Trade Scopes 8 min read • Feb 28, 2026

Medical Office Building (MOB) Construction: ADA Compliance, OSHPD Rules & Exam Room HVAC

Commercial healthcare construction guide for medical office buildings (MOB) and outpatient facilities in Texas. Air exchange rates, acoustic privacy, and accessibility.

Medical office buildings (MOB) require strict adherence to Texas Department of Licensing and Regulation (TDLR) Texas Accessibility Standards (TAS), ASHRAE 170 ventilation rules for healthcare facilities, and HIPAA-compliant acoustic wall assemblies.

Exam Room & Clinical Suite Mechanical Standards

Unlike standard office spaces where air is continuously recirculated across multiple suites, healthcare clinical environments require tailored ventilation:

  • Air Exchange Rates: Examination rooms require a minimum of 6 total air changes per hour (ACH) with at least 2 outdoor air changes.
  • Filtration Standards: MERV 14 or higher final filtration banks to capture airborne pathogens and particulate matter.
  • Acoustic Wall Assemblies (STC 50+): Patient exam room walls must run full height from slab to underside of structural deck, packed with sound insulation batting and sealed with acoustic caulking at all floor/ceiling tracks to satisfy HIPAA confidentiality.

Frequently Asked Questions

How much does it cost to build a medical office building in Texas per square foot?

Core and shell MOBs average $195 to $280/SF, with clinical interior tenant fit-outs adding $140 to $240/SF depending on imaging, lab, and exam room density.

Do all Texas medical clinics require TDLR TAS plan reviews?

Yes. Any commercial building project in Texas with a construction budget of $50,000 or greater must register with TDLR and undergo independent architectural accessibility plan review and inspection.

← Back to all resources Browse Texas Trade Directory →