The Texas Department of State Health Services (DSHS) Tuberculosis Isolation and Restrictions Implementation Guide (March 24, 2026) is now available. In alignment with this release, the Standing Delegation Orders for Tuberculosis Clinical Services Provided by Authorized Nurses, FY2026 have been updated to reflect the latest guidance:

• Page 4 (K): Includes a new reference to the National Tuberculosis Coalition of America (NTCA) Guidelines for Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings (2024).
• Page 10 (#11): Revised footnote clarifies that earlier release of community-based patients may be considered on a case-by-case basis using the new implementation guide.

Providers are encouraged to review these updates in collaboration with their authorizing physician(s) to ensure alignment with current practice.