In Texas, which agency is responsible for licensure and enforcement of nursing facilities?

• A. Texas Health and Human Services Commission (HHSC)
• B. Centers for Medicare & Medicaid Services
• C. Texas Department of Public Safety
• D. Texas Medical Board

Answer: (A)

In Texas, licensing and enforcement of nursing facilities is handled by the Texas Health and Human Services Commission. This agency oversees the licensure process and conducts surveys and enforcement actions to ensure facilities meet state health and safety standards for long‑term care. While federal standards exist for facilities that participate in Medicare and Medicaid, the licensure itself is a state function, carried out by HHSC. The other agencies have different roles: the Centers for Medicare & Medicaid Services handles federal participation requirements for Medicare/Medicaid, the Texas Department of Public Safety focuses on public safety licenses and enforcement, and the Texas Medical Board licenses physicians and regulates medical practice, not facilities.