Limited Services Rural Hospitals

As defined by Texas Health and Safety Code Section 241.301 and Texas Administrative Code Title 26 Section 511.2 a limited services rural hospital is a general or special hospital that is or was licensed under Texas Health and Safety Code under Chapter 241 and that:

Texas Health and Safety Code Chapter 241, Subchapter K establishes the state licensing requirements for LSRHs. Under state law, HHSC is responsible for the licensing and regulation of LSRHs in Texas, and the Regulatory Services Division within HHSC carries out these duties.

HHSC adopts rules for LSRHs including establishing standards for:

  • Licensing procedures and fees
  • License denial, probation, suspension, and revocation
  • Requirements for staffing by physicians and nurses
  • LSRH services relating to patient care
  • Fire prevention, safety, and sanitation requirements in LSRHs
  • Patient care and a patient bill of rights
  • Compliance with other state and federal laws affecting the health, safety, and rights of LSRH patients
  • Inspection, investigation, and enforcement procedures

Laws and Rules

Texas Laws

Rules and Regulations

Senate Bill 1137 Hospital Price Transparency Information

Find or Verify a License


An applicant seeking an LSRH license must submit a complete application, license fee, and other applicable documents to HHSC. The Health Facility Licensing Unit will not process an application until after HHSC Accounts Receivable receives and posts the license fee.

Refer to the application or instructions linked in this section for specific requirements.

HHSC must review and approve all required application materials received before issuing a license to an applicant.

Initial Licensure Applications

Change of Ownership Applications

Relocation Applications

Supporting Forms and Documents

Architectural Review Information and Forms

Refer to the Architectural Information page.

Complaint and Incident Submission Information

Inspection Components

HHSC conducts health compliance on-site inspections to determine compliance with the provisions of the Health and Safety Code and associated rules listed in the Laws and Rules section of this page. During the inspection, HHSC staff generally perform the following activities:

  • Conduct an entrance and an exit conference with applicable facility personnel
  • Explain the inspection process and answer questions
  • Review clinical records
  • Review facility and personnel records
  • Review facility policies and procedures
  • Review quality assurance activities
  • Interview staff
  • Assess the facility's compliance with applicable statutes and rules
  • Discuss final inspection findings with applicable facility personnel

Human Trafficking Resources

Abortion Reporting

As defined by Texas Health and Safety Code Section 245.002, an abortion facility is a place where abortions are performed. 

Texas Health and Safety Code Chapters 245 and 171 require abortion facilities and physicians that provide abortion services to report to HHSC certain information about abortion procedures the provider performs. HHSC must follow strict confidentiality provisions in the law regarding any information about an abortion facility. The law does allow HHSC to release statistical information reported to HHSC by abortion providers. The HHSC Office of Data, Analytics, and Performance (DAP) compiles this statistical information and publishes it on HHSC’s Induced Termination of Pregnancy Statistics webpage.

Abortion Reporting Forms

The following forms are required to be submitted by the physician to DAP:

The following form is required to be submitted by the facility to DAP:

Contact Health Care Regulation’s Policies and Rules Unit with questions regarding the statutory and regulatory abortion reporting requirements.

For assistance completing the online forms, for technical support, or to provide feedback on the user experience, email ITOP Reporting.

Provider Certification

The Secretary of the United States Department of Health and Human Services directs state health agencies or other appropriate agencies to determine whether health care entities meet federal standards. This helping function is termed "provider certification." Health Care Regulation staff are responsible for providing certification oversight on behalf of CMS for LSRHs.

For more information on the certification process, refer to our Centers for Medicare and Medicaid Services Information page, or contact your regional office (PDF).


LSRHs may be accredited.

Clinical Laboratory Improvement Amendments Information  

Refer to our CLIA information page. For more information on CLIA, contact your regional office (PDF).  

Contact Information  

Health Care Regulation Contact Information  

For Health Care Regulation contact information, visit our Contact Us page.  

Health Care Facility Enforcement  

Phone: 512-438-5439    
Fax: 512-438-3697    
Mailing Address:    
Texas Health and Human Services Commission    
Regulatory Services Division    
Health Care Facility Enforcement, MC 1866    
P.O. Box 149347    
Austin, TX 78714-9347  

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 and Procedures webpage.