(a) A change of ownership of a limited services rural hospital (LSRH) occurs when there is a change in the person or governmental entity legally responsible for the operation of the LSRH, whether by lease or by ownership.      
        (1) If a licensee amends its articles of incorporation to revise its name and the tax identification number does not change, this section does not apply, except that the corporation must notify the Texas Health and Human Services Commission (HHSC) within 10 calendar days after the effective date of the name change.       
        (2) The sale of stock of a licensee does not cause this section to apply.       
      (b) The new owner shall submit a license application to HHSC before the date of the change of ownership or not later than 10 calendar days after the date of a change of ownership. The application shall be in accordance with §511.12 of this subchapter (relating to the Application and Issuance of Initial License) except the applicant does not need to submit any transfer agreements previously approved by HHSC if the current applicant affirmatively indicates adoption of the HHSC-approved transfer agreement. In addition to the documents required in §511.12 of this subchapter, the applicant shall include a legal document reflecting the change of ownership, such as a copy of the signed bill of sale, or lease agreement, that reflects the effective date of the sale or lease and has been executed by both parties.     
      (c) HHSC may waive the on-site construction and health inspections required by §511.12 of this subchapter.     
      (d) When HHSC determines the new owner has complied with the provisions of §511.12 of this subchapter, HHSC shall issue a new license which shall be effective the date of the change of ownership.     
      (e) The expiration date of the license shall be in accordance with §511.12 of this subchapter.     
      (f) The previous owner's license shall be void on the effective date of the new owner's license.     
     Source Note:        The provisions of this §511.15 adopted to be effective October 5, 2023, 48 TexReg 5668