations in Response to COVID-19
    GL 20-1003-A-6 (PDF), related to emergency hospital off-site locations in response to COVID-19 has been posted. This letter provides a 60-day extension to the emergency rule permitting HHSC to temporarily waive the requirement that an off-site facility must have been licensed or open within the past 36 months, to operate an off-site facility, when the waiver will not detrimentally affect the health or safety of patients, hospital staff or the public. This letter describes the emergency rule adopted and extended during the disaster.

  • 07/24/2020 - Subject :ASC Services and Reporting Requirements in Response to COVID-19 [Amended]
    This amended guidance letter replaces the previous GL 20-2012, issued on March 27, 2020, to notify providers that on July 24, 2020, the Health and Human Services Commission (HHSC) extended emergency rule amendments to §135.2, Definitions, and §135.26, Reporting Requirements, for an additional 60 days. The emergency rule extension is effective until September 22, 2020

    Read here

  • 07/09/2020 - Strategies for Managing Healthcare Worker Shortages
    With increasing COVID-19 cases across the state of Texas, healthcare worker (HCW) staffing shortages are likely to occur. Having plans in place that address staffing in times of staff illnesses and fatigue may help facilities run more smoothly through the COVID-19 pandemic.
    Read here

  • 07/10/2020 - Governor Abbott Extends Statewide COVID-19 Disaster Declaration

    Governor Greg Abbott extends COVID-19 disaster declaration.

    Press Release

  • 06/30/2020 - Governor Abbott Issues Proclamation To Expand Hospital Capacity In Four Additional Texas Counties

    Governor Greg Abbott today issued a proclamation suspending elective surgeries at hospitals in Cameron, Hidalgo, Nueces, and Webb counties to help ensure hospital bed availability for COVID-19 patients in these communities.

    Press Release

  • 06/25/2020 -  Governor Abbott Issues Executive Expanding Hospital Capacity

    Governor Greg Abbott today issued an Executive Order to ensure hospital bed availability for COVID-19 patients as Texas faces an increase in COVID-19 cases and hospitalizations. The Governor's order suspends elective surgeries at hospitals in Bexar, Dallas, Harris, and Travis counties.

    Press Release

  • 06/25/2020- Governor Abbott Announces Temporary Pause Of Additional Reopening Phases

    Governor Greg Abbott today announced that the State of Texas will pause any further phases to open Texas as the state responds to the recent increase in positive COVID-19 cases and hospitalizations.

    Press Release

  • 05/18/2020 - Governor Abbott Announces Phase Two To Open Texas

    Governor Greg Abbott announced the second phase of the State of Texas' ongoing plan to safely and strategically open Texas while minimizing the spread of COVID-19.

    Press Release

  • 05/05/20 - Governor Abbott Issues Executive Order To Expand Openings Of Certain Businesses and Activities
    Read the Order Here

  • 05/05/20- HHSC GL 20-1008 regarding Executive Order GA-19 and reserving hospital capacity has been posted. 

    This letter informs licensed health care professionals of their responsibility to comply with existing emergency rules and instructs hospitals licensed under Health and Safety Code (HSC) Chapter 241, to reserve at least 15 percent of their hospital capacity for the treatment of COVID-19 patients.

    Read it here

  • 05/01/2020 - TMB issues updated FAQs

  • 05/01/2020 - TMB Issues COVID-19 Notice - Minimum Standards of Safe Practice (Printable PDF)

  • 04/30/2020 - TMB Issues Emergency Rule §190.8(2)(U)

  • 04/29/2020 - GL 20-0002 Health Care Regulation Guidance Letter| Regulatory Compliance During the COVID-19 Disaster

  • 04/29/2020 - GL 20-0001 Health Care Regulation Guidance Letter| Texas Needs Volunteers Sign Up Process

  • 04/27/220 -  Governor Abbott Issues Executive Order Relating To Hospital Capacity GA-19

  • 04/22/2020 - HHSC releases FAQs regarding Governor Abbott’s Executive Order GA-15 and HHSC’s Guidance Letter 20-1007

  • 04/21/2020 - TMB releases udpated FAQs regarding Governor Abbott’s Executive Order GA-15

  • 04/17/2020 - The Governor’s third Executive Order (GA-15) relates to hospital capacity and personal protective equipment (PPE) needed for the COVID-19 response and loosens surgery restrictions. Read the full order 

  • 04/13/20 Governor Abbott, Goldman Sachs, LiftFund Announce $50 Million in Loans For Texas Small Businesses
    Governor Greg Abbott today announced that Goldman Sachs and the LiftFund, along with other community development financial institutions (CDFIs), are partnering to provide $50 million in loans to small businesses in Texas that have been affected by COVID-19 as part of the Goldman Sachs 10,000 Small Businesses program.

    Press Release

  • 04/12/20 Governor Abbott Extends Disaster Declaration For COVID-19
    Governor Greg Abbott today issued a proclamation extending his Disaster Declaration for all Texas counties in response to COVID-19.
    Press Release

  • 04/09/20 Governor Abbott Waives Regulations, Expands Telehealth OptionsGovernor Greg Abbott has temporarily waived a series of regulations to lift certain telehealth restrictions and expand telehealth options as Texas responds to COVID-19.
    Press Release

  • 03/27/2020 - IMMEDIATE Reporting of NEW Required Information to DSHS
    In accordance with the emergency reporting requirements, ASCs must report the number of functioning ventilators and other respiratory support equipment they have, and any other information as required by DSHS. Due to the urgent need of this information for emergency response to COVID-19, the first required report is due NOT LATER THAN 10:00 am CST, on Monday March 30, 2020.

  • To report this critical information by the required timeframe, ASCs shall use the reporting form at this link: 09d4884

  • ASCs must report this information by the required due date but are strongly encouraged to report this information as soon as possible. The frequency for reporting required information is weekly, unless directed otherwise by DSHS.

  • 03/29/2020 - Texas Medical Board Updates FAQs for Elective Surgeries during COVID-19
    COVID-19 Elective Surgeries and Procedures FAQs (Updated 3/29/20)

  • 03/27/2020) - HHSC Releases Health Facility Licensing Guidance Letter
    Read the full rules here 

  • 03/25/2020 - HHSC Issues Emergency Rules - Hospital Off-site Locations in Response to COVID-19
    Read the full rules here:



Financial Resources

05/07/2020 - Governor Abbott, OneStar Foundation Announce Texas COVID Relief Fund
Governor Greg Abbott and the OneStar Foundation yesterday announced the Texas COVID Relief Fund, which will provide critical funding and resources to organizations across the state working on the ground to support the economic recovery of local communities. Funds raised will be distributed through grants focused on the areas of community and economic development, healthcare, and education. Funds will also be used to support local priorities and organizations serving the unmet needs of vulnerable populations and undeserved communities.

For more information on the Texas COVID Relief Fund or to make a donation, visit the OneStar Foundation website


04/23/2020 - TASCS Lobby Team, Congress Avenue Partners, put together a comprehensive Financial Relief Options During COVID-19 packet for members. You can access it here. This document will be update as new information and options become available. 

04/14/20 - The Texas Workforce Commission (TWC) encourages those who have not yet applied for Pandemic Unemployment Assistance (PUA) as a result of COVID-19 to apply now. Individuals affected by COVID-19 can apply for PUA benefits online through Unemployment Benefit Services 24 hours a day, seven days a week, or by calling a TWC Tele-Center any day between 7 a.m. and 7 p.m. at 800-939-6631.When applying, individuals affected by the pandemic should indicate that as the reason they lost their job. Read the full release here.

04/13/2020 - Governor Greg Abbott today announced that Goldman Sachs and the LiftFund, along with other community development financial institutions (CDFIs), are partnering to provide $50 million in loans to small businesses in Texas that have been affected by COVID-19 as part of the Goldman Sachs 10,000 Small Businesses program. These loans, made through the U.S. Small Business Administration’s (SBA) Paycheck Protection Program (PPP), will primarily be used for payroll so that employees can continue to receive paychecks and small businesses can retain their employees and will be partially or wholly forgiven.

Press Release  


Personal Protection Equipment

State of Texas Assistance Requests (STARs) for Personal Protective Equipment. Texas, the U.S. and the world are experiencing shortages in personal protective equipment, laboratory supplies, and medical supplies. PPE can include masks, gowns, and gloves. Production is not meeting demand, and so these supplies must be actively conserved by all users until production increases sufficiently. DSHS, the Texas Division of Emergency Management, and the Governor’s Strike Force are actively working to acquire supplies through requests to the federal government and through third parties. When health care providers or facilities have exhausted options to obtain PPE or supplies, and are nearing depletion, they may submit a request to the state through a State of Texas Assistance Request (STAR) by working with their local emergency management office or disaster district coordinator. Providers should include data about their critical need and details about their conservation strategies. Requests will be filled based on availability of supplies.

How a Request becomes a STAR:

  • Locals submit a State of Texas Assistance Request (STAR) for a need that is beyond their capacity to fill and then submit the STAR through WebEOC.
  • STAR Requests are then received by the Disaster District Coordinator and either filled by the disaster district with resources available within the district or pushed to the State Operations Center (SOC).
  • Once a STAR is received at the SOC level, it is assigned to the responsible agency to fill, or sourced through other state partners, or through the Emergency Management Assistance Compact (EMAC) national mutual aid system.
  • If a Federal Disaster Declaration has been granted, the SOC will push any request the state cannot fulfill to FEMA or the lead federal agency for assistance in fulfilling. For additional information please visit:

Example STAR here