• DSHS TB and Hansen's Disease Branch
    Post Office Box 149347, MC 1873
    Austin, TX 78714

    Phone: 737-255-4300
    Fax: 512-989-4010

    Email the TB Program

    Email data requests to the TB Program

TB News and Announcements


  1. DSHS Medication and Drug Shortage Notification: October 3, 2022
  2. TB Screening for Uniting for Ukraine
  3. TB Standing Delegation Orders and Standing Medical Orders
  4. Response to COVID-19
  5. Enroll in Medicaid as a TB Medical Provider

DSHS Medication and Drug Shortage Notification: October 3, 2022

Rifabutin (RBT) stock is now critically low at the DSHS Pharmacy; rifampin (RIF) is currently available. Please adhere to the criteria outlined in the below documents until otherwise instructed by the DSHS Tuberculosis and Hansen’s Disease Unit.

  1. TB Medication Availability and Drug Shortage, October 3, 2022 (PDF)
  2. Food and Drug Administration (FDA) Drug Shortages

TB Screening for Uniting for Ukraine

TBU4U

DSHS recently released the fact sheet  Tuberculosis Screening for Ukrainian Parolees What Local and Regional Health Departments Need to Know (PDF).

On April 21, 2022, the Department of Homeland Security (DHS) established the Uniting for Ukraine (U4U) Program. This program established a pathway for Ukrainian citizens and their immediate family members to come to the U.S. and stay for a two-year temporary period of parole. The federal U4U Program requires proof of a tuberculosis (TB) screening within 90 days of arrival in the U.S.

Local and regional health department (L/RHD) TB programs should provide TB screening, report results, and when necessary, treat Ukrainians entering the U.S. through U4U.


TB Standing Delegation Orders and Standing Medical Orders

Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care for FY 2023 are now available.

The Standing Delegation Orders (SDOs) and Standing Medical Orders (SMOs) are written instructions, orders and procedures prepared by the Department of State Health Services Tuberculosis and Hansen’s Disease Unit to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB disease and for latent TB infection.

The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under authority of Rule Title 22, Texas Administrative Code §193.2, Standing Delegation Orders.

The intended audience for the SDOs and SMOs includes physicians, registered nurses, licensed vocational nurses, and non-licensed staff working in local health departments with TB programs and in DSHS Public Health Regions.

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care are effective September 1, 2022.


Response to COVID-19

The TB and Hansen’s Disease Unit has developed guidance on temporary measures to minimize exposure to COVID-19 for clients and staff. Please continue to frequent this section, as information may change periodically.

1. Tuberculosis Action Plan to Minimize Exposure to COVID-19 (PDF)

Tuberculosis and COVID-19 Know the Difference 2. Tuberculosis & COVID-19 Know the Difference - TB and COVID-19 have some similar symptoms. It is important to “Think TB” when symptoms and risk factors for TB are present. Learn more about the symptoms, risks, and public health response to COVID and TB. (PDF)

3. Additional Resources and Information on the Coronavirus:


Enroll in Medicaid as a TB Medicaid Provider

The DSHS Tuberculosis and Hansen’s Disease Unit encourages local health department TB programs to enroll in Medicaid as a TB Medicaid Provider.

Information on the enrollment process for first time enrollees can be found on the Texas Medicaid and Healthcare Partnership (TMHP) website.

Clinics requesting reimbursement for TB services must also enroll as a TB Medicaid Provider. To enroll, the clinic must apply for a DSHS letter verifying their TB services, and may attach the letter to their Medicaid application. To apply for the letter, clinics may fill out the Medicaid Provider Application (PDF).



Last updated October 3, 2022