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Freestanding Emergency Medical Care Facilities

Thank you for visiting the Freestanding Emergency Medical Care Facilities program webpage. The Department of State Health Services maintains this webpage, but pursuant to Senate Bill 200, regulatory authority over Freestanding Emergency Medical Care Facilities has transferred to the Health and Human Services Commission. (HHSC) as of September 1, 2017.

The Texas Freestanding Emergency Medical Care Facility (FEC) Licensing Act was first enacted in 2009 by the 81st Legislature. A freestanding emergency medical care facility is a facility that is structurally separate and distinct from a hospital and which receives an individual and provides emergency care. Emergency care is defined as health care services provided in a freestanding emergency medical care facility to evaluate and stabilize a medical condition of a recent onset and severity, including severe pain, psychiatric disturbances, or symptoms of substance abuse, that would lead a prudent layperson possessing an average knowledge of medicine and health to believe that the person's condition, sickness, or injury is of such a nature that failure to get immediate medical care could result in:

  • placing the person's health in serious jeopardy
  • serious impairment to bodily functions
  • serious dysfunction of a bodily organ or part
  • serious disfigurement
  • or in the case of a pregnant woman, serious jeopardy to the health of the woman or fetus

The Department develops rules that establish minimum standards for licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.

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The staff of the Facility Licensing Group is responsible for licensing FECs. To become licensed please see the freestanding emergency medical care facility licensing page.

The Architectural Review Group is responsible for conducting plan reviews and construction inspections of new and existing freestanding emergency medical care facilities.

Contact information for the zone offices is available by finding your zone and then locating the contact info for zone offices. The list also contains phone numbers, fax numbers and email addresses.

Program Contact Information

Phone: (512) 834-6648
Fax: (512) 834-4514

Mailing addresses may be found on the contact page.

Last updated March 13, 2018