HB 4743

relating to the issuance of a single license for a hospital and a
mobile stroke unit of the hospital.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 241.023, Health and Safety Code, is
amended by amending Subsections (c-1) and (c-2) and adding
Subsection (h) to read as follows:
(c-1)  The department may issue:
(1)  one license for multiple hospitals if:
(A) [(1)]  all buildings in which inpatients
receive hospital services and inpatient services of each of the
hospitals to be included in the license are subject to the control
and direction of the same governing body;
(B) [(2)]  all buildings in which inpatients
receive hospital services are within a 30-mile radius of the main
(C) [(3)]  there is integration of the organized
medical staff of each of the hospitals to be included in the
(D) [(4)]  there is a single chief executive
officer for all of the hospitals who reports directly to the
governing body and through whom all administrative authority flows
and who exercises control and surveillance over all administrative
(E) [(5)]  there is a single chief medical officer
for all of the hospitals who reports directly to the governing body
and who is responsible for all medical staff activities of the
(F) [(6)]  each building of a hospital to be
included in the license that is geographically separate from other
buildings of the same hospital contains at least one nursing unit
for inpatients, unless providing only diagnostic or laboratory
services, or a combination of diagnostic or laboratory services, in
the building for hospital inpatients; and
(G) [(7)]  each hospital that is to be included in
the license complies with the emergency services standards:
(i) [(A)]  for a general hospital, if the
hospital provides surgery or obstetrical care or both; or
(ii) [(B)]  for a special hospital, if the
hospital does not provide surgery or obstetrical care; and
(2)  one license for a hospital and a mobile stroke unit
of the hospital if the mobile stroke unit is accredited by a health
care accreditation organization approved by the Centers for
Medicare and Medicaid Services.
(c-2)  The department may recommend a waiver of the
requirement of Subsection (c-1)(1)(G) [(c-1)(7)] for a hospital if
another hospital that is to be included in the license:
(1)  complies with the emergency services standards for
(2)  is in close geographic proximity to the hospital.
(h)  Subsection (g) does not apply to a license issued to a
mobile stroke unit of a hospital under Subsection (c-1)(2).
SECTION 2.  As soon as practicable after the effective date
of this Act, the executive commissioner of the Health and Human
Services Commission shall adopt rules necessary to implement
Section 241.023(c-1), Health and Safety Code, as amended by this
SECTION 3.  This Act takes effect September 1, 2025.