Freestanding Emergency Medical Care Facilities

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The Texas Freestanding Emergency Medical Care Facility Licensing Act was first enacted in 2009 by the 81st Legislature. An FEMC facility is a facility that is structurally separate and distinct from a hospital and which receives an individual and provides emergency care. Emergency care is defined as health care services provided in a freestanding emergency medical care facility to evaluate and stabilize a medical condition of a recent onset and severity, including severe pain, psychiatric disturbances, or symptoms of substance abuse, that would lead a prudent layperson possessing an average knowledge of medicine and health to believe that the person's condition, sickness, or injury is of such a nature that failure to get immediate medical care could result in:

  • placing the person's health in serious jeopardy
  • serious impairment to bodily functions
  • serious dysfunction of a bodily organ or part
  • serious disfigurement
  • or in the case of a pregnant woman, serious jeopardy to the health of the woman or fetus

HHSC develops rules that establish minimum standards for licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.

Find or Verify a Licensee


The staff of the Health Facility Licensing Unit is responsible for licensing FEMCs. The Architectural Review Unit is responsible for conducting plan reviews and construction inspections of new and existing freestanding emergency medical care facilities.

Contact information for the regional offices is available by finding your region (PDF) and then locating the contact info for regional offices. For more information, read the Health Care Regulation Contact Information (PDF).

Applications, Forms and Supporting Documents

For initial, relocation and change of ownership applications, complete Form 3226, Freestanding Emergency Medical Care Facility License Application.

For renewal applications, complete Form 3224, Freestanding Emergency Medical Care Facility License Renewal Application.

Supporting Forms and Documents

Survey Components

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

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

CLIA Information

Visit the CLIA information website. To contact the regional office for your location, read the Health Care Regulation Contact Information (PDF).

Laws and Rules

Texas Laws

Rules and Regulations

Human Trafficking Resources

Enforcement Actions

Free Standing Emergency Medical Care Facility Enforcement Actions (PDF)

Contact Information

The Health Facility Licensing Unit is dedicated to assist you through this process and is available to answer your questions. If you have any questions, please contact the Health Facility Licensing Unit:

Phone: 512-438-5448
Fax: 512-834-4514

Mailing Address for Applications with Fees:
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Enforcement Unit

Toll-Free: 888-973-0022
Phone: 512-834-6634
Fax: 512-834-6623

Mailing Address:
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, Texas 78714-9347