I think this might be what you are referring to Mike.

The Texas End Stage Renal Disease Facility Licensing Act was first enacted in 1995 by the 74th Legislature. HHSC develops rules that establish minimum standards for ESRD licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.
https://www.hhs.texas.gov/providers/health-care-facilities-regulation/end-stage-renal-disease-facilities