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 & Frequently Asked Questions

Note: These files are in PDF format unless otherwise noted.
Date Title Applies to
10/12/2021 GL 21-3005, Chemical Dependency Treatment Facility Requirements During the COVID-19 Pandemic CDTF
10/8/2021 GL 21-2002, End Stage Renal Disease Facility Requirements in Response to COVID-19 [Amended] ESRD
9/15/2021 GL 21-2004, In-Person Religious Counselor Visitation During a Public Health Emergency (SB 572-87R) Hospital, SCF, Special Hospital
9/15/2021 GL 21-2003, In-Person Hospital Visitation During Certain Periods of Disaster (HB 2211-87R) Hospital, Special Hospital
9/14/2021 GL 21-2001, Updated Abortion Procedure Documentation and Abortion and Sonogram Election Form Requirements (SB 8-87R) ABO, ASC, Hospital
4/15/2021 GL 19-2004-A, 86th Regular Session, Senate Bill (SB) 1264 Guidance Letter [Amended] ABO, ASC, Birthing Centers, CDTF, ESRD, FEMC, Hospital, NTP, Psych Hospital & CSU
4/1/2021 GL 19-1001-A, Expired Medical Error Reporting Requirements (HB 1614-78R) [Amended] ASC, Hospital, Psych Hospital & CSU, Special Hospital
3/10/2021 GL 21-1001, Temporary Suspension of State Licensure Requirements on Bed Capacity During the COVID-19 Pandemic Hospital, Special Hospital
1/22/2021 GL 20-5004, Criminal Convictions and Licensure Eligibility for Licensed Chemical Dependency Counselors and Counselor Interns (HB 1342-86R) Licensed Chemical Dependency Counselors
1/6/2021 GL 20-5003, Required Training on Human Trafficking for Licensed Chemical Dependency Counselors (HB 2059-86R) Licensed Chemical Dependency Counselors