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The Texas Birthing Center Licensing Act was first enacted in 1985 by the 69th Legislature. A birthing center is an alternative means for a pregnant woman to deliver in a setting other than at home or in a hospital.
HHSC develops rules that establish minimum standards for Birthing Center licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for clinical standards. Birthing Centers are not Medicare certified.
Find or Verify a Licensee
- View the accessible version of the Directory of Birthing Centers (Excel)
- View the Directory of Birthing Centers (PDF)
- Verify a facility license by searching the Online Licensing System
Licensing
The following documents, fees, and actions shall be completed and approved before a license will be issued:
Initial Application
Renewal Application
- Complete Form 3213, Birthing Center License Renewal Addendum
- Online Licensing Renewals
Change of Ownership Application
Supporting Forms and Documents
Survey Components
During the initial licensing period, Health Facility Compliance Zone Office staff will conduct an on-site survey to ascertain compliance with the provisions of the Health and Safety Code and associated rules listed below. An entrance conference will be held with key facility personnel. Zone office staff will explain the survey process and answer questions. During the survey, zone office staff will:
- Review clinical records
- Review facility policies and procedures
- Review quality assurance activities
- Review personnel records
- Interview staff
- Conduct an exit conference with key facility personnel
- Discuss survey findings
Laws and Rules
Texas Laws
Rules & Regulations
Open Records Requests
There is no specific form for submitting your open records request. Your request must be in writing and may be submitted by mail, fax or email. Include enough description and detail about the information requested so we can accurately identify and locate the information. List your name and mailing address so we can provide you with the requested information. We may also provide you with an itemized statement of charges, if applicable, or notify you if the information you are requesting cannot be provided promptly.
Enforcement Actions
Birthing Centers Enforcement Actions, December 2019 – November 2020 (PDF)
Contact Information
General Email, Fax, Phone and Mailing Information
Phone: 512-834-6648
Fax: 512-834-4514
Email: healthfacilitylicensing@hhsc.state.tx.us
Mailing Address
HHSC
Health Facility Licensing
P.O. Box 149347
Austin, TX 78714-9347
Mailing Address for Applications with Fees
HHSC-ARTS
P.O. BOX 149055
Austin, Texas 78714-9055
Enforcement Unit
Phone: 512-834-6634
Fax: 512-834-6623
Email: enforcement@hhsc.state.tx.us
Mailing Address:
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, TX 78714-9347