Health Care Facilities Regulation

HHSC is required to regulate certain types of health care facilities to protect consumer and patient health and safety by ensuring compliance with state laws and rules. Regulatory activities include surveying facilities, reviewing complaints, investigating possible violations, evaluating evidence, reviewing plans of correction, and determining administrative penalties. Working collaboratively with stakeholders, HHSC establishes rules and standards for facilities’ general operations, patient services, and physical plants, as well as procedural rules regarding license applications and issuance, complaints, violations, and enforcement.

Texas law requires certain types of health care facilities to be licensed in order to provide services. The licensing procedure varies according to facility type and may include application review, fees, architectural and life safety code approval, and initial on-site surveys.

You can verify a facility license by searching the online licensing system.

Guidance Letters & Frequently Asked Questions

Note: These files are in PDF format unless otherwise noted.
Number Title Date
GL 21-1000-A Emergency Rule for Hospitals Participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program During the COVID-19 Pandemic [Amended]
Addressed to:
Hospital, Special Hospital
6/8/2021
GL 21-3000-A Emergency Rule Amendments for Chemical Dependency Treatment Facility Abuse, Neglect, and Exploitation Training and Nonviolent Crisis Intervention Training Requirements in Response to COVID-19 [Amended]
Addressed to:
CDTF
5/27/2021
GL 21-3002 Outpatient Treatment Services Via Electronic Means for Adolescents in Chemical Dependency Treatment Facilities During the COVID-19 Pandemic
Addressed to:
CDTF
5/7/2021
GL 19-2004-A 86th Regular Session, Senate Bill (SB) 1264 Guidance Letter [Amended]
Addressed to:
ABO, ASC, Birthing Centers, CDTF, ESRD, FEMC, Hospital, NTP, Psych Hospital & CSU
4/15/2021
GL 21-3001 Chemical Dependency Treatment Facility Requirements During the COVID-19 Pandemic
Addressed to:
CDTF
4/15/2021
GL 21-2000 End Stage Renal Disease Facility Requirements in Response to COVID-19
Addressed to:
ESRD
4/9/2021
GL 19-1001-A Expired Medical Error Reporting Requirements (HB 1614-78R) [Amended]
Addressed to:
ASC, Hospital, Psych Hospital & CSU, Special Hospital
4/1/2021
GL 21-1003 Emergency End Stage Renal Disease Off-Site Facilities During the COVID-19 Pandemic
Addressed to:
ESRD
3/29/2021
GL 21-1002 Emergency Hospital Off-Site Facilities and Designation of Licensed Hospital Space in Response to COVID-19
Addressed to:
Hospital, Special Hospital
3/19/2021
GL 21-1001 Temporary Suspension of State Licensure Requirements on Bed Capacity During the COVID-19 Pandemic
Addressed to:
Hospital, Special Hospital
3/10/2021