Update on Trauma Rules - April 2024

This letter is to inform you that the Department of State Health Services is withdrawing the current Chapter 157 rule project that was first published in the Texas Register on January 19, 2024. DSHS will submit a new rule project on Chapter 157 soon.

View a letter to our stakeholders outlining the details of this project.

EMS Trauma Systems Policies and Proposed and Adopted Rules

Link to Texas Administrative Code

All Texas Administrative Codes

Medical Advisory Board

Out of Hospital Do Not Resuscitate Program

Trauma Service Areas and Regional Advisory Councils


Hospital Level of Care Designations for Maternal Care

Centers of Excellence for Fetal Diagnosis and Therapy

Hospital Level of Care Designations for Neonatal and Maternal Care

Trauma Facilities

Stroke Facilities


Emergency Medical Services

Texas star image Go to Secretary of State - Texas Administrative Code Titles

External links are intended to be informational and are not endorsed by the Texas Department of State Health Services. These sites may not be accessible to persons with disabilities.

Email program for rule questions