For the state of Texas what do you find in terms of potential decompensating sit

For the state of Texas what do you find in terms of potential decompensating situations? Does your state cover comparable situations to PA, are there similarities or major differences? Please only choose ONE circumstance
Do you find a gap exists? Some rules are dated. Do they provide enough latitude for assisting patients in light of today’s issues?
Some PA resources will be attached for ideas for the comparison. Citations must be for Texas rules