The following facilities are not required to be licensed under this chapter:
  (1) an office or clinic owned and operated by a manufacturing facility solely for the purposes of treating its employees and contractors;
  (2) a temporary emergency clinic in a disaster area;
  (3) an office or clinic of a licensed physician, dentist, optometrist, or podiatrist;
  (4) a licensed nursing home;
  (5) a licensed hospital;
  (6) a hospital that is owned and operated by this state;
  (7) a facility located within or connected to a licensed hospital or a hospital that is owned and operated by this state;
  (8) a facility that is owned or operated by a licensed hospital or a hospital that is owned and operated by this state and is:
    (A) surveyed as a service of the hospital by an organization that has been granted deeming authority as a national accreditation program for hospitals by the Centers for Medicare and Medicaid Services (CMS); or
    (B) granted provider-based status by CMS; or
  (9) a licensed ambulatory surgical center.

Source Note: The provisions of this §509.22 adopted to be effective December 4, 2023, 48 TexReg 7064