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.
Date Title Applies to
12/3/2021 GL 21-1004-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] Hospital, Special Hospital
11/23/2021 GL 21-3003-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] CDTF
11/12/2021 GL 21-2006, Abortion Complication Reporting and Regulation of Drug-Induced Abortion Procedures, Providers, and Facilities (SB 4-87-2) ABO, ASC, Hospital, Special Hospital
11/9/2021 GL 21-2007, Information for Reporting Suspicious Activity Required on Human Trafficking Signs (HB 3721-87R) ABO, ASC, Hospital, Special Hospital
11/5/2021 GL 21-0001, Organ Transplant Recipient Discrimination Based on an Individual’s Disability Prohibited (HB 119-87R) ABO, ASC, Birthing Centers, CDTF, ESRD, Hospital, NTP, Psych Hospital & CSU, SCF, Special Hospital, Licensed Chemical Dependency Counselors
11/4/2021 GL 21-3004, Outpatient Chemical Dependency Treatment Service Provision Through Electronic Means (HB 4-87R) CDTF
11/3/2021 GL 21-3006, Outpatient Treatment Services Via Electronic Means for Adolescents in Chemical Dependency Treatment Facilities During the COVID-19 Pandemic CDTF
10/12/2021 GL 21-5001, Licensed Chemical Dependency Counselor Intern Requirements During the COVID-19 Pandemic Licensed Chemical Dependency Counselors
10/12/2021 GL 21-3005, Chemical Dependency Treatment Facility Requirements During the COVID-19 Pandemic CDTF
10/8/2021 GL 21-2002, End Stage Renal Disease Facility Requirements in Response to COVID-19 [Amended] ESRD