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 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 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 21-1001 Temporary Suspension of State Licensure Requirements on Bed Capacity During the COVID-19 Pandemic
Addressed to:
Hospital, Special Hospital
3/10/2021
GL 20-0004 Preparing for the 2020-2021 Flu Season During the COVID-19 Pandemic
Addressed to:
ABO, ASC, Birthing Centers, CDTF, CMHC, CORF, ESRD, FEMC, Hospital, Psych Hospital & CSU, Special Hospital, Licensed Chemical Dependency Counselors
12/7/2020
GL 20-2003 Provision of Informational Materials and Certain Other Information to a Pregnant Woman Before an Abortion (SB 24-86R)
Addressed to:
ABO, ASC, Hospital
12/4/2020
GL 20-1002-A-1 GL-20-1002-A-1 Temporary Suspension of State Licensure Requirements for Fire Marshal Approval During the Novel Coronavirus (COVID-19) Outbreak [Amended]
Addressed to:
ESRD, FEMC, Hospital, Psych Hospital & CSU, Special Hospital
11/24/2020
GL 20-1001-A-2 Temporary Suspension of State Licensure Requirements on Exceeding Bed Capacity During the Novel Coronavirus (COVID-19) Outbreak [Amended]
Addressed to:
Hospital, Special Hospital
11/20/2020
GL 20-1014 Certificate of Public Advantage (HB 3301-86R)
Addressed to:
Hospital, Special Hospital
10/25/2020
GL 20-0003-A Preparing for Hurricane Season During the COVID-19 Disaster [Amended]
Addressed to:
ABO, ASC, Birthing Centers, CDTF, CLIA, CMHC, CORF, ESRD, FEMC, Hospital, NTP, Port-X, Psych Hospital & CSU, RHC, SCF, Special Hospital, Licensed Chemical Dependency Counselors
9/2/2020
GL 20-3001-A Novel Coronavirus (COVID-19) Infection Control and Emergency Preparedness in Chemical Dependency Treatment Facilities (CDTFs) [Amended]
Addressed to:
CDTF
8/5/2020