(a) The Texas Health and Human Services Commission (HHSC) may send written notice of expiration of a license to a facility no later than 60 calendar days before the expiration date. If the applicant has not received notice, it is the duty of the applicant to notify HHSC and request a renewal application.
(b) The facility shall submit to HHSC no later than 30 calendar days before the expiration date of the license:
  (1) a completed renewal application form;
  (2) a nonrefundable license fee;
  (3) a copy of a passing fire inspection report conducted within the last 12 months and one from the year prior indicating approval by the local fire authority in whose jurisdiction the facility is based, as HHSC requires annual fire safety inspections for a facility's continued licensure status; and
  (4) if the facility is accredited by the Joint Commission or other accrediting organization, documented evidence of current accreditation status.
(c) HHSC shall issue a renewal license to a facility that submits a renewal application in accordance with subsection (b) of this section and meets the minimum standards for a license set forth in this chapter.
(d) Renewal licenses shall be valid for two years from the previous expiration date.
(e) If a facility fails to timely submit a complete application and fee in accordance with subsection (b) of this section, HHSC shall notify the facility that the facility shall cease providing freestanding emergency medical care (FEMC) services. If the facility provides HHSC with sufficient evidence the facility submitted a complete application and fee in a timely manner and the facility adhered to all required dates, HHSC will dismiss the cessation notice prohibiting the facility from providing FEMC services. If the facility does not provide sufficient evidence, the facility shall immediately return the license to HHSC within 30 days of HHSC's notification.
(f) If a facility does not correct a deficiency in the renewal application within 10 business days after the date HHSC notifies the facility of the deficiency, HHSC may deny the renewal application. Any fee paid for a denied renewal application is nonrefundable, as indicated by §509.30(d) of this subchapter (relating to Fees).
(g) If a license expires and a facility wishes to provide FEMC services after the expiration date of the license, the facility shall reapply for a license under §509.24 of this subchapter (relating to Application and Issuance of Initial License).

Source Note: The provisions of this §509.25 adopted to be effective December 4, 2023, 48 TexReg 7064