Hospitals - General Hospitals

The Facility Licensing Group is responsible for developing rules that establish minimum standards for general hospital licensing procedures; fees; operational requirements; inspection and investigation procedures; construction; fire prevention and safety requirements; license denial, probation, suspension and revocation.

For consideration of a general hospital license, an establishment must meet the following two components:

  • Offer services, facilities and beds for use for more than 24 hours for two or more unrelated individuals requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy; and
  • Regularly maintain, at a minimum, clinical laboratory services, diagnostic x-ray services, treatment facilities including surgery or obstetrical care or both, and other definitive medical or surgical treatment of similar extent.

Find or Verify a Licensee


Hospitals may be accredited by the Joint Commission on Accreditation of Health Care Organizations or the American Osteopathic Association.

Applying for an Initial General Hospital License

The staff of the Facility Licensing Group is responsible for licensing hospitals. The Architectural Review Group is responsible for conducting plan reviews and construction inspections of new and existing hospitals. Contact information for the zone offices is available by finding your zone (PDF) and then locating the contact info for zone offices. The list also contains phone numbers, fax numbers and email addresses.

The application process for general hospital licensing involves:

  • Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
  • Health Facility Compliance Group staff who are responsible for conducting a pre-survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 241 and TAC Chapter 133. Refer to the application form for timelines.
  • Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.

Supporting Forms and Documents

View the General Hospital forms and documents.


$39 per bed for licensing application fee. Refer to architectural forms included in license application packet for appropriate plan review and inspection fees. Application fees are not refundable.

Medicare Information

Hospitals may be certified to participate in the federal Medicare program. The Secretary of the Department of Health and Human Services directs state health agencies or other appropriate agencies to determine if health care entities meet federal standards. This helping function is termed "provider certification."

Health Facility Compliance Group staff is responsible for certifying hospitals. For more information on the certification process, refer to the hospital laws and rules webpage or contact your zone office (PDF).

Critical Access Hospital

This type of hospital is a federal designation. See the Center for Medicaid and Medicare Services' website for information on attaining Medicare certification. The Office of Rural Community Affairs maintains a list of CAHs in Texas.

Laws and Rules

Click here for more information on General Hospital laws and rules.

Enforcement Actions

General and Special Hospitals Enforcement Actions (PDF)

Program Contact Information

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