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

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title Date Published
GL 22-3001-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]
Applies to: CDTF

Note: Replaces GL 22-3001 - January 21, 2022

GL 21-2008-A Required Disclosure of Prices for Certain Items and Services (SB 1137-87R) [Amended]
Applies to: Health Care Facilities Regulation

Note: Replaces GL 21-2008 - February 3, 2022

GL 22-3002 Chemical Dependency Treatment Facility Requirements During the COVID-19 Pandemic
Applies to: Health Care Facilities Regulation, CDTF

Note: Replaces GL 21-3005-A.

GL 22-1003 Emergency End Stage Renal Disease Off-Site Facilities During the COVID-19 Pandemic
Applies to: ESRD
GL 22-1002 Emergency Hospital Off-Site Facilities and Designation of Licensed Hospital Space in Response to COVID-19
Applies to: Health Care Facilities Regulation, Hospital, Special Hospital
GL 21-3004-A Outpatient Chemical Dependency Treatment Service Provision Through Electronic Means (HB 4-87R) [Amended]
Applies to: CDTF
GL 19-1000-A Chemical Dependency Treatment Facility Outpatient Satellite Site Exemption (HB 4298-86R)
Applies to: CDTF
GL 22-2000 End Stage Renal Disease Facility Requirements in Response to COVID-19
Applies to: ESRD
GL 22-1000 Emergency Rule for Hospitals Participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program During the COVID-19 Pandemic
Applies to: Health Care Facilities Regulation, Hospital, Special Hospital
GL 22-0001 Implementation of House Bill (HB) 525, 87th Legislature, Regular Session, 2021
Applies to: Health Care Facilities Regulation, Abortion Facilities, ASC, Birthing Centers, CDTF, ESRD, FEMC, Hospital, NTP, Psych Hospital & CSU, SCF, Special Hospital