Ambulatory Surgical Centers

As defined by Texas Health and Safety Code Section 243.002, an ambulatory surgical center is a facility that operates primarily to provide surgical services to patients who do not require overnight hospital care. ASCs are commonly referred to as "day surgery centers."

Texas Health and Safety Code Chapter 243 establishes the state licensing requirements for ASCs. Under state law, HHSC is responsible for the licensing and regulation of ASCs in Texas, and the Regulatory Services Division within HHSC carries out these duties.

HHSC adopts rules for ASCs including establishing standards for:

• Licensing procedures and fees
• License denial, probation, suspension, and revocation
• Qualifications of facility professional staff and other facility personnel
• Equipment essential to patient health and welfare
• Sanitary and hygienic conditions of the facility
• A quality assurance program for patient care
• Inspection, investigation, and enforcement procedures
• Design and construction requirements to ensure patient health and safety

Laws and Rules

Texas Laws

Rules and Regulations

• Texas Administrative Code Title 25 Part 1, Chapter 135, Ambulatory Surgical Centers
• Medicare/Medicaid State Operations Manual, Publication 100-07
• Federal Regulations - Code of Federal Regulations Title 42 Part 416, Ambulatory Surgical Centers

Find or Verify a License

• Verify a facility license by searching the Online Licensing System
• View the accessible version of the Directory of Ambulatory Surgical Centers (Excel)

Licensing

An applicant seeking an ASC license must submit a completed application, license fee, and other applicable documents to HHSC. The Health Facility Licensing Unit will not process an application until after HHSC Accounts Receivable receives and posts the license fee.

Refer to the application or instructions linked in this section for specific requirements.

HHSC must review and approve all required application materials received before issuing a license to an applicant.

Initial Licensure Application

Change of Ownership Application

• Change of Ownership Instructions (PDF)
• Form 3210, Ambulatory Surgical Center License Application

Relocation Application

Renewal Licensure Application

• Form 3211, Ambulatory Surgical Center License Renewal Addendum
• Online Licensing Renewals

Architectural Review Information and Forms

• Refer to the Architectural Information page

Complaint and Incident Submission Information

• Incidents Submission Portal for Health Care Regulation Providers
• File a Complaint for a Health Facility

Inspection Components

HHSC conducts health compliance on-site inspections to determine compliance with the provisions of the Health and Safety Code and associated rules listed in the Laws and Rules section of this page. During the inspection, HHSC staff will generally perform the following activities:

• Conduct an entrance and an exit conference with applicable facility personnel
• Explain the inspection process and answer questions
• Review clinical records
• Review facility and personnel records
• Review facility policies and procedures
• Review quality assurance activities
• Interview staff
• Assess the facility’s compliance with applicable statutes and rules
• Discuss final inspection findings with applicable facility personnel

Enforcement Actions

Human Trafficking Resources

• Human Trafficking Prevention Task Force Training Curriculum (PDF)
  • Required for ASCs where more than 50 abortions in any 12-month period are performed
  • Human Trafficking Required Signage Information (PDF)
  • Human Trafficking Sign (PDF in English)
  • Human Trafficking Sign (PDF in Spanish)

  Abortion Reporting

  As defined by Texas Health and Safety Code Section 245.002, an abortion facility is a place where abortions are performed.

  Texas Health and Safety Code Chapters 245 and 171 require abortion facilities and physicians that provide abortion services to report to HHSC certain information about abortion procedures the provider performs. HHSC must follow strict confidentiality provisions in the law regarding any information about an abortion facility. The law does allow HHSC to release statistical information reported to HHSC by abortion providers. The HHSC Office of Data, Analytics, and Performance (DAP) compiles this statistical information and publishes it on HHSC’s Induced Termination of Pregnancy Statistics webpage.

  Abortion Reporting Forms

  The following forms are required to be submitted by the physician to DAP:

  • Induced Abortion Report Form
  • Medical Emergency Abortion Incident Reporting Form
  • Third Trimester Induced Abortion Certification Form
  • Abortion Complication Reporting Form

  The following form is required to be submitted by the facility to DAP:

  Email Health Care Policies and Rules with questions regarding the statutory and regulatory abortion reporting requirements.

  For assistance completing the online forms, for technical support, or to provide feedback on the user experience, email ITOP Reporting.

  Provider Certification

  The Secretary of the United States Department of Health and Human Services directs state health agencies or other appropriate agencies to determine whether health care entities meet federal standards. This helping function is termed “provider certification.” Health Care Regulation staff are responsible for providing certification oversight on behalf of CMS for ASCs.

  Clinical Laboratory Improvement Amendments Information

  Contact Information

  Health Care Regulation

  For Health Care Regulation contact information, visit our Contact Us page.

  Health Care Facility Enforcement

  Phone: 512-438-5439
  Fax: 512-438-3697
  Email: Health.Facilities.Enforcement@hhsc.state.tx.us
  Mailing Address:
  Texas Health and Human Services Commission
  Regulatory Services Division
  Health Care Facility Enforcement, MC 1866
  P.O. Box 149347
  Austin, TX 78714-9347

  Open Records Requests

  Texas Health and Human Services is committed to providing full access to public information. For information on how to submit an open records request, read the Open Records Policy and Procedures.

  Resources