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 21-2009 Prices and Fees Charged by Certain Freestanding Emergency Medical Care Facilities (SB 2038-87R)
Applies to: FEMC, Hospital, Special Hospital
GL 20-0002-A Regulatory Compliance During the COVID-19 Disaster [Amended]
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, CLIA, CMHC, CORF, ESRD, FEMC, Hospital, NTP, Port-X, Psych Hospital & CSU, RHC, SCF, Special Hospital, Licensed Chemical Dependency Counselors
GL 21-2006 Abortion Complication Reporting and Regulation of Drug-Induced Abortion Procedures, Providers, and Facilities (SB 4-87-2)
Applies to: Abortion Facilities, ASC, Hospital, Special Hospital
GL 21-2007 Information for Reporting Suspicious Activity Required on Human Trafficking Signs (HB 3721-87R)
Applies to: Abortion Facilities, ASC, Hospital, Special Hospital
GL 21-0001 Organ Transplant Recipient Discrimination Based on an Individual’s Disability Prohibited (HB 119-87R)
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, ESRD, Hospital, NTP, Psych Hospital & CSU, SCF, Special Hospital, Licensed Chemical Dependency Counselors
GL 21-2004 In-Person Religious Counselor Visitation During a Public Health Emergency (SB 572-87R)
Applies to: Hospital, SCF, Special Hospital
GL 21-2003 In-Person Hospital Visitation During Certain Periods of Disaster (HB 2211-87R)
Applies to: Hospital, Special Hospital
GL 21-2001 Updated Abortion Procedure Documentation and Abortion and Sonogram Election Form Requirements (SB 8-87R)
Applies to: Abortion Facilities, ASC, Hospital
GL 19-2004-A 86th Regular Session, Senate Bill (SB) 1264 Guidance Letter [Amended]
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, ESRD, FEMC, Hospital, NTP, Psych Hospital & CSU
GL 19-1001-A Expired Medical Error Reporting Requirements (HB 1614-78R) [Amended]
Applies to: ASC, Hospital, Psych Hospital & CSU, Special Hospital