Texas DSHS proposes writing the 180-hour CHW training standard into rule
Issue
On September 25, 2026, Texas DSHS published proposed CHW and promotor certification rules naming a DSHS-certified 180-hour course or 1,000 hours of related experience as the path to certification. The draft adds options for military members, spouses and veterans.
DSHS could adopt it as early as October 25. Clinics that employ CHWs can comment, citing rule 25R025.
Part of
- Safety-net workforce and capacity shifts
Community health workers and promotoras
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FQHC Talent. (2026, September 25). Texas DSHS proposes writing the 180-hour CHW training standard into rule. Source: Texas Register, Vol. 51, No. 39 (September 25, 2026), Proposed Rules: Texas Department of State Health Services, 25 TAC Chapter 146 (Training and Certification of Promotores or Community Health Workers). Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/tx-dshs-chw-certification-rule-180-hour-proposed-september-2026