{"asset": "state-certificate-of-need-programs", "asset_type": "expenditure-threshold", "body": "Which US states operate a certificate-of-need (CON) program for healthcare facilities, and what each program regulates. Each record is one state or DC: whether a CON program exists, which facility types and services are subject to review, whether any moratorium applies, and the statute citation. Answers 'does [state] require a certificate of need at all' and 'is [hospital beds / imaging equipment / an ambulatory surgery centre] reviewable in [state]'. Where NCSL's overview states a dollar trigger it is recorded here too, but it does so for only about half the CON states \u2014 for dollar thresholds read from each state's own statute, see con-capital-expenditure-thresholds-by-state.\n", "description": "Which US states operate a certificate-of-need (CON) program for healthcare facilities, and what each program regulates. Each record is one state or DC: whether a CON program exists, which facility types and services are subject to review, whether any moratorium applies, and the statute citation. Answers 'does [state] require a certificate of need at all' and 'is [hospital beds / imaging equipment / an ambulatory surgery centre] reviewable in [state]'. Where NCSL's overview states a dollar trigger it is recorded here too, but it does so for only about half the CON states \u2014 for dollar thresholds read from each state's own statute, see con-capital-expenditure-thresholds-by-state.", "file": "index.md", "generated": true, "harvested": "2026-08-19", "key_field": "state", "licence": "Facts extracted from NCSL's legislative overview of state certificate-of-need laws; whether a state operates a CON program, and the statutory citation for it, are facts and are not copyrightable", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "title": "Certificate of need programs by US state", "type": "dataset", "verified": false}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Alabama\n\n**Has CON program:** yes\n\n**Covered services:** general hospitals, specialized hospitals, nursing facilities, intermediate care facilities, rehabilitation centers, hospice service providers, home health agencies, HMOs, ambulatory surgery centers, kidney disease treatment centers\n\n**Moratorium:** No\n\n**Statute citation:** Ala. Code \u00a7 22-21-260\n\n> Alabama Health Care Facility Licensing/Certification Agency | <http://shpda.alabama.gov/> Alabama Health Planning and Development Agency | Certificate of Need Law | <https://alison.legislature.state.al.us/code-of-alabama> Ala. Code \u00a7 22-21-260 |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "general hospitals, specialized hospitals, nursing facilities, intermediate care facilities, rehabilitation centers, hospice service providers, home health agencies, HMOs, ambulatory surgery centers, kidney disease treatment centers", "file": "alabama.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "alabama", "moratorium": "No", "source_quote": "Alabama Health Care Facility Licensing/Certification Agency | <http://shpda.alabama.gov/> Alabama Health Planning and Development Agency | Certificate of Need Law | <https://alison.legislature.state.al.us/code-of-alabama> Ala. Code \u00a7 22-21-260 |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Alabama", "statute_citation": "Ala. Code \u00a7 22-21-260", "title": "Alabama \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Alaska\n\n**Has CON program:** yes\n\n**Covered services:** Private, municipal, state or federals hospitals. Psychiatric hospitals. Independent diagnostic testing facilities. Residential psychiatric treatment centers. Tuberculosis hospitals. Skilled nursing facilities. Kidney disease treatment centers, including free-standing hemodialysis units. Intermediate care facilities. Ambulatory surgical facilities.\n\n**Moratorium:** No\n\n**Statute citation:** Alaska Stat. \u00a7 18-07-31 et seq.\n\n> Alaska Health Care Facility Licensing/Certification Agency | <http://dhss.alaska.gov/dhcs/Pages/CertificateOfNeed/default.aspx> Alaska Department of Health and Social Services / Division of Health Care Services | Certificate of Need Law | <https://www.akleg.gov/basis/statutes.asp#18.07.031> Alaska Stat. \u00a7 18-07-31 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "Private, municipal, state or federals hospitals. Psychiatric hospitals. Independent diagnostic testing facilities. Residential psychiatric treatment centers. Tuberculosis hospitals. Skilled nursing facilities. Kidney disease treatment centers, including free-standing hemodialysis units. Intermediate care facilities. Ambulatory surgical facilities.", "file": "alaska.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "alaska", "moratorium": "No", "source_quote": "Alaska Health Care Facility Licensing/Certification Agency | <http://dhss.alaska.gov/dhcs/Pages/CertificateOfNeed/default.aspx> Alaska Department of Health and Social Services / Division of Health Care Services | Certificate of Need Law | <https://www.akleg.gov/basis/statutes.asp#18.07.031> Alaska Stat. \u00a7 18-07-31 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Alaska", "statute_citation": "Alaska Stat. \u00a7 18-07-31 et seq.", "title": "Alaska \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Arizona\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Arizona Health Care Facility Licensing/Certification Agency | <https://www.azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php#ambulance-ground-program-con> Arizona Department of Health Services / Emergency Medical Services & Trauma System | Certificate of Need Law | No* | Recent Legislative Activity | <https://www.azleg.gov/legtext/55leg/2R/laws/0381.htm> HB 2609 (Enacted 2022) amends various provisions related to certificate of necessity applications for ambulances. | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "arizona.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "arizona", "moratorium": "No", "source_quote": "Arizona Health Care Facility Licensing/Certification Agency | <https://www.azdhs.gov/preparedness/emergency-medical-services-trauma-system/index.php#ambulance-ground-program-con> Arizona Department of Health Services / Emergency Medical Services & Trauma System | Certificate of Need Law | No* | Recent Legislative Activity | <https://www.azleg.gov/legtext/55leg/2R/laws/0381.htm> HB 2609 (Enacted 2022) amends various provisions related to certificate of necessity applications for ambulances. | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Arizona", "title": "Arizona \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Arkansas\n\n**Has CON program:** yes\n\n**Covered services:** Nursing home facilities. Residential care facilities. Assisted living facilities. Post-acute head injury retraining facilities. Residential care facilities. Other long-term medical care or personal care facilities. Home health care services agencies.\n\n**Moratorium:** Constructing a new residential care facility. Replacing a residential care facility with 16 beds or more. Adding new beds or expanding existing bed capacity for residential care facilities.\n\n**Statute citation:** Ark. Stat. Ann. \u00a7 20-8-109 et seq.\n\n> Arkansas Health Care Facility Licensing/Certification Agency | <https://ahspa.arkansas.gov/> Arkansas Health Services Permit Agency | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=ccc8ac90-61ce-4fa9-a0d1-2e20ed919ea5&config=00JAA2ZjZiM2VhNS0wNTVlLTQ3NzUtYjQzYy0yYWZmODJiODRmMDYKAFBvZENhdGFsb2fXiYCnsel0plIgqpYkw9PK&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A5W3V-T4M0-R03N-52YR-00008-00&pdcontentcomponentid=234170&pdteaserkey=sr9&pditab=allpods&ecomp=bs65kkk&earg=sr9&prid=cdaba0df-d35f-46a4-b5fe-f841b34a902e\" \\t \"_blank> Ark. Stat. Ann. \u00a7 20-8-109 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "Nursing home facilities. Residential care facilities. Assisted living facilities. Post-acute head injury retraining facilities. Residential care facilities. Other long-term medical care or personal care facilities. Home health care services agencies.", "file": "arkansas.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "arkansas", "moratorium": "Constructing a new residential care facility. Replacing a residential care facility with 16 beds or more. Adding new beds or expanding existing bed capacity for residential care facilities.", "source_quote": "Arkansas Health Care Facility Licensing/Certification Agency | <https://ahspa.arkansas.gov/> Arkansas Health Services Permit Agency | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=ccc8ac90-61ce-4fa9-a0d1-2e20ed919ea5&config=00JAA2ZjZiM2VhNS0wNTVlLTQ3NzUtYjQzYy0yYWZmODJiODRmMDYKAFBvZENhdGFsb2fXiYCnsel0plIgqpYkw9PK&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A5W3V-T4M0-R03N-52YR-00008-00&pdcontentcomponentid=234170&pdteaserkey=sr9&pditab=allpods&ecomp=bs65kkk&earg=sr9&prid=cdaba0df-d35f-46a4-b5fe-f841b34a902e\" \\t \"_blank> Ark. Stat. Ann. \u00a7 20-8-109 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Arkansas", "statute_citation": "Ark. Stat. Ann. \u00a7 20-8-109 et seq.", "title": "Arkansas \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** California\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> California Health Care Facility Licensing/Certification Agency | <https://hcai.ca.gov/> California Department of Health Care Access and Information | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "california.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "california", "moratorium": "No", "source_quote": "California Health Care Facility Licensing/Certification Agency | <https://hcai.ca.gov/> California Department of Health Care Access and Information | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "California", "title": "California \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Colorado\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Colorado Health Care Facility Licensing/Certification Agency | Colorado Department of Public Health and Environment / <https://cdphe.colorado.gov/health-facilities-and-emergency-medical-services-division-contacts> Health Facilities and Emergency Medical Services Division | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "colorado.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "colorado", "moratorium": "No", "source_quote": "Colorado Health Care Facility Licensing/Certification Agency | Colorado Department of Public Health and Environment / <https://cdphe.colorado.gov/health-facilities-and-emergency-medical-services-division-contacts> Health Facilities and Emergency Medical Services Division | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Colorado", "title": "Colorado \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Connecticut\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, specialty hospitals, free-standing emergency departments, outpatient surgical facilities, mental health facilities, substance abuse treatment facilities, nursing homes, rest homes, residential care homes\n\n**Moratorium:** No\n\n**Statute citation:** Conn. Gen. Stat. \u00a7 19a-638 (General Health Facilities); Conn Gen. Stat. 17b-352 (Long Term Care Facilities)\n\n> Connecticut Health Care Facility Licensing/Certification Agency | <https://portal.ct.gov/OHS> Connecticut State Office of Health Strategy (General Health Facilities) | <https://portal.ct.gov/dss/health-and-home-care/reimbursement-and-certificate-of-need/certificate-of-need?language=en_US> Department of Social Services (Long Term Care Facilities) | Certificate of Need Law | <https://www.cga.ct.gov/current/pub/chap_368z.htm#sec_19a-630> Conn. Gen. Stat. \u00a7 19a-638 (General Health Facilities) | <https://www.cga.ct.gov/current/pub/chap_319y.htm#sec_17b-352> Conn Gen. Stat. 17b-352 (Long Term Care Facilities) |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, specialty hospitals, free-standing emergency departments, outpatient surgical facilities, mental health facilities, substance abuse treatment facilities, nursing homes, rest homes, residential care homes", "file": "connecticut.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "connecticut", "moratorium": "No", "source_quote": "Connecticut Health Care Facility Licensing/Certification Agency | <https://portal.ct.gov/OHS> Connecticut State Office of Health Strategy (General Health Facilities) | <https://portal.ct.gov/dss/health-and-home-care/reimbursement-and-certificate-of-need/certificate-of-need?language=en_US> Department of Social Services (Long Term Care Facilities) | Certificate of Need Law | <https://www.cga.ct.gov/current/pub/chap_368z.htm#sec_19a-630> Conn. Gen. Stat. \u00a7 19a-638 (General Health Facilities) | <https://www.cga.ct.gov/current/pub/chap_319y.htm#sec_17b-352> Conn Gen. Stat. 17b-352 (Long Term Care Facilities) |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Connecticut", "statute_citation": "Conn. Gen. Stat. \u00a7 19a-638 (General Health Facilities); Conn Gen. Stat. 17b-352 (Long Term Care Facilities)", "title": "Connecticut \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Delaware\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, nursing homes, free-standing birthing centers, free-standing surgical centers, free-standing acute inpatient rehabilitation hospitals, free-standing emergency centers, continual care community and other non-traditional long-term care facilities\n\n**Statute citation:** Del. Code Ann. Tit. 16 \u00a7 9301 et seq.\n\n> Delaware Health Care Facility Licensing/Certification Agency | <https://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> Delaware Department of Health and Social Services / Health Care Commission, Health Resources Board <http://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> | Certificate of Need Law | <https://delcode.delaware.gov/title16/c093/index.html> Del. Code Ann. Tit. 16 \u00a7 9301 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, nursing homes, free-standing birthing centers, free-standing surgical centers, free-standing acute inpatient rehabilitation hospitals, free-standing emergency centers, continual care community and other non-traditional long-term care facilities", "file": "delaware.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "delaware", "source_quote": "Delaware Health Care Facility Licensing/Certification Agency | <https://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> Delaware Department of Health and Social Services / Health Care Commission, Health Resources Board <http://www.dhss.delaware.gov/dhss/dhcc/hrb/dhrbhome.html> | Certificate of Need Law | <https://delcode.delaware.gov/title16/c093/index.html> Del. Code Ann. Tit. 16 \u00a7 9301 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Delaware", "statute_citation": "Del. Code Ann. Tit. 16 \u00a7 9301 et seq.", "title": "Delaware \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Florida\n\n**Has CON program:** yes\n\n**Covered services:** skilled nursing facilities, hospices, intermediate care facilities for the developmentally disabled\n\n**Statute citation:** Fla. Stat. \u00a7 408.031 et seq.\n\n> Florida Health Care Facility Licensing/Certification Agency | <https://ahca.myflorida.com/> Florida Agency for Health Care Administration | Certificate of Need Law | <https://www.flsenate.gov/Laws/Statutes/2025/408.031> Fla. Stat. \u00a7 408.031 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "skilled nursing facilities, hospices, intermediate care facilities for the developmentally disabled", "file": "florida.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "florida", "source_quote": "Florida Health Care Facility Licensing/Certification Agency | <https://ahca.myflorida.com/> Florida Agency for Health Care Administration | Certificate of Need Law | <https://www.flsenate.gov/Laws/Statutes/2025/408.031> Fla. Stat. \u00a7 408.031 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Florida", "statute_citation": "Fla. Stat. \u00a7 408.031 et seq.", "title": "Florida \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Georgia\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, destination cancer hospitals, skilled nursing facilities, intermediate care facilities, personal care homes, ambulatory surgical facilities, obstetrical facilities, free-standing emergency departments, HMOs, home health agencies, diagnostic/treatment/rehabilitation centers\n\n**Statute citation:** Ga. Code \u00a7 31-6-40 et seq.\n\n> Georgia Health Care Facility Licensing/Certification Agency | <https://dch.georgia.gov/divisionsoffices/office-health-planning> Georgia Department of Community Health / Office of Health Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=b036b561-e98d-47ef-a26c-51111cb331f5&nodeid=ABFAAJAAEAAC&nodepath=%2FROOT%2FABF%2FABFAAJ%2FABFAAJAAE%2FABFAAJAAEAAC&level=4&haschildren=&populated=false&title=31-6-40.+Certificate+of+need+required+for+new+institutional+health+services%3B+exemption.&config=00JAA1MDBlYzczZi1lYjFlLTQxMTgtYWE3OS02YTgyOGM2NWJlMDYKAFBvZENhdGFsb2feed0oM9qoQOMCSJFX5qkd&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A6348-FX31-DYB7-W028-00008-00&ecomp=bgf5kkk&prid=527f9172-c868-480b-9e01-3057b599f2df> Ga. Code \u00a7 31-6-40 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, destination cancer hospitals, skilled nursing facilities, intermediate care facilities, personal care homes, ambulatory surgical facilities, obstetrical facilities, free-standing emergency departments, HMOs, home health agencies, diagnostic/treatment/rehabilitation centers", "file": "georgia.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "georgia", "source_quote": "Georgia Health Care Facility Licensing/Certification Agency | <https://dch.georgia.gov/divisionsoffices/office-health-planning> Georgia Department of Community Health / Office of Health Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=b036b561-e98d-47ef-a26c-51111cb331f5&nodeid=ABFAAJAAEAAC&nodepath=%2FROOT%2FABF%2FABFAAJ%2FABFAAJAAE%2FABFAAJAAEAAC&level=4&haschildren=&populated=false&title=31-6-40.+Certificate+of+need+required+for+new+institutional+health+services%3B+exemption.&config=00JAA1MDBlYzczZi1lYjFlLTQxMTgtYWE3OS02YTgyOGM2NWJlMDYKAFBvZENhdGFsb2feed0oM9qoQOMCSJFX5qkd&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A6348-FX31-DYB7-W028-00008-00&ecomp=bgf5kkk&prid=527f9172-c868-480b-9e01-3057b599f2df> Ga. Code \u00a7 31-6-40 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Georgia", "statute_citation": "Ga. Code \u00a7 31-6-40 et seq.", "title": "Georgia \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Hawaii\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, surgical centers, extended care and rehabilitation centers, nursing homes, skilled nursing facilities, intermediate care facilities, hospices, kidney disease treatment centers, outpatient clinics, ambulatory health care facilities, emergency care facilities, home health agencies, HMOs\n\n**Moratorium:** No\n\n**Statute citation:** Hawaii Rev. Stat. \u00a7 323D-42 et seq.\n\n> Hawaii Health Care Facility Licensing/Certification Agency | <http://health.hawaii.gov/shpda/certificate-of-need/> Hawaii Department of Health / State Health Planning & Development Agency | Certificate of Need Law | <http://www.capitol.hawaii.gov/hrscurrent/Vol06_Ch0321-0344/HRS0323D/HRS_0323D-0042.htm> Hawaii Rev. Stat. \u00a7 323D-42 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, surgical centers, extended care and rehabilitation centers, nursing homes, skilled nursing facilities, intermediate care facilities, hospices, kidney disease treatment centers, outpatient clinics, ambulatory health care facilities, emergency care facilities, home health agencies, HMOs", "file": "hawaii.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "hawaii", "moratorium": "No", "source_quote": "Hawaii Health Care Facility Licensing/Certification Agency | <http://health.hawaii.gov/shpda/certificate-of-need/> Hawaii Department of Health / State Health Planning & Development Agency | Certificate of Need Law | <http://www.capitol.hawaii.gov/hrscurrent/Vol06_Ch0321-0344/HRS0323D/HRS_0323D-0042.htm> Hawaii Rev. Stat. \u00a7 323D-42 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Hawaii", "statute_citation": "Hawaii Rev. Stat. \u00a7 323D-42 et seq.", "title": "Hawaii \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Idaho\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Idaho Health Care Facility Licensing/Certification Agency | <https://healthandwelfare.idaho.gov/> Idaho Department of Health and Welfare | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "idaho.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "idaho", "moratorium": "No", "source_quote": "Idaho Health Care Facility Licensing/Certification Agency | <https://healthandwelfare.idaho.gov/> Idaho Department of Health and Welfare | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Idaho", "title": "Idaho \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Illinois\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, long-term care facilities, dialysis centers, ambulatory surgery centers, alternative health care delivery models, free-standing emergency centers, birthing centers\n\n**Moratorium:** No\n\n**Statute citation:** Ill. Rev. Stat. ch. 20, \u00a7 3960/1 et. seq.\n\n> Illinois Health Care Facility Licensing/Certification Agency | <https://hfsrb.illinois.gov/> Illinois Health Facilities & Services Review Board | Certificate of Need Law | <https://ilga.gov/legislation/ILCS/ilcs3.asp?ActID=407&ChapterID=5> Ill. Rev. Stat. ch. 20, \u00a7 3960/1 et. seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, long-term care facilities, dialysis centers, ambulatory surgery centers, alternative health care delivery models, free-standing emergency centers, birthing centers", "file": "illinois.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "illinois", "moratorium": "No", "source_quote": "Illinois Health Care Facility Licensing/Certification Agency | <https://hfsrb.illinois.gov/> Illinois Health Facilities & Services Review Board | Certificate of Need Law | <https://ilga.gov/legislation/ILCS/ilcs3.asp?ActID=407&ChapterID=5> Ill. Rev. Stat. ch. 20, \u00a7 3960/1 et. seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Illinois", "statute_citation": "Ill. Rev. Stat. ch. 20, \u00a7 3960/1 et. seq.", "title": "Illinois \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Indiana\n\n**Has CON program:** yes\n\n**Covered services:** comprehensive care facilities (nursing homes)\n\n**Moratorium:** No\n\n**Statute citation:** Ind. Code \u00a7 16-29-7 et seq.\n\n> Indiana Health Care Facility Licensing/Certification Agency | <https://www.in.gov/health/cshcr/home/> Indiana Department of Health / Consumer Services and Health Care Regulation | Certificate of Need Law | <https://iga.in.gov/laws/2024/ic/titles/16#16-29-7> Ind. Code \u00a7 16-29-7 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "comprehensive care facilities (nursing homes)", "file": "indiana.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "indiana", "moratorium": "No", "source_quote": "Indiana Health Care Facility Licensing/Certification Agency | <https://www.in.gov/health/cshcr/home/> Indiana Department of Health / Consumer Services and Health Care Regulation | Certificate of Need Law | <https://iga.in.gov/laws/2024/ic/titles/16#16-29-7> Ind. Code \u00a7 16-29-7 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Indiana", "statute_citation": "Ind. Code \u00a7 16-29-7 et seq.", "title": "Indiana \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Iowa\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, residential care facilities, nursing facilities, intermediate care facilities, organized outpatient health facilities, outpatient surgical facilities, community mental health facilities, birthing centers\n\n**Moratorium:** No\n\n**Statute citation:** Iowa Code \u00a7 135.61 et seq.; Iowa Code \u00a7 135B.5A (Rural Emergency Hospitals)\n\n> Iowa Health Care Facility Licensing/Certification Agency | <https://dial.iowa.gov/state-health-facilities-council> Iowa Department of Public Health / State Health Facilities Council | Certificate of Need Law | <https://www.legis.iowa.gov/docs/ico/chapter/10A.pdf> Iowa Code \u00a7 135.61 et seq. | <https://www.legis.iowa.gov/docs/ico/chapter/135B.pdf> Iowa Code \u00a7 135B.5A (Rural Emergency Hospitals) |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, residential care facilities, nursing facilities, intermediate care facilities, organized outpatient health facilities, outpatient surgical facilities, community mental health facilities, birthing centers", "file": "iowa.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "iowa", "moratorium": "No", "source_quote": "Iowa Health Care Facility Licensing/Certification Agency | <https://dial.iowa.gov/state-health-facilities-council> Iowa Department of Public Health / State Health Facilities Council | Certificate of Need Law | <https://www.legis.iowa.gov/docs/ico/chapter/10A.pdf> Iowa Code \u00a7 135.61 et seq. | <https://www.legis.iowa.gov/docs/ico/chapter/135B.pdf> Iowa Code \u00a7 135B.5A (Rural Emergency Hospitals) |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Iowa", "statute_citation": "Iowa Code \u00a7 135.61 et seq.; Iowa Code \u00a7 135B.5A (Rural Emergency Hospitals)", "title": "Iowa \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Kansas\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Kansas Health Care Facility Licensing/Certification Agency | <https://www.kdhe.ks.gov/449/Facilities-Licensing> Kansas Department of Health and Environment / Health Facilities Program | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "kansas.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "kansas", "moratorium": "No", "source_quote": "Kansas Health Care Facility Licensing/Certification Agency | <https://www.kdhe.ks.gov/449/Facilities-Licensing> Kansas Department of Health and Environment / Health Facilities Program | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Kansas", "title": "Kansas \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Kentucky\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, psychiatric hospitals, physical rehabilitation hospitals, chemical dependency programs, nursing facilities, nursing homes, personal care homes, intermediate care facilities, family care homes, outpatient clinics, ambulatory care facilities, ambulatory surgical centers, emergency care centers, ambulance providers, hospices, community mental health centers, home health agencies, kidney disease treatment centers\n\n**Moratorium:** No\n\n**Statute citation:** Ky. Rev. Stat. \u00a7 216B.020 et seq.\n\n> Kentucky Health Care Facility Licensing/Certification Agency | <https://chfs.ky.gov/agencies/os/oig/dcn/Pages/cn.aspx> Kentucky Cabinet for Health and Family Services / Division of Certificate of Need | Certificate of Need Law | <https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38238%22%20\\t%20%22_blank> Ky. Rev. Stat. \u00a7 216B.020 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, psychiatric hospitals, physical rehabilitation hospitals, chemical dependency programs, nursing facilities, nursing homes, personal care homes, intermediate care facilities, family care homes, outpatient clinics, ambulatory care facilities, ambulatory surgical centers, emergency care centers, ambulance providers, hospices, community mental health centers, home health agencies, kidney disease treatment centers", "file": "kentucky.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "kentucky", "moratorium": "No", "source_quote": "Kentucky Health Care Facility Licensing/Certification Agency | <https://chfs.ky.gov/agencies/os/oig/dcn/Pages/cn.aspx> Kentucky Cabinet for Health and Family Services / Division of Certificate of Need | Certificate of Need Law | <https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38238%22%20\\t%20%22_blank> Ky. Rev. Stat. \u00a7 216B.020 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Kentucky", "statute_citation": "Ky. Rev. Stat. \u00a7 216B.020 et seq.", "title": "Kentucky \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Louisiana\n\n**Has CON program:** yes\n\n**Covered services:** nursing facilities, intermediate care facilities for persons with developmental disabilities, home- and community-based service providers, hospice providers, pediatric day health care facilities, behavioral health services providers, opioid treatment programs\n\n**Moratorium:** Intermediate care facilities for the developmentally disabled. Nursing facilities (until July 1, 2027) .\n\n**Statute citation:** La. Rev. Stat. Ann. \u00a7 2116\n\n> Louisiana Health Care Facility Licensing/Certification Agency | <https://ldh.la.gov/> Louisiana Department of Health | Certificate of Need Law | <https://legis.la.gov/Legis/Law.aspx?p=y&d=98042> La. Rev. Stat. Ann. \u00a7 2116 * |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "nursing facilities, intermediate care facilities for persons with developmental disabilities, home- and community-based service providers, hospice providers, pediatric day health care facilities, behavioral health services providers, opioid treatment programs", "file": "louisiana.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "louisiana", "moratorium": "Intermediate care facilities for the developmentally disabled. Nursing facilities (until July 1, 2027) .", "source_quote": "Louisiana Health Care Facility Licensing/Certification Agency | <https://ldh.la.gov/> Louisiana Department of Health | Certificate of Need Law | <https://legis.la.gov/Legis/Law.aspx?p=y&d=98042> La. Rev. Stat. Ann. \u00a7 2116 * |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Louisiana", "statute_citation": "La. Rev. Stat. Ann. \u00a7 2116", "title": "Louisiana \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Maine\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, psychiatric hospitals, nursing facilities, kidney disease treatment centers, rehabilitation facilities, ambulatory surgical facilities, independent radiological service centers, independent cardiac catheterization centers, cancer treatment centers\n\n**Moratorium:** No\n\n**Statute citation:** Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et seq.\n\n> Maine Health Care Facility Licensing/Certification Agency | <https://www.maine.gov/dhhs/dlc> Maine Department of Health and Human Services / Division of Licensing and Certification | Certificate of Need Law | <https://legislature.maine.gov/statutes/22/title22sec327.html> Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, psychiatric hospitals, nursing facilities, kidney disease treatment centers, rehabilitation facilities, ambulatory surgical facilities, independent radiological service centers, independent cardiac catheterization centers, cancer treatment centers", "file": "maine.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "maine", "moratorium": "No", "source_quote": "Maine Health Care Facility Licensing/Certification Agency | <https://www.maine.gov/dhhs/dlc> Maine Department of Health and Human Services / Division of Licensing and Certification | Certificate of Need Law | <https://legislature.maine.gov/statutes/22/title22sec327.html> Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Maine", "statute_citation": "Me. Rev. Stat. Ann. Tit. 22, Chapter 103-A et seq.", "title": "Maine \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Maryland\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, limited-service hospitals, related institutions providing domiciliary/personal/nursing care, ambulatory surgical facilities, rehabilitation facilities, home health agencies, hospices\n\n**Moratorium:** No\n\n**Statute citation:** Md. Health Code Ann. \u00a7 19-120 et seq.; COMAR 10.24.01 et seq.\n\n> Maryland Health Care Facility Licensing/Certification Agency | <https://mhcc.maryland.gov/mhcc/Pages/hcfs/hcfs_con/hcfs_con.aspx> Maryland Department of Health / The Maryland Health Care Commission | Certificate of Need Law | <https://mgaleg.maryland.gov/2022RS/Statute_Web/ghg/ghg.pdf> Md. Health Code Ann. \u00a7 19-120 et seq. | <https://dsd.maryland.gov/regulations/Pages/10.24.01.01.aspx> COMAR 10.24.01 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, limited-service hospitals, related institutions providing domiciliary/personal/nursing care, ambulatory surgical facilities, rehabilitation facilities, home health agencies, hospices", "file": "maryland.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "maryland", "moratorium": "No", "source_quote": "Maryland Health Care Facility Licensing/Certification Agency | <https://mhcc.maryland.gov/mhcc/Pages/hcfs/hcfs_con/hcfs_con.aspx> Maryland Department of Health / The Maryland Health Care Commission | Certificate of Need Law | <https://mgaleg.maryland.gov/2022RS/Statute_Web/ghg/ghg.pdf> Md. Health Code Ann. \u00a7 19-120 et seq. | <https://dsd.maryland.gov/regulations/Pages/10.24.01.01.aspx> COMAR 10.24.01 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Maryland", "statute_citation": "Md. Health Code Ann. \u00a7 19-120 et seq.; COMAR 10.24.01 et seq.", "title": "Maryland \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Massachusetts\n\n**Has CON program:** yes\n\n**Covered services:** hospitals or clinics, long-term care facilities, clinical laboratories, public medical institutions\n\n**Moratorium:** No\n\n**Statute citation:** Mass. Gen. Laws Ann. ch. 111 \u00a725C et seq.\n\n> Massachusetts Health Care Facility Licensing/Certification Agency | <https://www.mass.gov/determination-of-need-don> Massachusetts Department of Public Health / Determination of Need | Certificate of Need Law | <https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section25c> Mass. Gen. Laws Ann. ch. 111 \u00a725C et seq.* |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals or clinics, long-term care facilities, clinical laboratories, public medical institutions", "file": "massachusetts.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "massachusetts", "moratorium": "No", "source_quote": "Massachusetts Health Care Facility Licensing/Certification Agency | <https://www.mass.gov/determination-of-need-don> Massachusetts Department of Public Health / Determination of Need | Certificate of Need Law | <https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section25c> Mass. Gen. Laws Ann. ch. 111 \u00a725C et seq.* |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Massachusetts", "statute_citation": "Mass. Gen. Laws Ann. ch. 111 \u00a725C et seq.", "title": "Massachusetts \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Michigan\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, psychiatric hospitals or psychiatric units, nursing homes or hospital long-term care units, free-standing surgical outpatient facilities, HMOs\n\n**Moratorium:** No\n\n**Statute citation:** Mich. Comp. Laws \u00a7 333.22201 et seq.\n\n> Michigan Health Care Facility Licensing/Certification Agency | <https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_5106---,00.html> Michigan Department of Health and Human Services | Certificate of Need Law | <http://www.legislature.mi.gov/(S(ln4plkvwgje13fxor03vheje))/mileg.aspx?page=getObject&objectName=mcl-333-22201> Mich. Comp. Laws \u00a7 333.22201 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, psychiatric hospitals or psychiatric units, nursing homes or hospital long-term care units, free-standing surgical outpatient facilities, HMOs", "file": "michigan.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "michigan", "moratorium": "No", "source_quote": "Michigan Health Care Facility Licensing/Certification Agency | <https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_5106---,00.html> Michigan Department of Health and Human Services | Certificate of Need Law | <http://www.legislature.mi.gov/(S(ln4plkvwgje13fxor03vheje))/mileg.aspx?page=getObject&objectName=mcl-333-22201> Mich. Comp. Laws \u00a7 333.22201 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Michigan", "statute_citation": "Mich. Comp. Laws \u00a7 333.22201 et seq.", "title": "Michigan \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Minnesota\n\n**Has CON program:** no\n\n**Moratorium:** Hospitals and hospital beds ( Minn. Stat. \u00a7 144.551 ). Nursing home beds ( Minn. Stat. \u00a7 144A.071 ). Intermediate care facilities for persons with developmental disabilities ( Minn. Stat. \u00a7 252.291 ). Radiation therapy facilities in certain counties ( Minn. Stat. \u00a7 144.5509 ).\n\n> Minnesota Health Care Facility Licensing/Certification Agency | <https://www.health.state.mn.us/facilities/regulation/index.html> Minnesota Department of Health | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | Hospitals and hospital beds ( <https://www.revisor.mn.gov/statutes/cite/144.551> Minn. Stat. \u00a7 144.551 ). Nursing home beds ( <https://www.revisor.mn.gov/statutes/cite/144A.071> Minn. Stat. \u00a7 144A.071 ). Intermediate care facilities for persons with developmental disabilities ( <https://www.revisor.mn.gov/statutes/cite/252.291> Minn. Stat. \u00a7 252.291 ). Radiation therapy facilities in certain counties ( <https://www.revisor.mn.gov/statutes/cite/144.5509> Minn. Stat. \u00a7 144.5509 ). |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "minnesota.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "minnesota", "moratorium": "Hospitals and hospital beds ( Minn. Stat. \u00a7 144.551 ). Nursing home beds ( Minn. Stat. \u00a7 144A.071 ). Intermediate care facilities for persons with developmental disabilities ( Minn. Stat. \u00a7 252.291 ). Radiation therapy facilities in certain counties ( Minn. Stat. \u00a7 144.5509 ).", "source_quote": "Minnesota Health Care Facility Licensing/Certification Agency | <https://www.health.state.mn.us/facilities/regulation/index.html> Minnesota Department of Health | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | Hospitals and hospital beds ( <https://www.revisor.mn.gov/statutes/cite/144.551> Minn. Stat. \u00a7 144.551 ). Nursing home beds ( <https://www.revisor.mn.gov/statutes/cite/144A.071> Minn. Stat. \u00a7 144A.071 ). Intermediate care facilities for persons with developmental disabilities ( <https://www.revisor.mn.gov/statutes/cite/252.291> Minn. Stat. \u00a7 252.291 ). Radiation therapy facilities in certain counties ( <https://www.revisor.mn.gov/statutes/cite/144.5509> Minn. Stat. \u00a7 144.5509 ). |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Minnesota", "title": "Minnesota \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Mississippi\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, psychiatric hospitals, chemical dependency hospitals, skilled nursing facilities, end-stage renal disease facilities, intermediate care facilities, ambulatory surgical facilities, home health agencies, psychiatric residential treatment facilities, pediatric skilled nursing facilities, long-term care hospitals, comprehensive medical rehabilitation facilities\n\n**Moratorium:** Skilled nursing facilities. Intermediate care facilities. Converting hospitals beds to skilled or intermediate nursing home care. Medicaid-certified child/adolescent psychiatric or chemical dependency beds. Intermediate care facilities for the intellectually disabled.\n\n**Statute citation:** Miss. Code Ann. \u00a7 41-7-171 et seq.\n\n> Mississippi Health Care Facility Licensing/Certification Agency | <https://msdh.ms.gov/msdhsite/_static/30,0,84,301.html> Mississippi Department of Health / Office of Health Policy and Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=21111bd4-1df4-4a62-bbc0-d14fd105f05d&nodeid=AAWAAFAAEAAB&nodepath=/ROOT/AAW/AAWAAF/AAWAAFAAE/AAWAAFAAEAAB&level=4&haschildren=&populated=false&title=%c2%a7%2041-7-171.%20Short%20title.&config=00JABhZDIzMTViZS04NjcxLTQ1MDItOTllOS03MDg0ZTQxYzU4ZTQKAFBvZENhdGFsb2f8inKxYiqNVSihJeNKRlUp&pddocfullpath=/shared/document/statutes-legislation/urn:contentItem:8P6B-83B2-D6RV-H417-00008-00&ecomp=_g1_kkk&prid=9626b415-86e6-409a-bb96-2d62f77352a9> Miss. Code Ann. \u00a7 41-7-171 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, psychiatric hospitals, chemical dependency hospitals, skilled nursing facilities, end-stage renal disease facilities, intermediate care facilities, ambulatory surgical facilities, home health agencies, psychiatric residential treatment facilities, pediatric skilled nursing facilities, long-term care hospitals, comprehensive medical rehabilitation facilities", "file": "mississippi.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "mississippi", "moratorium": "Skilled nursing facilities. Intermediate care facilities. Converting hospitals beds to skilled or intermediate nursing home care. Medicaid-certified child/adolescent psychiatric or chemical dependency beds. Intermediate care facilities for the intellectually disabled.", "source_quote": "Mississippi Health Care Facility Licensing/Certification Agency | <https://msdh.ms.gov/msdhsite/_static/30,0,84,301.html> Mississippi Department of Health / Office of Health Policy and Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=21111bd4-1df4-4a62-bbc0-d14fd105f05d&nodeid=AAWAAFAAEAAB&nodepath=/ROOT/AAW/AAWAAF/AAWAAFAAE/AAWAAFAAEAAB&level=4&haschildren=&populated=false&title=%c2%a7%2041-7-171.%20Short%20title.&config=00JABhZDIzMTViZS04NjcxLTQ1MDItOTllOS03MDg0ZTQxYzU4ZTQKAFBvZENhdGFsb2f8inKxYiqNVSihJeNKRlUp&pddocfullpath=/shared/document/statutes-legislation/urn:contentItem:8P6B-83B2-D6RV-H417-00008-00&ecomp=_g1_kkk&prid=9626b415-86e6-409a-bb96-2d62f77352a9> Miss. Code Ann. \u00a7 41-7-171 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Mississippi", "statute_citation": "Miss. Code Ann. \u00a7 41-7-171 et seq.", "title": "Mississippi \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Missouri\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, residential care facilities, assisted living facilities, intermediate care facilities, skilled nursing facilities, long-term care beds in a hospital, long-term care hospitals\n\n**Moratorium:** No\n\n**Statute citation:** Mo. Rev. Stat. \u00a7 197.300 et seq.\n\n> Missouri Health Care Facility Licensing/Certification Agency | <https://health.mo.gov/information/boards/certificateofneed/index.php> Missouri Department of Health and Senior Services / Missouri Health Facilities Review Committee | Certificate of Need Law | <https://revisor.mo.gov/main/OneSection.aspx?section=197.300&bid=10381&hl=> Mo. Rev. Stat. \u00a7 197.300 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, residential care facilities, assisted living facilities, intermediate care facilities, skilled nursing facilities, long-term care beds in a hospital, long-term care hospitals", "file": "missouri.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "missouri", "moratorium": "No", "source_quote": "Missouri Health Care Facility Licensing/Certification Agency | <https://health.mo.gov/information/boards/certificateofneed/index.php> Missouri Department of Health and Senior Services / Missouri Health Facilities Review Committee | Certificate of Need Law | <https://revisor.mo.gov/main/OneSection.aspx?section=197.300&bid=10381&hl=> Mo. Rev. Stat. \u00a7 197.300 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Missouri", "statute_citation": "Mo. Rev. Stat. \u00a7 197.300 et seq.", "title": "Missouri \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Montana\n\n**Has CON program:** yes\n\n**Covered services:** long-term care facilities\n\n**Moratorium:** No\n\n**Statute citation:** Mont. Code Ann. \u00a7 50-5-301 et seq.\n\n> Montana Health Care Facility Licensing/Certification Agency | <https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/CertificateofNeed> Montana Department of Public Health and Human Services / Quality Assurance Division, Licensure Bureau | Certificate of Need Law | <https://leg.mt.gov/bills/mca/title_0500/chapter_0050/part_0030/section_0010/0500-0050-0030-0010.html> Mont. Code Ann. \u00a7 50-5-301 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "long-term care facilities", "file": "montana.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "montana", "moratorium": "No", "source_quote": "Montana Health Care Facility Licensing/Certification Agency | <https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/CertificateofNeed> Montana Department of Public Health and Human Services / Quality Assurance Division, Licensure Bureau | Certificate of Need Law | <https://leg.mt.gov/bills/mca/title_0500/chapter_0050/part_0030/section_0010/0500-0050-0030-0010.html> Mont. Code Ann. \u00a7 50-5-301 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Montana", "statute_citation": "Mont. Code Ann. \u00a7 50-5-301 et seq.", "title": "Montana \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Nebraska\n\n**Has CON program:** yes\n\n**Covered services:** skilled nursing facilities, intermediate care facilities, nursing facilities, long-term care hospitals\n\n**Moratorium:** Long-term care beds.\n\n**Statute citation:** Neb. Rev. Stat. \u00a7 71-5829 et seq.\n\n> Nebraska Health Care Facility Licensing/Certification Agency | <http://dhhs.ne.gov/licensure/Pages/Hospital-Licensing.aspx> Department of Health and Human Services / Division of Public Health, Licensure Unit | Certificate of Need Law | <https://nebraskalegislature.gov/laws/statutes.php?statute=71-5801> Neb. Rev. Stat. \u00a7 71-5829 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "skilled nursing facilities, intermediate care facilities, nursing facilities, long-term care hospitals", "file": "nebraska.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "nebraska", "moratorium": "Long-term care beds.", "source_quote": "Nebraska Health Care Facility Licensing/Certification Agency | <http://dhhs.ne.gov/licensure/Pages/Hospital-Licensing.aspx> Department of Health and Human Services / Division of Public Health, Licensure Unit | Certificate of Need Law | <https://nebraskalegislature.gov/laws/statutes.php?statute=71-5801> Neb. Rev. Stat. \u00a7 71-5829 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Nebraska", "statute_citation": "Neb. Rev. Stat. \u00a7 71-5829 et seq.", "title": "Nebraska \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Nevada\n\n**Has CON program:** yes\n\n**Covered services:** health facilities broadly defined as a facility in or through which health services are provided\n\n**Moratorium:** No\n\n**Statute citation:** Nev. Rev. Stat. \u00a7 439A.100 et seq.\n\n> Nevada Health Care Facility Licensing/Certification Agency | <http://dpbh.nv.gov/Programs/Certificate_of_Need/Certificate_of_Need_-_Home/> Nevada Division of Public and Behavioral Health / Health Planning and Primary Care | Certificate of Need Law | <https://www.leg.state.nv.us/nrs/nrs-439a.html#NRS439ASec100> Nev. Rev. Stat. \u00a7 439A.100 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "health facilities broadly defined as a facility in or through which health services are provided", "file": "nevada.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "nevada", "moratorium": "No", "source_quote": "Nevada Health Care Facility Licensing/Certification Agency | <http://dpbh.nv.gov/Programs/Certificate_of_Need/Certificate_of_Need_-_Home/> Nevada Division of Public and Behavioral Health / Health Planning and Primary Care | Certificate of Need Law | <https://www.leg.state.nv.us/nrs/nrs-439a.html#NRS439ASec100> Nev. Rev. Stat. \u00a7 439A.100 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Nevada", "statute_citation": "Nev. Rev. Stat. \u00a7 439A.100 et seq.", "title": "Nevada \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** New Hampshire\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> New Hampshire Health Care Facility Licensing/Certification Agency | <https://www.dhhs.nh.gov/doing-business-dhhs/licensing-certification/health-facilities-administration> New Hampshire Department of Health and Human Services / Health Facilities Administration | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "new-hampshire.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "new-hampshire", "moratorium": "No", "source_quote": "New Hampshire Health Care Facility Licensing/Certification Agency | <https://www.dhhs.nh.gov/doing-business-dhhs/licensing-certification/health-facilities-administration> New Hampshire Department of Health and Human Services / Health Facilities Administration | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "New Hampshire", "title": "New Hampshire \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** New Jersey\n\n**Has CON program:** yes\n\n**Covered services:** general hospitals, special hospitals, mental hospitals, public health centers, diagnostic centers, treatment centers, rehabilitation centers, extended care facilities, skilled nursing homes, intermediate care facilities, assisted living residences, outpatient clinics, home health care agencies, bioanalytical laboratories\n\n**Moratorium:** No\n\n**Statute citation:** N.J. Rev. Stat. \u00a726-2H-7 et seq.\n\n> New Jersey Health Care Facility Licensing/Certification Agency | <https://www.nj.gov/health/healthfacilities/certificate-need/> New Jersey Department of Health / Health Facilities | Certificate of Need Law | <https://law.justia.com/codes/new-jersey/title-26/section-26-2h-7/> N.J. Rev. Stat. \u00a726-2H-7 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "general hospitals, special hospitals, mental hospitals, public health centers, diagnostic centers, treatment centers, rehabilitation centers, extended care facilities, skilled nursing homes, intermediate care facilities, assisted living residences, outpatient clinics, home health care agencies, bioanalytical laboratories", "file": "new-jersey.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "new-jersey", "moratorium": "No", "source_quote": "New Jersey Health Care Facility Licensing/Certification Agency | <https://www.nj.gov/health/healthfacilities/certificate-need/> New Jersey Department of Health / Health Facilities | Certificate of Need Law | <https://law.justia.com/codes/new-jersey/title-26/section-26-2h-7/> N.J. Rev. Stat. \u00a726-2H-7 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "New Jersey", "statute_citation": "N.J. Rev. Stat. \u00a726-2H-7 et seq.", "title": "New Jersey \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** New Mexico\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> New Mexico Health Care Facility Licensing/Certification Agency | <https://nmhealth.org/about/ofm/> New Mexico Department of Health / Office of Facilities Management | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "new-mexico.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "new-mexico", "moratorium": "No", "source_quote": "New Mexico Health Care Facility Licensing/Certification Agency | <https://nmhealth.org/about/ofm/> New Mexico Department of Health / Office of Facilities Management | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "New Mexico", "title": "New Mexico \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** New York\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, nursing homes, diagnostic and treatment centers, ambulatory surgery centers, certified home health agencies, long term home health care programs, hospices, adult care facilities, adult day health care programs\n\n**Moratorium:** No\n\n**Statute citation:** N.Y. Public Health Law \u00a7 2802 et seq.\n\n> New York Health Care Facility Licensing/Certification Agency | <https://www.health.ny.gov/facilities/cons/> New York State Department of Health | Certificate of Need Law | <https://www.nysenate.gov/legislation/laws/PBH/2802> N.Y. Public Health Law \u00a7 2802 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, nursing homes, diagnostic and treatment centers, ambulatory surgery centers, certified home health agencies, long term home health care programs, hospices, adult care facilities, adult day health care programs", "file": "new-york.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "new-york", "moratorium": "No", "source_quote": "New York Health Care Facility Licensing/Certification Agency | <https://www.health.ny.gov/facilities/cons/> New York State Department of Health | Certificate of Need Law | <https://www.nysenate.gov/legislation/laws/PBH/2802> N.Y. Public Health Law \u00a7 2802 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "New York", "statute_citation": "N.Y. Public Health Law \u00a7 2802 et seq.", "title": "New York \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** North Carolina\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, long-term care hospitals, psychiatric facilities, rehabilitation facilities, nursing home facilities, adult care homes, kidney disease treatment centers, intermediate care facilities, home health agency offices, chemical dependency treatment facilities, diagnostic centers, hospice offices, ambulatory surgical facilities\n\n**Moratorium:** No\n\n**Statute citation:** N.C. Gen. Stat. \u00a7 131E-175 et seq.; N.C. Gen. Stat. \u00a7 131E-175 (State-operated facilities) *statute not yet updated\n\n> North Carolina Health Care Facility Licensing/Certification Agency | <https://info.ncdhhs.gov/dhsr/coneed/index.html> North Carolina Department of Health and Human Services / Division of Health Service Regulation | Certificate of Need Law | <https://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_131E/Article_9.html> N.C. Gen. Stat. \u00a7 131E-175 et seq. | N.C. Gen. Stat. \u00a7 131E-175 (State-operated facilities) *statute not yet updated* |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, long-term care hospitals, psychiatric facilities, rehabilitation facilities, nursing home facilities, adult care homes, kidney disease treatment centers, intermediate care facilities, home health agency offices, chemical dependency treatment facilities, diagnostic centers, hospice offices, ambulatory surgical facilities", "file": "north-carolina.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "north-carolina", "moratorium": "No", "source_quote": "North Carolina Health Care Facility Licensing/Certification Agency | <https://info.ncdhhs.gov/dhsr/coneed/index.html> North Carolina Department of Health and Human Services / Division of Health Service Regulation | Certificate of Need Law | <https://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_131E/Article_9.html> N.C. Gen. Stat. \u00a7 131E-175 et seq. | N.C. Gen. Stat. \u00a7 131E-175 (State-operated facilities) *statute not yet updated* |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "North Carolina", "statute_citation": "N.C. Gen. Stat. \u00a7 131E-175 et seq.; N.C. Gen. Stat. \u00a7 131E-175 (State-operated facilities) *statute not yet updated", "title": "North Carolina \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** North Dakota\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> North Dakota Health Care Facility Licensing/Certification Agency | <https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit> North Dakota Health Department / Health Facilities Unit | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "north-dakota.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "north-dakota", "moratorium": "No", "source_quote": "North Dakota Health Care Facility Licensing/Certification Agency | <https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit> North Dakota Health Department / Health Facilities Unit | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "North Dakota", "title": "North Dakota \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Ohio\n\n**Has CON program:** yes\n\n**Covered services:** long-term care facilities\n\n**Moratorium:** Long-term care beds.\n\n**Statute citation:** Ohio Rev. Code Ann. \u00a7 3701-12-01 et seq.\n\n> Ohio Health Care Facility Licensing/Certification Agency | <https://odh.ohio.gov/> Ohio Department of Health | Certificate of Need Law | <https://codes.ohio.gov/ohio-administrative-code/chapter-3701-12> Ohio Rev. Code Ann. \u00a7 3701-12-01 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "long-term care facilities", "file": "ohio.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "ohio", "moratorium": "Long-term care beds.", "source_quote": "Ohio Health Care Facility Licensing/Certification Agency | <https://odh.ohio.gov/> Ohio Department of Health | Certificate of Need Law | <https://codes.ohio.gov/ohio-administrative-code/chapter-3701-12> Ohio Rev. Code Ann. \u00a7 3701-12-01 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Ohio", "statute_citation": "Ohio Rev. Code Ann. \u00a7 3701-12-01 et seq.", "title": "Ohio \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Oklahoma\n\n**Has CON program:** yes\n\n**Covered services:** long-term care facilities, specialized facilities for developmentally disabled clients, hospital-based skilled nursing units\n\n**Moratorium:** No\n\n**Statute citation:** Okla. Stat. Tit. 63 \u00a7 1-850 et seq.\n\n> Oklahoma Health Care Facility Licensing/Certification Agency | <https://oklahoma.gov/health.html> Oklahoma State Department of Health | Certificate of Need Law | <https://oksenate.gov/sites/default/files/2022-05/os63.pdf> Okla. Stat. Tit. 63 \u00a7 1-850 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "long-term care facilities, specialized facilities for developmentally disabled clients, hospital-based skilled nursing units", "file": "oklahoma.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "oklahoma", "moratorium": "No", "source_quote": "Oklahoma Health Care Facility Licensing/Certification Agency | <https://oklahoma.gov/health.html> Oklahoma State Department of Health | Certificate of Need Law | <https://oksenate.gov/sites/default/files/2022-05/os63.pdf> Okla. Stat. Tit. 63 \u00a7 1-850 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Oklahoma", "statute_citation": "Okla. Stat. Tit. 63 \u00a7 1-850 et seq.", "title": "Oklahoma \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Oregon\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, skilled nursing facilities, intermediate care facilities, long-term care facilities, health facilities established by HMOs\n\n**Moratorium:** No\n\n**Statute citation:** Or. Rev. Stat. \u00a7 442-015 et seq.\n\n> Oregon Health Care Facility Licensing/Certification Agency | <https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/CertificateNeed/Pages/index.aspx> Oregon Health Authority / Public Health Division | Certificate of Need Law | <https://www.oregonlegislature.gov/bills_laws/ors/ors442.html> Or. Rev. Stat. \u00a7 442-015 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, skilled nursing facilities, intermediate care facilities, long-term care facilities, health facilities established by HMOs", "file": "oregon.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "oregon", "moratorium": "No", "source_quote": "Oregon Health Care Facility Licensing/Certification Agency | <https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/CertificateNeed/Pages/index.aspx> Oregon Health Authority / Public Health Division | Certificate of Need Law | <https://www.oregonlegislature.gov/bills_laws/ors/ors442.html> Or. Rev. Stat. \u00a7 442-015 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Oregon", "statute_citation": "Or. Rev. Stat. \u00a7 442-015 et seq.", "title": "Oregon \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Pennsylvania\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Pennsylvania Health Care Facility Licensing/Certification Agency | <https://www.health.pa.gov/Pages/default.aspx> Pennsylvania Department of Health | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "pennsylvania.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "pennsylvania", "moratorium": "No", "source_quote": "Pennsylvania Health Care Facility Licensing/Certification Agency | <https://www.health.pa.gov/Pages/default.aspx> Pennsylvania Department of Health | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Pennsylvania", "title": "Pennsylvania \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Rhode Island\n\n**Has CON program:** yes\n\n**Covered services:** hospitals, nursing facilities, home nursing-care providers, home care providers, hospice providers, inpatient rehabilitation centers, free-standing emergency care facilities, facilities providing surgical treatment, facilities providing inpatient hospice care\n\n**Moratorium:** New nursing facilities, nursing facility licensed beds, and increases in capacity of licensed nursing facilities (until July 1, 2022).\n\n**Statute citation:** R.I. Gen. Laws \u00a7 23-15-2 et seq.\n\n> Rhode Island Health Care Facility Licensing/Certification Agency | <http://health.ri.gov/programs/detail.php?pgm_id=1012> State of Rhode Island Department of Health / Center for Health Systems Policy and Regulation | Certificate of Need Law | <https://webserver.rilegislature.gov/Statutes/TITLE23/23-15/INDEX.htm> R.I. Gen. Laws \u00a7 23-15-2 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals, nursing facilities, home nursing-care providers, home care providers, hospice providers, inpatient rehabilitation centers, free-standing emergency care facilities, facilities providing surgical treatment, facilities providing inpatient hospice care", "file": "rhode-island.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "rhode-island", "moratorium": "New nursing facilities, nursing facility licensed beds, and increases in capacity of licensed nursing facilities (until July 1, 2022).", "source_quote": "Rhode Island Health Care Facility Licensing/Certification Agency | <http://health.ri.gov/programs/detail.php?pgm_id=1012> State of Rhode Island Department of Health / Center for Health Systems Policy and Regulation | Certificate of Need Law | <https://webserver.rilegislature.gov/Statutes/TITLE23/23-15/INDEX.htm> R.I. Gen. Laws \u00a7 23-15-2 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Rhode Island", "statute_citation": "R.I. Gen. Laws \u00a7 23-15-2 et seq.", "title": "Rhode Island \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** South Carolina\n\n**Has CON program:** yes\n\n**Covered services:** hospitals (except hospital care at home programs), nursing homes\n\n**Moratorium:** No\n\n**Statute citation:** S.C. Code Ann. \u00a7 44-7-110 et seq.\n\n> South Carolina Health Care Facility Licensing/Certification Agency | <https://dph.sc.gov/professionals/healthcare-quality/certificate-need-con> South Carolina Department of Public Health | Certificate of Need Law | <https://www.scstatehouse.gov/code/t44c007.php> S.C. Code Ann. \u00a7 44-7-110 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospitals (except hospital care at home programs), nursing homes", "file": "south-carolina.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "south-carolina", "moratorium": "No", "source_quote": "South Carolina Health Care Facility Licensing/Certification Agency | <https://dph.sc.gov/professionals/healthcare-quality/certificate-need-con> South Carolina Department of Public Health | Certificate of Need Law | <https://www.scstatehouse.gov/code/t44c007.php> S.C. Code Ann. \u00a7 44-7-110 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "South Carolina", "statute_citation": "S.C. Code Ann. \u00a7 44-7-110 et seq.", "title": "South Carolina \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** South Dakota\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> South Dakota Health Care Facility Licensing/Certification Agency | <https://doh.sd.gov/health-care-professionals/health-facility-licensure/> South Dakota Department of Health / Office of Health Facilities Licensure and Certification | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "south-dakota.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "south-dakota", "moratorium": "No", "source_quote": "South Dakota Health Care Facility Licensing/Certification Agency | <https://doh.sd.gov/health-care-professionals/health-facility-licensure/> South Dakota Department of Health / Office of Health Facilities Licensure and Certification | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "South Dakota", "title": "South Dakota \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Tennessee\n\n**Has CON program:** yes\n\n**Covered services:** nursing homes, recuperation centers, hospitals, ambulatory surgical treatment centers, mental health hospitals, intellectual disability institutional habilitation facilities, home care organizations, outpatient diagnostic centers, rehabilitation facilities, residential hospices, long-term care hospitals\n\n**Moratorium:** No\n\n**Statute citation:** Tenn. Code Ann. \u00a7 68-11-1602 et seq.\n\n> Tennessee Health Care Facility Licensing/Certification Agency | <https://www.tn.gov/hfc/certificate-of-need-information.html> Tennessee Department of Health / Division of Health Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=29a824c5-56ea-4141-a8b8-6730555239ea&nodeid=ACQAABAALAAQAAB&nodepath=%2FROOT%2FACQ%2FACQAAB%2FACQAABAAL%2FACQAABAALAAQ%2FACQAABAALAAQAAB&level=5&haschildren=&populated=false&title=68-11-1601.+Short+title.&config=025054JABlOTJjNmIyNi0wYjI0LTRjZGEtYWE5ZC0zNGFhOWNhMjFlNDgKAFBvZENhdGFsb2cDFQ14bX2GfyBTaI9WcPX5&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A62XK-7VM0-R03N-K498-00008-00&ecomp=6gf5kkk&prid=010910e8-8859-4610-9ae0-59f5328ce583> Tenn. Code Ann. \u00a7 68-11-1602 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "nursing homes, recuperation centers, hospitals, ambulatory surgical treatment centers, mental health hospitals, intellectual disability institutional habilitation facilities, home care organizations, outpatient diagnostic centers, rehabilitation facilities, residential hospices, long-term care hospitals", "file": "tennessee.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "tennessee", "moratorium": "No", "source_quote": "Tennessee Health Care Facility Licensing/Certification Agency | <https://www.tn.gov/hfc/certificate-of-need-information.html> Tennessee Department of Health / Division of Health Planning | Certificate of Need Law | <https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=29a824c5-56ea-4141-a8b8-6730555239ea&nodeid=ACQAABAALAAQAAB&nodepath=%2FROOT%2FACQ%2FACQAAB%2FACQAABAAL%2FACQAABAALAAQ%2FACQAABAALAAQAAB&level=5&haschildren=&populated=false&title=68-11-1601.+Short+title.&config=025054JABlOTJjNmIyNi0wYjI0LTRjZGEtYWE5ZC0zNGFhOWNhMjFlNDgKAFBvZENhdGFsb2cDFQ14bX2GfyBTaI9WcPX5&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A62XK-7VM0-R03N-K498-00008-00&ecomp=6gf5kkk&prid=010910e8-8859-4610-9ae0-59f5328ce583> Tenn. Code Ann. \u00a7 68-11-1602 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Tennessee", "statute_citation": "Tenn. Code Ann. \u00a7 68-11-1602 et seq.", "title": "Tennessee \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Texas\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Texas Health Care Facility Licensing/Certification Agency | <https://hhs.texas.gov/doing-business-hhs/provider-portals/health-care-facilities-regulation> Texas Health and Human Services | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "texas.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "texas", "moratorium": "No", "source_quote": "Texas Health Care Facility Licensing/Certification Agency | <https://hhs.texas.gov/doing-business-hhs/provider-portals/health-care-facilities-regulation> Texas Health and Human Services | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Texas", "title": "Texas \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Utah\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Utah Health Care Facility Licensing/Certification Agency | <https://dlbc.utah.gov/home/office-of-licensing/health-facilities/> Utah Department of Health / Division of Licensing and Background Checks (DLBC) O\ufb03ce of Licensing (OL) | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "utah.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "utah", "moratorium": "No", "source_quote": "Utah Health Care Facility Licensing/Certification Agency | <https://dlbc.utah.gov/home/office-of-licensing/health-facilities/> Utah Department of Health / Division of Licensing and Background Checks (DLBC) O\ufb03ce of Licensing (OL) | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Utah", "title": "Utah \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Vermont\n\n**Has CON program:** yes\n\n**Covered services:** general hospitals, mental hospitals, chronic disease facilities, birthing centers, maternity hospitals, psychiatric facilities, nursing homes, HMOs, home health agencies, outpatient diagnostic or therapy programs, kidney disease treatment centers, mental health agencies, diagnostic imaging facilities, cardiac catheterization laboratories, radiation therapy facilities, ambulatory surgical/diagnostic/treatment centers\n\n**Moratorium:** No certificate of need can be granted for the offering of home health services, which includes hospices or new home health agencies, through Jan. 1, 2025, or until the General Assembly lifts the moratorium.\n\n**Statute citation:** Vt. Stat. Ann. Tit. 18 V.S.A., \u00a7 9432 et seq.\n\n> Vermont Health Care Facility Licensing/Certification Agency | <https://gmcboard.vermont.gov/> State of Vermont Green Mountain Care Board | Certificate of Need Law | <https://legislature.vermont.gov/statutes/section/18/221/09432%22%20/t%20%22_blank> Vt. Stat. Ann. Tit. 18 V.S.A., \u00a7 9432 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "general hospitals, mental hospitals, chronic disease facilities, birthing centers, maternity hospitals, psychiatric facilities, nursing homes, HMOs, home health agencies, outpatient diagnostic or therapy programs, kidney disease treatment centers, mental health agencies, diagnostic imaging facilities, cardiac catheterization laboratories, radiation therapy facilities, ambulatory surgical/diagnostic/treatment centers", "file": "vermont.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "vermont", "moratorium": "No certificate of need can be granted for the offering of home health services, which includes hospices or new home health agencies, through Jan. 1, 2025, or until the General Assembly lifts the moratorium.", "source_quote": "Vermont Health Care Facility Licensing/Certification Agency | <https://gmcboard.vermont.gov/> State of Vermont Green Mountain Care Board | Certificate of Need Law | <https://legislature.vermont.gov/statutes/section/18/221/09432%22%20/t%20%22_blank> Vt. Stat. Ann. Tit. 18 V.S.A., \u00a7 9432 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Vermont", "statute_citation": "Vt. Stat. Ann. Tit. 18 V.S.A., \u00a7 9432 et seq.", "title": "Vermont \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Virginia\n\n**Has CON program:** yes\n\n**Covered services:** general hospitals, sanitariums, nursing homes, intermediate care facilities, extended care facilities, mental hospitals, facilities for individuals with developmental disabilities, psychiatric hospitals, specialized centers for ambulatory surgery/cardiac catheterization/CT/radiosurgery/lithotripsy/MRI/MSI/PET/radiation therapy/nuclear medicine, rehabilitation hospitals\n\n**Moratorium:** None, but Certificates of Public Need for an increase in nursing beds are subject to the department issuing a request for applications for an increase in beds.\n\n**Statute citation:** Va. Code \u00a732.1-102.1 et seq.\n\n> Virginia Health Care Facility Licensing/Certification Agency | <http://www.vdh.virginia.gov/licensure-and-certification/the-certificate-of-public-need-program/> Virginia Department of Health/Office of Licensure and Certification, Division of Certificate of Public Need | Certificate of Need Law | <https://law.lis.virginia.gov/vacode/title32.1/chapter4/section32.1-102.1/> Va. Code \u00a732.1-102.1 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "general hospitals, sanitariums, nursing homes, intermediate care facilities, extended care facilities, mental hospitals, facilities for individuals with developmental disabilities, psychiatric hospitals, specialized centers for ambulatory surgery/cardiac catheterization/CT/radiosurgery/lithotripsy/MRI/MSI/PET/radiation therapy/nuclear medicine, rehabilitation hospitals", "file": "virginia.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "virginia", "moratorium": "None, but Certificates of Public Need for an increase in nursing beds are subject to the department issuing a request for applications for an increase in beds.", "source_quote": "Virginia Health Care Facility Licensing/Certification Agency | <http://www.vdh.virginia.gov/licensure-and-certification/the-certificate-of-public-need-program/> Virginia Department of Health/Office of Licensure and Certification, Division of Certificate of Public Need | Certificate of Need Law | <https://law.lis.virginia.gov/vacode/title32.1/chapter4/section32.1-102.1/> Va. Code \u00a732.1-102.1 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Virginia", "statute_citation": "Va. Code \u00a732.1-102.1 et seq.", "title": "Virginia \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Washington, D.C.\n\n**Has CON program:** yes\n\n**Covered services:** private general hospitals, psychiatric hospitals, other specialty hospitals, rehabilitation facilities, skilled nursing facilities, intermediate care facilities, ambulatory care centers, ambulatory surgical facilities, kidney disease treatment centers, free-standing hemodialysis facilities, diagnostic health care facilities, home health agencies, hospices\n\n**Statute citation:** D.C. Code Ann. \u00a7 44-401 et seq.\n\n> Washington, D.C. Health Care Facility Licensing/Certification Agency | <https://dchealth.dc.gov/node/1599286> District of Columbia Health/State Health Planning and Development Agency | Certificate of Need Law | <https://code.dccouncil.gov/us/dc/council/code/titles/44/chapters/4/> D.C. Code Ann. \u00a7 44-401 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "private general hospitals, psychiatric hospitals, other specialty hospitals, rehabilitation facilities, skilled nursing facilities, intermediate care facilities, ambulatory care centers, ambulatory surgical facilities, kidney disease treatment centers, free-standing hemodialysis facilities, diagnostic health care facilities, home health agencies, hospices", "file": "washington-d-c.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "washington-d-c", "source_quote": "Washington, D.C. Health Care Facility Licensing/Certification Agency | <https://dchealth.dc.gov/node/1599286> District of Columbia Health/State Health Planning and Development Agency | Certificate of Need Law | <https://code.dccouncil.gov/us/dc/council/code/titles/44/chapters/4/> D.C. Code Ann. \u00a7 44-401 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Washington, D.C.", "statute_citation": "D.C. Code Ann. \u00a7 44-401 et seq.", "title": "Washington, D.C. \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Washington\n\n**Has CON program:** yes\n\n**Covered services:** hospices, hospice care centers, hospitals, psychiatric hospitals, nursing homes, ambulatory surgical facilities, home health agencies\n\n**Moratorium:** No\n\n**Statute citation:** Wash. Rev. Code \u00a770-38-025 et seq.\n\n> Washington Health Care Facility Licensing/Certification Agency | <https://www.doh.wa.gov/LicensesPermitsandCertificates/FacilitiesNewReneworUpdate/CertificateofNeed> Washington State Department of Health | Certificate of Need Law | <https://app.leg.wa.gov/RCW/default.aspx?cite=70.38.025> Wash. Rev. Code \u00a770-38-025 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "hospices, hospice care centers, hospitals, psychiatric hospitals, nursing homes, ambulatory surgical facilities, home health agencies", "file": "washington.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "washington", "moratorium": "No", "source_quote": "Washington Health Care Facility Licensing/Certification Agency | <https://www.doh.wa.gov/LicensesPermitsandCertificates/FacilitiesNewReneworUpdate/CertificateofNeed> Washington State Department of Health | Certificate of Need Law | <https://app.leg.wa.gov/RCW/default.aspx?cite=70.38.025> Wash. Rev. Code \u00a770-38-025 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Washington", "statute_citation": "Wash. Rev. Code \u00a770-38-025 et seq.", "title": "Washington \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** West Virginia\n\n**Has CON program:** yes\n\n**Covered services:** public or private facility, agency or entity that offers or provides health services\n\n**Moratorium:** New intermediate care or skilled nursing beds. New skilled nursing facilities. New intermediate care beds for persons with intellectual disabilities. Opioid treatment programs (unless it is part of an approved clinical trial and registered with the Board of Pharmacy). In-home personal care services.\n\n**Statute citation:** W. Va. Code \u00a716-2D-2 et seq.\n\n> West Virginia Health Care Facility Licensing/Certification Agency | <https://hca.wv.gov/certificateofneed/Pages/default.aspx> West Virginia Health Care Authority | Certificate of Need Law | <https://code.wvlegislature.gov/16-2D-2/> W. Va. Code \u00a716-2D-2 et seq. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "covered_services": "public or private facility, agency or entity that offers or provides health services", "file": "west-virginia.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "yes", "id": "west-virginia", "moratorium": "New intermediate care or skilled nursing beds. New skilled nursing facilities. New intermediate care beds for persons with intellectual disabilities. Opioid treatment programs (unless it is part of an approved clinical trial and registered with the Board of Pharmacy). In-home personal care services.", "source_quote": "West Virginia Health Care Facility Licensing/Certification Agency | <https://hca.wv.gov/certificateofneed/Pages/default.aspx> West Virginia Health Care Authority | Certificate of Need Law | <https://code.wvlegislature.gov/16-2D-2/> W. Va. Code \u00a716-2D-2 et seq. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "West Virginia", "statute_citation": "W. Va. Code \u00a716-2D-2 et seq.", "title": "West Virginia \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "unverified_fields": "covered_services, has_con_program, moratorium, statute_citation", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Wisconsin\n\n**Has CON program:** no\n\n**Moratorium:** Nursing homes are subject to a statewide bed limit. Hospital beds.\n\n> Wisconsin Health Care Facility Licensing/Certification Agency | <https://www.dhs.wisconsin.gov/regulations/index.htm> Wisconsin Department of Health Services | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | Nursing homes are subject to a statewide bed limit. Hospital beds. |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "wisconsin.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "wisconsin", "moratorium": "Nursing homes are subject to a statewide bed limit. Hospital beds.", "source_quote": "Wisconsin Health Care Facility Licensing/Certification Agency | <https://www.dhs.wisconsin.gov/regulations/index.htm> Wisconsin Department of Health Services | Certificate of Need Law | No* | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | Nursing homes are subject to a statewide bed limit. Hospital beds. |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Wisconsin", "title": "Wisconsin \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}
{"asset": "state-certificate-of-need-programs", "body": "**State:** Wyoming\n\n**Has CON program:** no\n\n**Moratorium:** No\n\n> Wyoming Health Care Facility Licensing/Certification Agency | <https://health.wyo.gov/aging/hls/> Wyoming Department of Health / Healthcare Licensing and Surveys | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |\n\nSource: <https://www.ncsl.org/health/certificate-of-need-state-laws>\n", "file": "wyoming.md", "generated": true, "harvested": "2026-08-19", "has_con_program": "no", "id": "wyoming", "moratorium": "No", "source_quote": "Wyoming Health Care Facility Licensing/Certification Agency | <https://health.wyo.gov/aging/hls/> Wyoming Department of Health / Healthcare Licensing and Surveys | Certificate of Need Law | No | Recent Legislative Activity | N/A | Facilities and Activities Overview | Facilities Regulated Under Certificate of Need Laws | N/A | Activities Regulated Under Certificate of Need Law | N/A | Other Requirements | Moratorium | No |", "sources": ["https://www.ncsl.org/health/certificate-of-need-state-laws"], "stale_after": "2027-02-15", "state": "Wyoming", "title": "Wyoming \u2014 Certificate of need programs by US state", "type": "expenditure-threshold", "verified": true}