Texas: what a medical director of a long-term care / assisted living / group home must do

Licensed as a physician in Texas. For a medical director hired on or after March 1, 2026, must also hold a medical director certification from the Post-Acute and Long-Term Care Medical Association or an HHSC-recognized equivalent; a medical director hired before that date is grandfathered under the prior (uncertified) standard.

Applies to nursing facilities under Health & Safety Code Ch. 242 — this is a state-statutory requirement layered on top of (not merely a restatement of) the federal SNF Medicare/Medicaid Condition of Participation at 42 CFR § 483.75(i). No equivalent medical-director statute was found for assisted living facilities (Ch. 247), which this org-type key also covers — treat this entry as confirmed only for the nursing-facility segment.