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Program News - Hospital Licensing and Regulation

Law requiring human trafficking signage

Facilities Affected: Hospitals, Abortion Facilities, and Ambulatory Surgical Centers that perform abortions
Description: House Bill 2552, 85th Legislature, Regular Session, became effective on September 1, 2017. This bill requires all hospitals licensed under Health & Safety Code 241, and abortion facilities, including ambulatory surgical centers that perform abortions, to post human trafficking signage.
HB 2552 requires facilities to post separate signs in English, Spanish and any other language prevalent in the community. According to the bill, a facility must only display a separate sign in an additional language if it is in a political subdivision required to provide election materials in a language other than English or Spanish. Signs must be at least 8½ by 11 inches in size, with the notice covering at least four-fifths of the sign, and displayed in a conspicuous manner clearly visible to the public and employees. Sample signs have been created for your convenience, but facilities may create their own sign as long as it complies with the law. 
Contact: Health Facility Licensing program at (512) 834-4576 or infohflc@hhsc.state.tx.us.
Complete Details: Human Trafficking Sign Background Information (PDF, 266 KB)
Sample signs: in English: Human Trafficking Sign - black and white (PDF, 712 KB) and Human Trafficking Sign - color (PDF, 1,034 KB) 
in Spanish: Human Trafficking Sign in Spanish - black and white (PDF, 752 KB) and Human Trafficking Sign in Spanish - color (PDF, 1,090 KB)


Guidance concerning Centers for Medicaid and Medicare (CMS) Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 - Life Safety Code (LSC) and 2012 edition of the NFPA 99 - Health Care Facilities Code (HCFC). 

Facilities Affected: Hospitals, Ambulatory Surgical Centers
Description: The Centers for Medicare and Medicaid Services (CMS) final rule eliminates all references to the previously adopted 2000 edition of the LSC; and requires providers to comply with the 2012 LSC, with certain modifications and the 2012 HCFC, excluding chapters 7, 8, 12, and 13 by the effective date of July 5, 2016.  The final rule continues to allow CMS to waive, for periods deemed appropriate, specific provisions of the Life Safety Code, which would result in an unreasonable hardship upon a facility, providing the waiver will not adversely affect the health and safety of the patients.
Contact: Rebbeca Read, (512) 834-6649
Complete Details:  Provider Letter Related to CMS Adoption of the 2012 NFPA 101 LSC and 2012 NFPA 99 HCFC Standards on May 4, 2016  
Date Posted: 10/14/2016


 CMS Changes Impacting Dietary Services in Hospitals

Facilities Affected: Hospitals 
Description: The Centers for Medicare and Medicaid Services (CMS) have made amendments to the hospital Conditions of Participation, found at 42 CFR Part 482, §482.28 (b)(1) and (2) have been revised to permit a qualified dietitian or nutrition professional to order diets if authorized by the medical staff and provided it is done in accordance with state law governing dietitians and nutrition professionals. This includes orders for a therapeutic diet.
Contact:  Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details:  Provider Letter Related to CMS Changes Impacting Dietary Services in Hospitals
Date Posted: 4/15/2016


Passage of House Bills 635 and 3074, and Senate Bill 373

Facilities Affected: Hospitals and Freestanding Emergency Medical Care Facilities
Description: House Bill 635 relates to the disposition of certain fetal remains. House Bill 3074 relates to the provision of artificially administered nutrition and hydration and life-sustaining treatment. Senate Bill 373 relates to increased oversight by the Department of State Health Services of a hospital that has committed a violation that resulted in a potentially preventable adverse event reportable under Chapter 98, HSC.
Contact:  Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details: Provider Letter Related to House Bills 635 and 3074, and Senate Bill 373
Date Posted: 2/18/2016


Law Regarding the Use of Adult Stem Cells

Facilities Affected: Hospitals
Description: Hospitals are required to comply with House Bill 177 which went into effect on September 1, 2015, regarding the use of adult stem cells.
Contact: Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625
Complete Details: House Bill 177 Adult Stem Cells
Date Posted: 12/10/2015 


Consent to Release Placenta

Facilities Affected: Birthing Centers and Hospitals
Description: Release of Placenta from a Hospital or Birthing Center for Personal Use
Contact:  Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details: Consent to Release Placenta (PDF, 56KB); Spanish Version (PDF, 162KB)
Date Posted: 11/19/2015


Re-enrollment in the Medicaid Program by March 24, 2016

Facilities Affected: Hospitals, Substance Abuse Facilities, Narcotic Treatment Clinics
Description: This notice serves as a reminder to all current Medicaid Providers of Substance Use Disorder services that your organization must re-enroll in the Medicaid program by March 24, 2016, in order to continue to be a Medicaid provider.
Contact:  Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details: Re-enrollment in the Medicaid Program by March 24, 2016 (PDF, 44KB)
Date Posted: 11/13/2015   


Guidance Concerning Restraint and Seclusion Reporting Requirements (Chapter 415)

Facilities Affected: Hospitals, Crisis Stabilization Units, Community Mental Health Service Provider (LMHAs), the Waco Center for Youth, and the Texas Center for Infectious Disease (TCID)
Description: Explanation of quarterly reporting requirements for hospitals regarding the use of restraint and seclusion
Contact: Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details: Guidance Concerning Chapter 415 Restraint and Seclusion Reporting Requirements (PDF, 43.6KB)
Supporting Documents: FAQ Concerning Chapter 415 Restraint and Seclusion Reporting (PDF, 41.1KB)
Date Posted: 3/31/2017 (FAQs revised April 1, 2017)  


Safe Haven or Baby Moses Law

Facilities Affected: Hospitals and Freestanding Emergency Medical Care Facilities
Description: The Safe Haven law, also known as the Baby Moses law, gives parents who are unable to care for their child a safe and legal choice to leave their infant with an employee at a designated safe place.
Complete Details: Safe Haven or Baby (HTML)
Date Posted: 09/15/2015


Incident Reporting Guidelines for Hospital & Crisis Stabilization Units

Facilities Affected: Hospitals & Crisis Stabilization Units
Description: Incident Reporting Guidelines for hospitals licensed pursuant to Texas Health and Safety Code Chapters 241 and 577, General and Special Hospitals, Psychiatric Hospitals and Crisis Stabilization Units.
Contact:  Patrick Waldron, Branch Manager, M.Ed., L.M.S.W., Patient Quality Care Unit, (512) 834-6700 x 2625.
Complete Details: Incident Reporting Guidelines for Hospitals & Crisis Stabilization Units (PDF, 39KB)
Date Posted: 05/05/2015


CMS Medicare Hospital Comparison

Facilities Affected: Hospitals
Description: Compare Medicare-certified hospitals and the quality of care provided to patients in the country
Complete Details: CMS Medicare Hospital Comparison (HTML)
Date Posted: n/a


Additional Information to Pre-Admission Screening and Resident Review (PASRR) Redesign

Facilities Affected: Hospitals
Description: Regarding screenings for individuals seeking admission to Medicaid certified nursing facilities
Contact: Department of Aging and Disability Services, 1-855-435-7180
Complete Details: Additional Information to Pre-Admission Screening and Resident Review (PASRR) Redesign (PDF, 881KB)
Date Posted: 07/24/2014 (Revised)


Pre-Admission Screening and Resident Review (PASRR) Resources Brochure

Facilities Affected: Hospitals
Description: How to locate a local mental health authority for PASRR assistance
Contact: Department of Aging and Disability Services, or DSHS Mental Health and Substance Abuse
Complete Details: Additional Information to Pre-Admission Screening and Resident Review (PASRR) Redesign (PDF, 684KB)
Date Posted: 05/24/2013 (Revised)


Guidance for Hospitals Providing Hospice Services

Facilities Affected: Hospitals
Description: Overview of approaches that hospitals may take to providing hospice care
Contact: Hospital Licensing Program, 512-834-6648
Complete Details: Guidance for Hospitals Providing Hospice Services (PDF, 112KB)
Date Posted: 07/29/2013


Planning for Water Supply Interruptions: A Guide for Hospitals & Healthcare Facilities

Facilities Affected: End-Stage Renal Disease Facilities, Hospitals
Date Posted: 03/13/2012
Description: Impacts of a water interruption and questions to ask to help prepare for an interruption
Contact: Healthcare & Public Health Sector Coordinating Councils
Complete Details: Planning for Water Supply Interruptions (PDF, 182KB)


Facility Compliance with Medical Waste Regulations

Facilities Affected: Abortion Facilities, Ambulatory Surgical Centers, Birthing Centers, Hospitals
Description: Requirements for generators of medical waste that must be followed prior to shipping
Contact: Texas Commission on Environmental Quality, Municipal Solid Waste Permits - (512) 239-2334
Complete Details: Facility Compliance with Medical Waste Regulations (PDF, 71KB)
Date Posted: 02/28/2012


Information for Sexual Assault Patients

Facilities Affected: Abortion Facilities, Ambulatory Surgical Centers, Hospitals, Freestanding Emergency Medical Care Facilities
Description: Information on resources that health care facilities must provide to sexual assault survivors
Complete Details: Information for Sexual Assault Patients
Date Posted: 11/22/2010


Surgical Technologists (House Bill 643)

Facilities Affected: Ambulatory Surgical Centers, Hospitals
Description: Clarification on employing surgical technologists without certification
Complete Details: Surgical Technologists House Bill 643 (PDF, 39KB)
Date Posted: 10/19/2010


Information Sheet for Psychiatric Patients

Facilities Affected: Freestanding Emergency Medical Care Facilities, Hospitals
Description: Helping psychiatric patients understand the ER process and the law
Complete Details: Information Sheet for Psychiatric Patients (PDF, 30KB)
Date Posted: 05/26/2010


Outpatient Facilities Q&A

Facilities Affected: Hospitals
Description: Information to address stakeholder questions regarding outpatient facilities
Complete Details: Outpatient Facilities Q & A (PDF, 69KB)
Date Posted: 03/20/2007


Vaccination Against Influenza Virus & Pneumococcal Diseases

Facilities Affected: End-Stage Renal Disease Facilities, Freestanding Emergency Medical Care Facilities, Hospitals
Description: Informational materials about vaccination of elderly persons against influenza virus and pneumococcal disease
Complete Details: Vaccination Against Influenza Virus & Pneumococcal Diseases (HTML)
Date Posted: 01/03/2006


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Last updated July 5, 2018