Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter B - LICENSING REQUIREMENTS › Section 511.17 - Fees

Current through Reg. 49, No. 28; July 12, 2024
(a) All fees
				  paid to the Texas Health and Human Services Commission (HHSC) are nonrefundable
				  with the exception of inspection fees for inspections that were not
				  conducted.
(b) All fees shall be
				  paid by check or money order made payable to HHSC.
(c) The license application fee for an
				  initial license or a renewal license is $350.00.
(d) A limited services rural hospital (LSRH)
				  shall submit a license fee regardless of the number of months remaining in the
				  license period.
(e) An LSRH will
				  not receive a refund of previously submitted fees should the LSRH's design
				  capacity decrease as a result of an approved construction project.
(f) This subsection outlines the fees that
				  must accompany the application for plan review and all proposed plans and
				  specifications covering the alterations to existing buildings which the LSRH
				  must submit for review and approval by HHSC in accordance with §
										511.167 of this chapter (relating
				  to Preparation, Submittal, Review, and Approval of Plans, and Retention of
				  Records).
(1) HHSC will not review or approve
				  construction plans until HHSC receives the required fee and an application for
				  plan review.
(2) HHSC bases plan
				  review fees on the estimated construction project costs that are the total
				  expenditures required for a proposed project from initiation to completion,
				  including at least the following items.
(A)
				  Construction project costs shall include expenditures for physical assets, such
				  as:
(i) site acquisition;
(ii) soil tests and site
				  preparation;
(iii) construction and
				  improvements required as a result of the project;
(iv) building, structure, or office space
				  acquisition;
(v)
				  renovation;
(vi) fixed equipment;
				  and
(vii) energy provisions and
				  alternatives.
(B)
				  Construction project costs shall include expenditures for professional
				  services, including:
(i) planning
				  consultants;
(ii) architectural
				  fees;
(iii) fees for cost
				  estimation;
(iv) legal
				  fees;
(v) management fees;
				  and
(vi) feasibility
				  study.
(C) Construction
				  project costs shall include expenditures or costs associated with financing,
				  excluding long-term interest, but including:
(i) financial advisor;
(ii) fund-raising expenses;
(iii) lender's or investment banker's fee;
				  and
(iv) interest on interim
				  financing.
(D)
				  Construction project costs shall include expenditure allowances for
				  contingencies, including:
(i)
				  inflation;
(ii) inaccurate
				  estimates;
(iii) unforeseen
				  fluctuations in the money market; and
(iv) other unforeseen expenditures.
(3) Regarding purchases,
				  donations, gifts, transfers, and other comparable arrangements whereby the
				  acquisition is to be made for no consideration or at less than the fair market
				  value, HHSC shall determine project cost by the fair market value of the item
				  to be acquired as a result of the purchase, donation, gift, transfer, or other
				  comparable arrangement.
(A) The plan review
				  fee schedule based on cost of construction is:
(i) $100,000 or less--$300;
(ii) $100,001 to $600,000--$850;
(iii) $600,001 to
				  $2,000,000--$2,000;
(iv) $2,000,001
				  to $5,000,000--$3,000;
(v)
				  $5,000,001 to $10,000,000--$4,000; and
(vi) $10,000,001 and over--$5,000.
(B) If an estimated construction
				  cost cannot be established, the estimated cost shall be based on $225 per
				  square foot. No construction project shall be increased in size, scope, or cost
				  unless the LSRH submits appropriate fees with the proposed changes.