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

Note: These files are in PDF format unless otherwise noted.
Number Title Date
GL 20-3001 Novel Coronavirus (COVID-19) Infection Control and Emergency Preparedness in Chemical Dependency Treatment Facilities (CDTFs)
Addressed to:
CDTF
3/31/2020
GL 20-1003-A2 Emergency Hospital Off-site Locations in Response to COVID-19 [Amended]
Addressed to:
Hospital, Special Hospital
3/29/2020
GL 20-2012 ASC Services and Reporting Requirements in Response to COVID-19
Addressed to:
ASC
3/27/2020
GL 20-2007-A2 Coronavirus (COVID-19) Infection Control and Emergency Preparedness - Prohibition of Nonessential Visitors [Amended]
Addressed to:
Hospital, Psych Hospital & CSU, Special Hospital
3/27/2020
GL 20-1004-A Temporary Suspension of 30-Mile Radius Limit for Multiple Hospitals Under a Single License [Amended]
Addressed to:
Hospital, Special Hospital
3/26/2020
GL-20-1002-A Temporary Suspension of State Licensure Requirements for Fire Marshal Approval During the Novel Coronavirus (COVID-19) Outbreak [Amended]
Addressed to:
ESRD, FEMC, Hospital, Psych Hospital & CSU, Special Hospital
3/24/2020
GL 20-2010-A Temporary Suspension of Spatial Requirements in Patient Rooms in General and Special Hospitals [Amended]
Addressed to:
Hospital, Special Hospital
3/23/2020
GL 20-2009-A Temporary Suspension of Staffing Requirements in End Stage Renal Disease Facilities (ESRDs) During the Novel Coronavirus (COVID-19) [Amended]
Addressed to:
ESRD
3/23/2020
GL 20-2008 Novel Coronavirus (COVID-19), Discharge Assessment Form for Patient Transfers from Hospitals to Long-term Care Facilities
Addressed to:
Hospital, Psych Hospital & CSU, Special Hospital
3/21/2020
GL 20-1001-A Temporary Suspension of State Licensure Requirements on Exceeding Bed Capacity During the Novel Coronavirus (COVID-19) Outbreak [Amended]
Addressed to:
Hospital, Special Hospital
3/20/2020