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.
Number Title Date
GL 19-2000 Preservation of Records from Forensic Medical Examinations (HB 531 – 86R)
Addressed to:
Hospital, Special Hospital
6/16/2020
GL 20-2004 Telemedicine in Rural Trauma Facilities (HB 871-86R)
Addressed to:
Hospital
6/10/2020
GL 20-2000 Health Care-Associated Infections (SB 384, 86th R.S.)
Addressed to:
ASC, Hospital
6/5/2020
GL 19-3001-A Qualified Credentialed Counselor (QCC) Guidance Letter [Amended]
Addressed to:
CDTF
6/5/2020
GL 19-1001 Expired Medical Error Reporting Requirements (HB 1614-78R)
Addressed to:
ASC, Hospital, Psych Hospital & CSU, Special Hospital
6/4/2020
GL 20-2006-A Incidents Submission Portal for Acute Health Care Providers Under Texas Unified Licensure Information Portal (TULIP) [Amended]
Addressed to:
ASC, Birthing Centers, CDTF, CLIA, CMHC, ESRD, FEMC, Hospital, NTP, Psych Hospital & CSU, SCF, Special Hospital
6/4/2020
GL 20-2002 Surgical Technologists Continuing Education Requirements (SB 1239-86R)
Addressed to:
ASC, Hospital, Special Hospital
6/4/2020
GL 19-2003 Admission, Examination, and Discharge of a Person for Mental Health Services (SB 1238-86R)
Addressed to:
Hospital, Psych Hospital & CSU, Special Hospital
6/4/2020
GL 20-1000 Emergency Rules Concerning Certificate of Public Advantage (COPA) for Qualifying Hospitals
Addressed to:
Hospital
6/2/2020
GL 20-2010-A2 Temporary Suspension of Spatial Requirements in Patient Rooms in General and Special Hospitals [Amended - replaces GL 20-2010-A]
Addressed to:
Hospital, Special Hospital
5/12/2020