Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 133 - HOSPITAL LICENSING › Subchapter B - HOSPITAL LICENSE › Section 133.22 - Application and Issuance of Initial License

Current through Reg. 49, No. 28; July 12, 2024
(a) Application submittal. The applicant
				  shall submit the following documents to the Department of State Health Services
				  (department) no earlier than 60 calendar days prior to the projected opening
				  date of the hospital:
(1) an accurate and
				  complete application form;
(2) a
				  copy of the hospital's patient transfer policy which is developed in accordance
				  with §
											133.44
				  of this title (relating to Hospital Patient Transfer Policy) and is signed by
				  both the chairman and secretary of the governing body attesting to the date the
				  policy was adopted by the governing body and the effective date of the
				  policy;
(3) a copy of the
				  hospital's memorandum of transfer form which contains at a minimum the
				  information described in §
											133.44(c)(10)(B)
				  of this title;
(4) if the
				  application is for a special hospital license, a copy of a written agreement
				  the special hospital has entered into with a general hospital which provides
				  for the prompt transfer to and the admission by the general hospital of any
				  patient when special services are needed but are unavailable at the special
				  hospital. This agreement is required and is separate from any voluntary patient
				  transfer agreements the hospital may enter into in accordance with §
											133.61
				  of this title (relating to Hospital Patient Transfer Agreements);
(5) copies of any patient transfer agreements
				  entered into between the hospital and another hospital in accordance with
				  §
											133.61
				  of this title;
(6) for existing
				  facilities, a copy of a hospital fire safety survey indicating approval by the
				  local fire authority in whose jurisdiction the hospital is based that is dated
				  no earlier than one year prior to the hospital opening date. For new
				  construction, addition, and renovation projects, written approval by the local
				  building department and local fire authority shall be submitted during the
				  final construction inspection by the department;
(7) the appropriate license fee as required
				  in §
											133.26 of this
				  title (relating to Fees); and
(8)
				  the following ownership information:
(A) the
				  name and social security number of the sole proprietor, if the applicant is a
				  sole proprietor;
(B) the name and
				  social security number of each general partner who is an individual, if the
				  applicant is a partnership;
(C) the
				  name and social security number of any individual who has an ownership interest
				  of more than 25% in the corporation, if the applicant is a corporation;
				  and
(D) if the applicant is a niche
				  hospital, the names and license numbers of any physicians licensed by the Texas
				  Medical Board who have a financial interest in the applicant or any entity
				  which has an ownership interest in the applicant.