Rules and Regulations -- Health Facility Program

This page provides links to adopted rules for the facilities regulated by the Health Facility Program and other information pertinent information.
Please follow this link for Draft and Proposed Rules. 

Links to sites outside of DSHS are intended to be informational and do not necessarily imply any official endorsement. Staff associated with the Health Facility Program routinely review the links, but we cannot guarantee the validity of information provided at outside sites.

Current Rules and Regulations

• Abortion Facilities
• Ambulatory Surgical Centers
• Birthing Centers
• Community Mental Health Centers
• Comprehensive Out-Patient Rehabilitation Facilities
• End-Stage Renal Disease Facilities
• Freestanding Emergency Medical Care Facilities
• Hospitals- General
• Hospitals- Psychiatric & Crisis Stabilization Units
• Hospitals- Special
• Narcotic Treatment Clinics
• Out-Patient Physical Therapy or Speech Pathology Services
• Portable X-Ray Services
• Rural Health Clinics
• Special Care Facilities
• Substance Abuse Treatment Facilities
• Texas Medical Disclosure Panel

LVN Information

Physician Information

Surgical Technologists Information

Draft/Proposed Rules

Recently Adopted Rules

LVN Information

• LVN Functioning in the Charge Role in a Licensed End Stage Renal Disease Facility and Texas Board of Nursing Letter  (PDF 129KB) Regarding the Role of LVNs in a Dialysis Facility.   (posted July 20, 2009)
  

Physician Information

• UPDATED: 24/7 Physician Coverage for Emergency Departments in Hospitals   (PDF 36KB)
  Stakeholder Meeting 11-30-2010  (update posted November 19, 2010)
     

Recently Adopted Rules

• Special Care Facility Licensing Rules   (Amended March 20, 2011)  _{(PDF 371KB)}
• Hospitals - General   (effective December 9, 2010)
• Hospitals - Psychiatric & Crisis Stabilization Units   (effective December 9, 2010) 
• Ambulatory Surgical Centers Rules Chapter 135   (effective November 25, 2010)
• End Stage Renal Disease Facilities Licensing Rules Chapter 117   (effective July 6, 2010)
• Freestanding Emergency Medical Care Facilities Licensing Rules Chapter 131   (effective June 1, 2010)  (PDF 688KB)

Abortion Facilities

Notice to Medicaid Women’s Health Program Providers

Section 32.0248, Human Resources Code, prohibits the payment of Medicaid Women's Health Program funds to a provider that performs elective abortions. This provision also applies to licensed abortion facilities. A provider that has performed elective abortions (through either surgical or medical methods) for any patient is ineligible to serve Medicaid Women's Health Program clients and cannot be reimbursed for those services. This prohibition has been in effect since September 1, 2005. This prohibition does not prohibit providers from delivering services to other Medicaid clients. The Health and Human Services Commission may recoup Medicaid Women's Health Program funds that it determines were paid to providers that have performed elective abortions.

For more information please call Alex Melis, Medicaid/CHIP Division, Health and Human Services Commission, at (512) 491-1451.

Ambulatory Surgical Centers (ASCs)

Birthing Centers

Community Mental Health Centers

Comprehensive Out-Patient Rehabilitation Facilities

End Stage Renal Disease (ESRD) Facilities

Freestanding Emergency Medical Care Facilities

Hospitals- General

Hospitals- Psychiatric & Crisis Stabilization Units

Hospitals- Special

Narcotic Treatment Clinics (NTC)

Out-Patient Physical Therapy or Speech Pathology Services

Portable X-Ray Services

Rural Health Clinics

Special Care Facilities

Substance Abuse Treatment Facilities

Texas Medical Disclosure Panel