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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 139ABORTION FACILITY REPORTING AND LICENSING
SUBCHAPTER BLICENSING PROCEDURES
RULE §139.23Application Procedures and Issuance of Licenses

    (C) Pre-licensing Inspection. Once the commission has determined that the application form, the information required to accompany the application form, and the initial license fee are complete and correct, the commission shall conduct an on-site pre-licensing inspection of the physical location.

    (D) After the on-site pre-licensing inspection has been completed, the commission shall:

      (i) issue an initial license to the owner of a facility, if the facility is found to be in compliance with the commission's requirements for initial licensure; or

      (ii) deny the application, if the facility has not complied with the commission's requirements for issuing an initial license. The procedure for denial of a license shall be in accordance with §139.32 of this title (relating to License Denial, Suspension, Probation, or Revocation).

  (7) A commission representative shall inspect the abortion facility in accordance with §139.31 of this title (relating to On-Site Inspections and Complaint Investigations of a Licensed Abortion Facility) within 60 days after the issuance of an initial license. If the commission determines that a facility is not in compliance with the provisions of the Act or this chapter after the initial on-site inspection, the commission shall notify the facility. Notification shall be in accordance with §139.32 of this title.

  (8) If for any reason, an applicant decides not to continue the application process, the applicant shall submit to the commission a written request to withdraw its application. If an initial license has been issued, the applicant shall cease providing abortion services and return the initial license to the commission with its written request to withdraw. The commission shall acknowledge receipt of the request to withdraw. The license fee shall not be refunded.

  (9) Continuing compliance by the licensed abortion facility with the provisions of the Act and this chapter is required.

(d) Application procedures for renewal of a license.

  (1) The commission shall send notice of expiration of a license to the licensee at least 60 days before the expiration date of the license. If the licensee has not received notice of expiration from the commission 45 days prior to the expiration date, it is the duty of the licensee to notify the commission and request an application for a renewal license.

  (2) The licensee shall submit the following items to the commission by certified mail, marked confidential, and postmarked no later than 30 days prior to the expiration date of the license:

    (A) a complete and accurate renewal application form;

    (B) current updated documents containing all the information required in subsection (c)(2)(C) of this section; and

    (C) the renewal license fee.

  (3) A facility shall not misstate a material fact on any documents required to be submitted to the commission or required to be maintained by the facility in accordance with the provisions of the Act and this chapter.

  (4) A commission surveyor shall inspect a licensed abortion facility in accordance with §139.31(b) of this title.

  (5) If a licensee makes timely and sufficient application for renewal, the license shall not expire until the commission issues the renewal license or until the commission denies renewal of the license.

    (A) The commission shall issue a renewal license to a licensee who meets the minimum standards for a license in accordance with the provisions of the Act and this chapter.

    (B) The commission may propose to deny the issuance of a renewal license if:

      (i) based on the inspection report, the commission determines that the abortion facility does not meet or is in violation of any of the provisions of the Act or this chapter;

      (ii) renewal is prohibited by the Education Code, §57.491, relating to defaults on guaranteed student loans;

      (iii) a facility discloses any of the actions or offenses listed in subsection (c)(2)(C)(xi) and (xii) of this section; and

      (iv) a facility fails to file abortion reports or fails to ensure that a physician's report is filed in accordance with §139.5 of this title (relating to Additional Reporting Requirements).

  (6) If a licensee makes a timely application for renewal of a license, and action to revoke, suspend, place on probation, or deny renewal of the license is pending, the license does not expire but does extend until the application for renewal is granted or denied after the opportunity for a formal hearing. A renewal license shall not be issued unless the commission has determined the reason for the proposed action no longer exists.

  (7) If a suspension of a license overlaps a renewal date, the suspended license holder shall comply with the renewal procedures in this subsection; however, the commission may not renew the license until the commission determines that the reason for suspension no longer exists.

  (8) If the commission revokes or does not renew a license, a person may apply for an initial license by complying with the requirements of the Act and this chapter at the time of reapplication. The commission may refuse to issue a license, if the reason for revocation or non-renewal continues to exist.

  (9) Upon revocation or non-renewal, a license holder shall return the original license to the commission.

  (10) The procedures for revocation, suspension, probation, or denial of a license shall be in accordance with §139.32 of this title.

(e) Failure to timely renew a license.

  (1) If a licensee fails to timely renew a license in accordance with subsection (d) of this section, the commission shall notify the licensee that the facility shall cease operation on the expiration date of the license.

  (2) To continue providing services at the abortion facility after the expiration of the license, the owner shall apply for an initial license in accordance with subsection (c) of this section.

(f) Frequency of inspections. Inspections of the abortion facility shall be performed at a frequency prescribed by and in accordance with §139.31 of this title.


Source Note: The provisions of this §139.23 adopted to be effective June 28, 2009, 34 TexReg 4125; amended to be effective March 26, 2019, 44 TexReg 1532

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