Abortion Facilities

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Abortion Facilities in Texas are regulated by the Texas Health and Human Services Commission. The Regulatory Services Division within HHSC is responsible for overseeing the licensing and compliance of Abortion Facilities as required by Texas Administrative Code, Title 25, Part 1, Chapter 139, Abortion Facility Reporting and Licensing Rules, §139.23 Application Procedures and Issuance of Licenses. The division conducts surveys during the initial licensing period to review facility and personnel records, policies and procedures, interview staff, and discuss final survey findings to ascertain compliance with Health and Safety Code and associated rules.

For information regarding licensure for health care facilities, contact the zone office for your location at Health Facility Compliance Zone Office (PDF).

The Health & Safety Code, Chapter 245, Abortion Facilities statute requires a "universal reporting" of abortion procedures by all providers of abortion services. The statute contains strict confidentiality provisions relating to the release by HHSC of any information pertaining to an abortion facility. The statute does allow for the release of statistical information reported to the HHSC. This information is compiled with assistance of the HHSC Center for Analytics and Decision Support and is viewable on their Induced Termination of Pregnancy Statistics page. The latest abortion information can be found on the HHS website.

Abortion Reporting Forms and Supporting Documents

Abortion Reporting Forms

The following forms are required to be submitted to CADS:

For questions regarding regulatory ITOP reporting requirements, please contact infohflc@hhsc.state.tx.us.

For assistance completing the online forms, for technical support, or to provide feedback on the user experience, please email itop_reporting@hhsc.state.tx.us.

Other Forms

Find or Verify a Licensee


The following documents, fees, and actions shall be completed and approved before a license will be issued:

Initial Application

Renewal Application

Change of Ownership Application

Relocation Application

Survey Components

During the initial licensing period, Health Facility Compliance Zone Office staff will conduct an on-site survey to determine compliance with the provisions of the Health and Safety Code and associated rules. An entrance conference will be held with key facility personnel. Zone office staff will explain the survey process and answer questions. During the survey, zone office staff will:

  • Review clinical records.
  • Review facility policies and procedures.
  • Review quality assurance activities.
  • Review personnel records.
  • Interview staff.
  • Conduct an exit conference with key facility personnel.
  • Discuss survey findings.

Laws and Rules

Texas Laws

Rules & Regulations

Human Trafficking Resources

Enforcement Actions

Abortion Facilities Enforcement Actions (PDF)

Contact Information

Compliance Issues

Call the toll-free phone number for consumer information on abortion facilities compliance issues:

Open Records Requests

Texas Health and Human Services is committed to providing full access to public information. For information on how to submit an open records request, visit the Open Records Policy & Procedures webpage.

General Email, Fax, Phone and Mailing Information

Phone: 512-438-5448
Fax: 512-834-4514
Email: healthfacilitylicensing@hhsc.state.tx.us

Mailing Address for Applications with Fees:
P.O. BOX 149055
Austin, Texas 78714-9055

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