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 20-1011-A Emergency Hospital Off-Site Facilities in Response to COVID-19 [Amended]
Addressed to:
Hospital, Special Hospital
9/30/2020
GL 20-1000-A-2 Emergency Rules Concerning Certificate of Public Advantage (COPA) for Qualifying Hospitals [Amended]
Addressed to:
Hospital
9/29/2020
GL 20-1012 Emergency ESRD Off-Site Facilities During the COVID-19 Pandemic
Addressed to:
ESRD
9/29/2020
GL 20-2021 Hospital Visitor Screening & Access in Response to COVID-19
Addressed to:
Hospital, Special Hospital
9/25/2020
GL 20-2022 Facility Visitor Screening & Access in Response to COVID-19
Addressed to:
Psych Hospital & CSU
9/25/2020
GL 20-2020 Ambulatory Surgical Center (ASC) Services and Reporting Requirements in Response to COVID-19
Addressed to:
ASC
9/23/2020
GL 20-3004-A Emergency Rule Concerning Outpatient Chemical Dependency Treatment Services Via Electronic Means to Adolescents and Adults in Chemical Dependency Treatment Facilities (CDTFs) [Amended]
Addressed to:
CDTF
9/8/2020
GL 20-0003-A Preparing for Hurricane Season During the COVID-19 Disaster [Amended]
Addressed to:
ABO, ASC, Birthing Centers, CDTF, CLIA, CMHC, CORF, ESRD, FEMC, Hospital, NTP, Port-X, Psych Hospital & CSU, RHC, SCF, Special Hospital, Licensed Chemical Dependency Counselors
9/2/2020
GL 20-3006-A Emergency Rules Concerning Chemical Dependency Treatment Services Via Telephone and Internet and Service Delivery Documentation Deadlines in Chemical Dependency Treatment Facilities (CDTFs) [Amended]
Addressed to:
CDTF
8/26/2020
GL 20-1006-A Emergency Rule Permitting Designation of Licensed Hospital Space in Response to COVID-19 [Amended]
Addressed to:
Hospital, Special Hospital
8/20/2020