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    The Health Facility Program is within the Division for Regulatory Services.

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General Hospitals - Health Facility Program


SB 1191 (SANE program) Hospital Follow Up Letter – Urgent Response Requested

Hospital Compliance with House Bill 1376 - Clarification 4/2/14

For consideration of a general hospital license, an establishment must meet the following two components:

  • offer services, facilities and beds for use for more than 24 hours for two or more unrelated individuals requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy; and
  • regularly maintain, at a minimum, clinical laboratory services, diagnostic x-ray services, treatment facilities including surgery or obstetrical care or both, and other definitive medical or surgical treatment of similar extent.

The Facility Licensing Group is responsible for developing rules that establish minimum standards for general hospital licensing procedures; fees; operational requirements; inspection and investigation procedures; construction; fire prevention and safety requirements; license denial, probation, suspension and revocation. 



Applying for an Initial General Hospital License

Audit Tools

Directories of Hospitals


Injury Prevention and Control Reporting Requirements      (WORD 43KB)

Medicare Information

Patient Bill of Rights



Hospitals may be accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or the American Osteopathic Association (AOA).

Applying for an Initial General Hospital License

The application process for general hospital licensing involves:

  • Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
  • Health Facility Compliance Group staff who are responsible for conducting a pre- survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 241 and TAC Chapter 133. Refer to the application form for timelines.
  • Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.


Audit Tools

Please see applicable state and federal rules and regulations.


Patient Bill of Rights

To view requirements for General and Special Hospitals click here 25 TAC §133.42

To view requirements for hospitals providing Mental Health Services click here 25 TAC §404.162 and/or http://www.dshs.state.tx.us/mhservices/MHConsumerRights.shtm.

To view requirements for hospitals providing Chemical Dependency Services click here 25 TAC §448.701

To view Patient Bill of Rights click here. (PDF, 59KB)


$39 per bed for licensing application fee
Refer to architectural forms included in license application packet for appropriate plan review and inspection fees.
Application fees are not refundable.

Medicare Information

Hospitals may be certified to participate in the federal Medicare program. The Secretary of the Department of Health and Human Services (DHHS) directs state health agencies or other appropriate agencies to determine if health care entities meet federal standards. This helping function is termed "provider certification." Health Facility Compliance Group staff is responsible for certifying hospitals. For more information on the certification process, refer to Rules/Regulation link on right-hand side menu box or contact your zone office. See the City-Region-Zone List to find your appropriate zone office.

  • Initial Medicare Surveys (To view medicare certification letters, click pdf file below, posted 11/8/2007)


Abortion Facilities license application
Initial Surveys for New Medicare Providers Letter PDF File 172KB
Medicare Initial Surveys Briefing Document Letter PDF File 30KB

FY 2006 End of Year CloseOut Award Process & Award of FY 2006 Supplements Letter

PDF File 54KB
CMS DSHS 2007 Initials Letter PDF File 58KB
Approved 855 Pending Initial Survey Letter PDF File 34KB
Initial Surveys of Rural Health Clinics (RHC) and Skilled Nursing Facilities (SNFs) Raised to Tier 3 Priority PDF File 65KB
  • Hospital Restraint/Seclusion Death Report Worksheet (to view worksheet click here PDF File   (16KB)


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Last updated November 04, 2014