(a) Renewal notice. The Department of State Health Services (department) shall send a renewal notice to a hospital at least 60 calendar days before the expiration date of a license.
  (1) If the hospital has not received the renewal notice from the department within 45 calendar days prior to the expiration date, it is the duty of the hospital to notify the department and request a renewal application for a license.
  (2) If the hospital fails to submit the application and fee within 15 calendar days prior to the expiration date of the license, the department shall send by certified mail to the hospital a letter advising that unless the license is renewed, the hospital must cease operations upon the expiration of the hospital's license.
(b) Renewal license. The department shall issue a renewal license to a hospital which meets the minimum requirements for a license.
  (1) The hospital shall submit the following to the department prior to the expiration date of the license:
    (A) a complete and accurate application form;
    (B) a copy of a hospital fire safety survey indicating approval by the local fire authority in whose jurisdiction the hospital is based. The hospital fire safety survey shall be conducted annually and both surveys shall be submitted.
    (C) the renewal license fee;
    (D) if the applicant is accredited by a Centers for Medicare and Medicaid Services-approved organization, a copy of documentation from the accrediting body showing the current accreditation status of the hospital; and (E) the following ownership information:
      (i) the name and social security number of the sole proprietor, if the applicant is a sole proprietor;
      (ii) the name and social security number of each partner who is an individual, if the applicant is a partnership;
      (iii) 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
      (iv) 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.
  (2) The department may conduct an inspection prior to issuing a renewal license in accordance with §133.101 of this title (relating to Inspection and Investigation Procedures).
  (3) Renewal licenses will be valid for 24 months.
(c) Notice to cease operation and return license. If a hospital fails to submit the application, documents, and fee by the expiration date of the hospital's license, the department shall notify the hospital by certified mail that it must cease operation and immediately return the license by certified mail to the department. If the hospital wishes to provide services after the expiration date of the license, it shall apply for a license under §133.22 of this title (relating to Application and Issuance of Initial License).

Source Note: The provisions of this §133.23 adopted to be effective June 21, 2007, 32 TexReg 3587